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HomeMy Public PortalAboutResolution No. 23-133 Accepting the proposal of Original Impressons for Gateway Entry SignageSponsored by: Interim City Manager RESOLUTION NO. 23-133 A RESOLUTION OF THE CITY COMMISSION OF THE CITY OF OPA- LOCKA, FLORIDA, ACCEPTING THE PROPOSAL OF ORIGINAL IMPRESSIONS, LLC. FOR GATEWAY ENTRY SIGNAGE INSTALLATION SERVICES, PURSUANT TO RFP NO. 23-0609200 AND FURTHER AUTHORIZING THE INTERIM CITY MANAGER TO ENTER INTO AN AGREEMENT WITH ORIGINAL IMPRESSIONS, LLC. FOR SAID SERVICES, IN AN AMOUNT NOT TO EXCEED ONE HUNDRED NINETY-NINE THOUSAND DOLLARS ($199,00.00); PROVIDING FOR ADOPTION OF REPRESENTATIONS; PROVIDING FOR AN EFFECTIVE DATE. WHEREAS, on May 8, 2023, the City of Opa-Locka ("City") published Request for Proposals (RFP) No. 23-0609200 to obtain Gateway Entry Signage Installation Services within the City; and WHEREAS, three (3) sealed proposal were received by the City Clerk's Office and certified by the City Clerk on June 23, 2023; and WHEREAS, the Interim City Manager recommends approval of Original Impressions LLC. The company is one of the nation's largest, state-of-the-art transactional printing, postal, mail, and signage organizations with 41 years of experience; and WHEREAS, at eight key gateways into the City, the company will provide design, fabrication (two sites), rehabilitation (six sites) and installation services for gateway signage, including planting low maintenance and drought tolerant native species and illumination/ solar power lighting; and WHEREAS, the City Commission finds that acceptance of Original Impressions, LLC.'s proposal for Gateway Entry Signage Installation Services within the City and entering into an agreement with said company is in the best interest of the City of Opa- Locka and its residents. NOW, THEREFORE, BE IT DULY RESOLVED BY THE CITY COMMISSION OF THE CITY OF OPA- LOCKA, FLORIDA: SECTION 1. The recitals to the preamble herein are incorporated by reference. SECTION 2. The City Commission of the City of Opa-Locka, Florida hereby accepts the proposal of Original Impressions, LLC. relating to Request for Proposals (RFP) 23- 0609200, for Gateway Entry Signage Installation Services within the City, and authorizes the Interim City Manager to enter into an agreement for same, attached hereto as Exhibit "A", in an amount not to exceed One Hundred Ninety -Nine Thousand Dollars ($199,00.00). Resolution No. 23-133 oanna Flores, City Clerk SECTION 3. Sections of this Resolution may be renumbered or re -lettered and corrections of typographical errors which do not affect the intent may be authorized by the City Manager following review by the City Attorney and without need of public hearing, by filing a corrected copy of same with the City. SECTION 4. This Resolution shall take effect upon adoption and is subject to the approval of the Governor or Governor's Designee. PASSED and ADOPTED this 13th day of September, 2023. ATTEST: APPROVED AS TO FORM AND LEGAL SUFFICIENCY: Birxfadette Ne'rris-Weeks, P.A. City Attorney Moved by: Commissioner Bass Seconded by: Commissioner Williams VOTE: 5-0 Commissioner Bass YES Commissioner Kelley YES Commissioner Williams YES Vice Mayor Ervin YES Mayor Taylor YES John H. ylor Jr., Mayor 2 Resolution No. 23-133 3 6�6®``i1n 6D -ll��b�da City of Opa-locka Agenda Cover Memo City Manager: Darvin Williams CM Signature: (A -C _) //(/ttX_kJ..Commission Meeting Date: 9/13/23 Item Type: (EnterX in box) Resolution \- Ordinance Other X Fiscal Impact: (EnterX in box) Yes No Ordinance Reading: (EnterX in box) 1n Reading rd Reading X Public Hearing: (EnterX in box) yes No Yes No X X Funding Source: Account# : (Enter Fund & Dept) Ex: See Financial Impact Section Advertising Requirement: (EnterX in box) Yes No X Contract/P.O. Required: (EnterX in box) Yes No RFP/RFQ/Bid#: X Strategic Plan Related (EnterX in box) Yes No Strategic Plan Priority Area: Enhance Organizational i J Bus. & Economic Dev EN ; Public Safety um Quality of Education • Qual. of Life & City Image - i Communication E Strategic Plan Obj./Strategy: (list the specific objective/strategy this item will address) X Sponsor Name City Manager Department: City Manager Short Title: A resolution authorizing the Interim City Manager to accept the proposal of Postal Center International Original Impressions LLC for Gateway Entry Signage Installation and Services pursuant to RFP No. 23- 0609200 and further authorizing the Interim City Manager to enter into an agreement with Postal Center International Original Impressions, LLC for said services. Staff Summary: Request for Proposals (RFP) 23-0609200 was published on May 08, 2023, for Gateway Entry Signage Installation and Services. Three (3) companies submitted proposal documents which were certified by the City Clerk on June 23, 2023. The Interim City Manager recommends approval of Postal Center International Original Impressions LLC. (PCIOI). The company is one of the nation's largest, state-of-the-art transactional printing, postal, mail, and signage organizations with 41 years of experience. At eight key gateways into the City, PCIOI will provide design, fabrication (two sites), rehabilitation (six sites) and installation services for gateway signage, including planting low maintenance and drought tolerant native species and illumination/solar power lighting. Financial Impact: The winning bid proposed a cost of $199,000. Staff recommends an additional 10% contingency to be available to address unforeseen circumstances justifying a change order. The FY 24 Proposed Budget for this project (44-541847) had forecasted $140,000 to be spent in FY 23 and $140,000 in FY 24. Since the project won't begin until FY 24, the first budget amendment for FY 24 will bring forward $78,900 of the $140,000 unspent in FY 23 to fully fund the project cost and contingency. Proposed Action: Staff recommends the City Commission approve the recommendation for Postal Center International Original Impressions, LLC, authorize the Interim City Manager to enter into an agreement with said company for $199,000 and to further establish a 10% contingency of $19,900 to address unforeseen circumstances. Attachment: RFP No. 23-0609200 Bid Certification Bid Proposal EVALUATION FORM RFP No. 23-0609200 Gateway Entry Signage Installation and Services By signing this form as an Evaluator, I certify that I have no conflict of interest. Reviewer Name: Signature: Firm Name: )T72 f Rus t) DDRepro Graphics and Marketing Evaluation Notes: Criterion Ratin Experience and Qualifications 5-4 References ,3 Resources and Approach `� Price Proposal 1/ Firm Name: Evacuation Criterion Date: el.,//-" 2QZa. PCI Ratin Experience and Qualifications 6 --- References Z Resources and Approach G Price Proposal Z Firm Name: Evaluation Criterion Experience and Qualifications References q Resources and Approach 2 Price Proposal 1 Ratin Notes: ' PR- ik � 4 viA) 56 Pgy c 23 deAlex,ye Excla Specialty Contractor Solutions, LLC Notes: f ' T&' P 1 Nc i /�P�'4 r'2�g R eG AVR2( Nsd/fla ,P/X tshc# "21 Afar PRa!/2/9% !OM •14p zeiv _g EVALUATION FORM RFP No. 23-0609200 Gateway Entry Signage Installation and Services By signing this form as an Evaluator, I certify that I have no conflict of interest. Reviewer Name: Signature: Firm Name: Evaluation Criterion DDRepro Graphics and Marketing Rating Experience and Qualifications References Resources and Approach '3 Price Proposal Firm Name: Evaluation Criterion Experience and Qualifications 4 References `0 Resources and Approach 0 Price Proposal Notes: Date: 7/11(--41,2z •1j/a-5 A•lit) M'1 --re-t4 Aiowd't ! 'LJ..•c7 PCI Ratio Firm Name: Evaluation Criterion Experience and Qualifications References .7 Resources and Approach Price Proposal Rating Notes: G4L4I1t-4 /Z' • rte sr .0 -(,.r. `2 P <& ?Jib« lac.&13 5C4 (Mall, �IC�&1/ L4 l -ii -Pi i7 7c 6$ 4 t411,t4Q6 ra c S Id- .11-e: /2 1-14 d4? Ujr it-tc/ kiikt� -fo(bl/ -1 S7a t -C Excla Specialty Contractor Solutions, LLC Notes: /1i0 iS6e1.1 nFL(!'•L`3 t i i4 P A.L7 1 g &IAJ VOA -44141-5 I4i, `1itz./7/t, )L111 01J% tZ , nlG�� Jr✓aQ 4)}7 t4'/' X6211-1LJ 1GL ',5 watimi (2'i iv// :Pee., H4 ow EVALUATION FORM RFP No. 23-0609200 Gateway Entry Signage Installation and Services By signing this form as an Evaluator, I certify that I have no conflict of interest. Reviewer Name: Signature: Firm Name: Evaluation Criterion DDRepro Graphics and Marketing Rating Experience and Qualifications References Resources and Approach Z Price Proposal Firm Name: Evaluation Criterion Notes: IV CtaU\ 0). Date: ( A \ \ j (,or CLfc vup np (\C . (0CtS vn& D\ 60 AD ex m c5 Q (`Q (lc>vric .� PCI Ratin Experience and Qualifications References Resources and Approach J Price Proposal Firm Name: Evaluation Criterion Experience and Qualifications References 3 Resources and Approach Z Price Proposal °6 Rating Notes: O(,.\a 04 9v) \ tC Excla Specialty Contractor Solutions, LLC Notes: ___QA9sC GC ACC aces u (qcL w6(0S \(k\. cfe.e (MAt (ok EVALUATION FORM RFP No. 23-0609200 Gateway Entry Signage Installation and Services By signing this form as an Evaluator, I certify that I have no conflict of interest. Reviewer Name: Signature: Firm Name: Evaluation Criterion Experience and Qualifications References 3 Resources and Approach ' Price Proposal DDRepro Graphics and Marketing Rating Firm Name: Evaluation Criterion Date: Notes: _Vent 9 o (9c 'ref t-4 b4 not Sore II 1 (;;t c r b r o%t W I I j->.2 is to � rociornel- o ck vci'k PCI Rating Experience and Qualifications References Resources and Approach Price Proposal ram ir_ Firm Name: Evaluation Criterion Experience and Qualifications References !" Resources and Approach Price Proposal Notes: hie) A1N�roc 4-(a, Rating Excla Specialty Contractor Solutions, LLC Notes: rOirC1-N Ylo\ c j e ntedl mov--e, (lot s t -e_ Tear EVALUATION FORM RFP No. 23-0609200 Gateway Entry Signage Installation and Services By signing this form as an Evaluator, I certify that I have no conflict of interest. Reviewer Name: Signature: Firm Name: Evaluation Criterion DDRepro Graphics and Marketing Date: Ratin Experience and Qualifications 3 References and Approach Price Proposal Price Proposal 4.Resources . Firm Name: Evaluation Criterion Experience and Qualifications References Resources and Approach 3 Price Proposal V Notes: Inn. e6 'O(- che6t3n6 r MOmImen Net_c) More. b1,str)esS 2.c er1eJ-) L . PCI Ratin Firm Name: Evaluation Criterion Experience and Qualifications I References I Resources and Approach Price Proposal d, Rating Notes: pyoov d-ec m n r'e- at,mes V e dor'S `-0- `4\e ka t )r € burr nc ss Excla Specialty Contractor Solutions, LLC Notes: II ` ` i f o oo c�I d 00 rl(J r ts4 --€ `fie ewa, J n 6 t G Yl Cce v ef�C e- �0 �Xpe}( �c�-, CITY OF OPA-LOCKA NON -COLLUSION AFFIDAVIT STATE OF FLORIDA - COUNTY OF MIAMI DADE being first duly sworn, deposes and says that: (1) He/She/They is/are the .[Owner, Partner, Officer, Representative or Agent) of the PROPONENT that has submitted the attached proposal. (2) He/She/They is/are fully informed respecting the preparation and contents of the attached Proposal and of all pertinent circumstances respecting such Proposal. (3) Such Proposal is genuine and is not a collusive or sham Proposal. (4) Neither the said PROPONENT nor any of its officers, partners, owners, agents, representatives, employees or parties in interest, including this affiant, have in any way colluded, conspired, connived or agreed, directly or indirectly, with any other PROPONENT, firm, or person to submit a collusive or sham Proposal in connection with the Work for which the attached Proposal has been submitted; or to refrain from Proposing in connection with such Work; or have in any manner, directly or indirectly, sought by agreement or collusion, or communication, or conference with any PROPONENT, firm, or person to fix any overhead, profit, or cost elements of the Proposal or of any other PROPONENT, or to fix any overhead, profit, or cost elements of the Proposed Price or the Proposed Price of any other PROPONENT, or to secure through any collusion, conspiracy, connivance, or unlawful agreement any advantage against (Recipient), or any person interested in the proposed Work; (5) The price or prices quoted in the attached Proposal are fair and proper and are not tainted by any collusion, conspiracy, connivance, or unlawful agreement on the part of the PROPONENT or any other of its agents, representatives, owners, employees, or parties of interest, including this affiant. Signed, sealed, and delivered in the presence of: By: Signature Co1/2A4aRyn cur\ Print Narhe and Title C �` J c C,n e C r ` 20 PCI) LEARN MORE ABOUT WHO WE ARE AND HOW WE WORK DIRECTLY FROM OUR TEAM. PCI Welcome Video PCI Print and Mail Video PCI Commercial Printing Video Elmo BO- PCI Welcome Video: https://youtu.be/PtjivUiaVOs PCI Print and Mail Video: https://youtu.be/KIGivw e8w4 PCI Commercial Printing Video: https://youtu.be/VQMUVB1 pZhU If you need any information on PCI contractors, permits and licenses, please contact us. PCI National Headquarters 2965 West Corporate Lakes Boulevard 1 Weston, FL 33331 Florida 1 Texas 1 New England 800.430.7241 1 PClbrands.com TAKE IT TO THE POWERHOUSE rinnun NON-DISCRIMINATIONAFFIDAVIT I, the undersigned, hereby duly sworn, depose and say that the organization, business, or entity represented herein shall not discriminate against any person in its operations, activities, or delivery of services under any agreement it enters into with the City of Opa-locka. The same shall affirmatively comply with all applicable provisions of federal, state, and local equal employment laws and shall not engage in or commit any discriminatory practice against any person based on race, age, religion, color, gender, sexual orientation, national origin, marital status, physical or mental disability, political affiliation or any other factor which cannot be lawfully used as a basis for service delivery. By: <a -HQ rnaindC4 Title: Ir(K-for c�F S�gt�S Sworn and subscribed before this t'`N day of , 2023. Notary Public, State of Florida N\\avkk2 PN)IE Cc (Printed Name) My commission expires_ co ! t J / a:D.& Notary Public State of Florida A Michelle Mejie 1111 MyNH 275820100 Exp. 6/13/2026 21 roan W-9 Rev. October 2018) lepariment of the Treasury Memel Revenue Service Request for Taxpayer Identification Number and Certification ► Go to www.6a.gov/FormW9 for instructions and the latest information. Give Form to the requester. Do not send to the IRS. Print or type. See Specific Instructions on page 3. 1 Name (as shown on your Income tax return). Name Is required on thin line; do not leave this line blank. Original Impressions, LLC 2 Business nsme/disregerried entity name, if different from above 3 Check appropriate box for federal tax classification o1 the person whose name Is entered on line 1. Check only one of the following seven boxes. • individual/sole proprietor or • C Corporation • S Corporation El Partnership • Trust/estate single -member LLC 4 Exemptions (codes apply only to certain entities, not individuals; see instructions on page 3): Exempt payee code of any) ❑✓ Limited liability company. Enter the tax classification (C=C corporation, S'S corporation, P=Partnership) ► S Note: Check the appropriate box in the one above for the tax classification of the single -member owner. Do not check LLC if the LLC le classified as a single -member LLC that is disregarded from the owner unless the owner of the LLC is tor U.S. federal Otherwise. -member LLC that Exemption from FATCA reporting code Of any) another LLC that is not disregarded from the owner tax purposes. a single Is disregarded from the owner should check the appropriate box for the tax classification of its owner. ❑ Other (see instructions) P. WON bacmes mb" WV ox10US) 5 Address (number, street, and apt. or suite no.) Soe Instructions. 2965 West Corporate Lakes Boulevard Requester's name and address (optional) e City, state, and ZIP code Weston, Florida 33331 7 List account numbers) hero (optional) Part I Taxpayer Identification Number (TiN) Enter your TIN in the appropriate box, The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this Is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Pert I, later. For other ...tau. It is vnur cmnlnver identification number (EIN1. If you do not have a number. see How to aet a Social security number um _ ICI JI 77N, later. Note: If the accourrt is in more than one name, see the instructions for line 1. Also see What Name and Number To Give the Requester for guidelines on whose number to enter. or Employer Identification number 0 3 0 4 4 6 1 1 9 Part 11 Certification Under penalties of perjury, I certify that 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and 2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that l 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 FATCA code(s) entered on this form (If any) indicating that 1 am exempt from FATCA reporting Is correct. Certification instructions. You must cross out) 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and divide : s on your tax retum. For real estate transactions, Item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured pro ••- , cancellation of debt, contra .ytions to an individual retirement arrangement (IRA), and generally, payments other than Interest and dividends, yott fee at required to sign the c • ic.•. • n. but you must provide your correct 11N. Seethe instructions for Part II, later. Sign Here General Instructions Section references are to the Internal Revenue Code unless otherwise noted. Future developments. For the latest Information about developments related to Forrn W-9 and its instructions, such as legislation enacted after they were published, go to www.irs.gov/FormW9. Signature of U.S. person ► r i Date► 01/01/2022 Purpose of Form An Individual or entity (Porto W-9 requester) who is required to file an information return with the IRS must obtain your correct taxpayer identification number (TIN) which may be your social security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer Identification number (ATIN), or employer Identification number (EIN), to report on an information return the amount paid to you, or other amount reportable on an information return. Examples of information returns Include, but are not limited to, the following. • Form 1099-INT (interest earned or paid) • Form 1099-DIV (dividends, including those from stocks or mutual funds) • Form 1099-MISC (various types of Income, prizes, awards, or gross proceeds) • Form 1099-B (stock or mutual fund sales and certain other transactions by brokers) • Forrn 1099-S (proceeds from real estate transactions) • Form 1099-1< (merchant card and third party network transactions) • Form 1098 (home mortgage Interest), 1098-E (student loan interest), 1098-T (tuition) • Form 1099-0 (canceled debt) • Form 1099-A (acquisition or abandonment of secured property) Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN. If you do not return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding, later. Cat No. 10231X Form W-9 (Rev. 10-2018) Clod n�l]07-ddQ % % 4/W,/ // ///7//////W/%,//M///////////0///////////////',// Gateways Image Nearly Illustrative 3M Vinyl Graphic 3M Vinyl Letters . 