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CLB Agenda 08/20/2008 Contractor ' s Licensing Board Agendas August 20 , 2008 AGENDA COLLIER COUNTY CONTRACTORS' LICENSING BOARD DATE: WEDNESDAY—AUGUST 20, 2008 TIME: 9:00 A.M. • W. HARMON TURNER BUILDING (ADMINISTRATION BUILDING) COURTHOUSE COMPLEX ANY PERSON WHO DECIDES TO APPEAL A DECISION OF THIS BOARD WILL NEED A RECORD OF THE PROCEEDINGS PERTAINING THERETO, AND THEREFORE MAY NEED TO ENSURE THAT A VERBATIM RECORD OF THE PROCEEDINGS IS MADE, WHICH RECORD INCLUDES THAT TESTIMONY AND EVIDENCE UPON WHICH THE APPEAL IS TO BE BASED. I. ROLL CALL II. ADDITIONS OR DELETIONS: III. APPROVAL OF AGENDA: IV. APPROVAL OF MINUTES: DATE: JUNE 18, 2008 V. DISCUSSION: John Gorman—Discussion of Carpentry License VI. NEW BUSINESS: Bern Michael Kahle—Contesting Citation. Marcela Lopez—Review of work experience affidavits. Joseph P. Hollatz— Review of work experience affidavits. VII. OLD BUSINESS: VIII PUBLIC HEARINGS: Case#2008-11 Paul Riddleberger d/b/a Riddleberger Custom Homes, LLC Case#2008-12 David Johnson d/b/a Johnson's Tree Service & Stump Grinding, Inc. IX. REPORTS: X. NEXT MEETING DATE: WEDNESDAY SEPTEMBER 17, 2008 W. HARMAN TURNER BUILDING, 3RD FLOOR (COMMISSIONERS MEETING ROOM) 3301 E. TAMIAMI TRAIL NAPLES, FL 34104 (COURTHOUSE COMPLEX) Kyle Green 2980 Ponce de Leon Naples , FL 34105 Phone#(239)692-1379 Fax#(239)236-2212 Dear Board Member, I am here today in hopes of receiving your approval for my cabinet installation license here in Collier County. I realize that my credit has several unpaid collections items, but I am working to fix them right now. I have contacted the collection agencies and have set up payment schedules. I plan on eliminating all of my outstanding collections in the near future for business reasons. The ability to do business as a cabinet installer will provide me with the income that I will need to restore my credit. Thank you, ke qi).e.e44 Kyle Green co 0 0 N r-1 .n . | BUILDING REVIE,IFY ANC- P�1-111/IITTING CONTRACTOR ICFNSING SFCTIOA/ OD! C{}UNTYKn|TY [)F 3�PLE�/C/TT �� g��R�[ � ��cL• s'L- �� _ . Contractors' Licensing Board ---�--- ' � Community Development & Environments| Services Division 2800 N. Horseshoe Drive Naples, FL 34104 Telephone: (239) 252-2431 Fax: (23Q) 252-258Q Instructions: This application must e typewritten or legible phntad. application. The fee is NOT refundable after the epp|ioabon as ��:. /�|i checks should be made pa 'ab[e °Boz•nd ,.�^ CoUierCnunh/ OrdinanceNo. 2OO5-48. aeamendad. 1. Name of Firm___ '~ ' - --- - „_ �� _______ LVBA\ (if applicable) ______________-_-____-_-____- _' - ` �/ � � �~� Business Address (Number QS�eeU City State - Zip Code ----- 3. Business Mailing Address City ------- State Zip Code -- 4. Business Phone Number: 239 Mobile Phone Number: 2 -r/` 37"7 5. Fax Number: - Z . �// 7 Federal Emp. ID#: ��, 6. Legal form of Business: Corporation: v LLC: /' L | 7. Name of the Firm's Qualifying Agent �� /� �� (License Holder) 8. INDICATE NATURE OF REQUEST-IA) To Qualify as a: ( ) General $150.00 ( ) Electrician $150.00 ( ) Building $150.00 ( ) Plumber $150.00 ( ) Residential $150.00 ( ) Air Conditioning $150.00 ( ) Mechanical $150.00 ( ) Roofing $150.00 ( ) Swimming Poo $150.00 ( ) Specialty $135.00 (Specialty trade type) (B) Chanqe of Status: $10.00 ' ' ( ) Active License to Dormant ( ) From Individual to Qualifying a Business ( ) Dormant License to Ac k/e ( ) From Qualifying a Business to Individual ( ) Address Change ( ) To Qualify Additional Entity ( ) Reinstatement ( ) From One Business to Another Page 1 of 5 9. The names, titles, home address and phone numbers of all Officers/Managing Members of the Firm. [ JEFeti, cj (� J 3 (r ( hei3 10. List all businesses, firms, entities or contracting businesses you have been associated with during the last ten years (ex. Held a license for or been a partner). Attach extra pages if needed. • 11. List all debts you or any company(s) associated with you refused to pay and the reasons for the refusal to pay. Attach extra pages if needed. AFFIDAVIT certify that the foregoing is true and correct to the best of my knowledge. r r Authorized Officer of the Firm STATE OF FLORIDA COUNTY OF The foregoing instrument as acknowledged before me this E jj. g5'' rr ,04,41„ of i (I te)- C� By . ,.. ._ ./� _C � � , ce:l u t. �� l�, ) a '- ' e of officer, title/agent) (Name of Corporan) V Corporation, on behalf of the corporation. Dhe (State or Place of Corporation) has produced as identification aid not take an oath. 77 IGNATURE OF NO1yARY Sj NOTARY PUBLIC NOTARY'S SEAL (PRINT NAME OF NOTARY) p1 p�4\p ,\. 3 .po Page 2 of 5 APPLICATION COLLIER COUNTY/CITY OF NAPLES/CITY OF MARCO FIRM- PART I I (to be completed by the Qualifying Agent) Contractors' Licensing Board Community Development& Environmental Services Division • 2800 N. Horseshoe Drive Naples, FL 34104 Telephone: (239) 252-2431 ,--- / Fax: (239) 252-2569 ` 1. Name of Qualifying Agent i=-f re(;r1 r ` .j- / ■ (Last) (Fi)rst) (Middle) Date of Birth -I , r S.S. # 000-00- , 7 7 (Last 4 numbers only) Driver's License* (..Tr' e:,,r,Y / ` l t'. i , 2. Home Address of the Qualifying Agent %;�� 0 i-,;,,`z C- z- 6/1' 1\1 ,;/;,,,3 7,--------f ;4 Home Phone# ``FL---' -7- � '7 2_ i cr ! 1 _ 3. Name of the Firm -=,f :;cri _%, -' q C``It L (A e 4. Type of Certificate of Competency for which applicatio is made. L J),,/i6- is t, 1 17e4 5. The names and telephone numbers of two persons who will know your whereabouts. t L(/ 23 - 4i2 - / 379 i 1‘./1., (ifen g 50 6. Have you ever been convicted of a crime related to Contracting? ifl, (If yes attach extra sheet with explanation) f 7. Have you or any firms you have been associated with ever filed bankruptcy? ""J 8. List all debts you or any company(s) associated with you refused or failed to pay and reasons why. 9. List your business or work experience during the past ten years. /-- .1 � 1 iii 1 '� C)'41 l elf e'4 -f r � _a. 4 i)fkCi�lC7<6t i 6�/�'Z L(X r i , "Val r/2 10. Statement of any formal trairri'n you have had in the area for which the application is made. Y 9 Y pp Page 3 of 5 AFFIDAVIT The undersigned hereby makes application for Certificate of Competency under the provisions of Collier County Ordinance No. 2006-46, as amended, and vouches for the truth and accuracy of all statements and answers herein contained. The undersigned hereby certifies that he is legally qualified to act on behalf of the business organization sought to be licensed in all matters connected with its contracting business and that he has full authority to supervise construction undertaken by himself or such business or organization and that he will continue during this registration to be able to so bind said business organization. The qualified license holder understands that in all contracting matters, he will be held strictly accountable for any and all activities involving his license. Any willful falsification of any information contained herein is grounds for disqualification. APPLICANT (PLEASE PRINT) NAME OF COMPANY t SIGNATURE OF APPLICANT STATE OF FLORIDA COUNTY OF The foregoing instrument as acknowledged before me this �t1;_ "� 7; (Date) by Csc ji-)1,1_,Le7c€ ,(f ,c,,rwho has produced ,KIL- L� �, ri t.% �_., ( e of person ackno (edging) (Type of identification) as identification and did not take an oath. ,i1 F IGNATURE OF-NOT NOTARY PUBLIC NOTARY'S SEAL (PRINT NAME OF NOTARY) 4tio� 4) Page 4 of 5 • 0011414000 14.Jl OJCJJGLILL0 LDI 1♦ C FiGIL !'1 FLORIDA DEPT.OF BUSINESS AND PROFESSIONAL,REGULATION BUREAU OF TESTING GRADE REPORT CANDIDATE: 244147 EXAM: BC Building Contractor SPECIAL: ID: 590037787 GREEN, KYLE PATRICK 290 5TH ST SW NAPLES FL 341174106 SUE: MANATEE CONVENTION CENTER ONE HABEN BOULEVARD PALMETTO FL 34221 EX*MINAT'EON PART DATE TAKE# PASS,GR GRADE= STATUS A BusinesafFInsnce 06/17/2008 1 70.00 95.67 PASS ADMNContract Administration 05/18/2008 2 70.00 90.00 PASS PROD Project Management 06/18/2008 2 70.00 88.00 PASS STAFF USE ONLY: Name of Applicant Trade: Score: Take on Given in , sponsored by Business & Law Score: Taken on Given in , sponsored by Page5of5 AFFIDAVIT It is understood and acknowledged by the Collier County Contractors' Licensing Board and myself that if I fail to acquire, or maintain at all times effective Workmen's Compensation Insurance it will result in the possible revocation of my Certificate of Competency. j.` /1 fr ......_._>_-._.. SIGNATURE OF APPLICANT BUSINESS NAME ,, / .---A, r DATE J BEFORE ME this day personally appeared ` .) ' Ll/ 't,C4:_4( who affirms and says that he has less than one employee and does not require Workmen's Compensation and understands that at any time he employs one or more persons he must obtain said Workmen's Compensation Insurance. STATE OF FLO 11DA ' COUNTY OF ik C --_ 4>> The foregoing instrument was acknowledged before me this C/j0i s,2,eG(V` ( ate) by �. /, r LJL� who has produced .L ` -. (n e of person acknowledging) (Type of identification) as identification and who did not take an oath. ■, AO , o�< ;' ,J - :_'. N .11 l'. 6c' > � ;N ' SIG V TURE OF NOT A R NOTARY SEAL �.\ "u.4 � `�) ,*Ao cc" NOTARY PUBLIC #, �.i , ytio 4o,644 ,�4,,; .vim&~,�`` �D ;VERIFICATION OF CONSTRUCTION EXPERIENCE'' Collier County Contractor Licensing CIO Community Development & Environmental Services Division 2800 N. Horseshoe Drive Naples, FL 34104 Telephone: (239) 403-2431, (239) 403-2432 or (239) 213-2909 n Applicant's Name: `i` y 1(7, ree7`-j Certificate Category Requested: The Applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate the Applicant must verify their experience within this trade. You are being requested to provide information that will aid the Applicant in meeting this requirement. You should verify time of active experience as an apprentice or a skilled worker (e.g. as a worker commanding the wage of mechanic or better in the trade). Time served solely in a supervisory or administrative role should be described, but may or may not be considered sufficient to demonstrate required trade experience. The person verifying trade experience must provide the following information: Name, Title and license number of the person signing below and verifying Applicants relevant experience: Name: G`t`t �`� .� )147a Title: I�C S� u License Number (if applicable):( - Name of Business: / it-S .--- L)rt ` 5 -gG h a A: A G Business Address: `( 5 t/C ''lf r P(4C e Business Phone 3S" ?Z The Applicant's years of experience from 4,- 1.2—O to The applicant's scope of work(specific duties)included: fi�t�M S , G d`k1°1ti to Y / I 0 Additional Comments: G < (- C,(i ` _ Falsifying any information provided herein may subject your license to rev_c cation. j G r,rc , Signature Printed Na . iii State of Florida /t County of Collier The foregoing instrument was acknowledged before me on this 1c: ---day of by who is personally known to me or o rod -e ICEI 3- S Og 4�Q identification and who did not take an oath. �� PP' DENISE A.CONNOR Notary Public-State of F'orida h"y Comm anion Expires Apr 15,2009 Commission#DD 410175 " '" 6onr}r,c By Notional Notary Assn. ♦ II ,. I • 8 , -1 a • Collier County Contractor Licensing C/O Community Development & Environmental Services Division 2800 N. Horseshoe Drive Naples, FL 34104 Telephone: (239) 403-2431, (239) 403-2432 or (239) 213-2909 f' Applicant's Name: LI' — 1 ee, Certificate Category Requester': ,_,:;,t)r Ze t ___14 5 rit CL'-rii�'''', The Applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate the Applicant must verify their experience within this trade. You are being requested to provide information that will aid the Applicant in meeting this requirement. You should verify time of active experience as an apprentice or a skilled worker (e.g. as a worker commanding the wage of mechanic or better in the trade). Time served solely in a supervisory or administrative role should be described, but may or may not be considered sufficient to demonstrate required trade experience. The person verifying trade experience must provide the following information: Name, Title and license number of the person signing below and verifying Applicants relevant experience: t Name: C.))E age 4.- 5 ('g',V 1 y Title: 7,44/9544 / //1/414A(441-4/P-i License Number (if applicable): Name of Business: CON' S 7-4 rC r/dA/ 1"N l-a 4/a}t,J..� Business Address: 3 l/t k.'AC i v4 i if V i Business Phone:?39-43P--ddj y The Applicant's years of experience from /t: 7 to l../y The applicant's scope of work(spe • 'duties) included: _cie(/1,e Licyl rC-t ;� rc t( J T(c/ r 4 a r _ ..(41 PVC) ( i 44n K ill J J Additional Comments: % - Falsifying any information provided herein may subject your license to revocatiy ."i �/�� Signature Printed Name: 6.:fd44' 5'7441 State of Florida County of Collier 4 The fpregoing instrument •s acknowledged before me on this ,',& day of ( - , , ` s'i` by Ak who is personally known to me or produces as identificatm and who did no ake an oath. ORIDA «s1;- 1 cTAIE OF ign tu. of Notary NOTARY t�Ljc rlde 1\11 1 r __RmtniSSiJn#1)D611 333 2 N '�1': iteS: j n G COo yov INC. tONDED TRR „Tic' VERIFICATION OF CONSTRUCTION EXPERIENCE' Collier County Contractor Licensing C/O Community Development & Environmental Services Division 2800 N. Horseshoe Drive Naples, FL 34104 Telephone: (239) 403-2431, (239) 403-2432 or (239) 213-2909 Applicant's Name: CA ,`_ ( " i C v v Certificate Category Requested: (j)if l e k 143 i// ►6 The Applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate the Applicant must verify their experience within this trade. You are being requested to provide information that will aid the Applicant in meeting this requirement. You should verify time of active experience as an apprentice or a skilled worker (e.g. as a worker commanding the wage of mechanic or better in the trade). Time served solely in a supervisory or administrative role should be described, but may or may not be considered sufficient to demonstrate required trade experience. The person verifying trade experience must provide the following information: Name, Title and license number of the person signing below and verifying Applicants relevant experience: Name: \Ay 9, Title: �I) License Number (if applicable): Name of Business: S I A-Of e-Af ✓ to p. Business Address: 3$ i'"'"i / / #30 Business Phone:023c1 c1-1 1 F-142 The Applicant's years of experience from )vii to 7 e�'t'✓ The applicant's scope of work(specific duties)included: 1,t,/5-(v1y1 tiLOd Lfic)1 k /1.) C 1 &"::: CL L I e, tai t �� ail �U Additional Comments: Falsifying any information provided heiroimmav�subject your license to re cation. 0—„.-vcoire ....a '�, Signature• 0211312010 '_ Printed Name: /'l cJpi State of Florida ; i '•C County of Collier Notary public: CO431I01 1 :' = 8� The foregoing instrument was ack �v cil 'e,�1e��n 44-day of A�L` �Ufl by ran 6�dth t"`\\ so ow e or produced as identification an d who did not take �) Signature of Notary AFFIDAVIT OF INTEGRITY AND COOL) CHARACTER :[ARACTER. _ _ am a resident of (State) and have reside here e } r more than 1 e ( 1) 01.17.' ;r,? 1_;.st five )'ears 1 have known -- ._ (Applicant ti I have. i'.,• t n r s his I e )m's nest her�. J�"? .�l"fie -tlJ_8 1_ � 1 _ mot• and pPj's[�1�fl1 dealings and find him or � I f.C��' r1 person l ��,� .�f integrity and good character. / (Name) {t< i �f (Address) "l.. ' elephone) 3 , _ STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this e ijc, __by (Date) U __ who has produced O (name of St•rson acknowleil;,.ng) (Type of identification) as identification and who old not take an oath. // SD TURE OF NOT .R • (PRINT NAME OF NOTARY) NOTARY PUBLIC NOTARY'S SEAL ttiV-7 �J;v AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER I, 'Y' \ . L Y'1= ;_t , am a resident of 1 i .., County, r (State) and have resided here for more than five (5) years. During the last five years I have known (Applicant). I have had the opportunity to observe his or her business and personal dealings and find him or her to be a person of honesty, integrity and good character. (Signature) (Name) (Address) (Telephone) // STATE OF FLORIDA COUNTY OF / The foregoing instrument was acknowledged before me this 1 ! 1 t� by (Hate) C who has produced r lr (name of person acknowledging) (Type of identification) as identification and who did not take an oath. SIGNATURE OF NOTARY (PRINT NAME OF NOTARY) NOTARY PUBLIC NOTARY'S SEAL 02/1312010 •;gyp Notary Public • Electronic Articles of Incorporation PO8000069992 FILED For July 24 2008 Sec. Of'State jshivers GREEN BUILDING TECH. CORP The undersigned incorporator, for the purpose of forming a Florida profit corporation, hereby adopts the following Articles of Incorporation: Article I The name of the corporation is: GREEN BUILDING TECH. CORP Article II The principal place of business address: 2980 PPONCE DE LEO' NAPLES, FL. 34105 The mailing address of the corporation is: 3613 CORAL SPRINGS DR CORAL SPRINGS, FL. 33065 Article III The purpose for which this corporation is organized is: ANY AND ALT, T,AWFITT, BTJSTNESS. Article IV The number of shares the corporation is authorized to issue is: 2000 Article V The name and Florida street address of the registered agent is: CAROL FAG: 3613 CORAT, SPRINGS DR CORAL SPRINGS, FL. 33065 certify that I am familiar with and accept the responsibilities of P08000069992 registered agent. FILED July 24, 2008 Sec. Of State Registered Agent Signature: CAROL FAGA jshivers Article VI The name and address of the incorporator is: SEAN FAGA 3613 CORAL SPRINGS DR CORAL SPRINGS. FL 33065 Incorporator Signature: SEAN FAGA Article VII The initial officer(s) and/or director(s) of the corporation is/are: Title: P SEAN A FAGA 3613 CORAL SYK1NUS UK CORAL SPRINGS. FL. 33065 Title: VP KYRI, P GRRRN 2980 PPONCE DL LEON NAPLES. FL. 34105 Article VIII The effective date for this corporation shall be: 07/18/2008 4 f • Pit .1,ti ''' Oa el; id gligliklio:. .,�„� a - - it 1/) }.%•41,' P II r I AA ••• • elf" o r ° CD , fie 0) ;:Pg • ---: N c'':Lc 1) c 42 le-. , ~' O t . go V n 0 f?4)- H CL %L.{ IL U.V..0 •...13..--,,,., z r\y, C/I. 6., 2,, 51) '''' \''',111° -'zj '' IV (I) 6- g 5'a- ci- 0 $al • TP,,,_.01 lir ,.,..„ CD --,,, >ar a �; a P') (/) g f"1" di i `, \ �'� CD CD y ,E) 11.1:$ g PI 4' R CD57" d 10'.. ;1;417 c040" , inv. ... ttlt , i ,-_, . , , , - .- - ' ' n ° ,. , © „, ,.., , . c.) 0 .., c, ,,,,1 ,..,_ . : . 9. Pa ' IC) : 0 C , P‘'!‘th ) (°1 �' CD 1 1 { CD CD CD o Q, O �, n•tilly 0 .8 Fes. 0 Cr 0 fD ' 4 y o �-+ n '0 171: �-+ :°: 41, am, iir till It.. CI ;ID 10 < � £ 0) aQz ._." CD Z I i Ar iv * 0 ANA ,. la0 � W. o et IP • SZL, 1--1-4 17 111,b /,41 ti�. < �' k V4 jf . �� cricopparr4+ � ,ter ' � ��. ��. ��!'f +1, ; r;x ;. ire, log s Ito . J 1:) . 1 guy vv w i c.v I H Y• Te'd 1t1101 4rie Dep itrnent of the Treasury Internal Revenue Service Taxpayer Identification Number 4 Date: 8!6/200$ 65-0268983 To NAME Green Building Tech Corp Sean Faga ADDRESS 3613 Coral Springs Or Coral Springs,FL 33065 PHONE NO FAX NO FROM NAME Practitioner Priority Service PHONE NO 1-866-860-4269 FAX NO We received your request today asking us to verily the employer identification number(EIN) and name. The employer identification number is listed above. Please keep this number in your permanent records. Your client should enter their name and their EIN,exactly as shown above, on all business federal tax forms that require its use,and on any related correspondence or documents. CONFIDENTIALITY NOTICE The information contained in this facsimile message is intended for the sole use of the individual to whom it is addressed and may contain information that is privileged,contkta niai and exempt from disclosure under applicable law. if the reader of this communication is not the intended recipient,you are hereby notified that any dissemination,distribution,or copying of this the sender communication may be tr strictly ly prohibited. if you have received this communication in error,please nerdy return the communication at the above address via the United States Postal Service- . I0 d 00:01 seen-Se-onu CREDIT CHE CIC CONFIDENTIAL Individual Credit Report Name • GREEN, KYLE Ordered By: CILB Address : 2980 PONCE DE LEON Customer : 9999 NAPLES, FL 34105 Received : 08/11/08 Completed : 08/11/08 Social #: Applicant:590-03-7787 Bill Amt : $60.00 CREDIT RECORD (Credit history has been checked for a period of seven years or from open date. ) credditor Ceito Humber Reported Dat High Unpaid Past Pay Historic Stet Current Mos Date Opened Credit Balance Due Terms 30 60 90 Status Rev ECOA AFNI (TV ) 2012294236 05/06 03/06 595 595 595 COLL - COLLECTION ORIGINAL CREDITOR: CINGULAR DLA=/ ©9"* 00 A AFNI (TV ) 1010127878 02/05 01/05 127 127 127 COLL -- __ o¢*EC0T0IONA ORIGINAL CREDITOR: DISH NETWORK DLA=/ -- AFNI (TU ) 2006431592 03/04 12/03 1480 1480 1480 COLL - COLLECTION ORIGINAL CREDITOR: SPRINT PCS DLA=/ - -- 09-* 00 A AMER GEN FIN (TU ) AS 2981082007021825 02/99 02/98 2394 CLOSED 0 0 00 00 00 II 01 AGREED A DLA=01/99 AMER GEN FIN (TV ) 10971082022698914 11/98 10/97 1318 CLOSED 0 0 00 00 00 AS AG 01 D A DLA=10/98 AMERICAN GENERA (EFX) 2990281004251629 11/01 02/99 8652 CLOSED 0 AS AGREED 0 00 00 OQ I1 32 A BK OF AMER (TO ) 4540 01/03 10/96 3729 PAID 0 REV - PD COLLECT DLA=05/02 - -- R9-* 07 A CB SERVICES (TD ) 1027825 02/06 09/05 1759 1759 1759 COLL _ 0OLLECTION ORIGINAL CREDITOR: MEDICAL DLA=/ - `- -- fig"* 00 A GMAC (TU ) 29215137189 01/05 10/01 0 6445 6445 451 - COLLECTION DLA=12/09 - -- -- I9-* 03 P Ordered by APPLICANT - SEE NAME ABOVE Reporting Credit Check,Inc.-3017 Exchange Court, Suite H,West Palm Beach,FL 33409 . (561)816-5556 51N CREDIT CHECK CONFIDENTIAL Name • GREEN, KYLE Customer: 9999 Page: 2 CREDIT RECORD (Credit history has been checked for a period of seven years or from open date. ) Creditor Date Date High Unpaid Paat Pay Historic Stet Current Mos Account Number Reported Opened Credit Balance Due Tarns 30 60 90 Status Rev ECOA HSBC BANK (TU ) AS AGREED 548955512399 06/08 11/07 306 44 0 15 0000 00 R1 07 A DLA=06/08 HSBC BANK (EFX) AS AGREED 555119954131 04/08 11/07 0 CLOSED 0 0 00 00 00 OB 00 U MAF COLL SVC (TO ) COLLECTION 30083080160432 09/03 08/03 1208 1208 1208 COLL 09-* 00 A ORIGINAL CREDITOR: CITY OF TALLAHASSEE UTILITIES DLA=/ MERRICK BANK CO (EFX) AS 4120614038152885 07/08 06/08 457. 487 0 25 0000 00 R1 01 AGREED A NCO FIN/22 (TU ) 16258061 04/08 05/07 817 1902 1902 COLL -- -- -- 09-* 01 COLLECTION A ORIGINAL CREDITOR: NCO ASGNE OF CAPITAL ONE DLA=/ PIN CRED SER (TO ) DM043440 07/08 12/06 739 1213 1213 COLL -- -- - 09-*EC 01 A ORIGINAL CREDITOR: PROVIDIAN BANK DLA=/ PLAZA ASSOCS (TO ) 263935868 07/08 09/05 592 592 592 COLL -- COLLECTION O ORIGINAL CREDITOR: T MOBILE FORMERLY VOICESTREAM DLA=/ 09-* 03 A ROADLOANS (TU ) AS 40080121617680001 07/08 10/07 15052. 12945 0 339 00 00 00 I1 09 AGREED A DLA=07/08 US DEPT VETS (TU ) 99590037787 03/08 04/05 2480 CLOSED 0 0 - PD COLLECT DLA=03/08 ` `- -- O1 1 03 A WACH ED FIN (TO ) 5011 07/08 07/08 3500 1167 0 0 0000 00 Ii AGREED A DLA=07/08 WACH ED FIN (TO ) 5011 07/08 07/08 6000 1559 0 0 00 00 00 Ii AGREED 00 A DLA=07/08 WACH ED FIN (TU ) AS 5158 07/08 07/08 1000 334 0 0 0000 00 I1 AG 00 A DLA=07/08 Ordered by APPLICANT - SEE NAME ABOVE Reporting Agency Credt Check,Inc.-3017 Exchange Court,Suite H.West Palm Beach,FL 33409 . (561)616-5566 -Hug 12 2008 2: 31PM HP LHSERJE I I-H?S 545b / i4Ul P• CREDIT CHECK CONFIDENTIAL Name • GREEN, KYLE Customer: 9999 Page: 3 CREDIT RECORD (Credit history has been checked for a period of seven years or from open date. ) Creditor Date Date High unpaid Past Pay Histor`_C Stat Current Hos ACcount Number Reported Opened Credit Balance Due Terms 30 60 90 Status Rev ECOA WACHOVIA BANK, (EFX) AS AGREED 1400730911 04/99 12/96 7470 CLOSED 0 0 0000 00 I1 27 A Total trade lines on this report: 22 PUBLIC RECORDS: PUBLIC RECORDS HAVE BEEN CHECKED AT THE COUNTY, STATE AND FEDERAL LEVELS WITH THE FOLLOWING RESULTS: CLEAR AS OF 08/11/08. SOURCE(S) : EQUIFAX TRANSUNION INQUIRIES: 08/11/08 by CREDIT CHECK (TU) #00630273 08/03/08 by HSBC RETAIL SERVICES (EFX) #155BB38932 06/30/08 by PAYPAL INC (EFX) #163FZ04764 06/29/08 by EBAY/PAYPAL (TU) #02431760 06/27/08 by FIRST AMERICAN CREDC (EFX) #181ZB00543 06/17/08 by MERRICK BK (TU) #03321721 COMMENTS: FRAUD RECORDS HAVE BEEN SYSTEMATICALLY CHECKED BY THE ABOVE ACCESSED BUREAUS. SAFESCAN/EQUIFAX, HAWK ALERT/TRANSUNION CHECKED FOR FRAUD. REPORT WORKED BY NICOLE CREDIT SCORE: APPLICANT CREDIT SCORE: 642 (scores range from 300 to 850) *** END OF REPORT *** This information Is conlWemial and is not to as*Mute:except as regiated by the Fair Credit Reporting An. Thisp ya MI Ise agavekrdnumulij xroa�trs�pa°nc ellis (sl iris baseduparMtonnalamCONinedhpoodrlmbyutaawaeyforesanedeemedreweie. guslidwB wpod,you apiwioaly agree m Bold Credit Chadt,me.hsrmtasa from say Itsbsiy whatsoaw,. Ordered by APPLICANT - SEE NAME ABOVE Reporting Agency: Credit Check,Inc.