5" Cut Out Painted Letters Tile Options ------�-----OPA-LOCKA WELCOMES YOU Terracotta Tile Option OPA-LOCKA WELCOMES YOU Option with Stucco only Pc�}� /</a/ r////%Viii//4//////% /////i/vA//%/////%%/% Gateways Image Nearly Illustrative 3M Vinyl Graphic 3M Vinyl Letters . 5" Cut Out Painted Letters Tile Options Terracotta Tile Option OPA-LOCKA -WELCOMES YOU Ai 1 OPA-LOCKA WELCOMES YOU Option with Stucco only PCI) i /////////////// i ////!: ////i/////// '////// Gateways 3M Vinyl Graphic 3M Vinyl Letters . 5" Cut Out Painted Letters Tile Options Image Nearly Illustrative Refurbished existing Stucco and paint 2 Pygmy palms 2 Solar Lights PcI}y Image Nearly Illustrative /////iif//,/ `//' ;`ji/// i / /7/% 7////,///////`/;//////////////////i // i//� // �i/� �:/�%�/�; ///�//////// /: ///////////////////i'i Gateways Evening Lighting Pc�}� PCI) PCI Florida - National Headquarters 2965 West Corp orate Lakes Boulevard 1 Weston, FL 33331 PCI Signs & Fulfillment Center 2750 Bridg e Way I Suite 180 1 Davie, FL 33314 PCI Texas 4958 Stout Drive 1 Suite 113 1 San Antonio, TX 78219 PCI New England 29 Hayward St 1 Franklin, MA 02038 800.430. 72411 PClbrands.c om TAKE IT TO THE POWERHOUSE,"^ trion9En Intellectual Property. This proposal and all ideas conta in ed are confidential & proprietary information belonging to PCI a nd Original Impressi ons Postal Center International ORIGINAL IMPRESSIONS LLC 2965 West Corporate Lakes Blvd Weston FL 33331 800-430-7241 Lucia Oriach - Sings Specialist c PA-L Ka FLORIDA RFP 23-0609200 GATEWAY ENTRY SIGNANGE INSTALLATION AND SERVICES pci) Table of Contents 1. Letter of Transmittal 2. General information 3. Project approach 4. Experience and Qualifications 5. Schedule 6. Pricing of Services 7. References 8. Additional forms PCI National Headquarters 2965 West Corporate Lakes Boulevard 1 Weston, FL 33331 Florida 1 Texas 1 New England 800.430.7241 1 PClbrands.com TAKE IT TO THE POWERHOUSE" Ennio PCI) 3.2.3 Tab 2 - Letter of Transmittal PCI National Headquarters 2965 West Corporate Lakes Boulevard 1 Weston, FL 33331 Florida 1 Texas 1 New England 800.430.7241 1 PClbrands.com TAKE IT TO THE POWERHOUSE' I L n fD PCI) Objectives: PCl/Original Impressions will provide design, fabrication, rehabilitation, and installation services for signage at 8 designated gateways/locations around City of Opa-Locka. • Rehabilitation of the (6) existing gateways.* • Construct and develop (2) new gateways from the ground up. The new gateways will be made like the 6 existing rehabbed gateways. • Ensure unified branding for all (8) gateways. • Incorporate Moorish features to design and consistent colors. • Plant low maintenance, drought tolerant, and native species around the gateways. • Provided Illumination/light by solar to the gateways. From the onset of the project, PCI will provide a project manager to guide and manage team members from both PCI and City of Opa-Locka to develop a comprehensive onboarding and implementation plan that ensures all RFP goals and objectives are met. The project manager will prepare a project charter that clearly maps out the project's scope and identifies and assigns key stakeholders, actions required, milestones and overall timeline. Once the scope has been approved, PCI will work diligently to ensure smooth execution, clear accountability, and open lines of communication to address any potential risk and/or any deviation from project objectives. To accomplish the project by the deadline, PCI will require a liaison within City of Opa- Locka to coordinate throughout the various departments (i.e., IT, Finance, Operations, Logistics etc.) required to accomplish the agreed upon go -live date. The anticipated hours of support will be determined by project scope; in relation to the deadline, the project plan will include the estimated number of hours required, as well as actual hours used once the project is completed. *See disclaimers PCI National Headquarters 2965 West Corporate Lakes Boulevard 1 Weston, FL 33331 Florida 1 Texas 1 New England 800.430.7241 1 PClbrands.com TAKE IT TO THE POWERHOUSE" /inn ffl PCI) 1 Project Team Lucia Oriach - Signs Sales Specialist Lucia is an experienced Business Development professional, skilled in problem -solving, planning, monitoring, reporting, project management, quality, and risk mitigation. Lucia is known for managing and delivering clients' projects in a timely manner and based on strict client -centric values. She worked on several exterior signage projects with a strong background in managing processes and a solid record of accomplishment of delivery, generating high client satisfaction rates, resulting in 100% on -time and on -budget delivery. Katia Fernandez: For over 20 years in the signs industry, Katia moves towards, the big and bold way, through impactful work that forges solid and lasting client relationships. Katia heads the entire signs division T PCI and handle multimillion dollar, tier 1 accounts. Experienced in mixed media and with product development using a wide range of substrates, Katya brings brands' narratives to life. Jason Taylor - VP Sales PCI Jason Taylor is a highly accomplished sales executive known for his exceptional ability to train and develop successful sales representatives. With over 23 years of experience in sales leadership and training, he has consistently demonstrated his aptitude for nurturing talent and driving sales excellence. Currently serving as the Vice President of Sales at Postal Centers International, Jason plays a crucial role in building and leading high - performing sales teams. His strategic approach to sales has resulted in a remarkable track record of cultivating top-notch sales representatives who consistently exceed targets and drive revenue growth. PCI National Headquarters 2965 West Corporate Lakes Boulevard I Weston, FL 33331 Florida 1 Texas 1 New England 800.430.7241 I PClbrands.com TAKE IT TO THE POWERHOUSE ([J n 11 PCI) 3.2.4 Tab 3 - General Information PCI PCI National Headquarters 2965 West Corporate Lakes Boulevard 1 Weston, FL 33331 Florida 1 Texas 1 New England 800.430.7241 1 PClbrands.com 1 TAKE IT TO THE POWERHOUSE riD n Eft PCI) Postal Center International (PCI) and Original Impressions (01) PCI is one of the nation's largest, state-of-the-art transactional printing, postal, mail and signage processing service organizations with 41 years' experience in print, mail, fulfillment, signs, and marketing solutions. PCI opened its doors in 1984 and since then has grown into one of the nation's largest, state-of-the-art transactional printing, postal and mail processing service organizations. Year over year, PCI has championed growth in the South Florida region and beyond through job creation and other initiatives that have positively impacted the local economies it proudly serves. Delivering on its growth - intensive expansion plans, PCI acquired Original Impressions in 2016, purchased Arrowmail in 2021, opened its PCI Texas Facility in San Antonio in November 2021, expanded into a PCI Fulfillment and Signage Solutions Center in Davie, Fla., and earlier this year opened in New England in Franklin, Mass. PCI National Headquarters 2965 West Corporate Lakes Boulevard 1 Weston, FL 33331 Florida I Texas I New England 800.430.7241 1 PClbrands.com TAKE IT TO THE POWERHOUSE" I 1 n iD PCI) PCI currently employs 450 associates. PCI's corporate footprint spans across four (4) locations with a combined 500K square feet. PCI's National Headquarters is in Weston open (Mon -Fri 8.30 - 5:00 pm), Fla. with additional facilities in Davie, Fla.; Texas; and New England. We have been in operation in Florida since 1982. Annual sales more than $375 million, We are a Certified Minority Supplier by National Minority Business Council and have received numerous accolades, including the South Florida Business Journal's Book of Lists -- #1 Largest Commercial Printer in Florida four years in a row; #6 Fastest Growing Companies; #51 Top 100 Private Companies; and #32 on Printing Impressions' Top 400 "Who's Who in Printing" list. PCI has also been named a Business of the Year Finalist by SFBJ in two consecutive years and was recently named a 2023 Finalist. PCI is also an active member of the Board of Governors of the Florida Chamber of Commerce and the National Postal Policy Council. PCI has a significant and unmatched competitive advantage -we empower great business with fully integrated brand solutions all in one place. In addition to making critical investments that help ensure our clients' evolving needs are met while driving efficiencies -and accountability -at every level, we have been keenly focused on activating important value creation levers for enterprise clients across a wide variety of verticals. PCI has also long been committed to strict regulatory compliance and is currently certified: HI Trust, SOC2, HIPPA compliant, Trusight, PCI DSS, FDR, and triple certifications of SFI (Sustainable Forestry Initiative), FSC (Forest Stewardship Council), and PEFC (Program for the Endorsement of Forest Certification) PCI. PCI has vast experience manufacturing products, along with state-of-the-art equipment and technology to support your organization. PCI has one of the most robust Disaster Recovery and Business Continuity plans and that sets PCI apart from the competition. PCI National Headquarters 2965 West Corporate Lakes Boulevard 1 Weston, FL 33331 Florida 1 Texas 1 New England 800.430.7241 1 PClbrands.com TAKE IT TO THE POWERHOUSE' n n Pc�}� 3.2.5 Tab 4 - Project Approach Project Approach PCI National Headquarters 2965 West Corporate Lakes Boulevard 1 Weston, FL 33331 Florida 1 Texas ! New England 800.430.7241 1 PClbrands.com TAKE IT TO THE POWERHOUSE clo n iD pci) Pre -Production After approval of the creative concept PCI's Art Director and Creative teams will create different versions for the 8 different monuments, taking into consideration the current structures for the 6 to be refurbished. PCI will then review and select tiles from Casa Ceramica with City of Opa-Locka for approval and provide final Mock-ups. Permitting Once final art approvals are received, we will commence with Engineering and Permit applications. The city will be provided with engineering plans, location, and any additional city requirements. After approval of the Permits, materials and resources will be allocated to commence production. Production/Project Management Materials are received and production will commence. The refurbishing of the 6 existing monuments will commence while the 2 new monuments are built, they will be worked on simultaneously. During this time periodic update will be provided to City Opa-Locka Installation The City of Opa-Locka will be advised of installing timelines and provided photos for each completed monument. *If a project is awarded contractor information will be provided. PCI National Headquarters 2965 West Corporate Lakes Boulevard 1 Weston, FL 33331 Florida 1 Texas I New England 800.430.7241 1 PClbrands.com TAKE IT TO THE POWERHOUSE Clonal PCI) 3.2.6 Tab 5 - Experience and Qualifications PCI National Headquarters 2965 West Corporate Lakes Boulevard 1 Weston, FL 33331 Florida 1 Texas 1 New England 800.430.7241 1 PClbrands_com TAKE IT TO THE POWERHOUSE ED®fD PCI) Experience and Qualifications PCI has a significant and unmatched competitive advantage -we empower great business with fully integrated brand solutions all in one place. In addition to making critical investments that help ensure our clients' evolving needs are met while driving efficiencies -and accountability -at every level, we have been keenly focused on activating important value creation levers for enterprise clients across a wide variety of verticals. PCI has also long been committed to strict regulatory compliance and is currently certified: HI Trust, SOC2, HIPPA compliant, Trusight, PCI DSS, FDR, and triple certifications of SFI (Sustainable Forestry Initiative), FSC (Forest Stewardship Council), and PEFC (Program for the Endorsement of Forest Certification) PCI. PCI has vast experience manufacturing products, along with state-of-the-art equipment and technology to support your organization. PCI has one of the most robust Disaster Recovery and Business Continuity plans and that sets PCI apart from the competition. PCI National Headquarters 2965 West Corporate Lakes Boulevard 1 Weston, FL 33331 Florida 1 Texas 1 New England 800.430.7241 1 PCibrands.com TAKE IT TO THE POWERHOUSE ('i o ®iD PCI) PCI National Headquarters 2965 West Corporate Lakes Boulevard 1 Weston, EL 33331 Florida 1 Texas 1 New England 800.4307241 1 PClbrands.com TAKE IT TO THE POWERHOUSE" con n Et' PCI) 1 PCI National Headquarters 2965 West Corporate Lakes Boulevard 1 Weston, FL 33331 Florida 1 Texas 1 New England 800.430.7241 1 PClbrands.com TAKE IT TO THE POWERHOUSE irj n PC1 National Headquarters 2965 West Corporate Lakes Boulevard 1 Weston, FL 33331 Florida 1 Texas 1 New England 800.430.7241 1 PClbrands.com TAKE IT TO THE POWERHOUSE_ 'Inn frn PCI) tt FA -1Y PCI National Headquarters 2965 West Corporate Lakes Boulevard Weston, FL 33331 Florida 1 Texas 1 New England 800.430.7241 1 PClbrands.com TAKE 4T TO THE POWERHOUSE"' f pal ffi PCI) 1 LEARN MORE ABOUT WHO WE ARE AND HOW WE WORK DIRECTLY FROM OUR TEAM. PCI Welcome Video PCI Print and Mall Video PCI Commercial Printing Video PCI Welcome Video: https://youtu.be/PtjivUiaVOs PCI Print and Mail Video: https://youtu.be/KIGivw e8w4 PCI Commercial Printing Video: https://youtu.be/VQMUVB1 pZhU If you need any information on PCI contractors, permits and licenses, please contact us. PCI National Headquarters 2965 West Corporate Lakes Boulevard 1 Weston, FL 33331 Florida 1 Texas 1 New England 800.430.7241 1 PClbrands.com TAKE IT TO THE POWERHOUSE` PCI) 3.2.7 Tab 6 - Schedule PCI National Headquarters 2965 West Corporate Lakes Boulevard 1 Weston, FL 33331 Florida 1 Texas I New England 800.430.7241 1 PClbrands.com TAKE IT TO THE POWERHOUSE" gin no PCI) Schedule • Rendering/ Art - 14-20 Business Days (Based on final client directive). • Engineer Drawings, Permit Applications - Approximate 3 weeks (Based on working with City, if County or FDOT is required - this will add time and additional cost). • Permit Approval - City required time. • Materials - Once Permits are approved - 3-4 Weeks for 2 New ones, the refurbished will commence in the interim (pending on selected tile availability) • Total Estimated Time: 5-6 months from start to finish (pending permit notes above) * The timelines to complete this project are estimated and based on timely client approval and engagement. PCI National Headquarters 2965 West Corporate Lakes Boulevard ( Weston, FL 33331 Florida 1 Texas 1 New England 800.430.7241 1 PClbrands.com TAKE IT TO THE POWERHOUSE- nntragn Pc�}� 3.2.8 Tab 7 - Pricing of Services PCI National Headquarters 2965 West Corporate Lakes Boulevard 1 Weston, FL 33331 Florida 1 Texas 1 New England 800.430.7241 1 PClbrands.com TAKE IT TO THE POWERHOUSE"' rjm n o PCI) 1 Opa-Iocka Gateway Service Qty Description Gateway Refresh 6 Refurbished Monuments w/ Stucco, 1 /2" Painted Routed Letters, Vinyl and Selected Tile from Casa Ceramica. (Samples shown on concept). New Constructed Monuments 2 Using the specifications as existing gateways Hardware & Landscape 8 Add to all Monuments - 2 Solar Lights and 2 Pygmy Date Palms Total Price $199,000.00 *The prices above may vary depending on the customer's choice of ceramic, the square footage utilized in the project, and any additional information received about project details and schedule, making the costs estimates that may change. * The timelines to complete this project are estimated and based on timely client approval and engagement. PCI National Headquarters 2965 West Corporate Lakes Boulevard 1 Weston, FL 33331 Florida I Texas 1 New England 800.430.7241 PClbrands.com TAKE IT TO THE POWERHOUSE" Lri©®ID Pc'} 3.2.9 Tab 8 - References PCI National Headquarters 2965 West Corporate Lakes Boulevard 1 Weston, FL 33331 Florida 1 Texas 1 New England 800.430.7241 1 PClbrands.com TAKE IT TO THE POWERHOUSE- ('3l'] i EI PCI) References • Company: Polio Tropical Hope Diaz Chief Marketing Officer Contact Info: 305-671-1225 • Company: City of Delray Michael Karali Deputy Public Works 561-504-7511 PCI National Headquarters 2965 West Corporate Lakes Boulevard 1 Weston, FL 33331 Florida 1 Texas 1 New England 800.430.7241 1 PClbrands.com TAKE IT TO THE POWERHOUSE rlDnun -..4,1 POSTCEN-02 ACORCP �- CERTIFICATE OF LIABILITY INSURANCE KSWEERS DATE(MM/DD/YYYY) 12/28/2021 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 be endorsed. If 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 License # 1009544 Lawley Service Inc. 441 East Avenue Rochester, NY 14607 NQEnCT Kathy Sweers, ACSR (NC, PHONE , Ext): (585) 545-6646 1 jac, Nop(866) 211-4683 miss, ksweers@lawleyinsurance.com INSURERS) AFFORDING COVERAGE NAIC /I INSURER A :American Zurich Insurance Co 40142 INSURED Postai Center International Inc Original Impressions, LLC 2965 West Corporate Lakes Blvd Weston, FL 33331 INSURER B :Great Northern Insurance Co. 20303 INSURER C : Federal Insurance Co 20281 INSURER D : Travelers Casualty & Surety of America 31194 INSURER E : INSURER F : CERTIFICATE NUMBER: 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 11TH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLIC ES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE 1 ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF 1MMIDDIYYYYI POLICY EXP IMMIDDIYYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY CP0560689400 1/1/2022 1/1/2023 EACH OCCURRENCE $ 1,000,000 D PREMISESOEaoNcu Once) 5 1,000,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) 5 10,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES POLICY 5' c?f PER: LOC PRODUCTS - COMP/OP AGG $$ 2,000;00000THER. B AUTOMOBILE X LIABILITY ANY AUTO OWNED _ — SCHEDULED AUTOS AUTOS ONLY 73612843 1/1/2022 1/1/2023 LIMIT EO accident) 0SINGLE 1,000,000 BODILY INJURY (Per person) $ BODILY BODILY INJURY (Per accident) $ (Par accldeneMAGE $ C X UMBRELLA LIAB EXCESS LIAB X OCCUR CLAIMS -MADE 78184984 1/1/2022 1/1/2023 EACH OCCURRENCE $ 10,000,000 AGGREGATE $ 10,000,000 $ DED X RETENTION $ 10,000 C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY PROPRIETOR/PARTNER/EXECUTIVEANY OFFICE/EMBREXCLU (Mandatary In NH) 0 yes, describe under DESCRIPTION OF OPERATIONS below YIN N / A 71757710 1/1/2022 1/1/2023 X MUTE EORH E.L EACH ACCIDENT 1,00D,000 E.L. DISEASE - EA EMPLOYEE $ 1,000,000 E.L. DISEASE - POLICY LIMIT 1,000,000 $ D Professional Liab 105530628 1/1/2022 1/1/2023 Limit of Liability 5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached 0 more space is required) CERTIFICATE HOLDER CANCELLATION For Informational Purposes Only SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DRUG-FREE-WQ$KPLACE CERTIFICATION FORM Whenever two (2) or more bids/proposals, which are equal with respect to price, quality, and service, are received by the CITY OF OPA-LOCKA for the procurement of commodities or contractual services, a bid/proposal received from a business that certifies that it has implemented a drug -free workplace program shall be given preference in the award process. To have a drug -free workplace program, a business shall: 1. Publish a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession, or use of controlled substances 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 bid a copy of the statement specified in number (1). 4. In the statement specified in number (1), notify the employees that as a condition for working on the commodities or contractual services that are under bid, the employee will abide by the terms of the statement and will notify the employer of any conviction on or plea of guilty or no contest to any violation of Chapter 893, Florida Statutes or of any controlled substance law of the United States or any singular 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 Section 287.087, Florida Statutes. This Certification is submitted by K1 it Eli V COCAnc\eI the Mame) 'I;C("`t.Ci1 C\` S‘1E10 of 0 X 31 riQ\ VI\ }mil )nS `-C (Title/Position) (Company) who does hereby certify that said Company has implemented a drug -free workplace program, which meets the requirements of Section 287.087, Florida Statutes, which are identified in numbers (1) through (6) above. O5 -2'-r3 Date Signature 19 rif('` �'.. g' 6tw�a�htutJ;l7 ,t):54 *1:j (!; Ei Created Date: Salesperson: Email: Phone: Entered by: DORAL DIGITAL REPROGRAPHICS, CORP. 5701 NW 79th Ave Miami, FL 33166 Ph: (305) 704-3194 FAX: (305) 704-3195 Email: betty@ddrepro.com Web: www.ddrepro.com 6/21/2023 2:10:OOPM House Account N/A Carlos Miranda Prepared For: Contact: Phone: Email: Address: Description: Gateway Entry Signage RFP 23-0609200 Estimate #: 1581 Page 1 of 3 City of Opa Locka N/A kleonard@Opalockafl.gov 12950 NW 42nd Avenue (Lejeune Road) Opa Locka, FL 33054 Quantity Unit Price Subtotal 1 Product: Design 1 Description: Includes doing x3 designs. Once one of them is approved we will proceed to design all x8 signs. (6 existing monuments and x2 new monuments). • Not Assigned, Quantity $775.00 $775.00 Unit Price Subtotal 2 Product: Digital Prints 6 $5,133.3333 $30,800.00 Description: PVC White 1" EXISTING SIGNS: Includes removing old sign, painting and patching existing holes and redoing new sign. Includes new Solar lights and native bushed • 6, 60 in (W) x 60 in (H) Single Sided Flat Stock Print, Made From PVC White 1" 48" x 96" Quantity Unit Price Subtotal 3 Product: Misc Description: New Monumnets. Includes new Solar lights and native bushed • (2) NEW MONUMNETS • Description: New Monumnets. Includes new Solar lights and native bushed 2 $11,000.00 $22,000.00 Print Date: 6/21/2023 2:57:15PM DORAL DIGITAL REPROGRAPHICS, CORP. 5701 NW 79th Ave Miami, FL 33166 Ph: (305) 704-3194 FAX: (305) 704-3195 Email: betty@ddrepro.com Web: www.ddrepro.com Quantity Estimate #: 1581 Unit Price Page 2 of 3 Subtotal 4 Product: Misc 1 $375.00 $375.00 Description: THE PERMIT ACQUISITION FEE CORRESPONDS TO THE LABOR OF PROCESSING OF THE PERMIT DIGITALLY AND IT IS NOT REFUNDABLE. DDR DOESN'T GUARANTEE ZONING APPROVAL FROM THE CITY PROCESS. THE COST OF THE PERMIT IS EXCLUDED FROM THIS FEE. THE PROCESSING PERMIT FEE WILL COVER : - SET UP OF ALL FORMS AND DOCUMENTS NEEDED FOR THE BUILDING DEPARTMENT PERMIT PROCESS. - A MAXIMUM OF ONE (1) TIME FOR PROCESSING CITY PERMITS OR ONE FULL TRIP (WHICH INCLUDES TRAVEL DISTANCE TO THE BUILDING DEPARTMENT). ANY TRIP TRIP TO THE BUILDING DEPARTMENT WILL HAVE AN EXTRA CHARGE OF 275.00 WHICH INCLUDES ALL DOCUMENTS PREPARATIONS AND PLAN'S REVISION THAT DOESN'T REQUIRES ENGINEERING REWORK. - EXCLUDES HARD COST OF PERMITS. THE HARD COST OF THE PERMIT MUST BE ADVANCED TO DDR IN A FORM • (1) Permit Fee - City Fee • Description: THE PERMIT ACQUISITION FEE CORRESPONDS TO THE LABOR OF PROCESSING OF THE PERMIT DIGITALLY AND IT IS NOT REFUNDABLE. DDR DOESNT GUARANTEE ZONING APPROVAL FROM THE CITY PROCESS. THE COST OF THE PERMIT IS EXCLUDED FROM THIS FEE. THE PROCESSING PERMIT FEE WILL COVER : - SET UP OF ALL FORMS AND DOCUMENTS NEEDED FOR THE BUILDING DEPARTMENT PERMIT PROCESS. -A MAXIMUM OF ONE (1) TIME FOR PROCESSING CITY PERMITS OR ONE FULL TRIP (WHICH INCLUDES TRAVEL DISTANCE TO THE BUILDING DEPARTMENT). ANY TRIP TRIP TO THE BUILDING DEPARTMENT WILL HAVE AN EXTRA CHARGE OF 275.00 WHICH INCLUDES ALL DOCUMENTS PREPARATIONS AND PLAN'S REVISION THAT DOESNT REQUIRES ENGINEERING REWORK. - EXCLUDES HARD COST OF PERMITS. THE HARD COST OF THE PERMIT MUST BE ADVANCED TO DDR IN A FORM Print Date: 6/21/2023 2:57:15PM ttlAtP.1; MOW' Product: Misc DORAL DIGITAL REPROGRAPHICS, CORP. 5701 NW 79th Ave Miami, FL 33166 Ph: (305) 704-3194 FAX: (305) 704-3195 Email: betty@ddrepro.com Web: www.ddrepro.com Quantity Estimate #: 1581 Unit Price Page 3 of 3 Subtotal 5 1 Description: THE PERMIT ACQUISITION FEE CORRESPONDS TO THE LABOR OF PROCESSING OF THE PERMIT DIGITALLY AND IT IS NOT REFUNDABLE. DDR DOESN'T GUARANTEE ZONING APPROVAL FROM THE CITY PROCESS. THE COST OF THE PERMIT IS EXCLUDED FROM THIS FEE. THE PROCESSING PERMIT FEE WILL COVER : - SET UP OF ALL FORMS AND DOCUMENTS NEEDED FOR THE BUILDING DEPARTMENT PERMIT PROCESS. - A MAXIMUM OF ONE (1) TIME FOR PROCESSING CITY PERMITS OR ONE FULL TRIP (WHICH INCLUDES TRAVEL DISTANCE TO THE BUILDING DEPARTMENT). ANY TRIP TRIP TO THE BUILDING DEPARTMENT WILL HAVE AN EXTRA CHARGE OF 275.00 WHICH INCLUDES ALL DOCUMENTS PREPARATIONS AND PLAN'S REVISION THAT DOESN'T REQUIRES ENGINEERING REWORK. - EXCLUDES HARD COST OF PERMITS. THE HARD COST OF THE PERMIT MUST BE ADVANCED TO DDR IN A FORM • (1) Permit Fee - Running Fee • Description: THE PERMIT ACQUISITION FEE CORRESPONDS TO THE LABOR OF PROCESSING OF THE PERMIT DIGITALLY AND IT IS NOT REFUNDABLE. DDR DOESN'T GUARANTEE ZONING APPROVAL FROM THE CITY PROCESS. THE COST OF THE PERMIT IS EXCLUDED FROM THIS FEE. THE PROCESSING PERMIT FEE WILL COVER : - SET UP OF ALL FORMS AND DOCUMENTS NEEDED FOR THE BUILDING DEPARTMENT PERMIT PROCESS. - A MAXIMUM OF ONE (1) TIME FOR PROCESSING CITY PERMITS OR ONE FULL TRIP (WHICH INCLUDES TRAVEL DISTANCE TO THE BUILDING DEPARTMENT). ANY TRIP TRIP TO THE BUILDING DEPARTMENT WILL HAVE AN EXTRA CHARGE OF 275.00 WHICH INCLUDES ALL DOCUMENTS PREPARATIONS AND PLAN'S REVISION THAT DOESN'T REQUIRES ENGINEERING REWORK. - EXCLUDES HARD COST OF PERMITS. THE HARD COST OF THE PERMIT MUST BE ADVANCED TO DDR IN A FORM $650.00 $650.00 Subtotal: $54,600.00 Total: $54,600.00 Deposit Required: $54,600.00 Payment Terms: Net 30; Balance due in 30 days. Accounts with credits will have 90 days to use them towards pending invoices or new orders. After 90 days, credits not used will be lost Client Reply Request ❑ Estimate Accepted "As Is". Please proceed with Order. ❑ Changes required, please contact me. ❑ Other: SIGN: Date: / / Print Date: 6/21/2023 2:57:15PM MIAMI•l DJ COUNTY miamidade.gov December 22, 2021 Beatriz Pereira DORAL DIGITAL REPROGRAPHICS CORP DBA MYSTICKERFACTORY.COM 5701 NW 79th Ave Doral, FL 33166 Approval Date: November 30, 2021 Small Business Enterprise - Goods & Services (SBE-G&S) Expiration Date: November 30, 2024 Dear Beatriz Pereira, Internal Services Department Small Business Development 111 NW 1 Street, 19th Floor Miami, Florida 33128 T 305-375-3111 F 305-375-3160 Miami -Dade County Small Business Development (SBD), a division of the Internal Services Department (ISD), has completed the review of your application and attachments submitted for certification. Your firm is officially certified as a Miami -Dade County Small Business Enterprise. The Small Business Enterprise (SBE) programs are governed by Sections 2-8.1.1.1.1; 2-8.1.1.1.2; 2-10.4.01; 10- 33.02 of Miami -Dade County's Codes. This Small Business Enterprise - Goods & Services (SBE-G&S) certification is valid for three (3) years. However, to validate continuing eligibility, SBD may conduct random audit(s) within the three (3) year certification period. Failure to provide required documentation for a random audit will initiate the decertification process. At the time of expiration, your firm will submit a Re -certification Application at least one hundred and eighty (180) days, but not less than, ninety (90) days, prior to the end of the three (3) year certification term via the County's web -based system, Business Management Workforce System (BMWS). This will ensure sufficient time for process by SBD. Failure to provide the re -certification application and required supporting documentation will initiate the decertification process. If at any time there is a material or business structure change in the firm including, but not limited to, ownership, officers, director, scope of work being performed, daily operations, affiliations(s) with other businesses or the physical location of the firm, you must notify this office within thirty (30) calendar days of the effective date of the change(s) via the BMWS. Notification should include supporting documentation. You will receive timely instructions from this office as to how you should proceed, if necessary. Failure to notify SBD of any changes may result in immediate action to decertify the firm. This letter will be the only approval notification issued for the duration of your firm's three-year certification. If the firm attains graduation or becomes ineligible during the three-year certification period, you will be properly notified following an administrative process that your firm's certification has been removed pursuant to the code. Your firm's name and tier level will be listed in the directory for all SBE certified firms, which can be accessed through Miami -Dade County's SBD website: https://www.miamidade.gov/global/business/smallbusiness/home.page. The categories as listed below affords you the opportunity to bid and participate on contracts with Small Business Enterprise measures. It is strongly recommended that you register your firm as a bidder with Miami -Dade County. To register, you may visit: https://www.miamidade.gov/global/business/procurement/home.page. Thank you for your interest in doing business with Miami -Dade County. If you have any questions or concerns, you may contact our office at 305-375-3111 or via email at sbdcert@miamidade.gov. Sincerely, -020140 Jeanise Cummings-Labossiere Section Chief, Small Business Development CATEGORIES: (Your firm may bid or participate on contracts only under these categories) NIGP 125: BOOKBINDING SUPPLIES NIGP 12500: BOOKBINDING SUPPLIES NIGP 255: DECALS AND STAMPS NIGP 25500: DECALS AND STAMPS NIGP 310: ENVELOPES, PLAIN (SEE CLASSES 525, 615, 640, 655, 665, AND 966 FOR OTHER TYPES) NIGP 31000: ENVELOPES, PLAIN (SEE CLASSES 525, 615, 640, 655, 665, AND 966 FOR OTHER TYPES) NIGP 31060: ENVELOPES, RECYCLED PAPER NIGP 395: FORMS, CONTINUOUS: COMPUTER PAPER, FORM LABELS, SNAP -OUT FORMS, AND FOLDERS FOR FORMS NIGP 39500: FORMS, CONTINUOUS: COMPUTER PAPER, FORM LABELS, SNAP -OUT FORMS, AND FOLDERS FOR FORMS NIGP 39551: RECYCLED COMPUTER PAPER, CONTINUOUS FORMS, FORM LABELS, SNAP -OUT FORMS, BINDERS, FOLDERS, ETC. NIGP 46584: SHIELD, PROTECTIVE, SURGICAL NIGP 57883: STORE FIXTURES AND DISPLAY HARDWARE, RETAIL NIGP 61518: BRAILLE LABELING MATERIAL: PLASTIC SHEETS, ETC. NIGP 61618: BRAILLE LABELING MATERIAL: PLASTIC SHEETS, ETC., ENVIRONMENTALLY CERTIFIED PRODUCTS NIGP 70056: OFFSET PRINTING, DUPLICATING AND LITHOGRAPHING MACHINES AND EQUIPMENT, FOR 17 IN. X 22 IN. AND LARGER NIGP 71530: DISPLAY, EXHIBIT, AND PROMOTIONAL MATERIALS NIGP 78544: DISPLAYS, EDUCATIONAL: KITS, MODELS, PLAQUES, ETC. NIGP 80159: SIGNS, BRAILLE, INCLUDING MARKERS AND PLAQUES NIGP 860: TICKETS, COUPON BOOKS, SALES BOOKS, STRIP BOOKS, ETC. NIGP 86000: TICKETS, COUPON BOOKS, SALES BOOKS, STRIP BOOKS, ETC. NIGP 908: BOOKBINDING AND REPAIRING SERVICES NIGP 90800: BOOKBINDING AND REPAIRING SERVICES NIGP 95620: COPYING SERVICES NIGP 96214: BLUE PRINTING SERVICES: BLUE PRINTS, BLUE LINE, LARGE ENGINEERING NIGP 96233: ENGRAVING SERVICES NIGP 96251: LAMINATING SERVICES NIGP 965: PRINTING PREPARATIONS: ETCHING, PHOTOENGRAVING, AND PREPARATION OF MATS, NEGATIVES AND PLATES NIGP 96500: PRINTING: PREPARATIONS, ETCHING, PHOTOENGRAVING, PREPARATION OF MATS, NEGATIVES AND PLATES AND PRINTING SERVICES NIGP 966: PRINTING AND TYPESETTING SERVICES NIGP 96600: PRINTING AND TYPESETTING SERVICES NIGP 96618: COPYING SERVICE, REPRODUCTION NIGP 96627: ELECTROSTATIC PRINTING SERVICES NIGP 96628: ENGRAVED AND EMBOSSED AWARDS, BONDS, CERTIFICATES, DIPLOMAS, STATIONERY, ETC. NIGP 96650: PRINTING: BOOKS, CATALOGS, MAGAZINES, PAMPHLETS, ETC. (EXCEPT LEGISLATIVE JOURNALS AND PERIODICALS) THIS CERTIFIES THAT Dora! Digital Reprographics Corp. dba Sticker Factory Miami NMSDC National Minority Supplier Development Council * Nationally certified by the: FLORIDA STATE MINORITY SUPPLIER DEVELOPMENT COUNCIL *NAICS Code(s): 323111; 541430; 323113; 541613; 541850; 339950 Description of their product/services as defined by the North American Industry Classification System (NAICS) 07/29/2021 Issued Date joss,1'urlii u&ivy NMSDC Board Chair 08/01/2022 Expiration Date FL234864 Certificate Number Beatrice Louissaint, President & CEO By using your password (NM SDC issued only), authorized users may log into NMSDC Central to view the entire profile: http://nmsdc.org Certify, Develop, Connect, Advocate. * MBEs certified by an Affiliate of the National Minority Supplier Development Council, Inc. ® F�� SBA U.S. Small Business Administration www.sba.gov/wosbready Women Owned Small Business Federal Contracting Program 1409 Third St. SW 1 WDC 20416 7/20/2022 Beatriz Pereira DORAL DIGITAL REPROGRAPHICS CORP 5701 NW 79 AVE DORAL, FL 33166 Dear Beatriz Pereira: Congratulations! Your firm has been certified as a Women -Owned Small Business (WOSB) by the U.S. Small Business Administration (SBA) for the Women -Owned Small Business Federal Contract Program (WOSB Program), as set forth in Title 13, Part 127 of the Code of Federal Regulations (CFR). In order to maintain your certification, your firm is required to annually attest that it meets the WOSB Program requirements set forth in 13 CFR Part 127. This annual attestation must be submitted within 30 days of the anniversary date of your certification, which is the date on this letter. Additionally, your firm must undergo a program examination every three years conducted by SBA or a third -party certifier. Instructions for maintaining WOSB certification are available at 13 CFR 127.400 and at https://beta.Certify.sba.gov. Your firm must immediately notify SBA of any material changes that could affect its eligibility. 13 CFR 127.401. This notification must be in writing and must be uploaded into the firm's profile in beta.Certify.sba.gov. Your firm must not misrepresent its WOSB certification status to any other party, including any local or State government contracting official or the Federal government or any of its contracting officials. As a certified WOSB, there are valuable free resources available to you. These include: o SBA Resource Partners: For general assistance on various topics, information on SBA programs, and upcoming small business events in your area. You can find your local resource partner by visiting: https://www.sba.gov/tools/local-assistance. All SBA programs and services are extended to the public on a nondiscriminatorybasis. o WOSB website: For specific resources on government contracting and the WOSB Federal Contracting Program, please visit: https://www.sba.gov/wosbready. As a WOSB certified firm in the WOSB Federal Contracting Program, you CAN use the WOSB Icon on your business' website, business cards, social media profiles, and in your capability statements and proposal bids. However, you CANNOT use the digital icon to express or imply endorsement of any goods, services, entities, or individuals. Thus, the digital icon CANNOT be used on a company's letterhead, marketing materials or advertising, whether paid or public service announcement (PSA), traditional or digital. The following are instructions to access your digital icon: 1. Visit the following link: https://www.sba.gov/brand/for-partners/resource-partners- grantees/; 2. Under General Materials, click on "Decals and Web Icons"; 3. The Icons should download on your computer; select "Open File"; and 4. Select/use only the Icon(s) that reflect the Program(s) in which you are currently certified If you have general questions regarding the WOSB Program, you may submit them to the SBA via the help tab at https://beta.certify.sba.gov/help or check the SBA web site, www.sba.gov/wosbready. Wishing you much success! Sincerely, °Lam/ Alisa Sheard WOSB Program Director Deputy Director, Office of Government Contracting SBA All SBA programs and services are extended to the public on a nondiscriminatory basis. 