-3017 E hartge Court,Suite H, West Palm Beach,Ft.33409 . (561)616-5556 P.O. Box 3427 Bloomington, IL 61702-3427 Please remit to Bloomington, IL address afilia 404 Brock Drive August 19, 2008 P.O. Box 3427 Bloomington, IL 61702-3427 Afni, Inc. Account#: 6431592-2 Kyle Green Original Creditor. SPRINT PCS 2980 Ponce De Leon Dr Creditor Account#: 0021407124 Social Security: XXX-XX-XXXX Naples, FL 34105-2777 Balance Due: $1,480.30 As discussed in our conversation on August 19, 2008, we will accept$888.18. Once paid, this account will be closed and you will no longer have to worry about this matter. If you have any questions, please contact our office toll free at 888-307-2410 Monday through Friday 7am -9pm CST. For proper credit on your account, please write this number 6431592-2 on your payment. This is an attempt to collect a debt Any information obtained will be used for the purpose. You have the right to inspect your credit This letter is from a debt collector. Sincerely, Afni, Inc. PLEASE RETURN THIS PORTION WITH YOUR PAYMENT FOR PROPER CREDIT PLEASE WRITE 6431592-2 ON YOUR CHECK Afni, Inc. Account#: 6431592-2 Creditor. SPRINT PCS Creditor Account#: 0021407124 Social Security XXX-XX-XXXX Balance Due: $888.18 Please make checks payable to: Kyle Green Afni, Inc. 2980 Ponce De Leon Dr 404 Brock Drive P.O. Box 3427 Naples, FL 34105-2777 Bloomington, IL 61702-3427 AFNISF .. ... vvv va..v ...vvv yr ivi ,v.vvv iv • VV r'a'a rC1V L. 1..I S/VL 1 0.!S VGA. VGA. P.O. Box 3517 Bloomington, IL 61702-3517 Please remit to Bloomington, IL address afni. 404 Brock Drive August 19, 2008 P.O. Box 3517 Bloomington, IL 61702-3517 Afni, Inc.Account#: 10127878-1 Kyle Green Creditor. DISH NETWORK 2980 Ponce De Leon Dr Creditor Account#: 8255909107089754 Social Security: XXX-XX-XXXX Naples, FL 34105-2777 Balance Due: $127.32 As discussed in our conversation on August 19, 2008, we will accept$90.00.Once paid, this account will be dosed and you will no longer have to worry about this matter. If you have any questions, please contact our office toll free at 866-633-4384 Monday through Friday lam -9pm CST. For proper credit on your account please write this number 10127878-1 on your payment This is an attempt to collect a debt Any information obtained will be used for the purpose. You have the right to inspect your credit This letter is from a debt collector. Sincerely, Afni, Inc. PLEASE RETURN THIS PORTION WITH YOUR PAYMENT FOR PROPER CREDIT PLEASE WRITE 10127878-1 ON YOUR CHECK Afni, Inc.Account#: 10127878-1 Creditor. DISH NETWORK Creditor Account#: 8255909107089754 Social Security: XXX-XX-XXXX Balance Due: $90.00 Please make checks payable to: Kyle Green Afni, Inc. 2980 Ponce De Leon Dr 404 Brock Drive P.O. Box 3517 Naples, FL 34105-2777 Bloomington, IL 61702-3517 AFNISF • P.O. Box 3427 Bloomington, IL 61702-3427 r Please remit to Bloomington, IL address afiaL 404 Brock Drive August 19, 2008 P.O. Box 3427 Bloomington, IL 61702-3427 Afni, Inc. Account#: 12294236-2 Kyle Green Original Creditor. CINGULAR 2980 Ponce De Leon Dr Creditor Account* 749707 Social Security: XXX-XX-)00(X Naples, FL 34105-2777 Balance Due: $595.80 As discussed in our conversation on August 19, 2008, we will accept$357.48. Once paid, this account will be closed and you will no longer have to worry about this matter. If you have any questions, please contact our office toll free at 866-265-6111 Monday through Friday 7am -9pm CST. For proper credit on your account please write this number 12294236-2 on your payment. This is an attempt to collect a debt Any information obtained will be used for the purpose. You have the right to inspect your credit This letter's from a debt collector. Sincerely, Afni, Inc. PLEASE RETURN THIS PORTION WITH YOUR PAYMENT FOR PROPER CREDIT PLEASE WRITE 12294236-2 ON YOUR CHECK Afni, Inc. Account#: 12294236-2 Creditor. CINGULAR Creditor Account#: 749707 Social Security: XXX-XX-X)00( Balance Due: $357.48 Please make checks payable to: Kyle Green Afni, Inc. 2980 Ponce De Leon Dr 404 Brock Drive P.O. Box 3427 Naples, FL 34105-2777 Bloomington, IL 61702-3427 AFNISF • e NOTICE OF ELECTION TO BE EXEMPT Please thoroughly read the instructions before completing this application. Print legibly in each data entry field. If this application contains incomplete or inaccurate information or if the handwriting is not legible,it may cause a delay in the issuance of your exemption. SECTION 1: Applicant Name(p lease print):: t 1 - ., ) Applicant's social security number: �� / /7 6---- Applicant's E-mail address (optional): SECTION 2: I am applying for exemption as a(You must check only one box in this section): CONSTRUCTION INDUSTRY ($50 FEE REQUIRED) Officer of a Corporation (Title): t,% 1 -OR- ❑ Member of a Limited Liability Company (LLC) NON-CONSTRUCTION INDUSTRY(NO FEE REQUIRED) ❑ Officer of a Corporation(Title): ) The Division will accept a money order,a cashier's check,or an electronic payment made payable to the DFS WC Administration Trust Fund. An officer electing an exemption under Chapter 440, Florida Statutes is not entitled to benefits under this chapter. SECTION 3. The corporation of which you are an officer or the limited liability company of which you are a member must be registered and in an active status with the Florida Division of Corporations. Applicants applying as an officer of a corporation must be listed as an officer of the Corporation with the Florida Division of Corporations. List the document number(document number shop on your Annual Report)on file with the Florida Division of Corporations. -PC);37-')00 O i t i 2 SECTION 4. This exemption application applies only to the person signing the application,the Corporation/LLC that is listed below, and the scope of business or trade listed: J1 r--- Name of Corporation or LLC: ( `j cr f 1Ile(4/`7r I e :I? 3( `� FEIN: y `��L AX AS REGISTERED WITH THE FLORIDA OF CORPORATIONS / Business Name: //// Phone: ( ) IF APPLICABLE-LIST FICTITIOUS NAME;DOING BUSINESS AS(DBA);ALSO KNOWN,AS NAME(AKA) Applicant's Address of Record: 2700 i '/te dam, Le�,4 ( INCLUDE APARTME R SUITE NUMBER City: G � /e3 State: Zip: )v-7 County: V‘r Scope of Busines or Trade: 1. l -tt a-e.. 1:451-4/ 3. 4. SECTION 5. List all certified or registered licenses issued pursuant to Chapter 489,F.S. held by the applicant, or the certified or registered license numbers held by the qualifier for the corporation or LLC listed on this application of which the applicant is a corporate officer: SECTION 6. If you have submitted an electronic payment for this application,write the transaction confirmation number in the following space: SECTION 7. Are you affi 'at with any corporation(including LLC)other than the corporation (including LLC)to which this application applies? ❑Yes No IF YES,PLEASE LIST E NAME(s)AND FEIN(s)OF THE AFFILIATED CORPORATION(s)OR LLC(s): NAME: FEIN: SECTION 8. If your corporation or LLC is engaged in the construction industry,you must provide the required proof of ownership in the corporation or LLC. A. To be eligible for a construction industry exemption as an officer of a corporation,the applicant must be a shareholder, owning at least 10%of the stock of the corporation. A COPY OF A STOCK CERTIFICATE EVIDENCING THE REQUIRED OWNERSHIP MUST BE ATTACHED. B. To be eligible for a construction industry exemption as a member of a limited liability company,the applicant must confirm ownership of at least 10%of the company. THE REQUIRED OWNERSHIP MAY BE ESTABLISHED BY PRODUCTION OF DOCUMENTATION REFLECTING THE REQUIRED OWNERSHIP,OR BY SUBMITTING A STATEMENT ATTESTING TO THE REQUIRED OWNERSHIP. THIS APPLICATION IS CONTINUED ON PAGE 2 DWC 250,NOTICE OF ELECTION TO BE EXEMPT—REVISED 01/2008 i NOTICE OF ELECTION TO BE EXEMPT-Page 2 SECTION 9. FRAUD NOTICE A. Any person who, knowingly and with intent to injure,defraud,or deceive the department or any employer or employee, insurance company or any other person, files a notice of election to be exempt containing any false or misleading information is guilty of a felony of the third degree. B. Attestation of applicant- By signing be at st-thatLhav _reed,-understand and acknowledge the foregoing notice. r SIGNATURE OF APP .CANT SECTION 10. You must identify the workers' compensation insurance carrier that covers any non-exempt employees of your business. Carrier Name: AFFIDAVIT OF APPLICANT: I herby certify that the information contained herein is true and correct to the best of my knowledge and belief;that th': electi•, does not exceed exemption limits for corporate officers, including any affiliated 4 corporations as provided.ip/440.02 orida Statutes. /- l 7 7,1sy, / `G. APP IC NT•S SI c NAT .•E D TE SIGNED / NOTARY STAT OF FLORIDA,COUNTY OF �/` g /---- Sworn to and subscribed before me this/ day of / ,471-,d f,bye L I • C3-r-°p Personally Known OR Produced Identification Type of Identification egY°om Notary Public State of Florida Produced/ t— o5Z' Yjj 7,Y-1/427 D ? Margaret W Wright NOTARY SIGNATURE / 7 o-° My Commission DD579226 �. ,ar : ,_,g, ! /si��/ My Commission Expir �°".`° Expires_08/06/2010 Please mail or submit your comped application,applicati• fee,and any required attachments to the district office nearest your place of business. STATE USE ONLY 4415 Metro Parkway,Suite 300 921 North Davis Street 401 NW 2^d Avenue Effective/Issue Date: Ft.Myers FL 33916 Building B,Suite#250 Suite#321,South Tower Telephone(239)938-1840 Jacksonville,FL 32209 Miami FL 33128 610 E.Bu ess Road Telephone(904)798-5806 Telephone(305)536-0306 Expiration Date: Pensacola,FL 32504-6320 400 West Robinson Street TALLAHASSEE SUBMITTERS Telephone(850)453-7804 Room#512,North Tower 3111 S.Dixie Highway,Suite#123 Orlando FL 32801 Walk-in submissions Control Number: West Palm eH h Highway 405 Telephone(407)835-4406 or 2012 Capital Circle SE Telephone(561)837-5716 (407)245-0896 Suite#102,Hartman Bldg. 499 Northwest 70th Ave.,Suite#116 Tallahassee FL 32399-2161 Postmark Date: Live Oak Business Center Plantation FL 33317 Telephone(850)413-1609 5969 Cattlemen Lane Telephone(954)321-2906 Sarasota FL 34232 p ( ) Mahn submissions Payment Number: Telephone(941)329-1120 1111 NE 25",Ave.,Suite#403 200 East Gaines Street Ocala FL 34470 Tallahassee FL 32399-4228 1313 N.Tampa Street,Suite#503 Telephone(352)401-5350 Telephone(850)413-1609 Tampa FL 33602 Received Date: Telephone(813)221-6506 "The collection of the social security number on this form is specifically authorized by Section 440.05(3), Florida Statutes. The social security number will be used as a unique identifier in Division of Workers'Compensation database systems for individuals who have applied for and/or been issued a Certificate of Election To Be Exempt. It will also be used to identify information and documents in those database systems regarding individuals who have applied for and/or been issued a Certificate of Election To Be Exempt for internal agency tracking purposes and for purposes of responding to both public records requests and subpoenas that require production of specified documents. The social security number may also be used for any other purpose specifically required or authorized by state or federal law." DWC 250,NOTICE OF ELECTION TO BE EXEMPT—REVISED 01/2008 June 18, 2008 Page 1 TRANSCRIPT OF THE MEETING OF THE CONTRACTOR LICENSING BOARD Naples, Florida June 18, 2008 LET IT BE REMEMBERED, that the Contractor Licensing Board, in and for the County of Collier, having conducted business herein, met on this date at 9:00 a.m. in REGULAR SESSION in Building "F" of the Government Complex, East Naples, Florida, with the following members present: CHAIRMAN: Les Dickson (Absent) VICE CHAIRMAN: Richard Joslin Eric Guite' (Absent) Lee Horn (Absent) Terry Jerulle Thomas Lykos Michael Boyd Glenn Herriman ALSO PRESENT: Patrick Neale, Attorney for CLB Robert Zachary, Assistant County Attorney Michael Ossorio, Zoning & Land Development Review June 18, 2008 Page 2 VICE CHAIRMAN JOSLIN: Okay, I'd like to call to order the June 18th, Collier County Licensing Board meeting. And just for the record, any person who decides to appeal a decision of this board will need a record of the proceedings pertaining thereto and, therefore, may need to ensure that a verbatim record of the proceedings is made, which record includes that testimony and evidence upon which the appeal is to be based. Just for the record, we do have a court reporter that is reporting and recording everything that's said here. I'd like to start with roll call, starting to my right. MR. HERRIMAN: Glenn Herriman. MR. LYKOS: Tom Lykos. VICE CHAIRMAN JOSLIN: Richard Joslin. MR. JERULLE: Terry Jerulle. MR. BOYD: Michael Boyd. VICE CHAIRMAN JOSLIN: Staff, is there any additions or deletions to the agenda? MR. OSSORIO: Good morning, Mr. Chairman. Mike Ossorio, Collier County Contractor Licensing Supervisor. Ian Jackson is on vacation, so I have the privilege. We do have an addition, it's Greg Rearden doing business as AVI. It's last name, R-E-A-R-D E-N. VICE CHAIRMAN JOSLIN: What does he -- ? MR. OSSORIO: He requests to reinstate his license without taking the exams. VICE CHAIRMAN JOSLIN: Okay. With that said, I need to get an approval for the agenda. MR. LYKOS: So moved, Lykos. MR. BOYD: Second, Boyd. VICE CHAIRMAN JOSLIN: Motion carries. Also need approval for the minutes of the May 21st meeting. Has everybody read the minutes and are they in line? June 18, 2008 Page 3 (No response.) VICE CHAIRMAN JOSLIN: I need a motion. MR. LYKOS: So moved, Lykos. VICE CHAIRMAN JOSLIN: Second, Joslin. Don't be scared, gentlemen. Under discussion we have a Brian M. LaChance. Do we hear this now or -- MR. OSSORIO: Good morning, Mr. Chairman. Before Mr. LaChance speaks to his discussion, I want to let you know what the county has been doing for the last several months. Mr. LaChance is a consumer. He was a licensed contractor for many years here in Naples. He decided to move on. And he's been gone for quite a long period of time. He's taken the exams. He got the county report, and his application's on our desk. Unfortunately, back in December the Board of County Commissioners adopted a new fee schedule, and in that fee schedule, it highlights that you have to pay all your back licenses. Mr. LaChance felt that it was somewhat, you know, unfair. He didn't know he was getting a license for life. So he petitioned the Board of County Commissioners. The Board of County Commissioners reviewed it. We had a discussion a couple weeks ago and asked Mr. LaChance to speak to the licensing board, because pursuant to the section of our Ordinance 2.1.5, you make recommendation to the Board of County Commissioners on fees and they adopt the fees. I personally feel that maybe we could tweak it a little bit, and my recommendation would be null and void, you have to pay your fees for three years, three years back fees. VICE CHAIRMAN JOSLIN: How long has the license been dormant? MR. OSSORIO: Well, it's been canceled for many years. But Brian LaChance will go ahead and speak to that. June 18, 2008 Page 4 MR. LaCHANCE: Good morning, gentlemen. VICE CHAIRMAN JOSLIN: Can we have you sworn in, please. (Speaker was duly sworn.) MR. LaCHANCE: Good morning, gentlemen. I moved out of Collier County in the year 2000, into Lee County due to a divorce. Lost everything here, business, equipment, so on and so forth. Went to work for a company in Fort Myers called Contractors Choice Supply where I was an installer under their license. After that I hooked up with another woman down here in Collier County, Classy Kitchens, and worked for her. Current business conditions, as you know, in construction just are horrible. She no longer has work for me on a steady basis. So in order for me to continue to work and do work for other contractors to install, or even homeowners, I needed to obtain my cabinet installer's license once again. After going through the process, it seemed like it was a dual penalty. Not only did I have to meet the requirements of a new licensee once again, but I'm being asked to pay for eight years in arrears, which total $1,170. That kind of precludes my freedom to choose my employment as I wish and without coming back with penalty for doing something that I have to do in order to pay my bills every month. You're telling me on one hand welcome back but, you know, you're going to pay a penalty. You didn't use the license; I didn't get any services for that license. Nowhere in the books, in the Florida Contractors Schedules does it say that this is a lifetime license. I understand the need for the licensing board to generate revenue to keep track of contractors, but here I am. And while I agree and support Mr. Ossorio's recommendation of the three-year penalty, it's still a penalty. It's one I can live with and I'm sure others can live with. You know, I chose not to renew my June 18, 2008 Page 5 license because I, at that time in life, had not planned on using it again. But unfortunately, economic conditions force me now back into that position. VICE CHAIRMAN JOSLIN: According to what you are saying, you have taken the test and you have passed all the test credentials? MR. LaCHANCE: I walked into Mr. Ossorio's office yesterday and they said, we'll give you a license right now. VICE CHAIRMAN JOSLIN: Credit app. was in line? MR. OSSORIO: Yeah, everything's fine. VICE CHAIRMAN JOSLIN: Everything's fine. MR. OSSORIO: Under the direction of the county manager, Mr. LaChance was requested to go ahead and pay the fees and then -- under protest. And if the licensing board said, you know -- changed the fee, then we'll go in front of the Board of County Commissioners and petition them for -- under resolution and then he would get reimbursed. But I believe he wants to go ahead and do it on the front end, which is fine. THE WITNESS: Right. I can still work under my ex-partner's license; she's allowed me to do that until we get this resolved. It's just -- you know, I'd like to have my own license back to have the freedom to do what I want when I want, you know, work for who I want to and who will have me. MR. OSSORIO: Mr. Chairman, if you take a look at the -- well, you're not going to take a look at it, but under the fee schedule, FF, Section 4(A), it tells you a contractor, specialty contractor, must pay his back license fees. And most counties do that just because we get a lot of out-of-state, out-of-county contractors that we send them notice and they say, well, we're not really working in Collier County at this time and we'll renew when we see fit. And that really stops them from saying, okay, let's renew. I'll give you an example. If you're from Orlando, you're a painting company, you're doing a project in Naples and then you get your June 18, 2008 Page 6 license in Naples and you then don't renew because you're not doing any work in Naples. That's not fair for all the other applicants or the contractors that actually renew their license on a yearly basis and participate in the bidding process down in Collier County, so -- but I can see Mr. LaChance's concerns, and like I said before, this office and the building review and permitting office, we support not to exceed three years. And, you know, that -- you know, that's something that we can live with. VICE CHAIRMAN JOSLIN: That's something that you can live with also? MR. LaCHANCE: Definitely, I can live with it. It's a fair proposal. A lot fairer than what I think the current one is. VICE CHAIRMAN JOSLIN: We're trying to meet you halfway anyway, right? MR. LaCHANCE: Exactly. That's what it's about, compromise. VICE CHAIRMAN JOSLIN: You can understand the reasoning why, though, because there are avenues that you can carry out when you don't have a license any longer or don't want it, just put it dormant, you pay a small fee per year and then it's always good. MR. LaCHANCE: Right. The only, I guess, I expressed my concern about that is that you get absolutely nothing for your money. And taxation, which is a fee, you're supposed to have representation for that. It just gives you the right. I mean, I'd have to pay for the license anyway. It doesn't give me any services other than to keep my license dormant. And, you know, if I'm going to pay the full price every year, it's like why not just keep the license. But it precludes me from making the choice of working for a private contractor or staying on my own. And what I liken it to is, I've lived here in Collier County, between Collier and Lee County for 21 years. It would be like if I June 18, 2008 Page 7 went back to Massachusetts and I went to the driver's license bureau and I wanted my license back, and they said you've got to take the test, and you know what, Mr. LaChance, welcome back but you're going to pay for 21 years you didn't use that driver's license. It just seemed very unfair at that point. VICE CHAIRMAN JOSLIN: I can see your point. What kind of fees are we talking about here? Do we make that decision here as far as how much he pays or is -- ? MR. OSSORIO: No, you've already looked at the fee schedule back in '07. There's no question what the fees are what they are due to the fact of how we have to conduct business on a yearly basis. The only thing you're going to be asked to do is come to maybe a resolution or a letter to the Board of County Commissioners saying you agree with this new change, minor change, and then we'll go to the Board of County Commissioners. VICE CHAIRMAN JOSLIN: Okay. MR. LYKOS: Michael, what did Mr. LaChance have to do to reactivate his license? What process did he have to go through? MR. OSSORIO: He had to fill out the application, credit report, show experience again and fill out the whole packet. MR. LYKOS: Was it similar to being a new licensee? MR. OSSORIO: Very similar. MR. LaCHANCE: I took the license -- the building and law exam once again, passed it again. VICE CHAIRMAN JOSLIN: One last question. The current fees that we have issued now just came out here recently, correct -- MR. OSSORIO: Yes. VICE CHAIRMAN JOSLIN: -- or this past year? If we go back three years, then are we going to go then on his fees as far as for the previous years, will they be the reduced fee rate? MR. OSSORIO: No, they'll be the new fees. They'll be the new fees. That's why Mr. LaChance is probably not going to want to pay June 18, 2008 Page 8 his fee under protest today. Because if he pays it, then we're looking at maybe a month or two to get in front of the board, and then he has to petition the board to receive his money in return. So he wants to do it on the front end, which makes sense. But we support him. MR. ZACHARY: Mr. Chairman, for a little background, I have spoken to Mr. LaChance before. And the reason I told him that he needed to go in front of the Board of County Commissioners was that that's their fee, they set it, and they were the ones that could waive the fee if they choose to do that. I know Mr. Ossorio and I discussed that and said that this board couldn't waive the fee for him because the Board of County Commissioners sets the fee. So he went in front of the Board of County Commissioners and they sort of kicked it back to you all for a recommendation of whether or not the fee was waiveable or whether or not you wanted to have, like Mr. Ossorio said, some other policy that all back fees would need to be paid or where there would be a limit, like three years or something like that. MR. NEALE: One of the powers of this board is -- one of the duties of this board is to make recommendations to the Board of County Commissioners on things like fees and ordinance amendments. So anything that the board does here would be solely a recommendation to the Board of County Commissioners, which they would then adopt, so. VICE CHAIRMAN JOSLIN: I see. Okay, do we have a motion? More discussion? (No response.) VICE CHAIRMAN JOSLIN: I'll make the motion then. I'll make the motion that we -- we're going to make a recommendation to Board of Commissioners to place a maximum amount of three year licensing fees in arrearage for him so that he can obtain his license. June 18, 2008 Page 9 MR. OSSORIO: Mr. Chairman, I think that it probably would be best for it not to exceed three years from the null and void date. VICE CHAIRMAN JOSLIN: Not to exceed three years. I'll amend the motion. Motion's on the floor. MR. LYKOS: Second, Lykos. VICE CHAIRMAN JOSLIN: All in favor of the motion? MR. HERRIMAN: Aye. MR. JERULLE: Aye. MR. LYKOS: Aye. MR. BOYD: Aye. VICE CHAIRMAN JOSLIN: Aye. Any opposed? (No response.) VICE CHAIRMAN JOSLIN: Motion carries, five to nothing. Congratulations. MR. LaCHANCE: Thank you, gentlemen. Have a wonderful day. VICE CHAIRMAN JOSLIN: You too. Is there a Scott Vail present? Mr. Vail, would you come up to the podium please and be sworn in. (Speaker was duly sworn.) VICE CHAIRMAN JOSLIN: Mr. Vail, would you please give the board a small insight as far as why you're here. MR. VAIL: What am I here for? I'm here to qualify a second company under my current painting license which I obtained under Painted Perfection, Incorporated in the year 2000. Basically, we've already gone before Lee County and done the similar thing and now we're before Collier County trying to enter into an agreement with Sunshine Ace Hardware to basically promote a painting program for them selling painting services within their company. Also, we being the obviously, quote unquote, installer of those June 18, 2008 Page 10 services and having complete control over the sales and the install of the product from start to finish. VICE CHAIRMAN JOSLIN: So Sunshine Ace sells the paint and you go and paint it, apply it? MR. VAIL: Yes, sir, correct. They've been around for a long time. We've got a longstanding relationship with members of Sunshine Ace. Michael Wynn is here, in representation of the company. And just trying to get together and work out, obviously, another kind of exciting type of deal to kind of shake things up. And you know, I'm not much to sit around and do the normal again to try to find something out of the box. That just opens up different avenues for Sunshine Ace as well as Painted Perfection. VICE CHAIRMAN JOSLIN: You mentioned that you have done with this Lee County, is it? MR. VAIL: Yes, sir. VICE CHAIRMAN JOSLIN: Is it another Sunshine Ace? MR. VAIL: Correct, there are -- Lee County, there are a total of six. Correct. We've got two in Lee County, the San Carlos store and Bonita Springs, obviously. Well, if we go that route, we're obviously limiting ourselves, and we want to be able to open up this relationship and go full force in the areas that we already serve as Painted Perfection. VICE CHAIRMAN JOSLIN: I see. Does staff have any complaints against this company? MR. OSSORIO: None. We recommend to approve. MR. LYKOS: In reviewing this, Michael, I had a question about the dynamics of the relationship. Is Sunshine Ace Hardware going to act as a general contractor and then subcontract out to Painted Perfection? MR. OSSORIO: No, I believe that he is going to qualify him under his painting license and then he's going to advertise Sunshine Ace Hardware painting company. It'd be a painting company. But he June 18, 2008 Page 11 would be the qualifier of the company and be responsible for any code issues or any kind of workers' comp. or any kind of liability issue, he'll be responsible. MR. LaCHANCE: Absolutely. MR. OSSORIO: No, he's just painting. No general contracting. I'm assuming that there's going to be some advertisement that says Sunshine, you know, Hardware can do all your painting needs. And if he didn't have this second entity, he would be in violation of the statute and we would give him a fine. I'm not saying that Sunshine Ace is going to be doing the work. They could if you approve it today but they want to advertise as a painting company, which makes sense. MR. LaCHANCE: With a correction, Mr. Ossorio. They wanted -- they want to advertise obviously the painting services not as a painting company, obviously, Painted Perfection having complete and total control as we would in our own day-to-day painting operations as far as the overview of the install and everything as far as, like he said, assuming all of the responsibilities, the liabilities as well. MR. LYKOS: Who does the customer pay? MR. VAIL: The customer will pay Sunshine Ace. MR. LYKOS: And then Sunshine Ace would pay -- MR. VAIL: Sunshine Ace will pay Painted Perfection, correct. MR. LYKOS: Painted Perfection. Therein lies my question. That's