2 M IAM I•DADI< miamidade.gov COUIITY February 21, 2023 Beatriz Pereira DORAL DIGITAL REPROGRAPHICS CORP DBA MYSTICKERFACTORY.COM 5701 NW 79th Ave Doral, FL 33166 Approval Date: February 16, 2023 - Disadvantaged Business Enterprise (DBE) Anniversary Date: November 30, 2024 Dear Beatriz Pereira, Internal Services Department Small Business Development 111 NW 1 Street, 19th Floor Miami, Florida 33128 T 305-375-3111 F 305-375-3160 Miami -Dade County Small Business Development (SBD), a division of the Internal Services Department (ISD), is pleased to notify you that your firm is certified under the Florida Unified Certification Program (UCP). Your firm meets the eligibility requirements for certification as a Disadvantaged Business Enterprise (DBE) in accordance with 49 CFR Part 26. DBE certification is continuous with no expiration date; however, firms are required to attest that there are no changes via the No Change Declaration form on or before the firm's anniversary date to remain certified. You will be notified of your annual responsibilities in advance of the Anniversary Date listed above. You must submit the annual No Change Declaration form no later than the Anniversary Date to maintain your eligibility. Your firm will be listed in the UCP DBE Directory which can be accessed through the Florida Department of Transportation's website: http://www3b.dot.state.fl.us/EqualOpportunityOfficeBusinessDirectory/. DBE certification is NOT a guarantee of work, but it enables the firm to compete for and perform contract work on all USDOT Federal Aid (FAA, FTA and FHWA) projects in Florida as a DBE contractor, sub -contractor, consultant, sub -consultant or material supplier. If at any time there is a material change in your firm, you must advise this office by sworn affidavit and supporting documentation within thirty (30) days. Changes include, but are not limited to ownership, officers, directors, management, key personnel, scope of work performed, daily operations, on -going business relationships with other firms, individuals or the physical location of your firm. After our review, you will receive instructions as to how you should proceed, if necessary. Failure to comply will result in action to remove your firm's DBE certification. It is strongly recommended that you register your firm as a vendor with Miami -Dade County. To register, you may visit: http://www.miamidade.gov/procurementivendor-registration.asp. Thank you for your interest in doing business with Miami -Dade County. If you have any questions or concerns, you may contact our office at 305-375-3111 or sbdcert@miamidade.gov. Sincerely, Jeanise Cummings-Labossiere Section Chief, Small Business Development NAICS & Industry Title: (Your firm is eligible to compete for and perform work on all USDOT Federal Aid projects throughout Florida and may eam DBE or ACDBE credit for work performed in the following areas.) NAICS 323111: COMMERCIAL PRINTING (EXCEPT SCREEN AND BOOKS) AsG 3911 Commercial- Graphics Division certOes that 3M Certified Graphics Installation Company ()oral' Digital" has demon strated �z t�exceptio nal-qua zty in craftsmanship an dfprofession alzsm as a graphics instal -ratio n contractor . Valid 2021 Certified 08/20/2021 3M CO MMERCIAL GRAP HICS DIVISION PROPOSER QUALIFICATIONS The Proposer, as a result of this proposal, MUST hold a County and/or Municipal Contractor's Occupational License in the area of their fixed business location. The following information MUST be completed and submitted with the proposal to be considered: 1. Legal Name and Address: Name: v c ( Address: ‘2)----9° ` (ULU q9 -04 t City, State, Zip:�V Fa 3 J CP Phone/Fax: -305- Lf'3l9 if hic 2. Check One: Corporation Partnership () Individual () 3. If Corporation, state: Date of Incorporation: t91 ' I State in which Incorporated: -CI- 4. If an out-of-state Corporation, currently authorized to do business in Florida, give date of such authorization: 1•1 {P' 5. Name and Title of Principal Officers Date Elected: Celt Lck .(v Aonl •FC, 0(- 0 i - 0<e, 0 O Co .v(ol fl ; radt �L C,7 (- 0 / --0 6. The length of time in business: 1.-+ years 7. The lin h of time (continuous) in business as a service organization in Florida: years 8. Provide a list of at least three commercial or government references that the bidder has supplied service/commodities meeting the requirements of the City of Opa-locka specification, during the last twenty-four months. 9. A copy of County and/or Municipal Occupational License(s) Note: Information requested herein and submitted by the proposers will be analyzed by the City of Opa-locka and will be a factor considered in awarding any resulting contract The purpose is to ensure that the Contractors, in the sole opinion of the City of Opa-locka, can sufficiently and efficiently perform all the required services in a timely and satisfactory manner as will be required by the subject contract If there are any terms and/or conditions that are in conflict, the most stringent requirement shall apply. 15 PRICE PROPOSAL FORM PROPONENT understands and agrees that the Contract Price is the lump sum to furnish and install all the Work complete in place. Vendor's price will not be adjusted unless the CITY changes the scope of the Project after the Contract Date. As such, the Vendor shall furnish all labor, materials, equipment, tools, superintendent, and services necessary to provide a complete, in place Project for the Proposed Price of: LUMP SUM PRICE: $ t 6' c SUBMITTED THIS 2A BID SUBMITTED BY: DAY OF Company avy LC; 5 ),/) Name of Person Authorized to Submit Bid Signature i' Title 202X. - -, Or& 305— Telephone Number Fax Number ccrt0s )ddre Email Address 16 CERTIFICATION REGARDING DEBARMENT, SUSPENSION PROPOSED DEBARMENT AND OTHER MATTERS OF RESPONSIBILITY 1. The Proposer certifies, to the best of its knowledge and belief, that the Proposer and/or any of its principals: A. Are not presently debarred, suspended, proposed for debarment, or declared ineligible for the award of contracts by any Federal agency. B. Have not, within a three-year period preceding this offer, been convicted of or had a civil judgment rendered against them for: commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, state, or local) contract or subcontract; violation of Federal or state antitrust statutes relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, tax evasion, or receiving stolen property; and C. Are not presently indicted for, or otherwise criminally or civilly charged by a governmental entity with, commission of any of the offenses enumerated in paragraph 1-13 of this provision. 2. The Proposer has not, within a three-year period preceding this offer, had one or more contracts terminated for default by any City, State or Federal agency. A. "Principals," for the purposes of this certification, means officers; directors; owners; partners; and persons having primary management or supervisory responsibilities within a business entity (e.g., general manager; plant manager; head of a subsidiary, division, or business segment, and similar positions). This Certification Concerns a Matter Within the Jurisdiction of an Agency of the United States and the Making of a False, Fictitious, or Fraudulent Certification May Render the Maker Subject to Prosecution Under Section 1001, Title 18, United States Code. B. The Proposer shall provide immediate written notice to the Contracting Officer if, at any time prior to contract award, the Proposer learns that its certification was erroneous when submitted or has become erroneous by reason of changed circumstances. C. A certification that any of the items in paragraph (a) of this provision exists will not necessarily result in withholding of an award under this solicitation. However, the certification will be considered in connection with a determination of the Proposer's responsibility. The failure of the Proposer to furnish a certification or provide such additional information as requested by the Contracting Officer may render the Proposer non- responsive. 17 D. Nothing contained in the foregoing shall be construed to require establishment of a system of records to render, in good faith, the certification required by paragraph. (a) of this provision. The knowledge and information of a Proposer is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings. E. The certification in paragraph (a) of this provision is a material representation of fact upon which reliance was placed when making award. If it is later determined that the Proposer knowingly rendered an erroneous certification, in addition to other remedies available to the Government, the Contracting Officer may terminate the contract resulting from this solicitation for default. AS THE PERSON AUTHORIZED TO SIGN THE STATEMENT, I CERTIFY THAT THIS FIRM COMPLIES FULLY WITH THE ABOVE REQUIREMENTS. Signature ea (1°5 Printed Name 1I'Gvl C'!� 18 DRUG -FREE WORKPLACE CERTIFICATION FORM Whenever two (2) or more bids/proposals, which are equal with respect to price, quality, and service, are received by the CITY OF OPA-LOCKA for the procurement of commodities or contractual services, a bid/proposal received from a business that certifies that it has implemented a drug -free workplace program shall be given preference in the award process. To have a drug -free workplace program, a business shall: 1. Publish a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession, or use of controlled substances 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 bid a copy of the statement specified in number (1). 4. In the statement specified in number (1), notify the employees that as a condition for working on the commodities or contractual services that are under bid, the employee will abide by the terms of the statement and will notify the employer of any conviction on or plea of guilty or no contest to any violation of Chapter 893, Florida Statutes or of any controlled substance law of the United States or any singular 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 Section 287.087, Florida Statutes. This Certification is submitted by s �� 0- •1 C the L9 l of 001'-'v( r) �� ; ��, I (Title/Position) (N me) �p )cy /dC-S Com any) who does hereby certify that said Company has implemented a drug -free workplace program, which meets the requirements of Section 287.087, Florida Statutes, which are identified in numbers (1) through (6) above. Date Signature 19 CITY OF OPA-LOCKA NON -COLLUSION AFFIDAVIT STATE OF FLORIDA - COUNTY OF MIAMI DADE i I OCA-V (05 �Yrv� clat being first duly sworn, deposes and says that: (1) He/She/They is/are the.(Owner, Partner, Officer, Representative or Agent) of the PROPONENT that has submitted the attached proposal. (2) He/She/They is/are fully informed respecting the preparation and contents of the attached Proposal and of all pertinent circumstances respecting such Proposal. (3) Such Proposal is genuine and is not a collusive or sham Proposal. (4) Neither the said PROPONENT nor any of its officers, partners, owners, agents, representatives, employees or parties in interest, including this affiant, have in any way colluded, conspired, connived or agreed, directly or indirectly, with any other PROPONENT, firm, or person to submit a collusive or sham Proposal in connection with the Work for which the attached Proposal has been submitted; or to refrain from Proposing in connection with such Work; or have in any manner, directly or indirectly, sought by agreement or collusion, or communication, or conference with any PROPONENT, firm, or person to fix any overhead, profit, or cost elements of the Proposal or of any other PROPONENT, or to fix any overhead, profit, or cost elements of the Proposed Price or the Proposed Price of any other PROPONENT, or to secure through any collusion, conspiracy, connivance, or unlawful agreement any advantage against (Recipient), or any person interested in the proposed Work; (5) The price or prices quoted in the attached Proposal are fair and proper and are not tainted by any collusion, conspiracy, connivance, or unlawful agreement on the part of the PROPONENTora of interest, includin Signed, sealed, and delivered Pte' �. vi0( c� By: ns Wit � C.-4-0(0),--- OA ' Witness r of its agents, representatives, owners, employees, or parties ant. sence of: Signature Cl/ (0 -c ��<��t��(�,. _ (- Print Name and Title 20 NON-DISCRIMINATIONAFFIDAVIT I, the undersigned, hereby duly sworn, depose and say that the organization, business, or entity represented herein shall not discriminate against any person in its operations, activities, or delivery of services under any agreement it enters into with the City of Opa-locka. The same shall affirmatively comply with all applicable provisions of federal, state, and local equal employment laws and shall not engage in or commit any discriminatory practice against any person based on race, age, religion, color, gender, sexual orientation, national origin, marital status, physical or mental disability, political affiliation or any other factor which cannot be lawfully used as a basis for service delivery. By: Co.\„l0S G-Ier4.n44 Title: - P ' Sworn ah, subset' ibed be ore this 21 day of ..)Ur e/,'2023. Notary Public, State of Florida Oel 11,1 Wilt 7 (Printed Name) My commission expires_ -j f 4 202 5. MERLYS NUNEZ Notary Public - State of Florida P`s Commission # HH 091898 oFF My Comm. Expires Feb 11, 2025 Bonded through National Notary Assn. 21 DORAL DIGITAL REPROGRAPHICS DDR GRAPHICS AND MARKETING Mildred CetiIla _II r ddrepro co 305-704-3194 Beath! Pereira Betty@ddrepro coo 305-704-3194 Carlos Miranda carIos ddrepro com 305-704-3194 6/21/2023 Gateway Entry Signa a REP 23-0609200 Table of contents: • Letter of Transmittal • General Information • Project Approach • Experience and qualifications • Schedule Pricing of service References • Additional forms LETTER OF TRANSMITTAL: We will be site surveying all 8 locations, removing all old signage, patching, and painting all holes, running all permits to the city. Making sure all gets done in a timely manner. Once awarded and permits are submitted, we will have an exact schedule, But this whole process should be around 18- '12 weeks. Below are all contact personnel: Carlos Miranda @ Project Manager Gianfranko Arritto - Lead Installer Cassandra Machin - Lead Installer Samuel Martirwcci m Lead Installer Leandro Manoli Installer Marcelo Leon - Installer Samuel Romero - Installer Ender Chaparo m Installer Jose Hernandez Installer Dural Digital Reprographics DDR Graphics and Marketing Carlos Miranda carlos ddrepro co 786-539-8444 Open from 8a -6pm Registered in the State of Florida. Filing Information Document Number P06000002247 FEUE1f Number 20-4073160 Date Filed 01/05/2006 Effective Date 01/01/2006 We are fully licensed and insured. Project approach: Once awarded we will assign a designated point of contact as the main contact for all business pertaining to the City of Opa© oc as We have a full understanding of this project as we did the monument on NW 151 street and 37th Avewith Rose McKay way back around 15 years ago. We understand everything invo ed from the site survey to the removal and the new signs. We also have a great understanding of your bra -ding so we can easily capture the design process. We also understand we WM be doing the Lgbthng and native plants around the signs. Experience and Qualifications: We have a vast amount 01 experexperience doing monument signs as this is a huge part of our business. Please see attached pictures of previous references: Shirley Forero Transit Operations Manager City of Doral 8401 NW 53 Terrace Doral, FL 33166 T (305) 593.6740 Ext. 6013 F (305) 593-9917 shirlcv.forero@cityofdoral.com www.citvofdoral.cotn Martin Cevallos Fleet Maintenance Supervisor City of Doral 8401 NW 53 Terrace Doral, FL 33166 T (305) 593-6740 F (305) 593-6617 martin.cevallos@cirvofdoral.com www.cirvofdoral.com Leroy Garcia Facilities Administrator CareerSource South Florida 7300 Corporate Center Drive, Suite 500 Miami, FL 33126 P: 305-929-1511 I F: ,Cell 786-570-1209 email: leroy.garcia ct©r careersourcesfl.corn web: www.careersourcesfl.com Lissie Allen, Graphics Manager Miami -Dade County, Internal Services Department 2225 NW 72 Avenue, Miami, Florida 33122 305-592-3016 Phone 305-592-3616 Fax 305-487-3457 Cell Intra-County Cisco System Direct Line: 5001557 Neftali (Nef) Albino Principal Auto Technician/Shop Manager Fleet Management Division Keep Collier Running 8300 Radio Rd, Naples FI. 34104 Phone: 239.252.4017 Cell: 239-821-5379 Fax: 239.252-2846 Neffali.Albino@colliercountyfl.gov Racquel Asa Chief Marketing Officer m 407-209-6225 5 I 'A'. .rideb - M `85 Veterans Way • ante 10 • Oria cle FL • ,.2827 I c w nload- Ride Beep App Pricing of service: $54,600.00 Item #1 Design fee which includes site surveys and x3 designs prior to starting. Item 2 x6 existing signs Item 3 New Monumnets item #8 Permit City Fee. Price changes depending on what the city charges. item L Running Fee back and o hoth Cty. DORAL DIGITAL REPROGRAPHICS, CORP. 5701 NW 79th Ave Miami, FL 33166 Ph: (305)704-3194 FAX: (305) 704-3195 Email: betty@ddrepro.com Web: www.ddrepro.com Estimate #: 1581 Page 1 of 3 Created Date: Salesperson: Email: Phone: Entered by: 6/21/2023 2:10:OOPM House Account N/A Carlos Miranda Prepared For: Contact: Phone: Email: Address: City of Opa Locka N/A kleonard@Opalockafl.gov 12950 NW 42nd Avenue ( Lejeune Road) Opa Locka, FL 33054 Description: Gateway Entry Signage RFP 23-0609200 Quantity Unit Price Subtotal 1 Product: Design Description: Includes doing x3 designs. Once one of them is approved we will proceed to design all x8 signs. (6 existing monuments and x2 new monuments). • Not Assigned, 1 Quantity $775.00 $775.00 Unit Price Subtotal 2 Product: Digital Prints Description: PVC White 1" EXISTING SIGNS: Includes removing old sign, painting and patching existing holes and redoing new sign. Includes new Solar lights and native bushed • 6, 60 in (W) x 60 in (H) Single Sided Flat Stock Print, Made From PVC White 1"48" x 96" 6 $5,133.3333 $30,800.00 Quantity Unit Price Subtotal 3 IProduct: Misc Description: New Monumnets. Includes new Solar lights and native bushed • (2) NEW MONUMNETS • Description: New Monumnets. Includes new Solar lights and native bushed 2 $11,000.00 $22,000.00 Print Date: 6/21/2023 2:57:15PM DORAL DIGITAL REPROGRAPHICS, CORP. 5701 NW 79th Ave Miami, FL 33166 Ph: (305) 704-3194 FAX: (305) 704-3195 Email: betty@ddrepro.com Web: www.ddrepro.com Quantity Estimate #: 1581 Unit Price Page 2 of 3 Subtotal 4 Product: Misc 1 Description: THE PERMIT ACQUISITION FEE CORRESPONDS TO THE LABOR OF PROCESSING OF THE PERMIT DIGITALLY AND IT IS NOT REFUNDABLE. DDR DOESN'T GUARANTEE ZONING APPROVAL FROM THE CITY PROCESS. THE COST OF THE PERMIT IS EXCLUDED FROM THIS FEE. THE PROCESSING PERMIT FEE WILL COVER : - SET UP OF ALL FORMS AND DOCUMENTS NEEDED FOR THE BUILDING DEPARTMENT PERMIT PROCESS. -AMAXIMUM OF ONE (1) TIME FOR PROCESSING CITY PERMITS OR ONE FULL TRIP (WHICH INCLUDES TRAVEL DISTANCE TO THE BUILDING DEPARTMENT). ANY TRIP TRIP TO THE BUILDING DEPARTMENT WILL HAVE AN EXTRA CHARGE OF 275.00 WHICH INCLUDES ALL DOCUMENTS PREPARATIONS AND PLAN'S REVISION THAT DOESN'T REQUIRES ENGINEERING REWORK. - EXCLUDES HARD COST OF PERMITS. THE HARD COST OF THE PERMIT MUST BE ADVANCED TO DDR IN A FORM • (1) Permit Fee - City Fee • Description: THE PERMIT ACQUISITION FEE CORRESPONDS TO THE LABOR OF PROCESSING OF THE PERMIT DIGITALLY AND IT IS NOT REFUNDABLE. DDR DOESN'T GUARANTEE ZONING APPROVAL FROM THE CITY PROCESS. THE COST OF THE PERMIT IS EXCLUDED FROM THIS FEE. THE PROCESSING PERMIT FEE WILL COVER : - SET UP OF ALL FORMS AND DOCUMENTS NEEDED FOR THE BUILDING DEPARTMENT PERMIT PROCESS. - A MAXIMUM OF ONE (1) TIME FOR PROCESSING CITY PERMITS OR ONE FULL TRIP (WHICH INCLUDES TRAVEL DISTANCE TO THE BUILDING DEPARTMENT). ANY TRIP TRIP TO THE BUILDING DEPARTMENT WILL HAVE AN EXTRA CHARGE OF 275.00 WHICH INCLUDES ALL DOCUMENTS PREPARATIONS AND PLAN'S REVISION THAT DOESN'T REQUIRES ENGINEERING REWORK. - EXCLUDES HARD COST OF PERMITS. THE HARD COST OF THE PERMIT MUST BE ADVANCED TO DDR IN A FORM $375.00 $375.00 Print Date: 6/21/2023 2:57:15PM 5 Product: Misc DORAL DIGITAL REPROGRAPHICS, CORP. 5701 NW 79th Ave Miami, FL 33166 Ph: (305) 704-3194 FAX: (305) 704-3195 Email: betty@ddrepro.com Web: www.ddrepro.com Quantity Estimate #: 1581 Unit Price Page 3 of 3 Subtotal Description: THE PERMIT ACQUISITION FEE CORRESPONDS TO THE LABOR OF PROCESSING OF THE PERMIT DIGITALLY AND IT IS NOT REFUNDABLE. DDR DOESN'T GUARANTEE ZONING APPROVAL FROM THE CITY PROCESS. THE COST OF THE PERMIT IS EXCLUDED FROM THIS FEE. THE PROCESSING PERMIT FEE WILL COVER : - SET UP OF ALL FORMS AND DOCUMENTS NEEDED FOR THE BUILDING DEPARTMENT PERMIT PROCESS. -A MAXIMUM OF ONE (1) TIME FOR PROCESSING CITY PERMITS OR ONE FULL TRIP (WHICH INCLUDES TRAVEL DISTANCE TO THE BUILDING DEPARTMENT). ANY TRIP TRIP TO THE BUILDING DEPARTMENT WILL HAVE AN EXTRA CHARGE OF 275.00 WHICH INCLUDES ALL DOCUMENTS PREPARATIONS AND PLAN'S REVISION THAT DOESN'T REQUIRES ENGINEERING REWORK. - EXCLUDES HARD COST OF PERMITS. THE HARD COST OF THE PERMIT MUST BE ADVANCED TO DDR IN A FORM • (1) Permit Fee - Running Fee • Description: THE PERMIT ACQUISITION FEE CORRESPONDS TO THE LABOR OF PROCESSING OF THE PERMIT DIGITALLY AND IT IS NOT REFUNDABLE. DDR DOESN'T GUARANTEE ZONING APPROVAL FROM THE CITY PROCESS. THE COST OF THE PERMIT IS EXCLUDED FROM THIS FEE. THE PROCESSING PERMIT FEE WILL COVER : - SET UP OF ALL FORMS AND DOCUMENTS NEEDED FOR THE BUILDING DEPARTMENT PERMIT PROCESS. - A MAXIMUM OF ONE (1) TIME FOR PROCESSING CITY PERMITS OR ONE FULL TRIP (WHICH INCLUDES TRAVEL DISTANCE TO THE BUILDING DEPARTMENT). ANY TRIP TRIP TO THE BUILDING DEPARTMENT WILL HAVE AN EXTRA CHARGE OF 275.00 WHICH INCLUDES ALL DOCUMENTS PREPARATIONS AND PLAN'S REVISION THAT DOESN'T REQUIRES ENGINEERING REWORK. - EXCLUDES HARD COST OF PERMITS. THE HARD COST OF THE PERMIT MUST BE ADVANCED TO DDR IN A FORM $650.00 $650.00 Subtotal: $54,600.00 Total: $54,600.00 Deposit Required: $54,600.00 Payment Terms: Net 30; Balance due in 30 days. Accounts with credits will have 90 days to use them towards pending invoices or new orders. After 90 days, credits not used will be lost Client Reply Request ❑ Estimate Accepted "As Is". Please proceed with Order. ❑ Changes required, please contact me. ❑ Other: SIGN: Date: / / Print Date: 6/21/2023 2:57:15PM Excla Specialty Contractor Solutions, LLC 7814 NW 54 Street Doral, FL 33166 305-722-7241 Contact Person(s): Carlos Bared 786-423-5143 or Ralph Jimenez 305-992-7338 June 23, 2023 Proposal submitted in response to: CITY OF OPA-LOCKA RFP 23-0609200 GATEWAY ENTRY SIGNAGE INSTALLATION AND SERVICES 141 Excla Specialty Excla Specialty Contractor Solutions, LLC 7814 NW 54 Street Doral, FL 33166 TABLE OF CONTENTS Section 3.2.2 (Tab 1) 3.2.3 Letter of Transmittal Tab 2 3.2.4 General Information Tab 3 3.2.5 Project Approach Tab 4 3.2.6 Experience and Qualifications Tab 5 3.2.7 Schedule ...Tab 6 3.2.8 Pricing of Services Tab 7 3.2.9 References Tab 8 3.2.10 Additional Forms Tab 9 lye Excla Specialty Excla Specialty Contractor Solutions, LLC 7814 NW 54 Street Doral, FL 33166 General Information Section 3.2.4 (Tab 3) 3.2.4.1 Name of Business: Excla Specialty Contractor Solutions, LLC 3.2.4.2 Mailing Address and Phone Number: 3.2.4.3 Names and contact information: 7814 NW 54 Street Doral, FL 33166 Ph: 305-722-7241 Robert Taquechel Project Manager 786-295-2901 robert@exclamarketing.com Ralph Jimenez Project Executive 305-992-7338 ralph@exclamarketing.com Carlos Bared Project Administrator 786-423-5143 exclaspecialty@gmail.com 3.2.4.4 Normal business hours: We operate under normal working hours. M -F 7:30am — 3:30PM 3.2.4.5 State if business is local: Excla Specialty is a Florida limited liability corporation. We are based in Miami -Dade County and our projects are mostly in and around South Florida. 3.2.4.6 Date business was organized: January 18, 2023 3.2.4.7 Location of the office: 7814 NW 54 St., Doral, Florida 33166 number of employees: (7) L1I Exda Specialty Excla Specialty Contractor Solutions, LLC 7814 NW 54 Street Dora!, FL 33166 3.2.4.8 Indicate whether the business is a parent or subsidiary in a group of firms/agencies. If it is, please state the name of the parent company: Excla Specialty Contractor Solutions LLC (ExclaSpecialty) is an affiliated company to Multicorp Marketing Inc. dba ExclaMarketing and Taquechel Construction Group Inc. The principals of these companies joined forces to establish Excla Specialty, which benefits from their combined expertise and experience. 3.2.4.9 Licenses: Miami -Dade County Business License No. 7354399 Florida Certified General Contractor Florida Department of Business and Professional Regulation Robert Taquechel No. CGC058956 lye Excla Specialty Excla Specialty Contractor Solutions, LLC 7814 NW 54 Street Doral, FL 33166 Project Approach Section 3.2.5 (Tab 4) Excla Specialty Contractor Solutions (ExclaSpecialty) is pleased to submit our Project Approach for the City of Opa-locka rebranding project. Our approach is guided by a commitment to excellence, creativity, and a deep understanding of the project's objectives. We have extensive experience in providing design, fabrication, rehabilitation, maintenance, and installation services for signage projects, including gateway entry signage. To fulfill the scope of services outlined in the RFP, our Project Approach encompasses the following key elements: 1. Design Excellence: We will develop a comprehensive design strategy that aligns with the city's vision and goals. Our team will carefully select colors, font styles, and materials to ensure the design elements complement the existing city seal while bringing a fresh and vibrant identity to the gateways. 2. Gateway Rehabilitation and Construction: ExclaSpecialty will rehabilitate the existing six gateways, ensuring they align with the unified branding approach. Additionally, we will construct two new gateways that harmonize with the rehabbed gateways, maintaining a consistent and cohesive aesthetic throughout all eight locations. 3. Moorish Design Integration: Drawing inspiration from the city's architectural heritage, we will incorporate Moorish design elements into the gateway signage. This integration will celebrate Opa-locka's unique cultural identity and create a sense of pride within the community. 4. Branding Consistency: We will establish a unified branding approach across all eight gateways, ensuring a cohesive and recognizable visual identity for the city. This consistency will enhance brand recognition and create a lasting impression on both residents and visitors. 5. Sustainable Practices: ExclaSpecialty is committed to sustainability. We will incorporate low maintenance, drought -tolerant, and native plant species around the gateways to enhance the environmental impact positively. Furthermore, we will prioritize solar - powered illumination for energy efficiency. 6. Routine Maintenance and Repairs: Our team is committed to ensuring the gateways remain in optimal condition. We propose a monthly maintenance service at a cost of $75.00 per month per sign. This service includes labor for inspection, cleaning, and landscape maintenance of the shrubbery and ground cover in the immediate 4 -foot radius area around each sign. We understand the importance of prompt attention to any issues that may arise, and we are committed to addressing them swiftly. Please note that any plant replacement, lighting repairs, and sign repairs would incur an additional 14 Ex4o Specialty Excla Specialty Contractor Solutions, LLC 7814 NW 54 Street Doral, FL 33166 charge for the materials. This approach ensures the longevity and aesthetic appeal of the gateways while providing a cost-effective solution for the City of Opa-locka. For each 1 - year renewal beyond the initial term of the agreement, we will consider an adjustment to the monthly maintenance cost in line with the Consumer Price Index (CPI) to account for inflation and changes in market conditions. 6. Subcontractor Management: ExclaSpecialty will maintain a list of pre -approved subcontractors who possess the necessary expertise to support the project. We will ensure their qualifications align with the project requirements, enhancing efficiency and quality throughout the implementation process. Our extensive experience in outdoor signage projects demonstrates our competence and commitment to delivering exceptional results. We have successfully completed many similar projects for private entities, as evidenced by our track record and client references. It's important to note that this project approach represents our best estimate based on current market conditions and the information provided in the RFP. As such, it is subject to change as these conditions evolve and as we gain a more in-depth understanding of the project's specific needs. We remain flexible and adaptive to any changes that may arise during the course of the project. Our primary commitment is to deliver a high -quality service that meets the City of Opa- locka's expectations and aligns with the goals and vision outlined in the RFP. We look forward to the possibility of adjusting and refining our approach as we move forward, ensuring the best possible outcome for the City and its residents. ExclaSpecialty is excited to embark on this rebranding project for the City of Opa-locka. We are confident that our Project Approach aligns with the city's vision and requirements, and we are fully committed to exceeding expectations. We look forward to the opportunity to collaborate with the City and contribute to the successful transformation of the gateways. I'1 Excto Specialty Excla Specialty Contractor Solutions, LLC 7814 NW 54 Street Doral, FL 33166 Experience and Qualifications Section 3.2.6 (Tab 5) Excla Specialty Contractor Solutions, LLC "Providing expert design, installation & general construction services for specialty projects including interior and exterior signage, wayfinding and markings." At Excla Specialty Contractor Solutions, LLC ("ExclaSpecialty"), we are dedicated to providing top-notch design, installation and general construction services for specialty projects. Our areas of expertise include interior and exterior signage, wayfinding and markings. We understand the importance of clear and effective communication in the planning, design, and implementation stages of each project, and we work closely with our clients to ensure that their goals are met and exceeded. ExclaSpecialty is a leader in providing professional interior and exterior signage services for commercial construction projects. Our team of experts specializes in creating custom signs and wayfinding systems that effectively communicate your brand and meet the specific requirements of your project. From design to installation, we work closely with our clients to ensure that their objectives are achieved, utilizing only the highest -quality materials and the latest technologies. Whether you're looking for a simple sign for your office building, a complex wayfinding system for your hospital, or custom markings for your stadium, Excla Specialty Contractor Solutions, LLC is the right choice for you. Our team of experienced professionals has a passion for design and a commitment to quality. We use only the highest -quality materials and the latest technologies to ensure that each project is completed to the highest standards. At ExclaSpecialty, we believe that the key to success is a combination of attention to detail, exceptional customer service, and the use of innovative technologies. We are confident that we can provide you with the expert services you need to bring your vision to life. If you're interested in learning more about what ExclaSpecialty can do for you, please don't hesitate to get in touch. We look forward to working with you! lye Excto Specialty Excla Specialty Contractor Solutions, LLC 7814 NW 54 Street Doral, FL 33166 Key Personnel The following principals of the company joined forces to establish Excla Specialty Contractor Solutions, which benefits from their combined expertise and experience. Rafael Jimenez is a highly accomplished professional with extensive expertise in advertising, marketing, and print production. Currently serving as the Chief Operating Officer of ExclaMarketing, Ralph plays a pivotal role in the company's operations and strategic direction. He is a dynamic leader with a proven track record of success in various roles within the marketing and printing industry. Ralph's educational background includes a Bachelor of Business Administration degree from Florida International University, where he honed his skills in business management and marketing. With a strong foundation in these areas, he embarked on a remarkable career that has spanned several key positions. In 2013, Ralph assumed the role of Director of Operations at ExclaMarketing, bringing his extensive knowledge and experience to propel the company forward. Prior to joining ExclaMarketing, he held the prestigious positions of President and Chief Operating Officer at Granada Printing Inc. Throughout his tenure at Granada Printing Inc., Ralph demonstrated exceptional leadership abilities, driving growth, and ensuring operational excellence. Alongside his professional commitments, Ralph actively contributes to the industry by serving on the Board of Directors of the Latin Builders Association. In addition, he holds the esteemed role of publisher for the association's renowned Proyecto Magazine, which showcases the latest developments and trends within the trade. In 2017, Ralph further expanded his expertise and joined 3e11, where he continues to provide invaluable insights and consultation in advertising and marketing. His proficiency extends to digital and print production, innovative marketing campaign strategies, brand development, product positioning, and corporate image design and management. With his wealth of knowledge and experience in the marketing and printing industry, Ralph Jimenez brings a unique perspective to any project. His strategic vision, strong leadership, and commitment to excellence make him an invaluable asset in achieving and exceeding organizational goals. lye Excto Specialty Excla Specialty Contractor Solutions, LLC 7814 NW 54 Street Doral, FL 33166 Robert L. Taquechel, is a highly skilled Construction Professional with over 30 years of experience in the industry. His expertise lies in design and construction practices, methods, and materials. Robert holds a State of Florida Certified General Contractors License and a Public Adjusters License. He earned a Bachelor of Science Degree in Construction Management from Florida International University. Throughout his career, Robert has successfully managed and overseen more than 400 construction projects across various sectors. His diverse portfolio includes urban community residential construction, custom high -end residential projects, retail construction, executive offices, veterinary surgery centers, industrial facilities, and roadway and bridge demolition and construction. In addition, he has conducted numerous building inspections and expertly handled over 50 property damage claims. As the President of Taquechel Construction Group, Inc., Robert has been leading the company since 1999. He is also a licensed Public Adjuster, providing valuable expertise in property insurance claims. Prior to founding his own company, Robert gained experience as a Project Manager at ABC Cutting Contractors, Inc., a Road/Bridge Inspector at Fredrick R. Harris Engineering, and a Superintendent of Construction at Garmon Construction Corp. Throughout his career, Robert has completed several notable projects, demonstrating his strong project management and supervision skills. Some of these projects include custom residential remodeling and additions, executive office renovations, industrial facility expansions, animal hospital remodeling, and highway interchange projects. His attention to detail and commitment to excellence have consistently resulted in successful outcomes for his clients. Robert received his Associate in Arts Degree from Miami Dade Community College and holds a Bachelor of Science in Construction Management from Florida International University. He has also completed OSHA -certified training and received training in Xactimate 28, a widely used software in the insurance restoration industry. With his extensive experience, professional licenses, and comprehensive knowledge of construction management, Robert Taquechel is well-equipped to contribute to the success of any construction project. His dedication to delivering high -quality results and his strong leadership skills make him an invaluable asset to any team. Dr. Carlos E. Bared, DBA, an accomplished leader with over 25 years of C -level experience in various industries, including retail, finance, and nonprofit. With expertise in consumer behavior, !N EXclo Specialty Excla Specialty Contractor Solutions, LLC 7814 NW 54 Street Doral, FL 33166 financial decision -making, and behavioral economics, he brings a unique perspective to business strategy and operations. As the Principal/Founder of 