a subcontractor relationship. MR. OSSORIO: Yeah, but it's related to the field of painting. So I have no problem with a painter hiring another painter to do some painting jobs. MR. NEALE: He is actually qualifying Sunshine Ace. MR. OSSORIO: So there's no -- MR. LYKOS: I understand that. It just seemed like there was a subcontractor relationship going on. So that was the question I had about this. So if you're fine with June 18, 2008 Page 12 it, Mike? MR. OSSORIO: Yeah, we're fine with it. MR. LYKOS: Okay. VICE CHAIRMAN JOSLIN: Do you have any large franchises that you do business with besides Sunshine Ace? MR. VAIL: No, sir, not at this time. MR. OSSORIO: The big ones, the Home Depot and the Lowes, they are a general contractor and they also have a, I think, a mechanical contracting license as well. Ace just wants to get a specialty license, so that's fine. VICE CHAIRMAN JOSLIN: What's the pleasure of the board? MR. LYKOS: I make a motion that we approve Scott Vail as a qualifier for Sunshine Ace Hardware as a second entity. MR. BOYD: Second, Boyd. VICE CHAIRMAN JOSLIN: A motion and a second on the floor. All in favor. MR. HERRIMAN: Aye. MR. JERULLE: Aye. MR. LYKOS: Aye. MR. BOYD: Aye. VICE CHAIRMAN JOSLIN: Aye. Any opposed? (No response.) VICE CHAIRMAN JOSLIN: Motion carries. Congratulations. MR. VAIL: Thank you, gentlemen. VICE CHAIRMAN JOSLIN: By the way, all your paperwork that you will need to complete this at the Collier County will not be there today until we leave this office here, the meeting. So any time probably after tomorrow morning. MR. VAIL: Not a problem. Thank you, Mr. Joslin. VICE CHAIRMAN JOSLIN: You're welcome. Okay, looking for a Maharay Borrego. Would you please come June 18, 2008 Page 13 forward, please, to be sworn in. (Speaker was duly sworn.) VICE CHAIRMAN JOSLIN: Did I say your name some kind of correctly? MS. BORREGO: Maharay. VICE CHAIRMAN JOSLIN: Maharay, okay. And the last name is -- MS. BORREGO: Borrego. VICE CHAIRMAN JOSLIN: Borrego, okay. Ms. Borrego, would you please tell us a brief review of -- we've got some information in front of us regarding credit status. MS. BORREGO: Yes, I'm trying to run my business as legal as possible. And we're doing right now sales, distributor of kitchen cabinets. However, because of a house that I bought in '06, I lost -- bought in '05 and lost in '07 because of the foreclosure, my credit is the way it is right now. As far as the business, I've done about 40 different sales between Collier and Lee County. And I can show you my contracts with my customers, never had a problem with any of them. VICE CHAIRMAN JOSLIN: What type of business is this? MS. BORREGO: Kitchen cabinet sales. VICE CHAIRMAN JOSLIN: Kitchen cabinet sales. MS. BORREGO: Yeah, design of kitchen cabinets and -- VICE CHAIRMAN JOSLIN: Install also? MS. BORREGO: Well, we're subcontracting the sales, but what I'm trying to do is I'm trying to get my own installations done. MR. LYKOS: I'm uncomfortable with the pending bankruptcy. And I'm also uncomfortable that this is -- I'm going through this file. I was a little bit confused about exactly the entity of the business that's -- is this an ongoing business, is this a new business? I have a problem with the pending bankruptcy. I just have a concern that this will be a viable business moving forward. June 18, 2008 Page 14 MS. BORREGO: Okay, it's not -- it was pending bankruptcy back in March and April, but right now I'm working with every company, except that mortgage company, of course, to pay all my debt, which I'm doing that right now. I'm working with a credit company in Broward County. And as far as the business, it was established, incorporated in '03 and I've been doing business as a small, you know, family operated business since '03. In Collier County, I bought two properties, one which I bought and sold. The second one, now the bank got it from me, is selling it $200 less. So that's why my credit is the way it is. I also have my real estate license and I'm working with a local company, so I'm a professional person, I'm working. I'm just trying to do everything the right way. MR. LYKOS: I understand. MR. OSSORIO: Mr. Lykos, if you turn to page -- unfortunately they're not numbered, but you can look on -- in balance, and it says Maharay's Kitchen Interiors, Incorporated, the second one. I have a question. It says collection, date, place, '04, 2008 open account original balance, outstanding balance, then it says agency, city, Office Depot, collection. And I think that has something to do with her business. MS. BORREGO: That's a $300 credit card that was paid two weeks ago. I don't know why they're reporting it as not paid, but it has been paid. That's the only credit in my business right now. But it has been paid. VICE CHAIRMAN JOSLIN: I think we'll turn to Mr. Neale. Can you give us a little guidance here on this credit application versus individual and her business? MR. NEALE: Well, since the business has been in existence for more than one year, you're looking primarily at the business credit June 18, 2008 Page 15 report. And the rule, Florida Administrative Code has the Rule 61.G.4-15.006, defines financial responsibility. And it's defined as the ability to safeguard that the public will not sustain economic loss resulting from a contractor's inability to pay his or her lawful contractual obligations. The grounds on which the board shall refuse to qualify an applicant include failure to submit an application. The application has been submitted. The existence within the past five years preceding the application of an unsatisfied court judgment rendered against the applicant based upon the failure of the applicant to pay its just obligations to parties with whom the applicant conducted business as a contractor. C, an unfavorable credit report or history as indicated by any of the documents as submitted. D, a determination by the board that the applicant lacks the financial stability necessary to assure compliance with the standards set forth in subsection one of this rule. And then the applicant's history of bankruptcy is included in the statutory definition of financial responsibility and shall be considered by the board. However, the fact that an applicant has been or is a debtor in bankruptcy shall not be the sole basis of the board's determination to deny the issuance of a license or a request for change of status. So those are the rules under which the board operates. MR. JERULLE: You said you paid the $300? MS. BORREGO: Yes. MR. JERULLE: Do you have proof? MS. BORREGO: Not with me here. I have it at home. I can take it somewhere tomorrow. VICE CHAIRMAN JOSLIN: There's a lot of items on this credit app. Is there anyone else in the company with you besides yourself? June 18, 2008 Page 16 MS. BORREGO: Excuse me? VICE CHAIRMAN JOSLIN: Is there anyone else in the company with you besides yourself? MS. BORREGO: Myself, my husband, my sister, my mother, everyone works together with me doing sales. MR. LYKOS: This company's been in business since 2003; is that correct? MS. BORREGO: Yes. MR. LYKOS: Unless I'm missing something, Michael, I don't see anything in here for the business's credit report. I mean, I see the three items for legal filings and collections, but I don't see anything in my packet for the business itself. MR. NEALE: There is a credit report for Maharay's Kitchens -- MR. OSSORIO: It's the previous page. MR. NEALE: It's immediately before the election -- notice of election to be exempt. It's a two-page credit report. VICE CHAIRMAN JOSLIN: Oh, that credit report. I see a high balance of $400; is that right? MR. OSSORIO: No, high balance is 300. VICE CHAIRMAN JOSLIN: Three hundred? MR. LYKOS: This page? There's a total of three items on this page, correct? VICE CHAIRMAN JOSLIN: Right. That's what I'm looking at, it's the 4/29/08. MR. LYKOS: So in five years, this company's had credit with three different creditors? MS. BORREGO: Three different ones? Which ones? MR. LYKOS: Office Depot. That was a legal filing from Office Depot. I think the next one down is the Office Depot account information. And then there was one reported trade experience, which probably is the Office Depot again. It's the same credit limit and the June 18, 2008 Page 17 same balance. The information is the same. So there's no other credit information for the business other than Office Depot. MS. BORREGO: The way that I do business is I get -- the money that I get as a 50 percent deposit from my customers, I turn around and go buy the product that I have to buy and turn around and install the cabinets and then pay the rest. I don't really have a need to have credit with any company. MR. LYKOS: You don't have credit with any of the cabinet manufacturers? MS. BORREGO: No. I like to go and pay it off. I have about six different manufacturers that I buy from, and I've never had a problem. I don't ask for credit, I just go and buy the product. I've been doing that for the past five years. I've worked with customers, 20, $25,000 projects that I can prove to you that their kitchens was installed and sold, and on a time -- you know, I have a contract, between four to six weeks it gets installed. I've never had to -- you know, I live from that. I have three children that I feed from this business, so -- VICE CHAIRMAN JOSLIN: What's the pleasure of the board? I'm not real comfortable with this, I'll tell you that. MR. LYKOS: Is there a recommendation from licensing? MR. OSSORIO: No. Actually, if she pays the $300 fine and you maybe put her on some kind of a temporary probation for six months to expire, we have no complaints. Unfortunately, this case is not uncommon. You see a low score -- Beacon score. And if it was just for the bankruptcy, you're absolutely right, you wouldn't see this particular case. But unfortunately this has been compounded by some medical problems, compounded by some late fees and also compounded that she did have some issues on her company credit. And there is no credit on her company. So this is why you see it today. June 18, 2008 Page 18 VICE CHAIRMAN JOSLIN: Okay. But again, by her own testimony she says that she's going to now begin to install kitchens and cabinets and interiors. Unless I'm missing it, I see no insurance policy, I see no -- but she's stated that there are other people working with her. I have a liability policy. MR. OSSORIO: You see a liability policy. You also see the notice of the election to be exempt. I believe that she's going to be an LLC then she's going to be -- exempt herself. And she can exempt up to three people of her corporation with 10 percent ownership or get a leasing company or bring us a policy of insurance. So that's up to the applicant. MR. LYKOS: How did this company operate previously? MR. OSSORIO: I hope that she -- strictly as a wholesaler selling cabinets. She shouldn't be at somebody's residence installing them and hiring anyone to do the installing. I have no idea. Have you ever got a ticket from our office before? MS. BORREGO: No, nothing. MR. OSSORIO: Hopefully she was working under the scope of her business tax receipt, which is probably manufacturing. MS. BORREGO: Distributor. MR. OSSORIO: Distributing. We haven't seen her on the job sites. And I hope that we haven't. MS. BORREGO: No, I have my home office and I have my accountant and I have everything under control. But what I've done is subcontract installers that are licensed and insured. But now if I do get the license, then we can do everything. That's what we're hoping to do. MR. OSSORIO: Mr. Chairman, that would be in violation of the code, obviously. But be that as it may -- MS. BORREGO: Excuse me, what was that? MR. OSSORIO: Unfortunately, only a licensed company can June 18, 2008 Page 19 subcontract out. You are a distributor, the only thing you can do is distribute to a contractor. And the contractor does the hiring and does the installing and then gets paid for services. You as a distributor are prohibited from getting compensated for somebody who's doing some installing work. MS. BORREGO: But I could sell my cabinetry. MR. OSSORIO: You can sell all day, you're absolutely correct. But you couldn't subcontract out to a licensed company for the homeowner. You would have to be a cabinet installer. That's why you're here today. VICE CHAIRMAN JOSLIN: So we don't want to hear no more about that. Not right now. MR. LYKOS: What's the $300 fine for? MR. OSSORIO: There is no fine. We have never issued a fine to this young lady. MR. LYKOS: I thought before you said there was a $300 fine. MR. OSSORIO: There is, there's -- if you get caught advertising or subcontracting out outside the scope of your business tax -- MR. LYKOS: Okay. MR. OSSORIO: -- or your certificate, the minimum fine is 300. MR. LYKOS: So you don't have one pending, you just said if this were to go on without our approval, she would be fined -- MR. OSSORIO: Yeah, she would, probably. More than likely she probably would get caught or something in the future. MS. BORREGO: It's not going to happen, right? MR. OSSORIO: No, of course not. VICE CHAIRMAN JOSLIN: Are you currently in the process of paying off some of these amounts that are due -- MS. BORREGO: Yes. VICE CHAIRMAN JOSLIN: -- that are past due and that you're working on to try to bring these back up to somewhat kind of current? MS. BORREGO: Yes, I am, on all of them. June 18, 2008 Page 20 VICE CHAIRMAN JOSLIN: Do you feel that this license is going to help you do that? MS. BORREGO: Yes. VICE CHAIRMAN JOSLIN: Well, I'm ready to make a motion then. I'm going to go ahead and I'll make a motion that we approve Maharay's Kitchens and Interiors, Inc., Maharay Borrego, with a one-year probation, and in six months to bring us another credit app. and also come before the board. And I want to see a copy of this credit app. Also for the business for the past six months and the individual. And if things are some kind of in line, then it will continue for another six months. After that six months you'll come back again. And if that works good next year, then after that, you're on your own. And also, she has to pay the -- there's a $300 charge somewhere that she has to pay? MS. BORREGO: Credit card, Office Depot. It's already been paid. VICE CHAIRMAN JOSLIN: Proof to the staff that that has been paid. If it has not been paid, this is all by the wayside. MS. BORREGO: Okay. VICE CHAIRMAN JOSLIN: And one last thing. Just to make sure that we're talking about the same thing, you've told us that this has already been paid, correct? MS. BORREGO: Yes. VICE CHAIRMAN JOSLIN: So I don't want to see any invoices or checks come in here dated after today. MR. OSSORIO: No problems. MR. LYKOS: Can somebody restate that for us? MR. NEALE: The way I have the motion is that Mr. Joslin has moved that it be approved on a probationary basis with her operating under the supervision of the Contractor Licensing Board and staff for that one-year. June 18, 2008 Page 21 Six months from this meeting she is to return with an updated credit report and financial information. At that point the board will review that information, and if it is acceptable, she will be allowed to practice contracting for another six months, again under the supervision of the board. If it's not acceptable at that point, her license will be terminated. If she is allowed the additional six months, then she comes back and reports at the end of 12 months. If the report is satisfactory at that point, she's then granted an unrestricted license. If it's unsatisfactory at that point, then the board will determine what to do with her license at that point. Is that correct, Mr. Joslin? VICE CHAIRMAN JOSLIN: Yes. MR. HERRIMAN: I second the motion, Herriman. VICE CHAIRMAN JOSLIN: I've got a motion and a second on the floor. All those in favor. Any discussion first before we vote on it? MR. LYKOS: Yeah, I think I would just impress upon you, Maharay, that I'm uncomfortable with this. Don't step outside the lines of what your license allows you to do. If you have employees, make sure you have workers' comp. If you're going to -- don't do anything wrong. If you don't understand what that means, talk to contractor licensing and make sure you understand the limits of your license, okay. I don't think any of us here would be very happy if we find out that you did somebody improper. MS. BORREGO: I wouldn't be here. I've been trying to do everything that I have to do. MR. LYKOS: I appreciate that. But we've also found out that you may have been doing things incorrectly in the past because of a lack of understanding. June 18, 2008 Page 22 What I'm impressing upon you is make sure you understand. Don't come here and say I didn't understand, I was ignorant to what the rules were, okay. I want to impress upon you that you find out what the limits are and you work within those limits. MS. BORREGO: Okay. MR. LYKOS: Okay? MS. BORREGO: I will. Thank you. VICE CHAIRMAN JOSLIN: With the credit history that we see before us now, this is probably one of the very first times in all my years on this board that someone has gotten a license, even a temporary license. So please don't abuse the fact that we're trying to help you. MS. BORREGO: I appreciate it. It's going to be a lot better in six months, I guarantee it. VICE CHAIRMAN JOSLIN: All those in favor of the motion. MR. HERRIMAN: Aye. MR. JERULLE: Aye. MR. LYKOS: Aye. MR. BOYD: Aye. VICE CHAIRMAN JOSLIN: Aye. Any opposed? (No response.) VICE CHAIRMAN JOSLIN: Motion carries. Again, you won't be able to pick up any paperwork until tomorrow. MS. BORREGO: Okay, thank you. VICE CHAIRMAN JOSLIN: James Stephenson, are you present? Come up and be sworn in, please. (Speaker was duly sworn.) VICE CHAIRMAN JOSLIN: Mr. Stephenson, you're here for the same basic reason, the reviewing of your credit report. Can you tell me what type of license you have, first? June 18, 2008 Page 23 MR. STEPHENSONON: This is a fence contractor's license. VICE CHAIRMAN JOSLIN: Fence contractor. MR. STEPHENSONON: I want to move it from one entity to another. The blemish that you see on the credit report is an IRS tax lien from November of last year. VICE CHAIRMAN JOSLIN: Can you give us a little bit of insight on what happened. MR. STEPHENSON: I don't owe the money so I'm not going to pay it. And it's in the tax advocate's office now. There is a hearing scheduled. I also included a letter from the tax advocate's office that it was to be resolved at the end of May. But of course the federal government doesn't always work under those constraints, so it hasn't been adjudicated as yet. But I don't owe the money; so I am not going to pay it. VICE CHAIRMAN JOSLIN: What makes you feel that you don't owe the money? I mean, what are they telling you that you're telling them? MR. STEPHENSON: Has to do with a return that was filed about two weeks late. And if you don't file a return, you don't tell the IRS to do with your money, the taxes were already paid, so they confiscate your taxes. And the return was filed late because of a lot of personal discord in my life. I lost a wife and I had a partner die in a plane crash in the same year. And I was a little emotionally unfit to file my taxes at the correct time. VICE CHAIRMAN JOSLIN: How late was it? MR. STEPHENSON: Two weeks. VICE CHAIRMAN JOSLIN: Two weeks over the April 15th date? MR. STEPHENSONON: No, over the extension date. VICE CHAIRMAN JOSLIN: The extension date. June 18, 2008 Page 24 MR. STEPHENSONON: The taxes were paid. VICE CHAIRMAN JOSLIN: Were they paid prior to the -- ? MR. STEPHENSON: Oh, yes, they were paid on time. VICE CHAIRMAN JOSLIN: Do you have proof of that? MR. STEPHENSON: Not with me. I do have it. VICE CHAIRMAN JOSLIN: Have you given proof to the IRS that -- you have receipts or something showing that it was paid? MR. STEPHENSON: Sure. This is -- they take your money and then it's -- because you did not tell them where to put it, that money now belongs to them and then when you file your return, they want you to pay it again. Yes, this is a new law in the IRS. MR. HERRIMAN: So how much do they say you owe? MR. STEPHENSON: The tax liens are for 39,000. MR. HERRIMAN: And you're hopeful that it's going to get solved soon, never? MR. STEPHENSON: Well, again, it's in the hands of the IRS, please note that since November. The tax lien is a collection technique and an intimidation technique used by the IRS on a very common basis to bring me here today, make my life miserable. But I do not owe the money, I've already paid my taxes. I'm not paying them twice. VICE CHAIRMAN JOSLIN: Okay. MR. STEPHENSON: I mean, you asked for testimony under oath, and that is the truth. VICE CHAIRMAN JOSLIN: We appreciate that. That's what we expect. One other item on here, on Page 5, or it looks like. I'm not sure -- there's a file number here for a Pulaski Superior Court, in Arizona? MR. STEPHENSON: That's actually Arkansas. VICE CHAIRMAN JOSLIN: Arkansas. I'm sorry. MR. STEPHENSONON: And that's from 1995. And honestly, I June 18, 2008 Page 25 don't know what that is, but I've contacted the credit bureau for verification and I've also contracted Pulaski County. I expect that to be dropped. From some guy named Jet. VICE CHAIRMAN JOSLIN: How long ago have you talked to these people? How recent have you talked to those people as far as -- MR. STEPHENSON: Since I've tried to get this changed. VICE CHAIRMAN JOSLIN: In the past month or two months, whatever? MR. STEPHENSON: Yeah. I didn't know that was on there. It hasn't been on prior credit reports. VICE CHAIRMAN JOSLIN: Everything comes up when you get your license. MR. OSSORIO: Mr. Chairman, just to make sure we're all on the same page. This gentleman has a -- Mr. Stephenson has a fence contracting license under Wall Tech, Incorporated. He has elected to go ahead and dissolve that particular company and move to a different company. And when you do this, you have to update your -- it's a new license, you have to update your insurance, credit report. And this is where the quagmire sits. He submitted and he got caught with these liens. So he's in between, am I correct? MR. STEPHENSON: Correct. Both companies are still active at this moment. MR. OSSORIO: Yes. But you want to have Lykens Signs be a fence company. MR. STEPHENSON: Right. MR. OSSORIO: And they're not. MR. STEPHENSON: That's correct. MR. OSSORIO: They're many different -- they have different licenses but they're not a fence company. So he wants to, not qualify a second company, he wants to dissolve one and qualify the other one. So this is where we're at today. June 18, 2008 Page 26 MR. JERULLE: Why do you wish to do that? MR. STEPHENSON: I'm a primary shareholder in both companies. And one company -- I have dual insurances, dual workmen's comp, dual liability. And business is such that in the fence contracting business that it's just not there. So we want to close that company. We want to get rid of the overhead. MR. BOYD: For the record, I know Mr. Stephenson, he's a competitor, and he's probably one of the best competitors I could have out there. And I have nothing but good to say about how he does business. MR. STEPHENSON: Thank you. VICE CHAIRMAN JOSLIN: That's a good input. MR. LYKOS: I have two comments. One is if you look at Mr. Stephenson's credit report, it couldn't be any better. Number two, I've also known Mr. Stephenson for several years, as a friend and also in business, and I've used him as a subcontractor, and I've actually been in a membership -- a business management group with Mr. Stephenson, and I can't imagine sharing or gaining information from a more upstanding business person than Mr. Stephenson. VICE CHAIRMAN JOSLIN: Also, aren't we in the same situation as the last case with the credit application being -- MR. NEALE: Particularly with a businessman that's been in -- now, the difference is the new business is brand new. So you do have to look at his personal credit status. But the test is whether the board feels that the community would potentially suffer harm by him being granted a license. MR. STEPHENSON: Actually, the new business is not new. It's been around for a long time. MR. NEALE: Okay, so I misspoke. So then if the new business has been around for a long time, then you look around to the quote, unquote, new business that's been in business for a long time and look June 18, 2008 Page 27 to their credit report. VICE CHAIRMAN JOSLIN: Right, okay. Kind of what I thought. MR. JERULLE: What license does the new business have, so to speak? MR. STEPHENSON: Electrical sign contracting license. MR. JERULLE: That's the only license that it has? And you're just going to move the -- MR. STEPHENSON: Fence contracting license into that business. MR. OSSORIO: You also have a painting license, am I correct? MR. STEPHENSON: No. That's a different Wall Tech, I believe. MR. OSSORIO: I mean, you're the qualifier of the company. You're the qualifier of the company. MR. STEPHENSON: For Wall Tech? You may have the -- on Taylor Road? MR. OSSORIO: Yeah, if you look at the business tax receipt, the third one down. I don't know if you have your packet in front of you. MR. STEPHENSON: I actually do not. MR. OSSORIO: I stand corrected -- he wants a painting license. VICE CHAIRMAN JOSLIN: One last question. What is Wall Tech, Incorporated? MR. STEPHENSON: It's a firm for a fence building company. There's no -- I mean, it's clean, there's nothing. We put up perimeter fences. VICE CHAIRMAN JOSLIN: Perimeter fences. This is a license you also hold, though? MR. STEPHENSON: I am the licensee holder for that. I'm just trying to close that company as an entity and take the license and move it into Lykens Development Specialties -- Lykens Sign Tech June 18, 2008 Page 28 Development Specialties. Gee, I forget our name. VICE CHAIRMAN JOSLIN: Any other discussion, gentlemen? What's the pleasure of the board? MR. LYKOS: I make a motion to approve the transfer of the license from one entity to the other entity -- MR. BOYD: Second, Boyd. VICE CHAIRMAN JOSLIN: -- I'm not sure I remember the names. We've got a motion on the board. Got a second? MR. BOYD: Second, Boyd. VICE CHAIRMAN JOSLIN: Motion and a second. Any discussion? All those in favor of the motion? MR. HERRIMAN: Aye. MR. JERULLE: Aye. MR. LYKOS: Aye. MR. BOYD: Aye. VICE CHAIRMAN JOSLIN: Aye. Any opposed? (No response.) VICE CHAIRMAN JOSLIN: Motion carries. MR. STEPHENSON: Thank you. VICE CHAIRMAN JOSLIN: You're welcome. I wish you luck on that tax lien also. MR. STEPHENSON: Oh, I -- it's in the bucket, done. VICE CHAIRMAN JOSLIN: All right, one more here, Noel Sinclair. Are you present? Please come up and be sworn, please. (Speaker was duly sworn.) VICE CHAIRMAN JOSLIN: Mr. Sinclair, you're currently in the electrical business; is that correct? MR. SINCLAIR: Yes, actually. VICE CHAIRMAN JOSLIN: There's some issues with your credit report? June 18, 2008 Page 29 MR. SINCLAIR: Yes. Pretty much my credit score actually been low for the -- like the past three months, something like that, four months. So, I'm working on an issue right now to get my credit score increased. Right now it's actually low, but I'm working on it. MR. OSSORIO: Mr. Chairman, just to give you some background on Mr. Sinclair. He is from West Palm Beach. And the board -- the licensing board and the contractor licensing department, we made a policy that any particular person from West Palm Beach who wishes to obtain electrical license would have to petition the board due to the fact that we want to make sure that we're invest energy, time and taxpayers money to do the necessary work to get him registered properly with the State of Florida. Mr. Sinclair has technically moved, hypothetically, from West Palm Beach and he has a residence here and he's going to be conducting business. So that's the first part. Second part is any credit score this low and this kind of issues with not paying his bills, we have no way to navigate through his company credit, especially if he's going to be an electrical contractor. One of the things that we're going to registering with Tallahassee is that we're going to bring it to the board. And if you do grant him a particular license, if you do temporary, I request that you let Mr. Sinclair knows that we will not be issuing any kind of reciprocity letter for one year of today to West Palm Beach. Just to make sure that he is not trying to get a license here from our department. Because West Palm Beach with his credit score would not allow it. So I want to make sure that if we do this, we do it accordingly and by policy we set back last year. MR. SINCLAIR: That's not a problem. I'm actually here to stay in Collier County. MR. OSSORIO: Have you ever gone through the construction June 18, 2008 Page 30 industry board over in West Palm Beach? MR. SINCLAIR: No, not yet. MR. OSSORIO: Okay. And you have no plans to do that? MR. SINCLAIR: No, not at all. VICE CHAIRMAN JOSLIN: How long have you been here in Collier County now? MR. SINCLAIR: About a month. VICE CHAIRMAN JOSLIN: About a month. MR. SINCLAIR: Yes. VICE CHAIRMAN JOSLIN: How do you like it? MR. SINCLAIR: It's pretty good. Just got to learn this area. VICE CHAIRMAN JOSLIN: It appears you've been in the electrical business a long time. MR. SINCLAIR: Approximately, yes. MR. OSSORIO: Mr. Sinclair, you are a journeyman, correct? MR. SINCLAIR: Actually, yes, a journeyman for four years. I took a test in Collier County. MR. OSSORIO: We sponsored you and you took all the requirements over in Palm Beach, right? MR. SINCLAIR: Correct. VICE CHAIRMAN JOSLIN: Also, I'm not really certain what the degree of difficulty is, but to pass through the Florida Department of Education and get an apprenticeship license, or certificate is pretty good. Back in '04. Not many people will go to school and learn. MR. OSSORIO: Yeah, Mr. Chairman, I don't think there's any question that this gentleman is qualified to sit for the exam or even pass -- obviously he passed the exam. So this credit score and him from West Palm Beach, our office thought we'd bring it to your attention. MR. JERULLE: Why is your credit score so poor? MR. SINCLAIR: Pretty much based on the economy. I fell back a little bit, I got injured and I stopped working for awhile and, you June 18, 2008 Page 31 know, things kind of fell back with me. So now I'm actually making all the payments now, trying to get on track but ran out of time. And you know, based on credit score, it takes time for it to actually move up. VICE CHAIRMAN JOSLIN: Do you own property here? MR. SINCLAIR: No, none at all. VICE CHAIRMAN JOSLIN: Mr. Ossorio, what's your recommendation? MR. OSSORIO: I recommend that we approve Mr. Sinclair's license, pending the state registration. And if we could request him not to have any reciprocity letters sent to West Palm Beach for one year of the date of issued the state registration. VICE CHAIRMAN JOSLIN: Any other discussion by the board? MR. JERULLE: I'd like to have him come back in six months, see how his credit score is. VICE CHAIRMAN JOSLIN: You want to put it into a motion? MR. JERULLE: Go ahead. VICE CHAIRMAN JOSLIN: All right, anyone else? MR. LYKOS: Well, whoever's going to make the motion, I'd like -- I mean, we -- that woman with the kitchens, we gave her some pretty strict guidelines, and I think that this gentleman deserves at least that much, if not more, restrictions, on getting the license, if we choose to give him one. He's new to the other area; he's been here less than a month. I think that if we're going to allow him to get his license, we need to be a lot more restrictive in probation and his requirements to come back to the board. MR. JERULLE: I agree. VICE CHAIRMAN JOSLIN: Someone want to put that to a motion or are you waiting for me? MR. LYKOS: You're so good at it. June 18, 2008 Page 32 VICE CHAIRMAN JOSLIN: All right, Mr. Sinclair, sounds like the consensus of the board is that we're going to go ahead and grant you this license. But also we're going to put you also on a one-year probation period. I'd like to see some of these items on your credit report get cleaned up in the meantime. And you will have to again report here before us within six months with a new credit application. If there has been some activity on it whereas you are reducing the amounts that you owe and there's been nothing derogatory towards your electrical business, then you will carry on for another six months. After that it will turn into a year. You will come back again. And at any time, as Mr. Ossorio has stated, your reciprocity will not fall back to West Palm Beach or Palm Beach County in any way to grant you a license there versus here, which I'm sure Mr. Ossorio probably will head a letter, and maybe I'll sign it just to verify that that's going to happen and Palm Beach is aware of it. Otherwise, at this moment that is the motion. MR. SINCLAIR: Not a problem. VICE CHAIRMAN JOSLIN: I need a second. MR. JERULLE: Second, Jerulle. VICE CHAIRMAN JOSLIN: We have a motion and a second. Any further discussion? Anything else we missed, we want to add? (No response.) VICE CHAIRMAN JOSLIN: No. We got a motion and a second. Everybody in favor of the motion, signify by saying aye. (No response.) VICE CHAIRMAN JOSLIN: Did we miss something? MR. LYKOS: I'm just uncomfortable with this one. VICE CHAIRMAN JOSLIN: Aye. MR. LYKOS: I haven't been convinced yet that this is the right thing to do. MR. NEALE: Question has been called. The board does have to June 18, 2008 Page 33 vote. VICE CHAIRMAN JOSLIN: There's a vote. MR. BOYD: Aye. MR. JERULLE: Aye. VICE CHAIRMAN JOSLIN: Any opposed? MR. LYKOS: Aye. MR. HERRIMAN: Aye. VICE CHAIRMAN JOSLIN: Motion carries, three to two. Now you can understand our concerns, all right. And the reason why that I'm a little bit more lenient to you is because of the history and your capabilities of being an electrical contractor -- or electrical person. You've been at the business a long time. Everyone goes through some bad times. So now is an opportunity for you to get it together and try to work yourself out. In the meantime you're going to be under our supervision watching you do the work. So if you're willing to do that, then this is why it's here. MR. SINCLAIR: Thanks. VICE CHAIRMAN JOSLIN: Motion carries, you're all done. It's approved. What did you do to your neck? MR. SINCLAIR: Actually, I got in a car accident. VICE CHAIRMAN JOSLIN: How are you going to pull wire with your neck like that? MR. SINCLAIR: There's going to be some 90-degree jobs. VICE CHAIRMAN JOSLIN: All right. MR. SINCLAIR: All right. Thank you. VICE CHAIRMAN JOSLIN: You're welcome. That ends old business. We've got two -- wait, we have one more, sorry. MR. OSSORIO: We have the Greg Rearden. VICE CHAIRMAN JOSLIN: Greg Rearden, please come June 18, 2008 Page 34 forward, please. MR. OSSORIO: Mr. Chairman, I'll just go ahead and give you a big quick overview real quick. Greg Rearden is a licensed contractor with the State of Florida. He's state registered. He's doing business as AVI. Unfortunately, Greg didn't renew his certificate with our office within the time frame. And when you don't you go null and void. And if it's been three years since you've taken the exam, then you have to retest. This case is a little bit different from the previous ones. We had, in the past, similar specialty contractors who didn't renew during the time frame, and you elected them to take the exams again. Mr. Herriman puts it, you know, you didn't do your continuing education, you didn't do anything with your state license, take the exam again. This particular case is a little bit different. He has kept his state registration up, and he has kept his continuing education, he has a license in other jurisdictions. But he's locally licensed by us, so we have the jurisdiction. So what I'm asking you today is clearly, simply waive the testing. I think it would be a service to him. I think it would be superfluous to the job he does. And I recommend to waive the testing so he can apply for a license and reinstate his certificate. He already has a state registration as well. It's current till 2008, end of 2008. And with that -- (Speaker was duly sworn.) VICE CHAIRMAN JOSLIN: Good morning, Mr. Rearden. MR. REARDEN: Good morning. VICE CHAIRMAN JOSLIN: What did you do, forget your license or what? MR. REARDEN: Yes, that's exactly what happened in the nutshell of everything. The responsibility is mine, no doubt. However, I delegate those type of things to secretaries, June 18, 2008 Page 35 accountants, whatever. That particular secretary is a little bit more special, because the secretary is my wife, my wife of 31 years. And she in no way would ever let that expire if she had been notified. She has kept up and current with everything possible within my business, including it's in the Workmen's Comp qualifications, any other licenses that are recommended for any other counties. Continuing education, I'm actually passed all the continuing education this month. It's up for renewal on August 31st. The check's in the mail already. Here it is June and I don't even need to renew that license until August. So we do keep up to date and current on absolutely everything. I have no idea why and how this slipped through the cracks, but it did. And I really have no excuse. I'm at your mercy at this point. But I am supposed to renew my license every year, it's $72. There's no reason why I couldn't pay it. My credit's impeccable. I don't have any liens; I don't have any problems with my business. In general I really don't have any debt other than the building that I'm purchasing. So I've been in business 12 years, and I'd like to do business 12 more, if not more. MR. NEALE: Just for the reference of the board, the relevant section of the Collier County ordinance is, in the codified version, 22-184.C. And the relevant portion of that says that the board may consider the applicant's relevant recent experience and the specific trade, and based upon such experience may waive testing requirements if convinced is qualified by experience whereby such competency testing would be superfluous. So that's the relevant test for the board in this instance. MR. JERULLE: So you do low voltage? MR. LaCHANCE: Yes, sir. MR. JERULLE: What else do you do? MR. REARDEN: Well, low voltage carries quite a few things. We do anything absolutely low voltage, for that matter, including June 18, 2008 Page 36 security, which is what my license is under, security, central vacuum, intercom, audio, video of any type, central vacuum, cameras, phone systems, anything of that nature. The only thing that I've been asked to do that I don't do is low voltage lighting outside. However, we do residential lighting too as well for high end homes and so forth. We've actually done work for your company too, sir, along with Chairman Dickson. And by the way, I'd just like to make it for the record that my condolences go out to Les Dickson's mother-in-law. VICE CHAIRMAN JOSLIN: Thank you much. I'm sure he'll appreciate that. MR. JERULLE: Mr. Rearden, what other license do you hold? MR. REARDEN: What other license -- MR. JERULLE: I thought Mr. Ossorio said you had other licenses. MR. OSSORIO: No, when you're state registered you have to -- unfortunately you have to -- probably the chairman can elaborate on this. But you have to register in every county you want to work into. MR. JERULLE: Yeah. MR. OSSORIO: So he probably has, I don't know, seven or eight counties that he's going into, local jurisdictions -- MR. JERULLE: I thought there were other licenses. MR. OSSORIO: No, the only license he has is the alarm system one, contracting one. VICE CHAIRMAN JOSLIN: Gentlemen? I don't think it's really too much of an issue, do you? MR. JERULLE: No, he's -- if the code said that he's qualified, I believe he's qualified. VICE CHAIRMAN JOSLIN: I make a motion that we approve -- Mr. Rearden and we waive his testing requirements so he can be relicensed again. MR. LYKOS: Second, Lykos. June 18, 2008 Page 37 VICE CHAIRMAN JOSLIN: We have a motion and a second. Any discussion? (No response.) VICE CHAIRMAN JOSLIN: All in favor? MR. HERRIMAN: Aye. MR. JERULLE: Aye. MR. LYKOS: Aye. MR. BOYD: Aye. VICE CHAIRMAN JOSLIN: Aye. Any opposed? (No response.) VICE CHAIRMAN JOSLIN: Motion carries. MR. REARDEN: Thank you, gentlemen. VICE CHAIRMAN JOSLIN: You're welcome. All right. MR. OSSORIO: Mr. Chairman, you want to take a quick -- VICE CHAIRMAN JOSLIN: You want to take a quick break for the reporter? Let's -- how about ten -- by 10:15, 10:18, thereabouts, we'll reconvene. We'll adjourn for that time. (A break was taken.) VICE CHAIRMAN JOSLIN: Good morning, once again. And I'll call back Collier County Contractor Licensing Board meeting, June 18th. We have Case No. 2008-09, Ronald J. Ryan, d/b/a Stone-Crete, Incorporated. Are you present? MR. RYAN: Yes. VICE CHAIRMAN JOSLIN: Please come up to the podium and be sworn in, please. MR. OSSORIO: Mr. Chairman, before we get to that I'd like to make an opening statement real quick. Mr. Ronald Ryan, d/b/a Stone-Crete, Incorporated, has decided to plead to the charges and go to the penalty phases. And I'll read you June 18, 2008 Page 38 the count one and count two. Before we get to that, I'd like to go ahead and submit composite Exhibit A to be approved. VICE CHAIRMAN JOSLIN: Make a motion to approve composite Exhibit A. I need a second, gentlemen. MR. LYKOS: Second, Lykos. VICE CHAIRMAN JOSLIN: All in favor? MR. HERRIMAN: Aye. MR. JERULLE: Aye. MR. LYKOS: Aye. MR. BOYD: Aye. VICE CHAIRMAN JOSLIN: Aye. So moved. MR. OSSORIO: For the record, Mike Ossorio, Collier County Licensing Supervisor. I will be presenting the case. It's contractor licensing case 2008-09. Count one, disregard or violates in the performance of his contracting business in Collier County any of the building, safety, health, insurance of workers' compensation laws of the State of Florida or ordinances of this county. Count two, 4.1.20, signing a statement with respect to project or contract falsely indicating that the work is bonded, falsely indicating that the payment has been made for subcontractor work, labor or materials which result in financial loss to the homeowner, purchaser or contractor. Or falsely indicate that workers' compensation and public liability insurance are provided. And in your indulgence, I'll give you a quick overview, and then Mr. Ryan will probably talk to you a little bit about it. February -- on Friday, May 9th, Allen Kennette, one of our investigators, was on the job site, had noted that Ronald Ryan d/b/a Stone-Crete, Inc. was doing some work. June 18, 2008 Page 39 He approached the job site, asked if there was workers' comp. He did communicate with Ronald Ryan, there were two individuals working. And it was determined that, my understanding, that Mr. Ryan did say that he had insurance and he would provide us with a copy by fax. Unfortunately that's not good enough in our business. If we can't get it in that particular minute or faxed over, the job gets shut down. The job was shut down under the code for not having adequate insurance on the particular job site. Allen Kennette went on vacation that Friday. I assumed responsibility as the contractor supervisor to go ahead and mitigate this particular case. And you can see in your exhibit, to indulge yourself, E-9 -- actually, E-8 and E-9, there was an -- there was a fax copy of a certificate of insurance. Mr. Ryan's office faxed it over to us. It if you look at E-9, as I was skimming through it to verify that it did have proper coverage so I could release the stop work order, it was note that, you can see halfway through the page, you can see the dates from 07/20 to 07/20/08. And if you want, I can put it on the screen, if I could, if need be. VICE CHAIRMAN JOSLIN: I don't think you really need to do that. I think it's pretty evident. MR. OSSORIO: Okay. So I contracted Mr. Ryan and left a message, and we corresponded by phone. And it was determined that his excuse was that, yes, indeed, that insurance was false. I did notify the insurance company, faxed a copy of the false certificate binder to the insurance company and they did verify that the numbers have been changed. Mr. Ryan was very up front with us and just said basically that his staff, or his secretary or his wife changed the dates and sent it over. Mr. Ryan has since then obtained workers' comp coverage, and we're here today that -- find him in violation of the two charges, a $2,000 June 18, 2008 Page 40 penalty for each charge, and a one-year probation. That's the county's recommendation. MR. JERULLE: Can you repeat the recommendation, please. MR. OSSORIO: Recommendation is a 2,000 penalty on each charge. There are two charges. The first charge is 4.1.6. The second charge is 4.1.20. That's a $2,000 penalty fine for each charge and one year probation. And if you need to, we can -- Mr. Ryan, I know that the board might want this. The board has the pleasure of having Mr. Ryan call our office every time he's going to be doing a job. That's up to the pleasure of the board. VICE CHAIRMAN JOSLIN: You did say that he did secure a Workmen's Comp policy now. MR. OSSORIO: He did. VICE CHAIRMAN JOSLIN: Is it a paid policy or is it a monthly policy? MR. OSSORIO: That's something that Mr. Ryan will go ahead and talk to you about. I'm not sure. (Speaker was duly sworn.) MR. RYAN: It's a paid policy. VICE CHAIRMAN JOSLIN: Paid policy. MR. RYAN: For a year, yes. That's the way we've always done it. Unfortunately, you know, prior to this I've always carried work comp. I do work for Nassau Pools, Advanced Pools, amongst other contractors. About in the past year we just really have gotten nothing from them as far as jobs. And so it's been just me out in the field. You know, this particular incident I did have employees on the job and didn't have proper insurance. VICE CHAIRMAN JOSLIN: So just by your own testimony, you are admitting that all the charges that are against you, you admit to? June 18, 2008 Page 41 MR. RYAN: Yes. VICE CHAIRMAN JOSLIN: And just for the record, you did -- or someone did change the dates on this insurance certificate? MR. RYAN: Yes. I didn't personally, but, yes, someone at my office certainly did. VICE CHAIRMAN JOSLIN: How long have you been a contractor here? MR. RYAN: Just over three years. VICE CHAIRMAN JOSLIN: This is the only license that you hold? MR. RYAN: Yes. VICE CHAIRMAN JOSLIN: You can certainly understand the severity of this case, not having insurance on the job for sure. I can understand the situation with having the workload change on you. But that's pretty much in the works now. Everybody's workload's changed in the past year. MR. RYAN: Right. VICE CHAIRMAN JOSLIN: Does the board have any other questions of this gentleman? MR. LYKOS: Is your liability insurance current? MR. RYAN: Yes. MR. JERULLE: Do you understand the reason why you need Workmen's Comp? MR. RYAN: Yes, I do. MR. JERULLE: Can you explain that. MR. RYAN: Basically, if someone gets hurt they're covered. It's very important that if an employee was to get injured that he's covered. I personally did not know that the policy was expired. That's why when the gentleman came to the job site I said, oh, of course we have work comp. And then when I called my wife and said, you know, hey, the June 18, 2008 Page 42 county's down here, they say I don't have work comp. We do have work comp., correct? Yes, yes, we do. I'll fax it right over. So then I said we will fax over, you know, the work comp. policy immediately. My wife was at her job, but she stopped by the house and apparently either doctored that or, you know, or whatever -- whoever did it, she says another lady that comes in every two weeks did it and, you know, anyway, but it was done, and so I do take responsibility for it. MR. JERULLE: Do you know who pays the workers if you do not have workers' comp and if they get injured on the site? MR. RYAN: No, I don't. What do you mean who pays the workers? MR. JERULLE: If one of your workers gets injured on the job site and you do not have Workmen's Comp, do you know what happens? MR. RYAN: We would get sued, I would imagine. MR. OSSORIO: Mr. Ryan, the homeowner would pay. MR. RYAN: I mean, it certainly wasn't my intention to have employees on a homeowner's property without proper insurance. It's my negligence for not having it, I understand that. But it wasn't my intention to say, oh, we don't need work comp. and I'll just do this under the radar. I've never run business that way. I've worked for, you know, lots of reputable contractors that I have to have all this insurance and very high liability insurance policies. Since we haven't really been doing any work for them, I've just been out in the field myself doing the work, you know, as little as we get. MR. JERULLE: What type of entity do you have? MR. RYAN: I have a decorative concrete business. MR. JERULLE: No what -- is it a -- June 18, 2008 Page 43 MR. RYAN: It's a corporation. MR. JERULLE: What type? MR. RYAN: It's an S Corp. MR. JERULLE: It's an S Corp. And you're exempt? MR. RYAN: Yes. And my wife is exempt. MR. JERULLE: How many employees are in the corporation? MR. RYAN: How many employees? Right now, none, but I have three employees that I -- or I guess you'd say part-time employees, they work on an as needed basis, and they are insured under my current policy. MR. LYKOS: Mr. Ryan, how long had your previous policy been lapsed when you were stopped by the licensing? MR. RYAN: Honestly, I don't know exactly. But a guesstimate is about six months. MR. OSSORIO: Mr. Lykos, if you look to exhibit E-7, you'll see his certificate of detail, and it says Workers' Compensation. The only thing we have for the county, says -- indicates why, meaning workers' comp. exempt. So the county was under the impression that there were no employees, and that's why we checked into it further. MR. LYKOS: Well, let me ask you, Mr. Ossorio, if somebody has workers' comp. exempt and they go out and hire employees and then get a policy, how will that be recorded at the county? Would they still have the owner be workers' comp. exempt and have workers' comp. coverage for their employees? MR. OSSORIO: Typically the qualifier does assume some liability when he gets workers' comp. exemption. But if he's going to have employees, we always tell the applicant and the qualifier that they must provide us with a workers' comp. certificate so we can be the certificate holder. In case there's some kind of a cancellation, we put them on inactive status, in case a homeowner calls or something like that. So yes, we let them know if they're going to have workers, we June 18, 2008 Page 44 need a certificate either through a payroll leasing company or through a blanket policy a like the gentleman has today. MR. LYKOS: What I'm trying to figure out, what my concern is, Mr. Ryan, is that the policy that you submitted was forged, or altered, and I really don't know how long you went without workers' comp. I understand that you weren't getting business from pool companies, but did you go -- it sounds like you went about six months without workers' comp. MR. RYAN: Not me personally, right -- MR. LYKOS: Your company went six months without workers' comp. MR. RYAN: Without employees, correct. But I continued to be workers' comp. exempt, which means I can go out in the field and my wife could go out, you know, and legally perform work at people's homes or for Nassau or for anybody. MR. LYKOS: I understand. My concern is that people look at saving money on workers' comp. insurance as a business decision to not pay that money without regard for the risk that they put their employees and their clients at. My concern is that you knew you were without Workers' Compensation for six months, and what we don't know is how many jobs you performed where your part-time employees were on-site. This is not -- this doesn't appear to be a situation where your workers' comp. lapsed and then the next day you went out and renewed it and had the form sent in. This is something where the workers' comp. had lapsed for at least six months, and then when it was brought to your attention, you lied about it. So I don't want this to be presented as a situation where there was simply an unintentional lapse in coverage. There was a conscious decision made to let the insurance lapse. It had been lapsed for several months. And then no new policy was created when -- until you were caught without Workers' Compensation. June 18, 2008 Page 45 This could have gone on for 12 months, 18 months, years and years. And if you wouldn't have got caught or until somebody got hurt, it never would have been addressed. My concern is that the business decision that you made was to not have Workers' Compensation. MR. RYAN: Well, at the time I did not know that the policy was expired, so it wasn't an intentional thing where I intentionally decided not to carry work comp. We paid for the year and, obviously, with no employees, my wife decided, you know, not to renew. And so you are correct that we don't know -- or you don't know how long that it went on. But it wasn't an intentional decision that I made as a business man to say I'm not carrying work