3e11, LLC, Dr. Bared leads a team dedicated to incubating and developing blockchain-related solutions for various sectors, such as education, healthcare, marketing, retail, and cryptocurrency. His firm specializes in areas including cryptocurrency mining, trading strategies, accounting, tax, and self -directed IRA set up and administration. Dr. Bared also serves as an Advisor to the CEO and Board of Advisors for Grupo Selecta S.A., a leading furniture and home furnishings retailer in the Republic of Panama. With his guidance, Grupo Selecta has thrived, becoming the largest retailer, importer, and distributor in the country. Previously, as the CEO of Farm Stores Corporation, Dr. Bared oversaw the acquisition of Gardner's Super Markets and successfully developed and implemented the Farm Stores franchise concept. He also spearheaded the development of an innovative e -commerce platform for online grocery shopping with drive-thru pick-up. Dr. Bared's financial acumen and strategic expertise were further demonstrated during his tenure as the Chief Financial Officer of United Petroleum Corporation and REWJB Dairy Plant Associates. He successfully secured financing, oversaw mergers, and led efforts in financial management, dispute resolution, and strategic planning. Throughout his career, Dr. Bared has been recognized for his leadership contributions. He has served on numerous corporate and nonprofit boards, including the Miami Children's Museum and the Construction Financial Management Association. Additionally, his commitment to ocean conservation and coastal clean-up is evident through his involvement with environmental initiatives. Dr. Bared holds a Doctor of Business Administration degree from Florida International University, with his research focusing on consumer behavior and financial decision -making. He also holds an MBA from the University of Miami and a Bachelor of Business Administration degree from Loyola University of New Orleans. Beyond his professional achievements, Dr. Bared finds fulfillment in his family life, having been happily married to Hanna for 30 years. Together, they have raised three adult children, Christopher, Nicolas, and Matthew. With his wealth of experience, strategic mindset, and dedication to excellence, Dr. Carlos E. Bared brings valuable insights and leadership to any organization or project he is involved in. EXda Specialty Excla Specialty Contractor Solutions, LLC 7814 NW 54 Street Doral, FL 33166 RECENT PROJECT HISTORY AND REFERENCES Miami, FL, United States of America FTX Arena Completed: 2022 (60 days) $200,000 DI Build LLC Kevin Istas (913) 340-0988 kistas@dibuild.com Coral Gables, FL, United States of America Quirch Foods _ POS displays Completed: 2022 (14 days) $17,800 Quirch Foods Mr. Jorge Roza (305) 691-3535 jorge.roza@quirchfoods.com 2937 Southwest 27th Avenue, Miami, FL 33133, United States of America Farm Stores Completed: 2022 (21 days) $25,000 Farm Stores Franchising LLC Maurice Bared (800) 726-3276 maurice.bared@farmstores.com Belfast, Maine, Mowi Seafood, Interior signage & branding Completed: 2023 (21 days) $44,000 Mowi Seafood Inc. Janet Chiriboga 786-214-8345 janet.chiriboga@mowi.com Miami, Florida Pure Formulas, Exterior and interior signage & branding Completed: 2022 (7 days) $6,000.00 Pure Formulas David Rodriguez 305-887-0024 david@pureformulas.com lye ExcLo Specialty Excla Specialty Contractor Solutions, LLC 7814 NW 54 Street Doral, FL 33166 Schedule Section 3.2.7 (Tab 6) Excla Specialty Contractor Solutions LLC (ExclaSpecialty) is grateful for the opportunity to present our proposal for the Gateway Entry Signage Installation and Services. We have meticulously examined the project scope and purpose as outlined in the City of Opa-locka's RFP #23-0609200. In response, we have crafted a comprehensive timetable that pinpoints the duration necessary to accomplish each segment of the program. It's important to note that this timeline represents our best estimate based on current market conditions and the information provided in the RFP. As such, it is subject to change as these conditions evolve and as we gain a more in-depth understanding of the project's specific needs. Drawing from our wealth of expertise and experience, we propose the following timeline for the project: 1. Rehabilitation of the 6 existing gateways: [120] days from the project start date. 2. Construction and development of 2 new gateways: [90] days from the project start date. 3. Ensuring a unified branding for all 8 gateways: [60] days from the project start date. 4. Incorporating Moorish features into the design: [60] days from the project start date. 5. Providing consistent coloration across all 8 gateways: [90] days from the project start date. 6. Planting low maintenance, drought -tolerant, and native species around the gateway: [90] days from the project start date. 7. Providing illumination/light to the gateway (preferably powered by solar): [90] days from the project start date. 8. On -the -spot routine maintenance and repairs as necessary: Ongoing throughout the project duration. 9. Maintaining and providing a list of pre -approved subcontractors: Ongoing throughout the project duration. Our project team is prepared to commence work on the earliest available start date [21] days after Notice to Proceed. Considering the timeline for each component of the program, we anticipate completing the entire project within [180] days from the project start date. Please note that the proposed schedule provided above is preliminary and subject to review and potential adjustments based on unforeseen or unanticipated conditions that may arise IA ExcLo Specialty Excla Specialty Contractor Solutions, LLC 7814 NW 54 Street Doral, FL 33166 during the course of the project. Excla Specialty Contractor Solutions LLC (ExclaSpecialty) acknowledges that design -build projects can involve complexities and uncertainties, and we are committed to addressing any challenges that may arise with a proactive and flexible approach. We will work closely with the City of Opa-locka to assess and adapt the schedule as necessary to ensure successful project delivery while maintaining the highest standards of quality and compliance. ExclaSpecialty is committed to delivering high -quality results within the specified timeframe. We understand the importance of rebranding the City of Opa-locka and creating gateways that reflect the community's identity and pride. Our team is equipped with the necessary skills, expertise, and resources to efficiently manage and execute each stage of the project while ensuring compliance with all relevant standards and regulations. Thank you for considering Excla Specialty Contractor Solutions for this important endeavor. We look forward to the opportunity to contribute to the rebranding and enhancement of the City of Opa-Iocka's gateways. Il Excla Specialty Excla Specialty Contractor Solutions, LLC 7814 NW 54 Street Doral, FL 33166 Pricing of Services Section 3.2.8 (Tab 7) Fee basis included as lump sum, In accordance with the attached PRICE PROPOSAL FORM lye Excl.a Specialty Excla Specialty Contractor Solutions, LLC 7814 NW 54 Street Doral, FL 33166 References Section 3.2.9 (Tab 8) RECENT PROJECT HISTORY AND REFERENCES Miami, FL, United States of America FTX Arena Completed: 2022 (60 days) $200,000 DI Build LLC Kevin Istas (913) 340-0988 kistas@dibuild.com Coral Gables, FL, United States of America Quirch Foods _ POS displays Completed: 2022 (14 days) $17,800 Quirch Foods Mr. Jorge Roza (305) 691-3535 jorge.roza@quirchfoods.com 2937 Southwest 27th Avenue, Miami, FL 33133, United States of America Farm Stores Completed: 2022 (21 days) $25,000 Farm Stores Franchising LLC Maurice Bared (800) 726-3276 maurice.bared@farmstores.com Belfast, Maine, Mowi Seafood, Interior signage & branding Completed: 2023 (21 days) $44,000 Mowi Seafood Inc. Janet Chiriboga 786-214-8345 janet.chiriboga@mowi.com Miami, Florida Pure Formulas, Exterior and interior signage & branding Completed: 2022 (7 days) $6,000.00 Pure Formulas David Rodriguez 305-887-0024 david@pureformulas.com lye EKcta Specialty Excla Specialty Contractor Solutions, LLC 7814 NW 54 Street Doral, FL 33166 Additional Forms Section 3.2.10 (Tab 10) [See Attached] • Proposer's Qualifications • PRICE PROPOSAL FORM • DRUG FREE WORK PLACE CERTIFICATION FORM • CERTIFICATION REGARDING DEBARMENT, SUSPENSION PROPOSED DEBARMENT AND OTHER MATTERS OF RESPONSIBILITY • CITY OF OPA-LOCKA NON -COLLUSION AFFIDAVIT • NON-DISCRIMINATIONAFFIDAVIT • E -VERIFY FORM • (3) unique signage options together with description • IRS Form W-9 • Certificate of Insurance PRICE PROPOSAL FORM PROPONENT understands and agrees that the Contract Price is the lump sum to furnish and install all the Work complete in place. Vendor's price will not be adjusted unless the CITY changes the scope of the Project after the Contract Date. As such, the Vendor shall furnish all labor, materials, equipment, tools, superintendent, and services necessary to provide a complete, in place Project for the Proposed Price of: LUMP SUM PRICE: $ • - / S 3a vO SU BMITTED THIS EA BID SU EMITTED BY: DAY OF June, 2023 Excla Specialty Contractor Solutions, LLC 305-722-7214 202X. Company Telephone Number h 'menez Name of Person Authorized to Submit Bid Signature 'rincipal/Project Executive Title n/a Fax Number exclaspecialty@gmail.com Email Address 16 Whenever two (2) or more bids/proposals, which are equal with respect to price, quality, and service, are received by the CITY OF OPA-LOCKA for the procurement of commodities or contractual services, a bid/proposal received from a business that certifies that it has implemented a drug -free workplace program shall be given preference in the award process. To have a drug -free workplace program, a business shall: 1. Publish a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession, or use of controlled substances 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 bid a copy of the statement specified in number (1). 4. In the statement specified in number (1), notify the employees that as a condition for working on the commodities or contractual services that are under bid, the employee will abide by the terms of the statement and will notify the employer of any conviction on or plea of guilty or no contest to any violation of Chapter 893, Florida Statutes or of any controlled substance law of the United States or any singular 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 Section 287.087, Florida Statutes. This Certification is submitted by Carlos Bared the Principal/Project (Name) Administrator of Excla Specialty Contractor Solutions, LLC (Title/Position) (Company) who does hereby certify that said Company has implemented a drug -free workplace program, which meets the requirements of Section 287.087, lorida Stat tes, which are identified in numbers (1) through (6) above. June 9, 2023 Date 19 CITY OF OPA-LOCKA NON -COLLUSION AFFIDAVIT STATE OF FLORIDA - COUNTY OF MIAMI DADE Carlos Bared being first duly sworn, deposes and says that: (1) He/She/They is/are the {Owner, Partner, Officer, Representative or Agent) of the PROPONENT that has submitted the attached proposal. (2) He/She/They is/are fully informed respecting the preparation and contents of the attached Proposal and of all pertinent circumstances respecting such Proposal. (3) Such Proposal is genuine and is not a collusive or sham Proposal. (4) Neither the said PROPONENT nor any of its officers, partners, owners, agents, representatives, employees or parties in interest, including this affiant, have in any way colluded, conspired, connived or agreed, directly or indirectly, with any other PROPONENT, firm, or person to submit a collusive or sham Proposal in connection with the Work for which the attached Proposal has been submitted; or to refrain from Proposing in connection with such Worlc; or have in any manner, directly or indirectly, sought by agreement or collusion, or communication, or conference with any PROPONENT, firm, or person to fix any overhead, profit, or cost elements of the Proposal or of any other PROPONENT, or to fix any overhead, profit, or cost elements of the Proposed Price or the Proposed Price of any other PROPONENT, or to secure through any collusion, conspiracy, connivance, or unlawful agreement any advantage against (Recipient), or any person interested in the proposed Work; (5) The price or prices quoted in the attached Proposal are fair and proper and are not tainted by any collusion, conspiracy, connivance, or unlawful agreement on the part of the PROPONENT or any other of its agents, representatives, owners, employees, or parties of interest, including this affiant. Signed, sealed, and delivered in the presence of: A Witness Witness Carlos Bared, Principal/Project Administrator Print Name and Title 20 A� o, CERTIFICATE OF LIABILITY INSURANCE DATE D/ 5/31/2023 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 be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on thls certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER Acentria Insurance - Miami 8700 W. Flagler Street Suite 402 Miami FL 33174 CONTACT Nidia Soto PHONE FAX . Eat): 305-446-5474 (A/c, No): 305-444-8796 EAMANo IL ADDREss: nidia.soto@acentria.com INSURER(S) AFFORDING COVERAGE NAIC # INSURERA: Nationwide Insurance Company of America 25453 INSURED GPGSOLU-01 Multicorp Marketing, Inc. dba Exclamarketing 7814 NW 54th Street Dora' FL 33166 INSURER B : Progressive Express Insurance Company 10193 INSURER c: ALLIED Property and Casualty Insurance Company 42579 INSURERD: INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 1855234039 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 PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF (MMIDD/YYYY) POLICY EXP (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY ACPGLZ03096456831 2/3/2023 2/3/2024 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES (Ea occurrence) $ 100,000 CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L X AGGREGATE POLICY OTHER: LIMIT APPLIES PRO JECT PER: LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ B AUTOMOBILE LIABILITY ANY AUTO OWNED AUTOS ONLY HIRED x SCHEDULED AUTOS NON -OWNED AUTOS ONLY 02004120 4/3/2023 4/3/2024 (ECOMBIN aaccid EDent)SINGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ PIP (NI Only) $ 10,000 C X UMBRELLA LIAB EXCESS UAB X OCCUR CLAIMS -MADE ACPCAP3096456831 2/3/2023 2/3/2024 EACH OCCURRENCE $ 3,000,000 AGGREGATE $ 3,000,000 $ DED 1 RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y/ N N / A PER STATUTE OTH- ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ A Property ACPGLZ03096456831 2/3/2023 2/3/2024 231,800 Ded $2500 W/H 5% DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Printing and Graphics of Business Cards, Catalogs, Brochures, Presentation Folders, Flyers, Posters, Menus, Signs and Banners Basketball Properties, Ltd. 601 Biscayne Blvd., Miami FL 33132 and Miami -Dade County, 601 Biscayne Blvd., Miami FL 33132 are listed as Additional Insureds as their interest may appear. CERTIFICATE HOLDER CANCELLATION 30 Da s and 10 Da s Non.a ment DI Build, LLC 10000 Marshall Drive Box 12 Lenexa KS 66215 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE she ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD M Exda Specialty Excla Specialty Contractor Solutions, LLC 7814 NW 54 Street Doral, FL 33166 June 23, 2023 CITY OF OPA-LOCKA Office of the City Clerk 780 Fisherman Street 4th Floor Opa-locka Florida 33054 e -bid submitted via www.demandstar.com Subject: Letter of Transmittal of Proposal Documents for RFP No. 23-0609200 Dear Hon. Joanna Flores, City Clerk, Enclosed please find one (1) original, six (6) copies and one (1) Flash Drive (in PDF format), representing our bid submission for the design, fabrication, rehabilitation, maintenance, and installation services for the City of Opa-locka's, Gateway Entry Signage Installation and Services project, in response to the Request for Proposal (RFP) No. 23-0609200. We appreciate the opportunity to submit our proposal for the Gateway Entry Signage Installation and Services project. We have a clear understanding of the work to be done as outlined in the RFP, including the design, fabrication, rehabilitation, maintenance, and installation services for signage at eight designated gateways. We are fully committed to performing the work with utmost professionalism, attention to detail, and adherence to the highest industry standards. Our experienced team, coupled with our comprehensive knowledge and expertise in specialty construction projects, positions us to deliver exceptional results that align with the City of Opa-locka's vision. We are dedicated to fulfilling the project requirements efficiently, effectively, and to the complete satisfaction of all stakeholders involved. We have assigned the following members of our team to supervise and execute the work on this project: 1. Robert Taquechel Project Manager 786-295-2901 robert@exclamarketing.com Project Manager responsible for the overall project supervision, coordination, installation and maintenance management. 1 lye EXcia Specialty Excla Specialty Contractor Solutions, LLC 7814 NW 54 Street Doral, FL 33166 2. Ralph Jimenez Project Executive 305-992-7338 ralph@exclamarketing.com Point of contact for all project related graphic design and fabrication matters. 3. Carlos Bared Project Administrator 786-423-5143 exclaspecialty@gmail.com Responsible for the overall financial management and administration of the project. Thank you for your attention to this matter. We look forward to the possibility of working with the City of Opa-locka on this exciting project. The undersigned hereby certifies that the contents of our responses to the City of Opa-Iocka's RFP No. 23-0609200 represent Excla Specialty's best efforts in submitting a responsive bid. Sincerely, Excla Sp os Bared Principal/Project Administrator ontractor Solutions, LLC 2 1 miamidade.county-taxes .c am/public/business_tax/acc ounts/7354399/receipts 'AM IDADE UNTY UNTY Search > Account Summary Vehicle Registration Search all servi ces we offer.. . Property Ta x Business Tax Account #7354399 EXCLA SPECIALTY CONTRACTOR SOLUTIONS LLC Request a change to your Business Tax Acc ount Current o wner: EXCLA SPECIALTY CONTRACTOR SOLUTIONS LLC C/O CARLOS E BARED PRES C urrent busi ness address: 7814 NW 54TH ST DORAL, FL 33166-4108 ® j More Details Business Tax Cr3 * 0 ®(Update ;) Get bills by email Tourist Tax Amount Due RECEIPTS AMOUNT DUE 2023 Receipt#7648403 02/14/2023 - 09/30/2023 $45. 