comp. anymore. Because it's based on my payroll at the end of the year anyway, so it wouldn't be in my best interest to not carry it. We pay a certain amount based on our projected payroll, and then at the end of the year if I had no employees for the whole year, they refund that money. I've been through that with them before where we projected that we were going to have eight employees, you know, at $15 an hour, so on and so on, and by the end of the year we only had three employees, and so what we had paid them, they, you know, refunded the balance. So it wasn't a decision that I made to save money, because it really is based on what you pay in payroll. MR. JERULLE: If you have Workmen's Comp. Mr. Lykos is saying, you didn't renew the policy. MR. RYAN: Correct -- MR. JERULLE: There's not going to be any rebate or any adds if you don't have a policy. MR. RYAN: But what Mr. Lykos is saying is that we made a business decision not to -- MR. JERULLE: You did -- MR. RYAN: You know, to renew it -- June 18, 2008 Page 46 MR. JERULLE: -- you didn't renew it. MR. RYAN: As far as -- I felt he was saying, you know, in order to save money or in order to, you know, do something that wasn't supposed to have been done. MR. LYKOS: Well, that's why you're here. MR. RYAN: Right. I'm here because I didn't have work comp., right. VICE CHAIRMAN JOSLIN: I think that's pretty well admitted now. MR. NEALE: If I could just bring the board's attention. Really, there's two phases to this in that and the board first has to find that he has been in violation. That's the first thing the board has to do. And then they have to discuss, should you find him in violation, then the board should discuss other matters which I'll bring to the board's attention in other part of the penalty phase. So I would suggest that the board first make the determination that he's in violation, then I'll speak to the board about the relevant issues as far as the penalty phase, and then you can determine the penalty, so that may be the way to move forward. VICE CHAIRMAN JOSLIN: Staff have anything else to add to this before we close the public hearing? MR. OSSORIO: No. VICE CHAIRMAN JOSLIN: Your recommendations stand as stated? MR. OSSORIO: That's the recommendation of the licensing board. Mr. Ryan did come forward, came in the office, we talked, we communicated, he was straightforward with us. And the county cannot prove that he, personally, the qualifier did alter it. I can only speculate that someone else besides him did it. So he is responsible for his company and that's why he is here today. If we found out that he did personally do it, then our recommendation would have been, obviously, a little bit different June 18, 2008 Page 47 sorts. VICE CHAIRMAN JOSLIN: All right. And Mr. Ryan, do you have any other closing statements you'd like to add before I close the public hearing? MR. RYAN: No. VICE CHAIRMAN JOSLIN: You can be seated, if you like. Need a motion to close the public hearing, then. MR. LYKOS: So moved, Lykos. MR. BOYD: Second, Boyd. VICE CHAIRMAN JOSLIN: Motion and a second. All in favor? MR. HERRIMAN: Aye. MR. JERULLE: Aye. MR. LYKOS: Aye. MR. BOYD: Aye. VICE CHAIRMAN JOSLIN: Aye. Motion carries. Discussion, gentlemen? Just for your own knowledge, this discussion now is just between the board members now as far as what's gone on. MR. NEALE: Let me. VICE CHAIRMAN JOSLIN: -- interject, Mr. Neale? MR. NEALE: Please. Since the board has found the respondent in violation of the ordinance, you have to decide on what sanctions to be imposed. And in order to do that, you look at various different sanctions, there's ten different potential ones. And then there's also five matters that you'll consider in the gravity of the sanctions, you know, what to consider in imposing the sanctions. The ten things that you can impose are, one, a revocation of Certificate of Competency. Second, suspension of Certificate of Competency. June 18, 2008 Page 48 Third, denial of insurance or renewal of certificate. Fourth, probation of a reasonable length, not to exceed two years, during which the contractor's contracting activities shall be under the supervision of the board and/or participation in a duly accredited program of continuing education. Probation may be revoked for cause by the board at a hearing noticed to consider said purpose. Five, restitution. Restitution must be proven by evidence. Six, a fine not to exceed $10,000 per incident. Seven, a public reprimand. Eight, re-examination requirement. Nine, denial of the issuance of permits or requiring issuance of permits with conditions. And ten, reasonable legal and investigative costs, which also must be proven by evidence. In imposing the sanctions, the board shall consider five items. One, the gravity of the violation. Two, the impact of the violation. Three, actions taken by the violator to correct it. Four, previous violations committed by the violator. And five, any other evidence presented at the hearing by the parties relevant as to the sanction that is appropriate to the case, given the nature of the case. The board also shall issue a recommended penalty for the state construction industry board. And the penalties -- the recommendations may include a recommendation of no further action, recommendation of suspension, revocation or restriction of the registration, or a fine to be levied by the state board. VICE CHAIRMAN JOSLIN: Any thoughts from the members of the board? It's pretty much obvious. I think he's pretty much admitted by his own testimony that he's guilty of the crimes. He didn't have insurance. Somebody changed the insurance June 18, 2008 Page 49 policy. We don't know who, and we can't speculate and blame someone that we don't know. So it's pretty much a cut-and-dry situation here, gentlemen. MR. LYKOS: The first decision we have to make is on guilt? MR. NEALE: On guilt. And then if you find him guilty, then those what I just read are the -- VICE CHAIRMAN JOSLIN: I need a motion to find this gentleman under the complaint guilty or not guilty. MR. HERRIMAN: So moved, Herriman. MR. LYKOS: Second, Lykos. VICE CHAIRMAN JOSLIN: Motion and a second. All in favor? MR. HERRIMAN: Aye. MR. JERULLE: Aye. MR. LYKOS: Aye. MR. BOYD: Aye. VICE CHAIRMAN JOSLIN: Aye. Motion carries. MR. OSSORIO: Mr. Chairman, there's two charges, so I think you should have two different -- count one and count two; is that right, Mr. Neale? MR. NEALE: Yes. MR. OSSORIO: That was perspective of count one, so you need to go to count two. MR. NEALE: Right. So you need to find him in violation of count one, motion on count one and then a motion on count two. VICE CHAIRMAN JOSLIN: And found guilty of count one, 4.1.6. I need a motion for Count two, 4.1.20. MR. HERRIMAN: So moved, Herriman. VICE CHAIRMAN JOSLIN: Motion. I'll second the motion. All in favor? June 18, 2008 Page 50 MR. HERRIMAN: Aye. MR. JERULLE: Aye. MR. LYKOS: Aye. MR. BOYD: Aye. VICE CHAIRMAN JOSLIN: Aye. Shown guilty of count two, 4.1.20. Now, do I need to read something here that I don't have? I have an order -- MR. NEALE: Not at this point. At this point since you've found him in violation of the two counts, those motions were both motions -- make sure the motions are clear. Motions were to find him in violation of count one, first motion. Second motion was a motion to find him in violation of count two, as set out in the administrative complaint. VICE CHAIRMAN JOSLIN: Right. MR. LYKOS: The licensing supervisor recommended a fine for each count and one year probation. I would like to add to that for our consideration retaking of the business and law part of the exam. I think it's important that anybody that has a license understands the ramifications of the business decisions that they make. MR. JERULLE: I'd like to add to that, the Workmen's Compensation class, a separate Workmen's Compensation class registered in the State of Florida. Because I don't think he understands exactly the ramifications of his actions. Not to say that he did (sic) is correct or an excuse for what he did, but I don't think he understands fully what he's doing by not having workmen's comp. And I think taking a Workmen's Compensation class may give him that understanding. VICE CHAIRMAN JOSLIN: It could be done through CE credits, where he is required to take workmen's comp. CE credit or a credit that includes Workman's Compensation. MR. JERULLE: Yes. June 18, 2008 Page 51 VICE CHAIRMAN JOSLIN: Now, you're talking about business and law exam, the total exam. MR. OSSORIO: Well, the business procedure test, they do have some workers' comp. questions in it. I'm not saying that it's going to be hard, difficult, due to the fact that this is a specialty license. His license is a concrete forming and placing license. So there is no forwarding to Tallahassee for state registration, he's locally licensed with our office, we have total jurisdiction. And there's no continuing education on this particular license, so that's something you would have to search the database and find out if there is a course and where is it at. VICE CHAIRMAN JOSLIN: There are courses for CE credits for almost any licensed trade. So I'm sure that we can come up with something for him. MR. LYKOS: This is what, an even year, so there are lots of CEU classes for certified contractors in an even year. So there's a lot of place to take the classes. MR. OSSORIO: Yeah, I'll talk to the -- this gentleman can talk to CBIA, I know they offer classes through that industry. Also, we just had one over at Naples Grande as well; the Florida Building Association had one too as well. VICE CHAIRMAN JOSLIN: Probationary on his license for a year? MR. LYKOS: Yeah. VICE CHAIRMAN JOSLIN: Ninety days to complete the -- MR. LYKOS: I make a note that we said take the business and law, but also you have to pass the test. So not only take the class but pass the test as well. MR. JERULLE: Good point. MR. HERRIMAN: We should stipulate a time that he must pass these tests. MR. LYKOS: Okay. June 18, 2008 Page 52 VICE CHAIRMAN JOSLIN: Well, August 31st is the license date. So by August 31st or before. That would be the renewal -- MR. LYKOS: Yes. MR. HERRIMAN: And I think we should consider having him call Michael's office to report any job that he's working on. MR. OSSORIO: That could be pretty simple. The qualifier just calls our office and leaves a message with our staff and puts it on my desk. And if we elect to go out there and check, we elect to go out there and check. And if we don't, we don't. MR. NEALE: Just for the board's edification, particularly Mr. Jerulle, that is something that was imposed by this board in previous cases, where they had to report in on every job. MR. JERULLE: Sure. MR. HERRIMAN: So we need a penalty motion on each count? MR. NEALE: The board can make one penalty motion taking into account both counts in violation. So you can make a single penalty motion. MR. LYKOS: All right, I'll try this. I make a motion that the penalty for Mr. Ryan for the guilty plea on count one and count two includes $2,000 fine on count one, a $2,000 fine on count two, one year probation. That he take the business and law class and achieve a passing grade, and that be done by August 31st of 2008. That he takes a Workers' Compensation class, and that be done by August 31st of 2008. And that he calls Mr. Ossorio's office to report all the jobs that he'll be working on so that Mr. Ossorio has the option of checking on those jobs. MR. HERRIMAN: Very good. VICE CHAIRMAN JOSLIN: Did you mention the business and law test? MR. LYKOS: Yes, I did. MR. OSSORIO: Mr. Lykos, there should be a time frame on the penalty -- on the fine -- June 18, 2008 Page 53 MR. NEALE: Yeah, when he has to pay it. MR. LYKOS: Mr. Ryan, can you step up? VICE CHAIRMAN JOSLIN: Penalty amount. MR. LYKOS: You've got $4,000 right now pending in penalties. Is that something you can get done in 90 days? MR. RYAN: A little more time would be nice, but if need be, yes, I could do it in 90 days. MR. LYKOS: Okay, thank you. So I'll add to my motion that the fines be paid within 90 days. Does that cover us, Michael? MR. OSSORIO: That's fine. VICE CHAIRMAN JOSLIN: Is that it? I'll second the motion. Got a motion and a second on the floor. All of those in favor? MR. HERRIMAN: Aye. MR. JERULLE: Aye. MR. LYKOS: Aye. MR. BOYD: Aye. VICE CHAIRMAN JOSLIN: Aye. Any opposed? (No response.) VICE CHAIRMAN JOSLIN: Motion carries. Now there's something I need to read. I think I have the right one. MR. NEALE: You have an order? VICE CHAIRMAN JOSLIN: I think. I'm not sure. Cause came before public hearing, start that way? MR. NEALE: Yes. VICE CHAIRMAN JOSLIN: Contractor licensing board, on today's date? MR. NEALE: Yes. If not, I've got one here. VICE CHAIRMAN JOSLIN: Findings of fact and order of the board. June 18, 2008 Page 54 The case of Mr. Ronald J. Ryan, Case No. 2008-09, license No. 27498, Board of Commissioners versus Joe Ryan, d/b/a Stone-Crete, Inc. This cause came before public hearing on Contractor Licensing Board on June 18th, 2008 for consideration of the administrative complaint filed against Stone-Crete for Ronald J. Ryan. Shows that the complaint was made by certified mail, personal delivery or publication in accordance with Collier County ordinance 90-105, as amended. Board having heard testimony under oath, received evidence and heard arguments respective to all appropriate matters, thereupon issues its finding of fact and conclusions of law and order of the board as follows. That Ronald J. Ryan, d/b/a Stone-Crete, Inc., license No. 27498, is the holder of record of Certificate of Competency. That the Board of County Commissioners of Collier County, Florida, is the complainant in this matter. The board has jurisdiction of the person of respondent, and that Ronald J. Ryan was present at the public hearing and was not represented by counsel. All notices required by Collier County ordinance No. 90-105 have been amended, have properly been issued. The allegations of fact as set forth in the administrative complaint are approved, adopted and incorporated herein by referencing as findings of fact. MR. NEALE: I have one that's pretty well filled in here. Right here. MR. JOSLIN: Respondent acted in a manner that is in violation of Collier County ordinances and is the one who committed the act. That allegations as set forth in administrative complaint as to count one, section 4.1.6, are found to be supported by the evidence presented at the hearing. June 18, 2008 Page 55 That the allegations as set forth in the administrative complaint as to count two, section 4.1.20 are found to be supported by the evidence presented at the hearing. Respondent stipulated under oath to his violation of the Collier County Ordinance 90-105, as amended, as charged under counts one and two of the administrative complaint. Conclusions of law alleged and set forth in the administrative complaint as to count one are approved, adopted and incorporated herein to wit. Respondent violated 4.1.6 of Collier County Ordinance 90-105, as amended, in the performance of his contracting business in Collier County by acting in violation of the section set out above with particularity. The conclusions of law alleged and set forth in the administrative complaint as to count two are approved, adopted and incorporated herein to wit. Respondent violated Section 4.1.20 of Collier County Ordinance 90-105, as amended, in the performance of his contracting business in Collier County by acting in violation of the section set out above with particularity. Collier County has jurisdiction over this contractor pursuant to Section 4.2 of Collier County Ordinance 90-105, as amended. Order of the board. Based upon the foregoing findings of fact and conclusions of law pursuant to the authority granted in Chapter 489, Florida Statutes and the Collier County Ordinance No. 90-105, as amended, by a vote of five in favor and zero opposed, a majority vote of the board members present, respondent has been found in violation as set out above. Further, it is ordered by a vote of five in favor and zero opposed, a majority vote of the board members present, that the following disciplinary actions and related order are hereby imposed on the holder of contractor's Certificate of Competency No. 27498. MR. NEALE: Just read off the different things in the motion, the fines and et cetera. June 18, 2008 Page 56 VICE CHAIRMAN JOSLIN: That Mr. Ronald J. Ryan is to pay $2,000 -- I'm sorry, a total of $4,000 within 90 days. He is to attend an accredited continuing education class regarding Workmen's Compensation and pass that class. He is to take the business and law examination and pass that examination test within -- MR. LYKOS: By 8/31/08. VICE CHAIRMAN JOSLIN: By 8/31 of '08. He is to call Collier County staff and report every job that he has attained or is in progress of doing before the job begins. And he's placed on a one-year probationary period, in which case if any of these items are not completed, then his license will be suspended. And the fines must be paid within 90 days. MR. LYKOS: The business and law class and the work comp. were both by 8/31/08. VICE CHAIRMAN JOSLIN: Right. Where did he go? MR. NEALE: He left. VICE CHAIRMAN JOSLIN: Didn't want to hear the bad news. Okay. That's the end of that case, correct? Anything else we need to say? MR. NEALE: All set. VICE CHAIRMAN JOSLIN: All right, one last case that we have before us. MR. NEALE: Just note that state construction industry licensing board does not have jurisdiction over this matter because he is not state certified or registered. VICE CHAIRMAN JOSLIN: Right. He's not a state licensed contractor. MR. NEALE: Not certified or registered, no. MR. OSSORIO: I think you said it under 4.2, so I think it's June 18, 2008 Page 57 pretty clear. VICE CHAIRMAN JOSLIN: The next case before us is Case No. 2008-10, Charles Fradley, III, d/b/a Whitehall Quality Homes, Inc. Michael, are you going to do this case? MR. OSSORIO: No, Allen Kennette, our Licensing Compliance Officer will be doing this. VICE CHAIRMAN JOSLIN: Mr. Kennette, can you come before us, please. (Speaker was duly sworn.) MR. KENNETTE: My name is Allen Kennette, Licensing Compliance Officer for Collier County. Brief on this case was brought to us by the homeowner, David M. Cangro, C-A-N-G-R-O. Lives at 50020 Pond Drive in Naples. Purchased the home from Quality Homes back in '06, it was CO'd. Been living there ever since. Had trouble with his AC unit. Learned that there was no insulation in the attic. He also observed that. I also observed there was not a stitch of insulation throughout the whole attic. Never done by the builder. The company who did the insulation would not go back out there to redo it for lack of payments. They're in litigation over the company, which is now defunct and is no longer in business. VICE CHAIRMAN JOSLIN: The contractor or the -- MR. KENNETTE: The builder. The builder himself. Called all the numbers we had, and the builder -- the lady on the other end, Jenny, said that the company is no longer in business and had no forwarding numbers for me to contact the qualifier of the business, Mr. Charles Fradley, the third. VICE CHAIRMAN JOSLIN: I see. MR. KENNETTE: So all avenues were used. Certified letters were sent to his business and to his home, which were returned. All the mailing addresses, which were four different addresses, were sent June 18, 2008 Page 58 regular letters to all four different addresses. One came back that was non-deliverable at that address for the complainant. The home owner, Mr. Cangro, is here to give testimony that he also observed the no insulation and had to go out and hire an outside company to come in and re insulate the attic for him. MR. OSSORIO: Mr. Chairman, before we get started, I'd like to go ahead and make sure we get this composite Exhibit A into the record. VICE CHAIRMAN JOSLIN: I need a motion to accept composite Exhibit A into testimony. MR. LYKOS: So moved, Lykos. MR. BOYD: Second, Boyd. VICE CHAIRMAN JOSLIN: We have a motion and a second. All in favor? MR. HERRIMAN: Aye. MR. JERULLE: Aye. MR. LYKOS: Aye. MR. BOYD: Aye. VICE CHAIRMAN JOSLIN: Aye. MR. OSSORIO: Before we call our first witness, I want to just make sure we're pretty clear. State certified CGC-011123, Case No. 2008-10. County one, willfully violating the applicable building codes of laws the State, City of Collier County. We heard testimony from the homeowner through these photographs in Exhibit A, that that is his residence, and there is no insulation depicted into the photograph. And I'll read you under the Florida Building Code, Section 13-604, ceilings. And it says 13-604.1.A.B.C.1, ceiling insulation. Basically it tells you on exhibit E-9 that a ceiling shall have an insulation level of at least R19, space permitting. Obviously R19 is more than what they have up there now. So with that, I'd like to call our first witness. June 18, 2008 Page 59 VICE CHAIRMAN JOSLIN: Okay, since there is no other -- no one here to represent the other side, we might as well continue on. Sir, would you please come forward, state your name, please. MR. CANGRO: Good morning. My name is David Cangro, I'm the owner of the premises. (Speaker was duly sworn.) MR. OSSORIO: Good morning, Mr. Cangro, how are we doing today, sir? MR. CANGRO: Good morning. MR. OSSORIO: Excellent. Can you bring us back to the attention of when you first found that you had an insulation problem. MR. CANGRO: Yes. My air conditioning in the house just would not keep the house cool at all. We had some very hot summers last summer and the temperature went up to 83, the air conditioner was set at 77, it just kept rising instead of going the other way. I called the builder and he sent out an air condition person to check it out. Fellow came to my house, saw that the temperature was where it was, checked out the unit. He tweaked it, he said everything is fine with the air conditioning. He crawled up in the attic to take a look to see if there was any problems up there, if there were ducts that weren't connected, and he found there was no insulation. He said I found your problem. With that, he told me that he would notify the builder and that it would be taken care of. Obviously, time went by, nothing happened. I called the builder, called the numbers under the warranty that the builder had given out, and he never responded. I finally did get ahold of someone on his staff, her name was Gina and she said that they would take care of it. Well, almost six, seven months have gone by. We weren't getting anywhere. I sent a letter to the builder requesting the repairs. June 18, 2008 Page 60 Absolutely no answer. I finally got to the point where I said, well, I have to do something. I went to the building department to ask them about it and they told me that they would send someone out to check my house to see if there was any insulation and so on. Gentleman came out to my house, crawled up in my attic. Took the pictures. Found there was no insulation. He took all the information I needed to give to him and proceeded, and here we are today. In the meantime, he told me to proceed to get the insulation done by somebody else because we're not getting anywhere with the builder, which I've done. The insulation is now in the house, everything is working fine. But now I have a bill of $553 -- or $653, I believe, that has to be paid. And I'm not getting anywhere. MR. OSSORIO: Could you please take a look at your exhibit E-10 to E-13. That is your attic? MR. CANGRO: Does someone have the pictures? MR. ZACHARY: (Handing pictures to Mr. Cangro.) VICE CHAIRMAN JOSLIN: Mr. Ossorio, this is a new home? New construction? MR. OSSORIO: That was new construction. MR. CANGRO: Yes. That's my home. That's the pictures of the attic. MR. OSSORIO: Excellent. MR. JERULLE: Did you move in June of '06? MR. CANGRO: No, we moved in -- well, actually, we moved in May of '07. MR. JERULLE: No one lived in the house before you? MR. CANGRO: No, sir. VICE CHAIRMAN JOSLIN: Was the rest of the house completed, I mean -- MR. CANGRO: Yes. June 18, 2008 Page 61 VICE CHAIRMAN JOSLIN: -- moveable and you moved in the home. MR. CANGRO: I had the C of O from the building department that it was clear to move in, yes. VICE CHAIRMAN JOSLIN: Correct me if I'm thinking in error, but is there a -- Michael, you know me -- but is there an inspection required for insulation? MR. OSSORIO: Yes, sir. This house had a partial. And that's not uncommon. You get a partial for the walls. And at the time of walkthrough for 115, which is the final building, they'll check the insulation, make sure it was up in the attic. And unfortunately, no excuses, the building director said there's no excuses for it, we did 47,000 building permits that particular year, and they missed one. VICE CHAIRMAN JOSLIN: It's not really, I guess, uncommon for that many permits where they would miss something like that. I mean, that's probably the end result situation, I'm assuming. MR. OSSORIO: Yes, we put that on our list, and I know that the building director and the chief structural inspector and the chief mechanical inspector have all been on the same page. And we're going to be communicating with the inspectors to make sure that the 115, the insulation, this doesn't occur again. So we're all on the same page. But it is what it is, and we're going to address it. VICE CHAIRMAN JOSLIN: Oh, I mean, in essence the real responsibility still lies on the contractor to get it done, either way. MR. OSSORIO: The county's position is, obviously, if you read the statutes, and you read 489, you read 4.2 under the Collier County ordinance, he's a state certified contractor. What we're here today is to find out that -- we get a finding of fact that, yes, he is in violation of count one of the Florida Building Code. Two, that we send a finding of fact to Tallahassee so this gentleman, you know, can go ahead and get relief through the State June 18, 2008 Page 62 Recovery Fund. And once the finding of fact's been issued, we send it to Tallahassee, and hopefully we'll get a judgment and hopefully they can take action against the qualifier. Particularly the case might be considered, you know, the company's out of business or the company's going into foreclosure or the company's going to be bankrupt. That has no concern to us as the building department. We look to the qualifier to rectify this particular issue. As Allen even noted in his summary, that we did every opportunity. We went to the state website. We sent certified letters per the statutes and per the code. We sent him a registered letter. We sent him by mail. We made personal contact with the company to rectify this issue. Doesn't happen that often, but it did in this particular case. And the county has no further questions. MR. BOYD: Does this company have any more permits open, Mike -- during that time period? MR. OSSORIO: No, I don't think so. I'm not here to tell you that I looked at the permit history. I wasn't too sure about that, but I will check into it. VICE CHAIRMAN JOSLIN: The contractor is physically out of Sarasota; that's correct? MR. KENNETTE: Yes. That's what the -- Jenny had told us -- told me, that they were out of business completely. Whitehall had dissolved the company. No longer doing business. But I couldn't get that from him, because all the numbers, phone numbers we had to contact him, we couldn't get through. They were disconnected. I tried the web pages and called a few numbers on there, but it wasn't the right name. There were quite a few different names that matched his. VICE CHAIRMAN JOSLIN: Just for the record, we have June 18, 2008 Page 63 testified that the Whitehall Quality Homes, Inc. was serviced properly and they had notice of being here today? MR. OSSORIO: Yes, we sent him a 20-day certified letter per the statutes, per the code. We sent him the exhibit packet A. It went to several locations, I believe. Five locations. So I believe the county did its best to notify the state certified contractor. VICE CHAIRMAN JOSLIN: That's all I wanted to put on the record. MR. LYKOS: I'll make a motion that -- VICE CHAIRMAN JOSLIN: Let me close the public hearing. MR. LYKOS: I'm sorry. VICE CHAIRMAN JOSLIN: You can have a seat if you'd like, please. I just need a motion to close the hearing, first. MR. LYKOS: Motion to close the hearing, Lykos. VICE CHAIRMAN JOSLIN: And a second? MR. HERRIMAN: Second, Herriman. VICE CHAIRMAN JOSLIN: Motion and a second. All in favor? MR. HERRIMAN: Aye. MR. JERULLE: Aye. MR. LYKOS: Aye. MR. BOYD: Aye. VICE CHAIRMAN JOSLIN: Aye. All right, any discussion before we come up with -- MR. ZACHARY: Mr. Chairman, I just want to get Mr. Ossorio on the record as saying he sent it to all the addresses that are necessary by law to show that due process was done. VICE CHAIRMAN JOSLIN: Okay. That was the comment that I made, but I'll put it back on the record again. If we have evidence that Mr. Ossorio and staff of Collier County has serviced Whitehall Quality Homes, Inc. and Charles Fradley, the June 18, 2008 Page 64 third with all the necessary paperwork serviced certified mail -- MR. OSSORIO: That's correct. You can look at table of contents, you can see E-4 and E-5, where we sent a certified letter receipt to the known address through our web pages, and it came back returned. VICE CHAIRMAN JOSLIN: He has been properly served. All right, gentlemen? MR. LYKOS: I'm make a motion, based on the evidence presented, that we find Charles Fradley, the third, d/b/a Whitehall Quality Homes, Inc., guilty of count one, 4.2.2, willfully violating the applicable building codes or laws of the state, city or Collier County. VICE CHAIRMAN JOSLIN: I have a motion. Do I have a second? MR. HERRIMAN: Second, Herriman. VICE CHAIRMAN JOSLIN: Motion and a second. Any discussion? (No response.) VICE CHAIRMAN JOSLIN: All those in favor, signify by saying aye. MR. HERRIMAN: Aye. MR. JERULLE: Aye. MR. LYKOS: Aye. MR. BOYD: Aye. VICE CHAIRMAN JOSLIN: Aye. Any opposed? (No response.) VICE CHAIRMAN JOSLIN: Motion carries. Charles Fradley, the third, Whitehall Quality Homes, Inc., has been found guilty of count one, 4.2.2. Mr. Neale, back to you. MR. NEALE: Well, in this case, and I want to confirm with Mr. Ossorio, but I guess he stepped out. Contractor licensing staff, I June 18, 2008 Page 65 believe this is a state certified contractor, Michael? State certified? MR. OSSORIO: Yes, he's a state certified general contractor. And what the county is looking for is to, per 489, to suspend his building privileges and forward our finding of facts to the state construction licensing board in Tallahassee. MR. NEALE: And the important thing to note is that pursuant to Florida Statutes and the Collier County code, the only sanctions available against a state certified contractor are just as Mr. Ossorio requests, which is to deny the issuance of Collier County or city building permits or require the issuance of permits with specific conditions. So the only sanction that the board can impose against a state contractor is to deny issuance of permits. MR. JERULLE: What if they're current permits? MR. OSSORIO: If there's any outstanding building permits, he's going to be put on hold and we will notify the prospective homeowners or contractors that he is placed on suspension of building permit privileges. And that's pretty well standard procedure for any state contractor or local contractor, once the board has that particular finding. Hopefully the board's going to have a better -- the state construction licensing board and the investigators up in Fort Myers will have a better way to contact this qualifier. I'm sure for this homeowner, I believe he's going to be satisfied in a couple months that they'll do some mitigation up in Fort Myers or they'll do some mitigation up in Tallahassee that he'll get -- recoup all his money. Because he is a tier one contractor and this gentleman has a right to petition the state construction licensing board with a finding of fact from our board. Just make sure if in the finding of fact, you can find him in violation of the 4.2.2, and also make a recommendation that he'll go to the State Recovery Fund. I know that's pretty important June 18, 2008 Page 66 when you deal with the State Licensing Board. MR. JERULLE: Mr. Neale, can you repeat again what you said what the board can do. MR. NEALE: Really, the two sanctions that are available against a state certified contractor, they can deny the issuance of Collier County or city building permits or require the issuance of permits with specific conditions. And then notification of and information regarding this permit denial is submitted to the state DBR within 15 days after the decision. And typically we get the order out on these very quickly and staff submits them to the state and they move pretty fast on them. VICE CHAIRMAN JOSLIN: Pleasure of the board? Anyone want to jump in with a motion? (No response.) VICE CHAIRMAN JOSLIN: Okay, I'll make a motion. That Charles Fradley, the third, d/b/a Whitehall Quality Homes, Inc. has been found guilty of count one, 4.2.2, and that the order of the board will be that his -- I'm sorry, the motion will be his permit privileges be suspended in the city and county of Collier County. They be suspended till further notice. That the findings of facts from this case be forwarded to the state DBR licensing for further recommendations. Also recommended that the findings of fact are forwarded to the State Recovery Fund so that Mr. David Cangro can recover some of the losses that he's had regarding the home and insulation situation here. That's basically all we can do at the moment, I believe. MR. OSSORIO: That's fine, Mr. Chairman, excellent. VICE CHAIRMAN JOSLIN: We need a second. MR. LYKOS: Second, Lykos. VICE CHAIRMAN JOSLIN: Motion and a second. Any discussion on the -- additions? June 18, 2008 Page 67 (No response.) VICE CHAIRMAN JOSLIN: All in favor of the motion. MR. HERRIMAN: Aye. MR. JERULLE: Aye. MR. LYKOS: Aye. MR. BOYD: Aye. VICE CHAIRMAN JOSLIN: Aye. Any opposed? (No response.) VICE CHAIRMAN JOSLIN: Motion carries. Here we go again. In the case of Collier County Board of County Commissioners, petitioner, versus Charles Fradley, the third, d/b/a Whitehall Quality Homes, Inc., license number CGC011123, Florida. This cause came on for public hearing before the Contractor Licensing Board on June 18th, 2008 for consideration of the administrative complaint filed against Charles Fradley, the third, d/b/a Whitehall Quality Homes, Inc. Service of the complaint was made by respondent -- made by certified mail, personal publication and delivery in accordance with Collier County Ordinance 90-105, as amended. The board having heard testimony under oath, received evidence and heard arguments respective to all appropriate matters, thereupon issues its finding of fact, conclusions of law and order of the board as follows. That Charles Fradley, the third, is the holder of record of license number CGC011123. That the Board of County Commissioners of Collier County, Florida, is the complainant in this matter. That the board has jurisdiction of the person of the respondent, and that Charles Fradley, the third, was not present at the hearing and was not represent by counsel at the hearing on June 18th, 2008. June 18, 2008 Page 68 All notices required by Collier County Ordinance No. 90-105, as amended, have been properly issued and were attempted to be delivered by certified mail in accordance with Collier County Ordinance 90-105, as amended. The respondent acted in a manner that is in violation of Collier County ordinances and is the one who committed the act. The allegations of fact as set forth in the administrative complaint as to count one, Section 4.2.2, are found to be supported by the evidence presented at the hearing. Conclusions of law. Conclusions of law alleged and set forth in this administrative complaint as to count one are approved, adopted and incorporated herein, to wit, the respondent violated Section 4.2.2 of Collier County Ordinance 90-105, as amended, in the performance of his contracting business in Collier County by acting in violation of the sections set out above with particularity. Collier County has jurisdiction over this contractor pursuant to Section 4.2 of Collier County Ordinance 90-105, as amended. Further order of the board. Based upon the foregoing findings of fact and conclusions of law, and pursuant to the authority granted in Chapter 489, Florida Statutes and the Collier County Ordinance No. 90-105, as amended, by a vote of five in favor and zero opposed, a majority vote of the board members present, respondent has been found in violation as set out above. Further, it is ordered by a vote of five in favor and zero opposed, a majority vote of the board members present, that the following disciplinary sanctions and related order are hereby imposed upon the holder of contractor license number CGC01123. License number was 011123. MR. NEALE: Three ones. VICE CHAIRMAN JOSLIN: And that is in regards to Charles Fradley, the third, Whitehall Quality Homes, Inc., license number CGC011123, his permit privileges in the City of Naples and Collier June 18, 2008 Page 69 County be suspended until further notice. And that the forwarding of the findings of fact to the state licensing industry, licensing board shall be forwarded regarding this matter came before us today. Also, the same findings of facts be sent to the State Recovery Fund so that Mr. David Cangro, the owner of the property as such can be reimbursed for some of the items that had been lost. MR. NEALE: Just one addition, Mr. Joslin. It's City of Naples, City of Marco Island and Collier County. VICE CHAIRMAN JOSLIN: I'm sorry. We missed the City of Marco Island -- and City of Naples and Collier County, all three. And it's so ordered. And that is all for now, huh? MR. OSSORIO: I've got two housekeeping matters. VICE CHAIRMAN JOSLIN: Housekeeping, okay. MR. OSSORIO: The first is I thought it would be something that if possible not have a July meeting. I know that typically we take a summer off and we take something off at Christmastime. So I thought it would be a good time for not having a July meeting. It's up to the pleasure of the board. VICE CHAIRMAN JOSLIN: How's your workload? MR. OSSORIO: Right now if we have a board we're going to have it. If we don't, we can reschedule. Right now I don't see anything pending that needs to get in front of our board, you know, in July. VICE CHAIRMAN JOSLIN: Okay. That's fine with me. MR. LYKOS: Fine with me. VICE CHAIRMAN JOSLIN: Anybody else? MR. NEALE: You know your pay gets cut if you miss a meeting. MR. LYKOS: One-12th of our pay gets cut. MR. OSSORIO: We'll look forward to seeing everyone in August. June 18, 2008 Page 70 Now, you might see sometime at the end of the month that we're going to be switching chambers. So I'll let everyone know in person where we're going to meet in the upcoming meetings. But for right now tentatively there won't be any meeting in July in this Board of County Commissioners chambers. Another housekeeping matter is, as you see here, there's no Ian. Ian Jackson's on vacation. And right to my left you see Colleen Davidson. She's been with our department about two years. She's moving on. That's why she's here. She did a great job for us, she was part of our family. And she's moving to code enforcement for a new position. VICE CHAIRMAN JOSLIN: So she's not going to be with licensing any longer. Well, Colleen, we're going to miss you terribly. I know you helped me quite immensely when I walked in there and needed some assistance, so there definitely will be big shoes for someone to fill. MS. DAVIDSON: Thank you. MR. OSSORIO: Okay, that's all I have. VICE CHAIRMAN JOSLIN: Also one last thing. I'd like to send out our best wishes to Les Dickson and his family and a mother-in-law that I guess has passed away. And just put it on the record that I'm sure the board all feels the same way. We'll expect him back. Be sure he knows about the meeting now not in July because he'll probably come here by himself. MR. OSSORIO: I'll let him know. MR. LYKOS: Motion to adjourn. MR. HERRIMAN: Second, Herriman. VICE CHAIRMAN JOSLIN: Motion and a second. All in favor. MR. HERRIMAN: Aye. MR. JERULLE: Aye. MR. LYKOS: Aye. MR. BOYD: Aye. June 18, 2008 Page 71 VICE CHAIRMAN JOSLIN: Aye. ***** There being no further business for the good of the County, the meeting was adjourned by order of the Vice Chair at 11:21 a.m. COLLIER COUNTY CONTRACTOR LICENSING BOARD ______________________________ RICHARD JOSLIN, Vice Chairman These minutes approved by the Board on _____________________, as presented____________ or as corrected_________________. TRANSCRIPT PREPARED ON BEHALF OF GREGORY COURT REPORTING SERVICE, INC. BY CHERIE' NOTTINGHAM. Page 1 of 1 OssorioMichael From: johngorman08 @comcast.net Sent: Wednesday, July 23, 2008 11:24 AM To: RobertDunn @colliergov.net Cc: OssorioMichael; KeeganThomas Subject: Carpentry License—Cert No. 33015 Dear Sir, Following many visits and phone calls to your office, I have finally received the above license. After several months of studying and expense I took the Prometric carpentry license because the scope included `Light and heavy carpentry, rough framing, trusses, sheathing, metal framing, paneling, trim, cabinetry, doors, windows, stairs and incidental hardware'. On meeting with supervisor Michael Ossorio he discussed the license with me yesterday (Tuesday, 22 July) and advised that I am unable to install windows under this license (even like for like replacement pre-glazed upgrades). I was in disbelief and shocked to learn this as it clearly states in black and white that this is not the case. The scope may be ambiguous and on this basis feel window fitting should be honored under my license. Needless to say all the manuals and reference books I studied include windows as a major part of carpentry work and indeed the exam paper asked questions on window fixings and trims. I advised Mr. Ossorio of this but he stated that I was still unable to work on windows and su ggested I take a further exam! One of your team members did in fact express the opinion that perhaps Prometric should be contacted to review the scope content! Furthermore I have reason to believe that I am being victimized and that undue influence is causing discrimination against me. As a consequence I feel aggrieved about this unfair decision and I am writing to you for assistance in reconsidering, to allow what-is covered under the carpentry scope to be included in my license on this occasion. I am sincerely hopeful that you will try to help me in resolving this issue. I am fully aware that window fitting requires a permit, entailing work to be overseen and checked and I am more than happy to comply with every stage of these requirements. I have followed all the rules and complied with all the stages for obtaining a license and I am sorry to question Mr. Ossorio's decision, but as I have mentioned above, it clearly states windows as part of the scope. I would appreciate your input ASAP and look forward to a positive resolution to my request. Please contact me on 239 784 0379 for further discussion. Yours respectfully, John Gorman 7/30/2008 Bern Michael Kahle 2790 Arbutus St Naples, Florida 34112 c-239-784-3011 Collier County Contractor Licensing Board 2800 Horseshoe Dr Naples,Florida 34104 Re: Citation#4101 Issued July 8,2008 By Rob Ganguli This is to notify you that I wish to schedual an Administrative Hearing in order to contest this citation. Bern Michael Kahle 7/8/8 glii eeCCJ Wednesday,Jul 09,2008 09:10 AM Community Development&.. Environmental Services Division Contractor's licensing Investigation Report Permit Number ,_.66 To; 6 r 4 r Name of Owner l.r.4,.,,, t/ a Date '+ / s l c t County/City .o- Time Rec'd Job address (-i<I Li t t > Ai* s,u . Received by Contractor amiLi. i01ik,,,eAc 0 &/ Complainant ' D C �E- •_. Phone Number 7 S-I - 3 0 1 1 Phone Number Comp. Card # Qualifier State Lic. No. Complaint: ),. L;(40 I r C Au-t. S'.uJ , r•--t- --qA- c c / w`VC& � .cu4A A .• et_.1 II' cr. MI> _Aa.�. oe_cPcite-iiv. o111 AA,e .1.. . u3 r a.... , ' K. rL C ( / A 'OLD LG 11-4;'c•-0 C`.t_U er6 _UP cR,.102A /, ,i1-`Ylam KM . u ,,,LIA xx•i-ta40 .4.t.s1 'a. amt al- — f _ ' f -k I'AIM . 'I. i ---) ,2 ,It, -4./ Si 631 L., Investigator Date if " G p u�• 9 H o - ^^ -7,-, 'i� - � nt a i : ..i t y y , H, i -o _, fit ir it:'' m , o f f , z ' - ,, -. c, , g '' 6 ,i, � W rD ae 0 er,: Py . 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O,,,§,i 7 �c; n= O ' ' .It N a a' ` 'y H -,..4^,i,' "Le o> r ' S Z ^A ry• 1 •i e v July 24, 2008 To whom this may concern, I am Nilda Marcela Lopez I am part owner of Pioneros Services Inc., my husband Ricardo Lopez is the other owner. Ricardo has had 10 years of experience working with Wall Systems Inc. he resigned two years ago while being the one of their best superintendent,to open our business. We both have tried since then to get the license. He has failed the test because he for his English skills. I have experience with administration and experience with hanging dry wall. I hung drywall while building my house and while remodeling our own properties. We both have the experience required for running a drywall business to provide safety and quality services to the clients. Sincerely, Marcela Lopez ALL S STEMS 1 C. OF S.UTHWEST FLORIDA June 15, 2005 Re: Ricardo Lopez To Whom It May Concern: Wall Systems Inc., of Southwest Florida, federal identification number 59- 2679657, was founded on June 9, 1986. Wall Systems Inc., of Southwest Florida currently has sixty employees. We are a specialty contractor with activities comprised of the following trade descriptions: Exterior Metal Stud Framing Exterior Insulation Finish Systems (EIFS) Firestopping of Penetration Joints Perimeter Barrier Systems Interior Metal Stud Framing Lath and Plaster Gypsum Wallboard Systems Acoustical Ceiling Systems Ricardo Lopez has been employed by Wall Systems Inc., of Southwest Florida since February 16, 1998. Ricardo began his employment with Wall Systems as an hourly metal framer and quickly moved to a salaried position as foreman and is now one of our most valued job superintendents. His current annual salary is $88,400 not including performance and incentive bonuses. Mr. Lopez is extremely reliable and efficient and maintains a superior work ethic. Should you need additional information, I may be contacted at the address and numbers listed below. Sincerely, II +/1 �!1 Ki berly • egon Controller 4395 CORPORATE SQUARE • NAPLES, FLORIDA 34104 - 4754 (239) 643-1921 NAPLES • (239) 332-2999 FT. MYERS • (239) 643-2767 FAX 1 1 BUILDING REVIEW AND PERMITTING -fir County CONTRACTOR LICENSING SECTION COLLIER COUNTY/CITY OF NAPLES/CITY OF MARCO - ' Contractors' Licensing Board T, Community Development& Environmental PICT N. k Services Division 2800 N. Horseshoe Drive Naples, FL 34104 PHO Telephone: (239) 252-2431 VIE Fax: (239) 252-2569 A CLEi i.?S. Instructions: This application must e typewritten or legible printed. The application fee must accompany this application. The fee is NOT refundable after the application has been accepted and entered on the records. All checks should be made payable to the"Board of County Commissioners". For further information, consult Collier County Ordinance No. 2006-46, as amended.( 1. Name of Firm C' i ..t.(05 ,..6Z,,G€, ( I C D/B/A(if applicable) 2. 2.1o(o NoLkk, LA c ∎1-A a.∎10 6 C. . Zii, %- s Business Address(Number&Street) City State Zip Code 3. P. o • X' 30(Al •tA 5ecz,NSS - L . . • ‘'i(c) • Business Mailing Address City State Zip 40S- 12.4 Code 4. Business Phone Numbe( R)\\ 2...S-.16(-0 Mobile Phone Number(2 3( 1 I 5. Fax Number:(23i" Lt 0\ E -3 % 3 4 Federal Emp. ID#: Zo -WI 4?Jac, 6. Legal form of Business: Corporation: X LLC: • _ . . _ _ - • �<<OA ti. Lop 7. Name of the Firm's Qualifying Agent _ _ (License Holder) 8. INDICATE NATURE OF REQUEST-(A)To Qualify as a: ( ) General $150.00 ( ) Electrician $150.00 ( ) Building $150.00 ( ) Plumber $150.00 ( ) Residential $150.00 (1 ) Air Conditioning $150.00 ( ) Mechanical $150.00 (4 ) Roofing $150.00 ( ) Swimming Pool $150.00 ( Specialty $135.00 t V t,J o,�� (Specialty trade type) (B)Change of Status: $10.00 4 ( ) Active License to Dormant ( ) From Individual to Qualifying a Business ( ) Dormant License to Active ( ) From Qualifying:a Business to Individual ( ) Address Change ( ) To Qualify Additional Entity ( ) Reinstatement ( ) From One Business to Another 3=t0 0 Page 1 of 5 9. The names, titles, home address and phone numbers of all Officers/Managing Members of the Firm.0.4)40 S.. titLflA M . L.oe€Z- 2doot-bt.Ly Lr- e 114 155 Q- czoo 210(o 110(15 Li JQ 1 . f't .3413 (21 VS-4 s4o 10. List all businesses, firms, entities or contracting businesses you have been associated with during the last ten years (ex. Held a license for or been a partner). Attach extra pages if needed. 11. List all debts you or any company(s) associated with you refused to pay and the reasons for the refusal to pay. Attach extra pages if needed. 1 AFFIDAVIT I, Ni LtDE3 ti1/4 .o?.Z. certify that the foregoing is true and correct to the best of my knowledge. Authorized Officer of the Fi STATE OF FLO A c, COUNTY OF Lel t t The foregoing instrument as acknowledged before me this I `7 a c1 SV c (- j� ( te) s By Wi\dA M . L Z. of PIcr\eros rvicellnc. a (Name of officer, title/agent) (Name of Corporation) t or t a a- Corporation, on behalf of the corporation. He/She (State or Place of Corporation) has produced f bL Ltao to 3 V45a as identificati and did not take an oath. 4 x`a'v r,;a KATHRYN A.JOSSELSON :49 —.1„('0% Notary Public-State of,Florida �a� :• My Commission Expires May 10,2011 "�, Commission# 00 672642 SI MATURE F NOTARY �' erwar. Bonded Through National Nota yAssn. KOC—ile■ A . T o c -el &C)1'l J J NOTARY Pu BLIC NOTARY'S SEAL (PRINT NAME OF NOTARY) Page 2 of 5 APPLICATION COLLIER COUNTY/CITY OF NAPLES/CITY OF MARCO FIRM-PART I I Contractors' Licensing Board Community Development& Environmental Services Division 2800 N. Horseshoe Drive Naples, FL 34104 Telephone: (239) 252-2431 Fax: (239)252-2569 Lop€z 1. Name of Qualifying Agent E��(� G L c (Last) (First) (Middle) Date of Birth .. s.s. # (Last 4 numbers only) Driver's License#L 2. Home Address of the Qualifying Agent 274 6 0 .A01.-.‘ Lt\az ETA (Loks R . 3(-kl35 Home Phone#,(234 ] 2'lRS - lp5+ 3. Name of the Firm 91 O(\1 Q( OS e C . 4. Type of Certificate of Competency for which application is made. 5. The names and telephone numbers of two persons who will know your whereabouts. clAc Lst.42 LoPS7 C 23c ) 2.5-- 51-k0 6. Have you ever been convicted of a crime related to Contracting? (If yes attach extra sheet with explanation) 7. Have you or any firms you have been associated with ever filed bankruptcy? t % 8. List all debts you or any company(s)associated with you refused or failed to pay and reasons why. 9. List your business or work experience during the past ten years. I \A D° Wo t PO(. Co, c r . iNC NA Rtt)LE • Cot-t isac. X�a 10. Statement of any formal training you have had in the area for which the application is made. kiAJ€ t-x PF-(Z■Iry c z: 4.) A!9k-v‘_t l s.raetTi-o i.1 �11.0y0e., 0-k% oua cJ R _.6;.Ds_toT:F}L \._‘ (:)1-. E A,3 9 plc,jA o 0E,L 0`1-H ti2S (-Z ■'O D.Y-c- Pt Ls R N( X02\'L■ VocZ cow Pei `c- S C. . ccatJs . c. O'\ RC1L Page 3 of 5 AFFIDAVIT The undersigned hereby makes application for Certificate of Competency under the provisions of Collier County Ordinance No. 2006-46, as amended, and vouches for the truth and accuracy of all statements and answers herein contained. The undersigned hereby certifies that he is legally qualified to act on behalf of the business organization sought to be licensed in all matters connected with its contracting business and that he has full authority to supervise construction undertaken by himself or such business or organization and that he will continue during this registration to be able to so bind said business organization. The qualified license holder understands that in all contracting matters, he will be held strictly accountable for any and all activities involving his license. Any willful falsification of any information contained herein is grounds for disqualification. i3 it.f) 6 AO R c,1A\ Lcez APPLICANT(PLEASE PRINT) Rtic:::) “.7..c tC.:EtS11 NAME OF COMPANY c4.s-L,.__,--c 94::) -)___. . SIGNATURE OF APPLICANT STATE OF FLO DA COUNTY OF Lj I 1 to►- The foregoing instrument as acknowledged before me this 'i 1 I tS 1 ce) _i (Date) by N luck m . e2- who has produced F I D E- L1QC)Lo3 3C`$ ST (Name of person acknowledging) (Type of identification) as identification and did not take an oath. z Li - - .,._ — `pr p 4 KATHRYN A.JOSSELSON ' ill " vs 4---a o- Notary Public-State of Florida :• My Commission Expires May 10,2011 i SIGNA E OF NO ARY ......,,• N 1111 � ' .:,,,,--40-0,/,= Commission# DD 672642 " • Bonded Through National Notary Assn.` Jos Eel Sr ��nuP�P NOTA'Y PUBLIC NOTARY'S SEAL (PRINT NAME OF NOTARY) Page 4 of 5 STAFF USE ONLY: /?J Ldp Mitt- e a 4-0/0 e z. Name of Applicant Trade: %)1-1,1,J t LL Score: r.2, U l a Take on 4 6 " , -/-09-7dU Given in ,sponsored by (2 L.