00 Total Amount Due: $45. 00 S Print (PDF) Add To Cart CERTIFICATION REGARDING DEBARMENT, SUSPENSION PROPOSED DEBARMENT AND OTHER MATTERS OF RESPONSIBILITY 1. The Proposer certifies, to the best of its knowledge and belief, that the Proposer and/or any of its principals: A. Are not presently debarred, suspended, proposed for debarment, or declared ineligible for the award of contracts by any Federal agency. B. Have not, within a three-year period preceding this offer, been convicted of or had a civil judgment rendered against them for: commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, state, or local) contract or subcontract; violation of Federal or state antitrust statutes relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, tax evasion, or receiving stolen property; and C. Are not presently indicted for, or otherwise criminally or civilly charged by a governmental entity with, commission of any of the offenses enumerated in paragraph 1-B of this provision. 2. The Proposer has not, within a three-year period preceding this offer, had one or more contracts terminated for default by any City, State or Federal agency. A. "Principals," for the purposes of this certification, means officers; directors; owners; partners; and persons having primary management or supervisory responsibilities within a business entity (e.g., general manager; plant manager; head of a subsidiary, division, or business segment, and similar positions). This Certification Concerns a Matter Within the Jurisdiction of an Agency of the United States and the Making of a False, Fictitious, or Fraudulent Certification May Render the Maker Subject to Prosecution Under Section 1001, Title 18, United States Code. B. The Proposer shall provide immediate written notice to the Contracting Officer if, at any time prior to contract award, the Proposer learns that its certification was erroneous when submitted or has become erroneous by reason of changed circumstances. C. A certification that any of the items in paragraph (a) of this provision exists will not necessarily result in withholding of an award under this solicitation. However, the certification will be considered in connection with a determination of the Proposer's responsibility. The failure of the Proposer to furnish a certification or provide such additional information as requested by the Contracting Officer may render the Proposer non- responsive. 17 D. Nothing contained in the foregoing shall be construed to require establishment of a system of records to render, in good faith, the certification required by paragraph. (a) of this provision. The knowledge and information of a Proposer is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings. E. The certification in paragraph (a) of this provision is a material representation of fact upon which reliance was placed when making award. If it is later determined that the Proposer knowingly rendered an erroneous certification, in addition to other remedies available to the Government, the Contracting Officer may terminate the contract resulting from this solicitation for default. AS THE PERSON AUT IZED TO SIGN THE STATEMENT, I CERTIFY THAT THIS FIRM COMPLIES FULLY WITH TfIE ARbV REUIREMENTS. Signature Printed Name Carlos Bared/E*1a Specialty Contractor Solutions, LLC 18 =o W-9 ;Rev. October 2018) Department of the Treasury ntemal Revenue Service Request for Taxpayer Identification Number and Certification It. Go to www.irs.gov/ForrnW9 for instructions and the latest information. Give Form to the requester. Do not send to the IRS. Print or type. See Specific Instructions on page 3. 1 Name (as shown on your income tax return). Name is required on this line; do not leave this line blank. Excla Specialty Contractor Solutions LLC 2 Business name/disregarded entity name, if different from above 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the following seven boxes. 4 Exemptions certain entities, instructions Exempt payee Exemption code (if any) (Applies to accounts (codes apply only to not individuals; see on page 3): code (if any) MI IndividuaVsole proprietor or • C Corporation 1 S Corporation 1 Partnership 1 Trust/estate single -member LLC company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) the appropriate box in the line above for the tax classification of the single -member owner. is classified as a single -member LLC that is disregarded from the owner unless the owner is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single from the owner should check the appropriate box for the tax classification of its owner. ► ► P from FATCA reporting 0 Limited liability Note: Check LLC if the LLC another LLC that is disregarded III Other (see instructions) Do not check of the LLC is -member LLC that maintained outside the U.S) 5 Address (number, street, and apt. or suite no.) See instructions. 7814 NW 54 Street Requester's name and address (optional) City of Opa-locka Office of the City Clerk 780 Fisherman Street, 4th Floor, Opa-locka, 6 City, state, and ZIP code Dora!, FL 33166 7 List account number(s) here (optional) RFP #23-0609200 Part I Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later. Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and Number To Give the Requester for guidelines on whose number to enter. Social security number or Employer identification number 9 2 2 0 1 3 9 2 1 Part II Certification Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and 2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) 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. I am a U.S. citizen or other U.S. person (defined below); and 4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct. Certification instructions. You must cross out item 2 above if 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 apply. 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 Part II, later. Sign Here Signature of 6a? k J S Odd/ U.S. person ► Date ► 06-06-2023 General Instructions Section references are to the Internal Revenue Code unless otherwise noted. Future developments. For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go to www.irs.gov/FormW9. Purpose of Form An individual or entity (Form W-9 requester) who is required to file an information return with the IRS must obtain your correct taxpayer identification number (TIN) which may be your social security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN), or employer identification number (EIN), to report on an information return the amount paid to you, or other amount reportable on an information return. Examples of information returns include, but are not limited to, the following. • Form 1099-INT (interest earned or paid) • Form 1099-DIV (dividends, including those from stocks or mutual funds) • Form 1099-MISC (various types of income, prizes, awards, or gross proceeds) • Form 1099-B (stock or mutual fund sales and certain other transactions by brokers) • Form 1099-S (proceeds from real estate transactions) • Form 1099-K (merchant card and third party network transactions) • Form 1098 (home mortgage interest), 1098-E (student loan interest), 1098-T (tuition) • Form 1099-C (canceled debt) • Form 1099-A (acquisition or abandonment of secured property) Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN. If you do not return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding, later. Cat. No. 10231X Form W-9 (Rev. 10-2018) Form W-9 (Rev. 10-2018) Page 2 By signing the filled -out form, you: 1. Certify that the TIN you are giving is correct (or you are waiting for a number to be issued), 2. Certify that you are not subject to backup withholding, or 3. Claim exemption from backup withholding if you are a U.S. exempt payee. If applicable, you are also certifying that as a U.S. person, your allocable share of any partnership income from a U.S. trade or business is not subject to the withholding tax on foreign partners' share of effectively connected income, and 4. Certify that FATCA code(s) entered on this form (if any) indicating that you are exempt from the FATCA reporting, is correct. See What is FATCA reporting, later, for further information. Note: If you are a U.S. person and a requester gives you a form other than Form W-9 to request your TIN, you must use the requester's form if it is substantially similar to this Form W-9. Definition of a U.S. person. For federal tax purposes, you are considered a U.S. person if you are: • An individual who is a U.S. citizen or U.S. resident alien; • A partnership, corporation, company, or association created or organized in the United States or under the laws of the United States; • An estate (other than a foreign estate); or • A domestic trust (as defined in Regulations section 301.7701-7). Special rules for partnerships. Partnerships that conduct a trade or business in the United States are generally required to pay a withholding tax under section 1446 on any foreign partners' share of effectively connected taxable income from such business. Further, in certain cases where a Form W-9 has not been received, the rules under section 1446 require a partnership to presume that a partner is a foreign person, and pay the section 1446 withholding tax. Therefore, if you are a U.S. person that is a partner in a partnership conducting a trade or business in the United States, provide Form W-9 to the partnership to establish your U.S. status and avoid section 1446 withholding on your share of partnership income. In the cases below, the following person must give Form W-9 to the partnership for purposes of establishing its U.S. status and avoiding withholding on its allocable share of net income from the partnership conducting a trade or business in the United States. • In the case of a disregarded entity with a U.S. owner, the U.S. owner of the disregarded entity and not the entity; • In the case of a grantor trust with a U.S. grantor or other U.S. owner, generally, the U.S. grantor or other U.S. owner of the grantor trust and not the trust; and • In the case of a U.S. trust (other than a grantor trust), the U.S. trust (other than a grantor trust) and not the beneficiaries of the trust. Foreign person. If you are a foreign person or the U.S. branch of a foreign bank that has elected to be treated as a U.S. person, do not use Form W-9. Instead, use the appropriate Form W-8 or Form 8233 (see Pub. 515, Withholding of Tax on Nonresident Aliens and Foreign Entities). Nonresident alien who becomes a resident alien. Generally, only a nonresident alien individual may use the terms of a tax treaty to reduce or eliminate U.S. tax on certain types of income. However, most tax treaties contain a provision known as a "saving clause." Exceptions specified in the saving clause may permit an exemption from tax to continue for certain types of income even after the payee has otherwise become a U.S. resident alien for tax purposes. If you are a U.S. resident alien who is relying on an exception contained in the saving clause of a tax treaty to claim an exemption from U.S. tax on certain types of income, you must attach a statement to Form W-9 that specifies the following five items. 1. The treaty country. Generally, this must be the same treaty under which you claimed exemption from tax as a nonresident alien. 2. The treaty article addressing the income. 3. The article number (or location) in the tax treaty that contains the saving clause and its exceptions. 4. The type and amount of income that qualifies for the exemption from tax. 5. Sufficient facts to justify the exemption from tax under the terms of the treaty article. Example. Article 20 of the U.S.-China income tax treaty allows an exemption from tax for scholarship income received by a Chinese student temporarily present in the United States. Under U.S. law, this student will become a resident alien for tax purposes if his or her stay in the United States exceeds 5 calendar years. However, paragraph 2 of the first Protocol to the U.S.-China treaty (dated April 30, 1984) allows the provisions of Article 20 to continue to apply even after the Chinese student becomes a resident alien of the United States. A Chinese student who qualifies for this exception (under paragraph 2 of the first protocol) and is relying on this exception to claim an exemption from tax on his or her scholarship or fellowship income would attach to Form W-9 a statement that includes the information described above to support that exemption. If you are a nonresident alien or a foreign entity, give the requester the appropriate completed Form W-8 or Form 8233. Backup Withholding What is backup withholding? Persons making certain payments to you must under certain conditions withhold and pay to the IRS 24% of such payments. This is called "backup withholding." Payments that may be subject to backup withholding include interest, tax-exempt interest, dividends, broker and barter exchange transactions, rents, royalties, nonemployee pay, payments made in settlement of payment card and third party network transactions, and certain payments from fishing boat operators. Real estate transactions are not subject to backup withholding. You will not be subject to backup withholding on payments you receive if you give the requester your correct TIN, make the proper certifications, and report all your taxable interest and dividends on your tax return. Payments you receive will be subject to backup withholding if: 1. You do not fumish your TIN to the requester, 2. You do not certify your TIN when required (see the instructions for Part II for details), 3. The IRS tells the requester that you furnished an incorrect TIN, 4. The IRS tells you that you are subject to backup withholding because you did not report all your interest and dividends on your tax return (for reportable interest and dividends only), or 5. You do not certify to the requester that you are not subject to backup withholding under 4 above (for reportable interest and dividend accounts opened after 1983 only). Certain payees and payments are exempt from backup withholding. See Exempt payee code, later, and the separate Instructions for the Requester of Form W-9 for more information. Also see Special rules for partnerships, earlier. What is FATCA Reporting? The Foreign Account Tax Compliance Act (FATCA) requires a participating foreign financial institution to report all United States account holders that are specified United States persons. Certain payees are exempt from FATCA reporting. See Exemption from FATCA reporting code, later, and the Instructions for the Requester of Form W-9 for more information. Updating Your Information You must provide updated information to any person to whom you claimed to be an exempt payee if you are no longer an exempt payee and anticipate receiving reportable payments in the future from this person. For example, you may need to provide updated information if you are a C corporation that elects to be an S corporation, or if you no longer are tax exempt. In addition, you must furnish a new Form W-9 if the name or TIN changes for the account; for example, if the grantor of a grantor trust dies. Penalties Failure to furnish TIN. If you fail to furnish your correct TIN to a requester, you are subject to a penalty of $50 for each such failure unless your failure is due to reasonable cause and not to willful neglect. Civil penalty for false information with respect to withholding. If you make a false statement with no reasonable basis that results in no backup withholding, you are subject to a $500 penalty. Form W-9 (Rev. 10-2018) Page 3 Criminal penalty for falsifying information. Willfully falsifying certifications or affirmations may subject you to criminal penalties including fines and/or imprisonment. Misuse of TINs. If the requester discloses or uses TINs in violation of federal law, the requester may be subject to civil and criminal penalties. Specific Instructions Line 1 You must enter one of the following on this line; do not leave this line blank. The name should match the name on your tax return. If this Form W-9 is for a joint account (other than an account maintained by a foreign financial institution (FFI)), list first, and then circle, the name of the person or entity whose number you entered in Part I of Form W-9. If you are providing Form W-9 to an FFI to document a joint account, each holder of the account that is a U.S. person must provide a Form W-9. a. Individual. Generally, enter the name shown on your tax return. If you have changed your last name without informing the Social Security Administration (SSA) of the name change, enter your first name, the last name as shown on your social security card, and your new last name. Note: ITIN applicant: Enter your individual name as it was entered on your Form W-7 application, line 1 a. This should also be the same as the name you entered on the Form 1040/1040A/1040EZ you filed with your application. b. Sole proprietor or single -member LLC. Enter your individual name as shown on your 1040/1040A/1040EZ on line 1. You may enter your business, trade, or "doing business as" (DBA) name on line 2. c. Partnership, LLC that is not a single -member LLC, C corporation, or S corporation. Enter the entity's name as shown on the entity's tax return on line 1 and any business, trade, or DBA name on line 2. d. Other entities. Enter your name as shown on required U.S. federal tax documents on line 1. This name should match the name shown on the charter or other legal document creating the entity. You may enter any business, trade, or DBA name on line 2. e. Disregarded entity. For U.S. federal tax purposes, an entity that is disregarded as an entity separate from its owner is treated as a "disregarded entity." See Regulations section 301.7701-2(c)(2)(iii). Enter the owner's name on line 1. The name of the entity entered on line 1 should never be a disregarded entity. The name on line 1 should be the name shown on the income tax return on which the income should be reported. For example, if a foreign LLC that is treated as a disregarded entity for U.S. federal tax purposes has a single owner that is a U.S. person, the U.S. owner's name is required to be provided on line 1. If the direct owner of the entity is also a disregarded entity, enter the first owner that is not disregarded for federal tax purposes. Enter the disregarded entity's name on line 2, "Business name/disregarded entity name." If the owner of the disregarded entity is a foreign person, the owner must complete an appropriate Form W-8 instead of a Form W-9. This is the case even if the foreign person has a U.S. TIN. Line 2 If you have a business name, trade name, DBA name, or disregarded entity name, you may enter it on line 2. Line 3 Check the appropriate box on line 3 for the U.S. federal tax classification of the person whose name is entered on line 1. Check only one box on line 3. IF the entity/person on line 1 is a(n) .. THEN check the box for .. . • Corporation Corporation • Individual • Sole proprietorship, or • Single -member limited liability company (LLC) owned by an individual and disregarded for U.S. federal tax purposes. Individual/sole proprietor or single- member LLC • LLC treated as a partnership for U.S. federal tax purposes, • LLC that has filed Form 8832 or 2553 to be taxed as a corporation, or • LLC that is disregarded as an entity separate from its owner but the owner is another LLC that is not disregarded for U.S. federal tax purposes. Limited liability company and enter the appropriate tax classification. (P= Partnership; C= C corporation; or S= S corporation) • Partnership Partnership • Trust/estate Trust/estate Line 4, Exemptions If you are exempt from backup withholding and/or FATCA reporting, enter in the appropriate space on line 4 any code(s) that may apply to you. Exempt payee code. • Generally, individuals (including sole proprietors) are not exempt from backup withholding. • Except as provided below, corporations are exempt from backup withholding for certain payments, including interest and dividends. • Corporations are not exempt from backup withholding for payments made in settlement of payment card or third party network transactions. • Corporations are not exempt from backup withholding with respect to attorneys' fees or gross proceeds paid to attorneys, and corporations that provide medical or health care services are not exempt with respect to payments reportable on Form 1099-MISC. The following codes identify payees that are exempt from backup withholding. Enter the appropriate code in the space in line 4. 