` e,/' ce, Business & Law Score: ,C)7(p . Taken on Given in b" • 4-t-vlA.Fgze-c-4„ , sponsored by G1---14/- C , Page 5 of 5 AFFIDAVIT It is understood and acknowledged by the Collier County Contractors' Licensing Board and myself that if I fail to acquire, or maintain at all times effective Workmen's Compensation Insurance it will result in the possible revocation of my Certificate of Competency. - �� SIGNATURE OF APPLICAN AE.41.05 BUSINESS NAME cU — ( 7 003 DATE BEFORE ME this day personally appear:d Z who affirms and says that he has less than one e' filoyee and does not require Workmen's Compensation and understands h. at any time he employs one or more persons he must obtain said Workmen's C•mpensation Insurance. STATE OF FLORI COUNTY OF The foregoing instrument was acknowledged before me this 2-1 , (Date) by Al 1)l 1 �© ? a who has produced L)OD-kJ 3 (name of person acknowledging) (Type of identification) as identification and who did not take an oath. fr ' �i) #074ttg;)--- SIGNATURE'o F NOTARY NOTARY SEAL NOTARY PUBLIC .J.woad "i. MY COMMISSION#'of 766915 �r?s Banded-Nu Nam m�c Und6IW nets -\')\RESOLUTION OF AUTHORIZATON WHEREAS ` 1O5e-g•®S SZCZ,4 rCc5 1(C• proposes to (Name of Business Entity) • engage in contracting as C�c9C-z-P . in (Type of legal entity:corp.,partnership,etc. Collier County,Florida, according to Collier County Ordinance 2006-46, as amended; and WHEREAS 1 i0 i• Gc %J c 1 N C.proposes to (Name of B siness Entity) qualify for a Certificate of Competency with K∎c r#}41.0-0 R1 D (\.)l� c)(1 L®e Z (Name of Individual) NOW,THEREFORE,BE IT HEREBY RESOLVED THAT: We the undersigned OW �—=Z of (Officers,Owners,Partners) Ci),104LW.A1Z4 C.C.S hereby resolve and represent to the Collier County (Name of Business Entity) p� N �y.�' Contractors'Licensing Board that the qualifying agent, kL o l. LatZ, is active D (Name of Individual) in all matters connected with the contracting business of \i®CJ`��E S syrQf►c'�S ,and (Name of Business Entity) We further resolve and represent that tsS fit-0 . ft . LQ (32 is (Names of Individual) legally empowered to act for ►�1\32. c..tiiCfs'S in all matters connected with its (Name of Business Entity) tracting business,and has the authority to supervise construction undertaken by (Name of Business Entity) DULY PASSED AND ADOPTED THIS 6 day of 'SU t/ , a (Officers,Partners, Owners—with ��Designation underneath) le M \ NiLDA . &co. r t lJi;_ Witness -.sj'r c .ass Corporate Seal (if Applicable) Or Notary Public Certificate Sworn to and subscribed before me this(y of Z1U l lj , ZOi8 by N<<da 14.Lv)ez tr C Rt care o A .1�spez R. J�SSeIS�n t , _ Notary Public Name Pr,nted Notary Sig e Commission Number X107 a(o4-40 My Commission expires: ' )]p) 9b.Ali 416 Jib •— "a"• �KAEL 4 Nota ry Public-State of Florida ' •: ,�� ` •c My Comission Expires May SON 10,2011 'N;9 -%�- °4' Commission# DD 672642 °; :°"•, Bonded Through National Notary Assn. Issued EIN Page 1 of 1 kW Internal Revenue Service The Digital DEPRRTMEHT OF THE TREASURY fl.ii1y I I • : deraI Tax ID / EIP This is your povisional Employer Identi cation Number: 20-8674266 Today's Date is: March 20, 2007 GUT You will receive a confirmation letter in U.S. mail within fifteen dys. The letter will also contain useful tax information for your business or organization. If you have input any oi"th 4 information on your application in error, please wait seven days and contact the EIN Toll Free area at 1-800-829-4933, Monday - Friday, 7:30am-5:30pm. If you do not want to call, please make corrections on the letter you receive confirming your EIN and return it to the IRS. If you are going to complete other on-line applications that require your Employer Identification Number(EIN) you can copy it by performing the following steps: 1) Use your mouse to highlight your EIN (blue number on top of page) by moving your pointer on top of the number. 2) Press the Ctrl key at the same time pressing the C key. Once you copy your EIN you can paste it in the appropriate place by pressing the Ctrl key at the same time pressing the V key. You may click on the buttons below for different print options or to fill out another Form SS-4. Review and Print Form SS-4 Fill Out Another Form SS-4 Click here to return to the Internet Employer Identification Number landing (start) page. https://sa2.www4.irs.gov/sa_vignfissueEIN.do 3/20/2007 1ncurpurac your UUJUresa,iiiwipulnloVli, ultitijJViaiuis A truzaw.ao Vaum*,11110311)CorateeCOnir Learn about incorporating I What are the costs?I Learn about LLCs I Thank you for your order. Please print this page for your records. Order Invoice Order#3926050 State of Formation:Florida Entity Type: Inc. State Fee&Service Fee: $145.00 Total: $145.00 Company Name: Company Name: Ploneros Services (Alternate Name): Pioner Services Company Address Information: • Contact and Mailing Address for Order: Ricardo Lopez 27060 Holly Lane Bonita Springs,FL 34135 USA United States (239)825-7540 (239)495-3134 ricmariopezznetzero Business Purpose: JANITOR Capital Stock Information: 2000 shares at a par value of$0.01 each. Registered Agent Information: Ricardo Lopez will act as registered agent. 27060 Holly Lane Bonita Springs,FL 34135 2/6/2007 https://www.101incorporate.com/ConfirmOrder.asp - Director Information Director 1 Marcela Lopez 27060 Holly Lane Bonita Springs,FL 34135 Officer Information: President: Ricardo A Lopez Vice-President: Marcela Lopez Treasurer: Ricardo A.Lopez Secretary: Marcola Lopez Payment Information: Ricardo A.Lopez Visa******`****•-2015 Exp.Date: 10/2010 We will begin processing your order immediately following payment. Additional Comments: For order status please email us at info @l01incorporate.com. You may also view your order status online at: http:%/www.101incorporate.com/CorporationorderStatus.asp .::Ad Center:: Q&A Gamesters 1 Order Form Corporation.)Q&A LLC's►Qiler Form LLC Incorporate in Delaware Y Incorporate in Nevada) Business Incorporation Kit Limited Liability Company Kit i Our Fees►Contact i girder Status►Home IOlincorporate.conr 1-800-600-2840 2756 Terms of Use&iPri Privacy Parkway,opyright Henderson,Nevada 89014 101incorporate m' !All rights reserved�m COYrrlSlon Strewed VERIFY https://www.101incorporate.com/ConfirmOrder.asp 2/6/2007 Electronic Articles of Incorporation PjO018 E For February 07, 2007 Sec. Of State Ipoole PIONEROS SERVICES INC. The undersigned incorporator, for the purpose of forming a Florida • profit corporation, hereby adopts the following Articles of Incorporation: Article I The name of the corporation is: PIONEROS SERVICES INC. Article II The principal place of business address: 27060 HOLLY LANE BONITA SPRINGS, FL. 34135 The mailing address of the corporation is: 27060 HOLLY LANE BONITA SPRINGS, FL. 34135 Article III The purpose for which this corporation is organized is: ANY AND ALL LAWFUL BUSINESS. Article IV The number of shares the corporation is authorized to issue is: 2000 SHARES ISSUED @ .01 PAR VALUE Article V The name and Florida street address of the registered agent is: RICARDO LOPEZ 27060 HOLLY LANE • BONITA SPRINGS, FL. 34135 VERIFICATION OF CONSTRUCTION EXPERIE co Collier County Contractor Licensing C/O Community Development & Environmental Services Division 2800 N. Horseshoe Drive Naples, FL 34104 Telephone: (239) 403-2431, (239) 403-2432 or (239) 213-2909 Applicant's Name: WI,L 0 Pt tsik Pt JCL Z. A LO F'' Z Certificate Category Requested: y Pr LL The Applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate the Applicant must verify their experience within this trade. You are being requested to provide information that will aid the Applicant in meeting this requirement. You should verify time of active experience as an apprentice or a skilled worker(e.g. as a worker commanding the wage of mechanic or better in the trade). Time served solely in a supervisory or administrative role should be described,but may or may not be considered sufficient to demonstrate required trade experience. The person verifying trade experience must provide the following information: Name, Title and license number of the person signing below and verifying Applicants relevant experience: ' Name: JOç o 205�-0 . o Title: e,2_,,, , ,. NT License Number(if applicable): Name of Business: M P►i._ /. E- o C-oR. i (\1 C Business Address: Z2o1.7 Imo-- t (Z K. IA)(304 Business Phone: 2.3- 1.30-4320 The Applicant's years of experience from 2 od 2 to 2 dos o The applicant's scope of work(specific duties)included: J©0 S T i M t9 TOdt .N 0 i t of O SC)i° 2v i S£ It Additional Comments: RE.5 PO NSA 3 IL 0. '%evs F ii.U Falsifying any information provided herein may subject your license to revocation. Signature -.or Printed Name �� -r �� State of Florida , County of Collier ,�y�, , The for going ' tru ent was acknowledged before me on this C�Jr, day of l / , aMe by ��D who is personally known to me or produced . identii ation and who did not take an oath. �% Signal of Notary iii .— / —Signamre A BROWNFIELD ISSION#DD 616424S:January 23 2011 Notary Public Undenwdtera VERIFICATION OF CONSTRUCTION EXPERIENCE Collier County Contractor Licensing CIO Community Development & Environmental Services Division 2800 N. Horseshoe Drive Naples, FL 34104 Telephone: (239) 403-2431, (239) 403-2432 or (239) 213-2909 Applicant's Name: N ‘ LQ A- l-A h 2CaL c Lc)es.Z Certificate Category Requested: D`` L-Q-.)G U • The Applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate the Applicant must verify their experience within this trade. You are being requested to provide information that will aid the Applicant in meeting this requirement. You should verify time of active experience as an apprentice or a skilled worker(e.g. as a worker commanding the wage of mechanic or better in the trade). Time served solely in a supervisory or administrative role should be described,but may or may not be considered sufficient to demonstrate required trade experience. The person verifying trade experience must provide the following information: Name, Title and license number of the person signing below and verifying Applicants relevant experience: Name: �,-.... • g.4:::.t..../C.l/N Title: P-cs-c... F- ►y \Av\Aex- License Number (if applicable): Name of Business: -roe -crS-kr-t"..t--k--.otr� Business Address: 3Sc c 11--r's 4z kJ. ) / JA P e-S �L , 3 y i O�J Business Phone:429-C'13-C.c: The Applicant's years of experience from / $ to a The applicant's scope of work(specific duties)included: (...4 Pte.C.cA\/c -rc.. - LS1^-Lw",%-circa` t-e_V•Gt.,J. U,-...ay.,y, oc-ak- c.L. . -,✓-,ca v.C..c` i ‹..o L-e.SS.vn. Additional Comments: Falsifying any information provided herein may subject your license to voc on. gnatu rinted ame;a w. State of Florida County of Collier aq'Pk- The fore Ding instrument as acknowledged before me on this , day .f J Uce'd , Jl� by Se/'�11. Lt) . o wee) who is personally kno 1 to me or prod identification and who did not take an oath. ova,Pot, Notary Public State of Florida Signature of Notary / r % . rar'e'ir..?atry ' c > o My l;.r^,s:io;00480056 ,or moo' Expire 1/28/2009 VERIFICATION OF CONSTRUCTION EXPERIENCE I Collier County Contractor Licensing CIO Community Development & Environmental Services Division 2800 N. Horseshoe Drive Naples, FL 34104 Telephone: (239) 403-2431, (239) 403-2432 or (239) 213-2909 Applicant's Name: q 11 CI CA MGZ r C CI G D P P Certificate Category Requested: rD(111U.) C(11 The Applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate the Applicant must verify their experience within this trade. You are being requested to provide information that will aid the Applicant in meeting this requirement. You should verify time of active experience as an apprentice or a skilled worker(e.g.as a worker commanding the wage of mechanic or better in the trade). Time served solely in a supervisory or administrative role should be described,but may or may not be considered sufficient to demonstrate required trade experience. The person verifying trade experience must provide the following information: Name, Title and license number of the person signing below and verifying Applicants relevant experience: Sr, Name: I t)Ctd n i lir\OI'i r.E Title: OW A e r 1 c'Q S f a e n\ License Number(if applicable): C6 C 4 SG S© 0 2- Name of Business: SC r\ CO NST 12)C i 0 N, I t Business Address: 2S 1 I b S t 2 nl W O O n Da_ SUITE 4 0 Z Business Phone: (2 3`1) 9<17- 7123 The Applicant's years of experience from 2 606 to ZOO-7 The applicant's scope of work(specific duties)included: 304, ES �;Mq�o�/ Q.6n�cGc.1- ccl{nini. ccik-or C`er: c k- t ( d Svc" utcor Additional Comments: Falsifying any information provided herein may subject your license to revocation. It=,MI,�� --"mi►`r■IIII■— Signature Printed Name: A o G o re- State of Florida • County of Collier • The f reg ing ' trume as acknowledged befo - --- :• : `day of ()LJ 11 , LAS 0 by Q�vh f G i(C w:o is personally know •duced __S identification and who did not tak�fi oath. ' � :_�..�1�//1/.` of t7�I ;r. Si:. d 0 S0042072 Soft NartirwboyMm. AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER I, J/9,1-7/1.---S c y , am a resident of eo LGf County, /- O(1 P4 (State) and have resided here for more than five (5)years. During the last five years I have known 7)7 frtz tt L4 L. o P 2 (Applicant). I have had the opportunity to observe his or her business and personal dealings and find him or her to be a person of honesty, integrity and good character. (Signatur- -'� (Name) 37'4-1&3 /4 l ' 4/f / (Address) ya /'CGS% 1P D2(ut ii3d<{ /1/.9r°z4S, /=L 3z-I ia$ (Telephone) 2-39 - s 9 3 - ' t 3 1 STATE OF FLORIDA COUNTY OF Collier • The foregoing instrument was acknowledged before me this '1 - -°8 by (Date) �ae'es M ocne.y who has produced Nrsonal►y kAo,.;•,f, Me (name of person acknowledging) (Type of identification) as identification and who did not take an oath. rin SIGNATURE OF NOTARY Xt�Git� Fc 7r4 ZUa P Oet Nc zry services eo ` Rnde lr EIiZat6 e-Ih Grp (PRINT NAME OF NOTARY) NOTARY PUBLIC NOTARY'S SEAL AFFIDAVIT OF ACIAL V\cia.%IN 2GRITY AND GOOD CHARACTER I am a resident of C 1 ' 1 e'e County, ` 1. Or i 'el (State) and have resided here for more than five (5)years. During the last five years I have known \A ' C..` G► LDiZ (Applicant). I have had the opportunity to observe his or her business and personal dealings and find him or her to be a person of honesty, integrity and good character. ° OGP ' (Signature) y / ii _ _ r 1\(\th, (Name) MIC,\N,\6- (Address) 2(5 Old, 1 rG I ' ! UIUP , 1�e.3 , --L t-11t)3 (Telephone) 22� 21,401-n191 STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this J 1/41''/ I 1 02008 by c� ei1e Odead (Date) I who has produced (name of person acknowledging) (Type of identification) as identification and who did not take an oath. A//y, -4 I NATURE OF NOTARY tmft Phi . (P NT NAME OF NOTARY) NOTARY PUBLIC NOTARY'S SEAL QFr n�,e LjiI586 of Flonoa ° 586 0 At} In Balance Building Your Business'a Better Bottom Line Rimed Credit Reporting Agency 12268 Tamiami Trail E, Suite 301,Naples,FL.34113 -239-774-5100 The information you requested is provided below. The won provided was gathered by third party sources not affiliated with In Balance,Inc. The iakm nation provided has not been. by In Balance,Inc.,and therefore reaponszbility for its accuracy,completeness,and the manual in which it was gathered rests ultimately with die third patty stances notwithstanding In Balance,Inc.'s exercise of reasonable cane in selecting said thbd party sources. • Personal Credit Report Summary All information gained below is accurate and true as of the indicated search date Name of individual: Nilda Marcela Lopez Social Security Number: Credit score: 740 Search date: July 9, 2008 Searches requested: Liens, Judgments and Bankruptcies A search of local, state, and federal databases on the above individual generated the following results: LOCATION DATE AMOUNT ALL SEARCHES FOR LIENS, JUDGMENTS AND BANKRUPTCIES PROVED NEGATIVE I�' • In Balance �. 12268 Tam iam i Trail E, Suite 301,Naples,FL 34113 .239-774-5100 PAGE 5 DATE 7-09-2008 TIME 15:34:53 v601 Ti"LT LANDSAFE 7-24-06 6905630 EM UNK RJE CONSUMER ASSISTANCE CONTACT: EXPERIAN 701 EXPERIAN PARKWAY, PG BOX 2002, ALLEN, TX 75013 888.397.3742 END -- F.XPERIM • ii" In Balance I 12268 Tainiamu Trail 13, Suite 301,Naples,FL 34113 . 239-774-5100 PAGE 4 DATE 7-09-2008 TIME 15:34:53 V601 TFLT SUBSCRIBER OPEN AMT-TYP1 AMT-TYP2 ACCTCOND QYMT STATUS SUB# KOB TYP TRM ECOA BALDATE BALANCE I?YM,T LEVEL MOS REV PYMT HISTORY ACCOUNT # LAST PD MONTH PAY PAST DUE MAXIMUM BY MONTH BANK OF AMERICA 10-06 $5,000-L $4,006-R OPEN CURB ACCT 1230206 BC CRC REV 1 6-24-08 $0 6-08 (19) OCC---CCCCCCC 3671 6-08 $29 CCCCCC WACHOVIA BANK NA/ETU 4-01 $15,000-L $15,366-H OPEN CURB ACCT 1202270 BB H/E LOG 2 6-23-08 $304 6-08 (86) CCCCCCCCCCCCC 438654031126 6-08 $10 CCCCCCCCCCCC GEMB/LOWES 2-08 $5,Q00-L $5,000-H OPEN CURR ACCT 1607340 LH CRG REV 1 6-23-08 $0 6-09 • ( 5) 000CC 798192410600 3-08 $139 GEMB/CARE CREDIT 8-06 $4,000-L $3,072-H OPEN CURR ACCT 1234710 BC CHG REV 1 6-22-08 $0 6-08 (23) OOCCOCCCCCCCO 601918036970 4-08 $18 CCCCCCCCCC BANK OF AMERICA 12-06 $7,000-L $3,210-K OPEN CURR ACCT 1230206 BC CRC REV 1 6-16-08 $527 6-08 (19) CCCCCCCCCCCCC 8200 6-08 $;i•1 CC---0 HFC 7-06 $7,000-L $6,121-H OPEN CURB ACCT 2511Q74 FP C/C IOC 1 6-16-08 $14 6-08 (23) CCOCCCCCCCCCO 1316135335 6-08 $14 000CCCCCCC GEMB/JCP 11-99 $1,000-L $1,911-H OPEN CURR ACCT 3321860 DC CHG REV 2 6-16-08 $0 6.-08 (99) 0000000000000 235724 8-06 000000000CCC SEARS/CSSD 3-01 $390-L $424-H OPEN CURR ACCT 1230730 BC CRC REV 1 6-13-08 $0 6-08 (88) 0000000000000 512107963764 3-06 $10 000000000000 HSBC/BOSE 6-06 $1,800-L $1,535-FL OPEN CURB ACCT 1236430 BB CHG REV 2 6-10-08 $0 11-06 (25) NNKNNNNNNNNNN 17160110362 10-06 $45 NNNNNNOCCCCC INQUIRIES MACYS./DSNB 4-20-08 1362790 DZ BANK or AMEBICA 11-22-06 1217350 BC BANK OF AMERICA 10-26-06 12.1.7350 BC +++++ MORE ICLG MS 1019899 LOPEZ,NILDA MARCELA CA-27060 MOLLY LANE/34135; 13 In Balance 12268 Tamiami Traii E, Suite 301,Naples,FL 34113 •234-774-5100 PAGE 3 DATE 7-09-2008 TIME 15:34;53 V601 TFLT SUBSCRIBER OPEN AMT-TY.P1 AMT-TYP2 ACCTCOND PYMT STATUS SUB# KOB TYP TRN ECOA BALDATE BALANCE PYMT LEVEL MOS REV PYMT HISTORY ACCOUNT 8 LAST PD MONTH PAY PAST DUE MAXIMUM BY MONTH EQUICREDIT 10-96 $16,000-0 PAID CURR ACCT 1567260 FP R/C 5Y 2 10-31-00 10-00 (49) BCCCCCC-CCCCC 6538501002613 CC CCCC *COUNTRYWIDE HOME LOANS 8-03 $349,000-0 OPEN CUR WAS 30-3 3991532 FM R/C 15Y 2 5-31-08 $263.702 12-04 (54) CCCCCCCCCCCCC 30341197 5-00 $3,651 11-04/1 CCCCCCCCCCCC *FORD CRED 8-04 $18,114-0 OPEN CUR WAS 30 1631440 FA AUT 60 2 6-15-08 $5,101 5-06 (47) CCCCCCCCCCCCC 37662111 5-08 $372 4-06/1 CCCCCCCCCCCC ZALES/CBSD 2-05 $1,400-L $1,769-H OPEN CURR ACCT 1336780 ER CHG REV 1 7-04-08 $0 7-08 (41) 0000000000000 603525108683 8-06 $20 000000000CCC GEMS/LOWES 9-06 $300-L OPEN CURR ACCT 1607340 LH CHG REV 1 7-04-08 $0 7-06 (23) 0000000000000 798192410708 UNK 0000000000 THD/CBSD 4-08 $7,000-L OPEN CURB ACC's 3178962 BC CHG REV 1 7-02-08 $0 6-08 ( 4) N000 603532030709 UNK CHASE 7-04 $21,185-0 OPEN CURR ACCT 1101969 BB AUT 60 2 6-30-08 $4,668 6-08 (48) CCCCCCCCCCCCC 10419809412109 6-08 $422 CCCCCCCCCCCC NATIONAL CITY BANK 3-06 $4.7,606-0 OPEN CURR ACCT 2104133 BB REC 180 2 6-30-08 $43,219 6-08 (27) CCCCC-CCCCCCC 4584641392 6-08 $454 CCCCCCCCCCCC TARGET NB 4-05 $1,500-'L $786-H OPEN CURR ACCT 2218220 BC CRC REV 1 6-26-08 $0 6-08 (39) 0000000000000 435237673651 2-07 $1 000CCCCCCCCC WASH MUTUAL/PROVIDIAN 11-01 $10,000-L $7,611-U OPEN CURR ACCT 3208490 BC CRC REV 1 6-25-08 $2,533 6-08 (80) CCCCCCCCCCCCC /400523869 5-08 $77 CCCCCCCCCCCC +++++ MORE BOLO DTS 1019899 L0PEZ,NILDA NARCELA CA-27060 HOLLY LANE/34135; Balance In B roc 12268 Tamaa ii Trail.E, Suite 301,Naples,FL 34113 -239-774-5100 Lopez,Nilda Marcela 220082670;CA-27060 Holly Lane/34135;Y-09251968;H-N; PAGE 1 DATE 7-09-2008 TIME 15:34:53 V601 TFLT *MARCELA LOPEZ SS: E: SELF 27060 HOLLY LN DOB: 09/25/68 RPTD: 9-94 I BONITA SPRINGS FL 341354413 RPTD: 8-01 TO 11-06 U 11X LAST .SUBI 1230206 . *11212 TORCHFIRE TPL BONITA SPRINGS FL 341355321 RPTD: 10-99 TO 2-03 U 2X '15867 MONTVIEW DR DUMFRIES VA 220251358 RPTD: 4-88 TO 5-01 U *MARIELT,.A LOPEZ, N M ARRUA, N M.LOPEZ, *MARCELA ARRUA PROFILE SUMMARY CNI 05/00/00/00 PUBLIC RECORDS 0 PAST DUE AMT $0 INQUIRIES---4 SATIS ACCTS--27 INST/OTK BAL---$53,188 SCH/EST PAY $1,643 INQS/6 MO---1 NOW DEL/PRG---0 R ESTATE BAL--$263,782 R ESTATE PAY $3,651 TRADELINE--30 WAS DEL/DRG---3 TOT REV BAL $3,378 TOT REV AVAIL- 94% PAID ACCT--12 OLD TRADE-10-96 SCORE SUMMARY EXP/FAIR ISAAC RISK SCORE 2 740 SCORE FACTORS: 18, 10, 14, 05 - TBADEs SUBSCRIBER OPEN AMT-TYP1 AMT-TYP2 ACCTCOND PYMT STATUS SUB# KOB TYP TRAMS ECQA BALDATE BALANCE PYMT LEVEL MOS REV PYMT HISTORY ACCOUNT # LAST PD MONTH FAX PAST DUE MAXIMUM BY MONTH *PROVTDIAN FINANCIAL 10-96 $9,399-L $6,303-H CLOSED CURR ACCT 3206440 BC CRC REV 3 5-31-02 5-02 (68) 8000000000000 00CCCCCCCCCC ** ACCOUNT CLOSED AT CONSUMER'S REQUEST ** *WACHOVIA BANK NA/FTU 11-00 $61,329-0 PAID CUR WAS 30 1190717 BB P/C 15Y 2 1-04-02 1-02 (14) B1C CCCCC 1401039190 C BANK OF THE WEST 7-03 $14,253-0 PAID CURB ACCT 3150260 BB REC 144 1 9-30-06 9-06 (39) BCCCCCCCCCCCC 357540012 9-06 CCCCCCCCCCCC +++++ MORE BCLG DTS 1019899 LOPEZ,NILDA MARCELA CA-27060 HOLLY LANE/34135; , -0" In Balance -Ow • 12268 Tamiiami.Trail E, Suite 301,Naples,Fl,34113 .239-774-5100 PAGE 2 DA 7-09-2008 TIME 15:34:53 V601 TELT SUBSCRIBER OPEN AMT-TYP1 AMT-TYP2 ACCTCOND PYMT STATUS SUB* KOB TYP TRM ECOA BALDATE BALANCE PYMT LEVEL MOS REV PYMT HISTORY ACCOUNT # LAST PD MONTH PAY PAST DUE MAXIMUM BY MONTH *CAP ONE 11-03 UNK PAID CURR ACCT 1270246 BC CRC REV 1 1-18-04 1-04 ( 3) 5CC 486236239061 ** ACCOUNT CLOSED AT CONSUMER'S REQUEST ** *FIRST NATIONAL BANK OF 8-03 $349,000-0 PAID CURR ACCT 2194510 BM R/C 15Y 2 10-•01-03 10-03 ( 2) BC 60122663 ** PURCHASED BY ANOTHER LENDER FIRST NATIONAL BANK OF 4-03 $195,000-L 4194,915-H PAID CURR ACCT 2194510 BM H/E LOC 2 9-02-03 9-03 • ( 4) B-CC 7909- *BANK ONE 9-99 $23,057-0 PAID CURR ACCT 4120910 BB I/L 72 2 5-31-03 5-03 (45) BCCCCCCCCCCCC 519900036879 CCCCCCCCCCCC ** ACCOUNT CLOSED AT CONSUMER'S REQUEST ** *SPIEGEL 7-99 $1,750-L $837-H PAID CURR ACCT 3321470 02 OM REV 1 4-15-03 4-03 (45) BOCCC0000000C 401765 CCCCCCCCCCCC ** ACCOUNT CLOSED AT CONSUMER'S REQUEST ** FORD CRED 11-97 $21,900-0 PAID CURR ACCT 1631440 FA AUT 60 2 8-31-02 8-02 (57) BCCCCCCCCCCCC TIA927BG03 CCCCCCCCCCCC *FIRST NATIONAL BANK OF 12-01 8155,000-0 PAID CURR ACCT 2194510 BM R/C 1.5Y 2 8-31-02 1-02 ( 9) BBBBB-BBC 80034691 ** PURCHASED BY ANOTHER LENDER. ** *CAR ONE 12-97 $1,097-8 PAID CURR ACCT 1270246 BC CRC REV 1 8-10-02 8-02 (56) BCCCCCCCCCCCC CCCCCCCCCCCC 1 ** ACCOUNT CLOSED AT CONSUMER'S REQUEST ** +++++ MORE BCLG OTS 1019899 LOPEZ,NILDAA MARCELA 220082670;CA-27060 HOLLY LANE/34135: • In Ealance { Building Your Business a Better Bottom Line Recognized Credit Reporting Agency 12268 Tatniami Trail E,Suite 301,Naples, FL 34113 • 239-774-5100 The information you requested is provided below. The loformatiou provided was gathered by third party sources not affiliated with In Balance,Inc. Tbae information provided leas rwt been reviewed/vertffed by In Balance,Inc.,and therefore re.sponstliility for its accuracy,completeness,and the manner in which it was gathered rests ultimately with,the third party sources notwithstanding In Balances Inc.'s exercise of ,reasonable care in selecting said third party sources. • _Business Profile-PIONEROS SERVICES INC • _Subcode: 515210 Ordered: 07109/2008 15:08:58 CDT _Transaction number: C034368574 Search inquiry:PioneroS Services, Inc./Bonita Springs/FL/34135/ —208674266 Company Information • PIONEaOS aEavters rue Beokwoo IdenNneation Number 866331559 27060 NOUN IN txperia»rue Estebtiobaidb 10/2005 BQ$ITA SPGS,EL 34135-4413 SIC'c de: BUSINESS SERVICES,NEC-7389 {(239)498-1057 Executive Summary Research Ti s Legal Filings and Collections Bankruptcy fiiliu�gs: 0 Additional information may be available on ibis Tames filings: 0 business. � Judgment filings: • Other recommended searches: Total collections: 0 Sum of legal filings: SO Order Small Business Jnte11iscoqe UCC filings: 4gal(FILED 07/06) 1 — Order Business Owner Profile Cautionary UCC filings present? No Order Public Record I I I Trade Information Monthly average DBT: 0 Highest DBT previous 6 months: 0 Highest DST previous 5 quarters: 0 Total continuous trades:' 1 Current continuous trade SO balance: Trade balance of all trades(3): SO Average balance previous S S0 quarters: • • } • w OIn aIance {) • B kfing , Business a Better Bottom Line :>-'i�1J�•Z:� Credit i.f• :I • _� h 12268 Tamiami Trail E, " ' e 301,Naples,FL 34113 .239-774-5100 The information you requested is provided below. The' i : provided was gathered by third party sources Mt affiliated with In Balance,Inc. 'fltc information provided has not been _ • by in Balance,Inc.,and therefore responsibility for its accuracy,completeness,and the mama in which it was rests ultimately with the third party sources notwithstanding In Balance,Inc.'s exercise of reasonable caw in selecting 'd third party somce& Business C edit Report Summary All infer nation contained below accurate and true as of the indicated search dale Name of company: Pioneros Services, i . t k L number: 20-8674266 Reference (if necessary): Search Date: July 9,2008 Searches requested: Credit,Liens, Judgments and Bankruptcies A search of local, state, federal, and national databases on the above company generated the following results; LOCATION DATE AMOUNT ALL SEARCHES FOR LIENS, JUDGEMENTS AND BANKRUPTCIES PROVED • „ • • InBuilding Y Business a Better Bottom Line gliz$Cr it R tiog ABex 12268 Tamia ni Trail E, ite 301,Naples,.FL 34113 .239-774-5100 • 'Ibhc information you requested is pervided ow. The information provided was gathered by third party sources not a0ii i.ated with In Balance,Inc. information provided has net been reviewed/verified by In Balance,Inc.,and therefore responsibility its accuracy,completeness,and the ma imer in which it was gathered rests ultimately with the third pasty sources notwithstanding In Babnce,ms's exercise of reasonable case in sung said hind pasty wares Highest credit amount extended: $7,300 6 month balance range: SO-SO I I±R Trade Payment Information Iracle Ya∎anent L3perien,es lcconnt Status (Trade Lines K ith ant =) after date ore no\IN reOortedi DA1S Bc:tnnd Tcrails Business Dane. Last Payment Recant Category Reported Selo Terms Credit Balance Cur 1-30 31-69 61-90 91+ Comments Crcdlt •ACCT'SyCs •osPooa 42/2*OB • SPECS•, $7,900., :.:. 