1 —An organization exempt from tax under section 501(a), any IRA, or a custodial account under section 403(b)(7) if the account satisfies the requirements of section 401(f)(2) 2 —The United States or any of its agencies or instrumentalities 3—A state, the District of Columbia, a U.S. commonwealth or possession, or any of their political subdivisions or instrumentalities 4—A foreign government or any of its political subdivisions, agencies, or instrumentalities 5—A corporation 6—A dealer in securities or commodities required to register in the United States, the District of Columbia, or a U.S. commonwealth or possession 7—A futures commission merchant registered with the Commodity Futures Trading Commission 8—A real estate investment trust 9 —An entity registered at all times during the tax year under the Investment Company Act of 1940 10—A common trust fund operated by a bank under section 584(a) 11—A financial institution 12—A middleman known in the investment community as a nominee or custodian 13—A trust exempt from tax under section 664 or described in section 4947 Form W-9 (Rev. 10-2018) Page 4 The following chart shows types of payments that may be exempt from backup withholding. The chart applies to the exempt payees listed above, 1 through 13. IF the payment is for ... THEN the payment is exempt for... Interest and dividend payments All exempt payees except for 7 Broker transactions Exempt payees 1 through 4 and 6 through 11 and all C corporations. S corporations must not enter an exempt payee code because they are exempt only for sales of noncovered securities acquired prior to 2012. Barter exchange transactions and patronage dividends Exempt payees 1 through 4 Payments over $600 required to be reported and direct sales over $5,0001 Generally, exempt payees 1 through 52 Payments made in settlement of payment card or third party network transactions Exempt payees 1 through 4 1 See Form 1099-MISC, Miscellaneous Income, and its instructions. 2 However, the following payments made to a corporation and reportable on Form 1099-MISC are not exempt from backup withholding: medical and health care payments, attorneys' fees, gross proceeds paid to an attorney reportable under section 6045(f), and payments for services paid by a federal executive agency. Exemption from FATCA reporting code. The following codes identify payees that are exempt from reporting under FATCA. These codes apply to persons submitting this form for accounts maintained outside of the United States by certain foreign financial institutions. Therefore, if you are only submitting this form for an account you hold in the United States, you may leave this field blank. Consult with the person requesting this form if you are uncertain if the financial institution is subject to these requirements. A requester may indicate that a code is not required by providing you with a Form W-9 with "Not Applicable" (or any similar indication) written or printed on the line for a FATCA exemption code. A —An organization exempt from tax under section 501(a) or any individual retirement plan as defined in section 7701(a)(37) B —The United States or any of its agencies or instrumentalities C —A state, the District of Columbia, a U.S. commonwealth or possession, or any of their political subdivisions or instrumentalities D —A corporation the stock of which is regularly traded on one or more established securities markets, as described in Regulations section 1.1472-1(c)(1)(i) E —A corporation that is a member of the same expanded affiliated group as a corporation described in Regulations section 1.1472-1(c)(1)(i) F —A dealer in securities, commodities, or derivative financial instruments (including notional principal contracts, futures, forwards, and options) that is registered as such under the laws of the United States or any state G —A real estate investment trust H —A regulated investment company as defined in section 851 or an entity registered at all times during the tax year under the Investment Company Act of 1940 I —A common trust fund as defined in section 584(a) J —A bank as defined in section 581 K —A broker L —A trust exempt from tax under section 664 or described in section 4947(a)(1) M —A tax exempt trust under a section 403(b) plan or section 457(g) plan Note: You may wish to consult with the financial institution requesting this form to determine whether the FATCA code and/or exempt payee code should be completed. Line 5 Enter your address (number, street, and apartment or suite number). This is where the requester of this Form W-9 will mail your information retums. If this address differs from the one the requester already has on file, write NEW at the top. If a new address is provided, there is still a chance the old address will be used until the payor changes your address in their records. Line 6 Enter your city, state, and ZIP code. Part I. Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. If you are a resident alien and you do not have and are not eligible to get an SSN, your TIN is your IRS individual taxpayer identification number (ITIN). Enter it in the social security number box. If you do not have an ITIN, see How to get a TIN below. If you are a sole proprietor and you have an EIN, you may enter either your SSN or EIN. If you are a single -member LLC that is disregarded as an entity separate from its owner, enter the owner's SSN (or EIN, if the owner has one). Do not enter the disregarded entity's EIN. If the LLC is classified as a corporation or partnership, enter the entity's EIN. Note: See What Name and Number To Give the Requester, later, for further clarification of name and TIN combinations. How to get a TIN. If you do not have a TIN, apply for one immediately. To apply for an SSN, get Form SS -5, Application for a Social Security Card, from your local SSA office or get this form online at www.SSA.gov. You may also get this form by calling 1-800-772-1213. Use Form W-7, Application for IRS Individual Taxpayer Identification Number, to apply for an ITIN, or Form SS -4, Application for Employer Identification Number, to apply for an EIN. You can apply for an EIN online by accessing the IRS website at www.irs.gov/Businesses and clicking on Employer Identification Number (EIN) under Starting a Business. Go to www.irs.gov/Forms to view, download, or print Form W-7 and/or Form SS -4. Or, you can go to www.irs.gov/OrderForms to place an order and have Form W-7 and/or SS -4 mailed to you within 10 business days. If you are asked to complete Form W-9 but do not have a TIN, apply for a TIN and write "Applied For" in the space for the TIN, sign and date the form, and give it to the requester. For interest and dividend payments, and certain payments made with respect to readily tradable instruments, generally you will have 60 days to get a TIN and give it to the requester before you are subject to backup withholding on payments. The 60 -day rule does not apply to other types of payments. You will be subject to backup withholding on all such payments until you provide your TIN to the requester. Note: Entering "Applied For" means that you have already applied for a TIN or that you intend to apply for one soon. Caution: A disregarded U.S. entity that has a foreign owner must use the appropriate Form W-8. Part II. Certification To establish to the withholding agent that you are a U.S. person, or resident alien, sign Form W-9. You may be requested to sign by the withholding agent even if item 1, 4, or 5 below indicates otherwise. For a joint account, only the person whose TIN is shown in Part I should sign (when required). In the case of a disregarded entity, the person identified on line 1 must sign. Exempt payees, see Exempt payee code, earlier. Signature requirements. Complete the certification as indicated in items 1 through 5 below. Form W-9 (Rev. 10-2018) Page 5 1. Interest, dividend, and barter exchange accounts opened before 1984 and broker accounts considered active during 1983. You must give your correct TIN, but you do not have to sign the certification. 2. Interest, dividend, broker, and barter exchange accounts opened after 1983 and broker accounts considered inactive during 1983. You must sign the certification or backup withholding will apply. If you are subject to backup withholding and you are merely providing your correct TIN to the requester, you must cross out item 2 in the certification before signing the form. 3. Real estate transactions. You must sign the certification. You may cross out item 2 of the certification. 4. Other payments. You must give your correct TIN, but you do not have to sign the certification unless you have been notified that you have previously given an incorrect TIN. "Other payments" include payments made in the course of the requester's trade or business for rents, royalties, goods (other than bills for merchandise), medical and health care services (including payments to corporations), payments to a nonemployee for services, payments made in settlement of payment card and third party network transactions, payments to certain fishing boat crew members and fishermen, and gross proceeds paid to attorneys (including payments to corporations). 5. Mortgage interest paid by you, acquisition or abandonment of secured property, cancellation of debt, qualified tuition program payments (under section 529), ABLE accounts (under section 529A), IRA, Coverdell ESA, Archer MSA or HSA contributions or distributions, and pension distributions. You must give your correct TIN, but you do not have to sign the certification. What Name and Number For this type of account: To Give the Requester Give name and SSN of: 1. Individual 2. Two or more individuals Goint account) other than an account maintained by an FFI 3. Two or more U.S. persons (joint account maintained by an FFI) 4. Custodial account of a minor (Uniform Gift to Minors Act) 5. a. The usual revocable savings trust (grantor is also trustee) b. So-called trust account that is not a legal or valid trust under state law 6. Sole proprietorship or disregarded entity owned by an individual 7. Grantor trust filing under Optional Form 1099 Filing Method 1 (see Regulations section 1.671-4(b)(2)(i) (A)) The individual The actual owner of the account or, if combined funds, the first individual on the account.' Each holder of the account The minor2 The grantor -trustee The actual owner.' The owner3 The grantor* For this type of account: Give name and EIN of: 8. Disregarded entity not owned by an individual 9. A valid trust, estate, or pension trust 10. Corporation or LLC electing corporate status on Form 8832 or Form 2553 11. Association, club, religious, charitable, educational, or other tax- exempt organization 12. Partnership or multi -member LLC 13. A broker or registered nominee The owner Legal entity4 The corporation The organization The partnership The broker or nominee For this type of account: Give name and EIN of: 14. Account with the Department of Agriculture in the name of a public entity (such as a state or local govemment, school district, or prison) that receives agricultural program payments 15. Grantor trust filing under the Form 1041 Filing Method or the Optional Form 1099 Filing Method 2 (see Regulations section 1.671-4(b)(2)()(B)) The public entity The trust 1 List first and circle the name of the person whose number you furnish. If only one person on a joint account has an SSN, that person's number must be furnished. 2 Circle the minor's name and furnish the minor's SSN. 3 You must show your individual name and you may also enter your business or DBA name on the "Business name/disregarded entity" name line. You may use either your SSN or EIN (if you have one), but the IRS encourages you to use your SSN. 4 List first and circle the name of the trust, estate, or pension trust. (Do not furnish the TIN of the personal representative or trustee unless the legal entity itself is not designated in the account title.) Also see Special rules for partnerships, earlier. *Note: The grantor also must provide a Form W-9 to trustee of trust. Note: If no name is circled when more than one name is listed, the number will be considered to be that of the first name listed. Secure Your Tax Records From Identity Theft Identity theft occurs when someone uses your personal information such as your name, SSN, or other identifying information, without your permission, to commit fraud or other crimes. An identity thief may use your SSN to get a job or may file a tax return using your SSN to receive a refund. To reduce your risk: • Protect your SSN, • Ensure your employer is protecting your SSN, and • Be careful when choosing a tax preparer. If your tax records are affected by identity theft and you receive a notice from the IRS, respond right away to the name and phone number printed on the IRS notice or letter. If your tax records are not currently affected by identity theft but you think you are at risk due to a lost or stolen purse or wallet, questionable credit card activity or credit report, contact the IRS Identity Theft Hotline at 1-800-908-4490 or submit Form 14039. For more information, see Pub. 5027, Identity Theft Information for Taxpayers. Victims of identity theft who are experiencing economic harm or a systemic problem, or are seeking help in resolving tax problems that have not been resolved through normal channels, may be eligible for Taxpayer Advocate Service (TAS) assistance. You can reach TAS by calling the TAS toll -free case intake line at 1-877-777-4778 or TTY/TDD 1-800-829-4059. Protect yourself from suspicious emails or phishing schemes. Phishing is the creation and use of email and websites designed to mimic legitimate business emails and websites. The most common act is sending an email to a user falsely claiming to be an established legitimate enterprise in an attempt to scam the user into surrendering private information that will be used for identity theft. Form W-9 (Rev. 10-2018) Page 6 The IRS does not initiate contacts with taxpayers via emails. Also, the IRS does not request personal detailed information through email or ask taxpayers for the PIN numbers, passwords, or similar secret access information for their credit card, bank, or other financial accounts. If you receive an unsolicited email claiming to be from the IRS, forward this message to phishing@irs.gov. You may also report misuse of the IRS name, logo, or other IRS property to the Treasury Inspector General for Tax Administration (TIGTA) at 1-800-366-4484. You can forward suspicious emails to the Federal Trade Commission at spameuce.gov or report them at www.ftc.gov/complaint. You can contact the FTC at www.ftc.gov/idtheft or 877-IDTHEFT (877-438-4338). If you have been the victim of identity theft, see www.IdentityTheftgov and Pub. 5027. Visit www.irs.gov/IdentityTheft to learn more about identity theft and how to reduce your risk. Privacy Act Notice Section 6109 of the Internal Revenue Code requires you to provide your correct TIN to persons (including federal agencies) who are required to file information returns with the IRS to report interest, dividends, or certain other income paid to you; mortgage interest you paid; the acquisition or abandonment of secured property; the cancellation of debt; or contributions you made to an IRA, Archer MSA, or HSA. The person collecting this form uses the information on the form to file information returns with the IRS, reporting the above information. Routine uses of this information include giving it to the Department of Justice for civil and criminal litigation and to cities, states, the District of Columbia, and U.S. commonwealths and possessions for use in administering their laws. The information also may be disclosed to other countries under a treaty, to federal and state agencies to enforce civil and criminal laws, or to federal law enforcement and intelligence agencies to combat terrorism. You must provide your TIN whether or not you are required to file a tax return. Under section 3406, payers must generally withhold a percentage of taxable interest, dividend, and certain other payments to a payee who does not give a TIN to the payer. Certain penalties may also apply for providing false or fraudulent information.