11 Trade Payment Totals trade Payment Lxpea-ien ces .Account Status 1)aNs Beyond I crates Lines Balance Cur 1-30 31-60 61-90 91+ Comb TMPe Reported t • c ety�epasted a .. , • own o , • i I Newly Reported D or trout Lineis.TotW.: 1 • 7; '...$9;'•• • • . D51.::9'• .. • I � I Additional Payment Experiences Trade ra ment :tper•ieat,es _\.ccuunt Status (Trade Lines \t itli an ( ) after date are ne%%11, re rrrrteilt Day s Be:and i trans Recent Cry Date Lallt pTer Nigh Batmen Cur 1-30 31-60 91+0 61-90 91 Comments Credh Reported Salo II CRLdaCARD 06I2ucie . •:•• 'CREW- • . • :. SO .* •SATSFTRY • LEASING 10/2007 CONTRCT 13,600 90 UCC Profile The UCC Filings are summarized and listed below. t-CC Sumrnar-■ lilin2s Cautionary Relearned/ �Date Range Year � M Toned Coot • 40r In Balance i Building four Business a Better Bottom Line Recognized Credit Reporting Agency 12268 Taaniami Trail E, Suite 301,Naples,FL 34113 .239-774-5100 The information yon requested is provided below. The information provided was gathered by third party sources not affiliated with In Balance,Inc. The information presided has not been reviewed/verified by In Balance,Inc..,and therefore responsibility for its accuracy,completeness,and the Manner in which it was gathered rests ultimately with the third party sources notwithstanding In Balance,Inc.'s exercise of reasonable care in selecting said third party sources. JAN- 24J■ 2008 • • JAN-JUN 2007 • •)1!L-DEC' 2006 • . . . ' . '.' Y • • . . . . . PRIOR TO 3UL 2008 Teter! _ 2 E s'away/raw toCC R indt:ds one or mom. the fapoNrbigcollateral: Ac aunts,Accounts Receivables,Contract Rights,Hereafter Acquired Property,Inventory,Leases,Notes Receivable or Proceeds. l CC l ilin��s 1 UCC FILED Deter 07/11/2006 Mine Number:20060312897X 'Jurisdiction:SEC OF STATE fLORIDA �Secured Parry:NAl lOft J.CITY BANK OH BRECKSIMl.E 44141 6750 T4RiE Ro •Coliabnak EQWP 1 Company Background Information kdddiiiional Company Bacl:_round information Key Personnel Principal(s):MARL EIA LOPEZ,OWNER ,Operating Information j Primety SIC Cade:BUSINESS SERVICES,NEC-7389 i Secondary SIC Codes SERVICES,NEC-8999 I I End of report _ I of 1 report SU000467 '"", Lee County Tax Collector :' `_$ 2480 Thompson Street Fort Myers, Florida 33901 www.leetc.com Tel: (239) 533-6000 Local Business Tax Account:0703609 • Dear Business Owner: Your 2007-2008 Lee County Local Business Tax Receipt is attached below. Please detach the receipt and display it in a place that is visible to the public and available for inspection. The Lee County Local Business Tax Receipt is in addition to any other license or certificate that may be required by law and does not signify compliance with zoning, health or other regulatory requirements. The Lee County Local Business Tax Receipt is non-regulatory and is not an endorsement of work quality. Your 2007-2008 Local Business Tax Receipt is valid from October 1, 2007 through September 30, 2008. Annual account notices are mailed in August to the address of record at that time. Please follow the instructions on the back of this letter to transfer your Local Business Tax Account due to a change of business name, ownership, physical address or you are closing your business. I hope you have a successful year. ill Zfie4g4 Lee County Tax Collector Detach and display bottom portion and keep upper portion for your records LEE COUNTY LOCAL BUSINESS TAX RECEIPT ,v', 6 2007 - 2008 ►' ACCOUNT NUMBER: 0703609 ACCOUNT EXPIRES SEPTEMBER 30, 2008 ', Location PIONEROS SERVICES INC 27060 HOLLY LN PIONEROS SERVICES INC BONITA SPRINGS FL 34135 27060 HOLLY LN BONITA SPRINGS FL 34135 May engage in the business of: THIS IS NOT A BILL-DO NOT PAY MISCELLANEOUS MAINTENANCE OR REPAIR PAID 016265-137-1 09/11/2007 03:38 PM DP500 $50.00 THIS LOCAL BUSINESS TAX RECEIPT IS NON REGULATORY Lee County Tax Collector Page 1 of 1 ax Collector . Lee County, Florida Cathy Curtis 0 Home Property Taxes Vehicles/Vessels Hunting&Fishing Local Business Taxes Pay Online Printable Version ®Contact Us Search... ^..�.- ._ En Espanol Information Payment Methods Calendar of Events (+ °°Add to Cart 1 w';view Ca 0' Checkout ?:Help] Hours&Locations — --� Employment Contact Information , ' ° Other Agencies Business Tax Account Information �_ ' Related Links About Us Business PIONEROS SERVICES INC 1 Site Map 27060 HOLLY LN Services BONITA SPRINGS FL 34135 Address Change (239)825-7540 Special Services Account 0703609 Downloads Description MISCELLANEOUS MAINTENANCE OR REPAIR Forms/Brochures Glossary of Terms Mailing PIONEROS SERVICES INC Site Search Address 27060 HOLLY LN Website Tips BONITA SPRINGS FL 34135 FAQs Year Amount 2009 $50.00 Outstanding Balance Due as of 7/15/2008 $50.00 Additional Options: Payments Made Change Mailing Address 4 Back Copyright©2002 Lee County Tax Collector.All rights reserved.-View Site Policies-View Payment Policies http://www.leetc.com/search detail.asp?account=0703609&SearchType=OCCLIC 7/15/2008 rrtiln.JIIielva PM.VSWQIU nlppe anti w■npany raxo.+.coa-vory lyo I o:mcaroo Lopez - l!/ s: rd9e:4 OT 0 ACORDOP ID J5 DATE(MMIDDIYYYY) _ CERTIFICATE OF LIABILITY INSURANCE PION E-5 071/07/08 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Oswald Trippe & Company, Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 3451 Bonita Bay Blvd, #203 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Bonita Springs FL 34134 Phone: 239-498-9441 Fax:239-444-2899 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Bankers Insurance Company 13990 INSURER B: Pioneros Service , Inc. Ricardo Lopez INSURER C: 27060 Holly Lane INSURER D: Bonita Springs FL 34135-4413 INSURER E: COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TNbR Roo L POLICY NUMBER POUCY EFFECTIVE POLICY EXPIRATION LIMITS LTR NSRD TYPE OF INSURANCE DATE(MM/DD/YY) DATE(MM/DD/YY) GENERAL LIABILITY EACH OCCURRENCE $1,000,000 A X COMMERCIALGENERALLIABILITY 090005332949900 07/20/07 07/20/08 PR'MISES(Eaoccrence) $100,000 CLAIMS MADE X OCCUR MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,0 0 0,0 0 0 GENERAL AGGREGATE $2,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 POLICY n C7 n LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA UABILITY EACH OCCURRENCE $ 7 OCCUR CLAIMS MADE AGGREGATE $ $ _ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND TORY LIMITS I IOER EMPLOYERS'UABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT f SPECIAL PROVISIONS Drywall Contractor CERTIFICATE HOLDER CANCELLATION COLL280 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Collier County DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Contractor's Licensing Dept. NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL fax 239-252-2469 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 2800 N. Horseshoe Drive Naples FL 34104 REPRESENTATIVES. AUTHOR EPRESENTA ACORD 25(2001/08) ©ACORD CORPORATION 1988 107 LO111CI LOOIILI 17.u11, occult .u.,...,... wed+w" i•'�. T TrP "r", ,. r 1 I ACORU' `=■`S � � � Y 7/7/2008 Producer THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. SUNZ Insurance Company THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE PO Box 1777 p y COVERAGE AFFORDED BY THE POLICIES BELOW. St Petersburg FL 33731 I1:1 IIM1 1.0111,11►14K011/X11ffei 727-497-1247 INSURER SUNZ Insurance Company www.sunzinsurance.com A INSURER B Insured INSURER TXRECO, Inc. d/b/a Pinnacle C Employee Leasing INSURER Suite 121 D 115 West Olympia Ave INSURER Punta Gorda FL 33950 E THE POLICI S OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO TH INSURED NAMED ABOVE FOR TH 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY POLICY EFFECTIVE EXPIRATION SR TYPE OF INSURANCE POLICY NUMBER DATE DATE LIMITS LTR MM/DD/YY MM/DD/YY GENERAL LIABILITY EACH OCCURRENCE S COMMERCIAL GENERAL UAB FIRE DAMAGE(My one fire) $ 'CLAIMS MADE OCCUR MED EXP(Any one person) S PERSONAL&ADV INJURY $ , GENERAL AGGREGATE S , GEN'L AGG UMIT APPLIES PER PRODUCTS-COMP/OP AGG $ POLICY FIPROJECT fl LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO ALL OWNED AUTOS BODILY INJURY (Per Person) S SCHEDULED AUTOS BODILY INJURY HIRED AUTOS (Per accident) NON-OWNED AUTOS $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ OTHER THAN EA ACC S ANY AUTO AUTO ONLY: AGG$ EXCESS LIABILITY EACH OCCURRENCE $ 2 OCCUR 0 CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE S RETENTION$ !S�" _ WORKERS'COMPENSATION& ✓'STATUTORY OMIT I✓IDTHERrr ,------- A EMPLOYERS'LIABILITY WCPE0000000803 6/15/2008 6/15/2009 EL EACH ACCIDENT $ I 666 EL DISEASE-EA EMPLOYEE $ 1000000 EL DISEASE-POLICY OMIT 5 1000000, DESRIPTI€N OF OPERATIONS/LOCAI1ONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/§PECIAL PROVISI6NS Coverage provided for all leased employees but not subcontractors of: Pioneros Services, Inc. Client Effective Date: 07/25/2007 State of Florida Coverage Only z � SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE r'OI t ier County EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL F-239-495-3134 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRE- SENTATIVES. •10 Days for Non-Payment of Premium 28DO N. Horseshoe Drive AUTHORIZED FL 34104 Naples REPRESENTATIVE Atte gdiii_Douglas Lilak Co BUILDING REVIEW AND PERMITTING ;�+" CONTRACTOR LICENSING SECTION COLLIER COUNTY/CITY OF NAPLES/CITY OF MARCO 'r r x Contractors' Licensing Board '�`v ''�Y Community Development& Environment. 9$ ,-- / /F ` APH s_ Services Division 2800 N. Horseshoe Drive Naples, FL 34104 4* F � — Telephone: (239) 252-2431 - e 4: , n Li Fax (239) 252-2569 `, . Q` A C .;y VESS. YjY Instructions: This application must e t Hr_ l).rritten or-legible printed. The app Ica ion ee must accompany this application. The fee is NOT refunda ear:-'- erbe, pplication has been accepted and entered on the records. All checks should be made payable to the"B,i ?d of County Commissioners". For further information, consult Collier County Ordinance No. 2006-46,\ aemended. i 1. Name of Firm M t,\e\ ( '\(>); ,"'Ind vim` <fvl %5 -11/1C. D/B/A(if applicable) r 2. Z7S M� Lr�dtc._ 20 l , IGx {7-- 7,i1// Business Address (Number& Street) City State Zip Code 3. ec., r Business Mailing Address City State Zip Code 4. Business Phone Number: ,, ,36I- )M Mobile Phone Number: 39' ,215 SS.�e-'i 5. Fax Number: 1 (A Federal Emp. ID#: AL d:1“ `La 6. Legal form of Business: Corporation: X LLC: f 7. Name of the Firm's Qualifying Agent \c Si=r ., r6,,,t -1 it�� - (License Holder) 8. INDICATE NATURE OF REQUEST—(A)To Qualify as a: ( ) General $150.00 ( ) Electrician $150.00 ( ) Building $150.00 ( ) Plumber $150.00 ( ) Residential $150.00 ( ) Air Conditioning $150.00 ( ) Mechanical $150.00 ( Roofing $150.00 ( ) Swimming Pool $150.00 () Specialty $135.00 qt/Og 641/' ' (Specialty trade type) (B) Change of Status: $10.00 ( ) Active License to Dormant ( ) From Individual to Qualifying a Business ( ) Dormant License to Active ( ) From Qualifying a Business to Individual ( ) Address Change ( ) To Qualify Additional Entity ( ) Reinstatement ( ) From One Business to Another Page 1 of 5 9. The names, titles, home address and phone numbers of all Officers/Managing Members of the Firm. /4(1, R )('4Z 0 )c.) 1-A,A4. Ciit(c. R-2,- z A).1;6ltsr ( --Of//2 ,2_1c-2,i3-221- 31.-(_ i, 1-14,1(c- z, --C 't ,A35 )‘1,1 - S S. `I 10. List all businesses, firms, entities or contracting businesses you have been associated with during the last ten years (ex. Held a license for or been a partner). Attach extra pages if needed. Nut 11. List all debts you or any company(s) associated with you refused to pay and the reasons for the refusal to pay. Attach extra pages if needed. v A- AFFIDAVIT I, T OSe 1 (rs,} )L11047 certify that the foregoing is true and c jrect to the,.best of my knowledge. Authorized Officer`o-f, the Firm STATE OF FLORIDA COUNTY OF 0d 1....4-,J g The foregoing instrument as acknowledged before me this 4 f C61 ..--) ate) By JOt t' -T ! i Z- of � svt _y, _.'. a (Name of officer, title/agent) (Name of Corporation) 4 /'/-0 -ibk- Corporation, on behalf of the corporatio'latt.he (State or Place of Corporation) has produced d oL Y- ,.412tir as identification and did not take an oath. ALL„,42_64.___, e Jg.,---___C , SIGNATURE 0 NOTARY NOTARY PUBLIC NOTARY'S SEAL (PRINT NAME OF NOTARY) �a ' Nola Public 8fate of Florida Hilda Gilbetl My Commission 00537824 ti °f ni Expires 05/01/2010 Page 2 of 5 APPLICATION COLLIER COUNTY/CITY OF NAPLES/CITY OF MARCO FIRM-PART I I • 1 - • 11 a - - . 1 - e _ . _ , - Contractors' Licensing Board Community Development& Environmental Services Division 2800 N. Horseshoe Drive Naples, FL 34104 Telephone: (239) 252-2431 Fax: (239) 252-2569 g 1. Name of Qualifying Agent c t a f 2 (Last) (First) (Middle) Date of Birth 1) ` 2. - �' S.S. # 000-00-t C 14-/ (Last 4 numbers only) Driver's License# R119,-.111c-S<,-Li as- 2. Home Address of the Qualifying Agent jc �� ; (Lk #3c1, I Va(,f 7 1 Home Phone# � � t(2g 3. Name of the Firm gcl i� e 1 c,);")c=r i l«r.c_ SCr 4. Type of Certificate of Competency for which application is made. _ceec cf oa—}- p i n1C clew/1 5. The names and telephone numbers of two persons who will know your whereabouts. /461(1. �i0�, � 23 - ) c 6. Have you ever been convicted of a crime related to Contracting? L' (If yes attach extra sheet with explanation) 7. Have you or any firms you have been associated with ever filed bankruptcy? & 8. List all debts you or any company(s) associated with you refused or failed to pay and reasons why. 9. List your business or work experience during the past ten years. �olrrt', 1-\ w 1Ac, -� , r, 4 %e"A { (t( cv-c( 1\-1E•16iTelc or< 10. Statement of any formal training you have had in the area for which the application is made. < ,, vi v\ yvv- i \1t%�t/1 e� 3 Page 3 of 5 AFFIDAVIT The undersigned hereby makes application for Certificate of Competency under the provisions of Collier County Ordinance No. 2006-46, as amended, and vouches for the truth and accuracy of all statements and answers herein contained. The undersigned hereby certifies that he is legally qualified to act on behalf of the business organization sought to be licensed in all matters connected with its contracting business and that he has full authority to supervise construction undertaken by himself or such business or organization and that he will continue during this registration to be able to so bind said business organization. The qualified license holder understands that in all contracting matters, he will be held strictly accountable for any and all activities involving his license. Any willful falsification of any information contained herein is grounds for disqualification. JCscfi II1"1 APPLICANT(PLEASE PRINT) NAME OF COMPANY ,:,„. v<//7 (;>/:--/ SrGNATURE OF APPLICANT STATE OF FLORIDA COUNTY OF en/...,Lv(J—' The foregoing instrument as acknowledged before me this 1` f t 04,K (Date) by J�� i��.. .-�° Z_ who has produced A//fr (Name of person acknowledging) (Type of identific tion) as identification and did not take an oath. SIGNATUR OF NOTARY `i'2 A / &2 --7 NOTARY PUBLIC NOTARY'S SEAL (PRINT NAME OF NOTARY) 0,0 No nj Public State of Florida Hilda Gilbert �� My oc Ces ommission 45101/24)DD537824 90 x Page 4 of 5 STAFF USE ONLY: _ t'_ ! • IlO /2. Name of Applicant Trade: Score: Take on Given in ,sponsored by Business & Law Score: tik, 1 ' Taken on &•p��_6 2 Given in ?Ok , sponsored by CO/1.e..Z_ Page 5 of 5 PROMETRICTM EXAMINATION RESULTS NOTIFICATION June 26, 2008 Joseph P Hollatz • 222-21-0249 2103 Tama Cir Apt 202 Naples, FL 34112 Dear Candidate: We are pleased to inform you that you achieved a passing score on your recent Collier County examination. Your score(s) are as follows: 06/21/2008 Naples, FL Business and Law 82 Pass Collier County requires a passing percentage of 75%. Please note that passage of the exam is no guarantee a certificate of qualification w ill be issued by the Licensing Board. To help you gain the recognition you deserve, Prometric has prepared a Certificate of Achievement, beautifully designed and very suitable for framing (8-1/2 x 11)for only $25.00 per category. Please fill out the order form below, cut along the dotted line, then send the completed form to Prometric . Payment options: check, money order, Visa or MasterCard. Credit card orders may be faxed to (800)813-6670.All others send to Prometric , 1260 Energy Lane, St. Paul MN 55108. Allow 2-3 weeks for delivery. Certificate of Achievement Request Joseph P Hollatz 222-21-0249 2103 Tama Cir Apt 202 Naples, FL 34112 Quantity Collier County- Business and Law - 06/21/2008 x $25.00= For credit card payment, complete the following. Card Type: Visa Mastercard Card No. Exp. Date Signature F159-fl-napl-C PROMETRIC *1260 Energy Lane •St.Paul,MN 55108 Ton Free:800.280.3926 *Fax:800.813.6670*w w w.prometric.com AFFIDAVIT It is understood and acknowledged by the Collier County Contractors' Licensing Board and myself that if I fail to acquire, or maintain at all times effective Workmen's Compensation Insurance it will result in the possible revocation of my Certificate of Competency. (° `: %? ST 3NATURE OF APPLICANT i2c.I, - A,,,1 ",(is 7 A,, u,C1 -t-l1c: BUSINESS NAME DATE BEFORE ME this day personally appeared <Z . D .1Pr1 - who affirms and says that he has less than one employee and does not require Workmen's Compensation and understands that at any time he employs one or more persons he must obtain said Workmen's Compensation Insurance. STATE OF FLORIDA COUNTY OFJ .i. - The foregoing instrument was acknowledged before me this 95JA4 1(,: 609 (Da by <TOC., W 01-i--47-7.-- who has produced NA- &1L _/ (name of person acknowledging) (Type identification) as identification and who did not take an oath. xie,,a,c_.) ,6. .- . : SIGNATURE OF NOTARY NOTARY SEAL NOTARY PUBLIC rAO 0e, Notary Public State of Florida , ilda Gilbert H 70F 3 c$ 1�„ s pire G 101/2Q �53762�s y a� RESOLUTION OF AUTHORIZATON t WHEREAS I -i)'4 „ �'‘ `j)�, e I A.1 proposes to nn ame of Busines'Entity) engage in contracting as Ke,11 o6tc i°'gin, ,.i‘ (Type of legal entity corp.,partnership,etc. Collier County, Florida, according to Collier County Ordinance 2006-46,as amended; and WHEREAS i1cS� FV,.,, ).(1±5. proposes to (Name of Busi l SS'Entity) qualify for a Certificate of Competency with pSv-i �� (Name of Individual) NOW,THEREFORE,BE IT HEREBY RESOLVED THAT: We the undersigned 3`r4 rc4 1 -01(4e._ 14/6 /yi” l(&(Ltz of (Officers, Owners,Partners) ),c��c ��c i,��t n ; t<��esc u IC hereby resolve and represent to the Collier County (Name of BusinessEntity) jj Contractors' Licensing Board that the qualifying agent, 3c-'- /0' AL/ )/a1i. k , is active i Warne o Individual) in all matters connected with the contracting business of �iic hp.) G�,'Y ;(� Se' ,�r f ,and (No am of irhisiness Entity We further resolve and represent that :-1,5,7,& elle41 - /44 /4.41 I IL Z is (Names of Individual) legally empowered to act f o r ILL(,eN3 11�.,�.}v-t�5 r f4 Se�k),(4) in all matters connected with its (Name of Business Entity) contractin g,business, and has the authority to supervise construction undertaken by e1i��e l tu�,�� i^ t !'I . (Name of Business Entity) DULY PASSED AND ADOPTED THIS /7 day of V , 21 (Officers,Partners, Owners-with 1/` Designation undemeat L A .Ai ' `.` R 1 / ess \""kAr\k'rkey Witness Corporate Seal(if Applicable) Or Notary Public Certificate JOSir-P" Sworn to and subscribed before me this /7731 y of by kLLLI /JoL.b4 Notary Public Name Printed Notary Public Sighature Commission Number In 537 4? is My Commission expires: 5-/-e l(7 pG Notary Public State of Florida ;p kitt Hilda Gilbert �Jly Commission DD537824 e. Expires 05/01/2010 • fVERIFICATION OF CONSTRUCTION EXPERIENCE ' Collier County Contractor Licensing C/O Community Development & Environmental Services Division 2800 N. Horseshoe Drive Naples, FL 34104 Telephone: (239) 403-2431, (239) 403-2432 or (239) 213-2909 Applicant's Name: 4 ' Certificate Category Requested: ROD Sr 6C-6,1 R ' PCB, The Applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate the Applicant must verify their experience within this trade. You are being requested to provide information that will aid the Applicant in meeting this requirement. You should verify time of active experience as an apprentice or a skilled worker(e.g. as a worker commanding the wage of mechanic or better in the trade). Time served solely in a supervisory or administrative role should be described,but may or may not be considered sufficient to demonstrate required trade experience. The person verifying trade experience must provide the following information: Name, Title and license number of the person signing below and verifying Applicants relevant experience: Name: , <' " 1 Title: ��i is N.se Number (if applicable): Name of Business: Business Address: - \ ; mss a '7n Z ' Business The Applicant's years of experience from IA to = r GLl! .JS - 24P- 114( The applicant's scope of work (specific duties)included: t x'C 4"-- ash l'4=C"- 1C-Cr� �;-c h51 e. -ccYr � In 5►�c i OLSA i . " A c- - . u • !.G C' C _ Additional Comments: IC ■..JzS \ICY 1 cA j �ZJ�e 1. 0✓1 1 1 Falsif g a y informatio provided l erein may s bject our licens to revocati . yy] l 6 `/�i 7 /4 .--JellN",/j Sir e VV \ Printed Name: 1, ndi? l� e4_GLCYc State of Florida- South 1bO.Ka-t et County of GoUier Pe_mi rwjtor, The foregoing instrument was acknowledged before me-on this ____ iof J u , lop 8 by ( Gtndis l"l. W eAVsa r who is personals wgl.(t 'f�,�produced identification and who did not take an oath. ;.'Q.`;.•OT O; 5 h SE •Agr>:of otary cr�� xpi i�0?_ Do O '•7At�*''AVB1.\Cr P,;* p c:7-,* 4 ••••11l...so' • VERIFICATION OF CONSTRUCTION EXPERIENCE,' Collier County Contractor Licensing C/O Community Development & Environmental Services Division 2800 N. Horseshoe Drive Naples, FL 34104 Telephone: (239) 403-2431, (239) 403-2432 or (239) 213-2909 Applicant's Name: ,...,,,F)Serk I-)v IL i Certificate Category Requested: 2v �.��1 'fib c# Ai The Applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate the Applicant must verify their experience within this trade. You are being requested to provide information that will aid the Applicant in meeting this requirement. You should verify time of active experience as an apprentice or a skilled worker(e.g. as a worker commanding the wage of mechanic or better in the trade). Time served solely in a supervisory or administrative role should be described,but may or may not be considered sufficient to demonstrate required trade experience. The person verifying trade experience must provide the following information: Name, T' nd licensee number of the person signing below and verifying Applicants relevant experience: Name: TGb Title: / License Number(if applicable): Name of Business: ttF Business Address:; ∎_ J._t) Business Phone:512_ l/7 C The Applicant's years of experience from to The applicant's scope of work(specific duties)included: A( ._ OF Additional Comments: Falsifying any information provided herein may subject you- ice . ., vocation. �� !i Signatur _ , Printed Name: `�6' . / 46 „dr ,, State of Florida County of Collier / , The foregoing instrument was acknowledged before me on this /41 iiay of I_c At A/1/24— ,,40.-- t e by y/k0rtJ7) h/Al2jy -c� who is personally known to me or pro ced as identification and who did not take an oath. `'' P Signature of Notary Notary Public State of Florida ;p Hilda Gilbert My Commission DD537824 or fvo Expires 05/01/2010 •VERIFICATION OF CONSTRUCTION EXPERIENCE Collier County Contractor Licensing C/O Community Development & Environmental Services Division 2800 N. Horseshoe Drive Naples, FL 34104 Telephone: (239) 403-2431, (239) 403-2432 or (239) 213-2909 Applicant's Name: (,)S t P\ !\o Lkz Certificate Category Requested: �F-� ��c. } WC�.> FA 0 mac/(A C\cc„ The Applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate the Applicant must verify their experience within this trade. You are being requested to provide information that will aid the Applicant in meeting this requirement. You should verify time of active experience as an apprentice or a skilled worker(e.g.as a worker commanding the wage of mechanic or better in the trade). Time served solely in a supervisory or administrative role should be described,but may or may not be considered sufficient to demonstrate required trade experience. The person verifying trade experience must provide the following information: Name, Title and license number of the person signing below and verifying Applicants relevant experience: Name:-. .e err,ei." C �1 e rt y Title: C.Jtla r ve,- License Number(if applicable): N 4' Name of Business: C- • C t c Business Address: ..5-9V-5-7 t-S /4u,y /0 ,'n.i ,57y Business Phone: f s S 3 The Applicant's years of experience from 0° - 97 to C- C.,0 The applicant's scope of work(specific duties)included: (s re f p4.e/ 7 b: /,`, efS f rt c/usj ch,e✓ e shs,-� `°^°`�` O c3"'A `L. + e- f ,/69 Ce,or.k free • T0 pa 5.5 / y f',effec./I'eel 47 i'.°1-N £',T 0e c i/I "15 pect al OLr'-4- �e Ica 7 /)'l i" 1 f ri 5 c 3Y' rtA a l t sS G ' aE ��' Cue l oge Additional Comments: r.-r- f j c. doe=, ell- ry. e - ! ; / Falsifying any information provided herein may subject your license to re Signature Printed Name: .D x'r74/ Q_t C It State of Florida County of Collier The foregoing instrument was cknowledged before me on this /O day of lam'''d 1 C by �J e-p r 0/{ f "2- who is personally known to me p roduied // as identification and who did not take an oath. / J it "! ANGELA L. NELSON Signature of> jtary ''? NOTARY PUBLIC-MINNESOTA my Commission Expires Jan.31,2012 • AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER I, hl. F)S&I,b66 , am a resident of LEE County, gC-c6 (State) and have resided here for more than five (5)years. During the last five years I have known c, Ace e (Applicant). I have had the opportunity to observe his or her business and personal dealings and find him or her to be a person of honesty, integrity and good character. (Signature)' . (Name) itV' D (Address) L,( ) 4° 4 ems ' L- 4 , EL 3397 (Telephone) 251-a)3_Ci2 STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this ._r/.A by 'Dot A ' � �'• (4, 4• .- ' who has roduced (name : person acknowledging) _� �{Type'of identification) as identification and who did not take an oath. SIGNATURE OF NOTARY A OS A- 6 1L.,8-fzf ' (PRINT NAME OF NOTARY) NOTARY PUBLIC NOTARY'S SEAL ��tt Notary Public State of Florida 07-Gilbert A My Commission DD537824 cr Rvo¢ Expires 05/0112010 AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER 0--°--'� f I, -J4� 06 0ric": , am a resident of Ala Pi''S County, 6 o'1 i e( (State) and have resided here for more than five (5)years. During the last five years I have known -not_ k\G-t`a•k Z. (Applicant). I have had the opportunity to observe his or her business and personal dealings and find him or her to be a pers• of honesty, integrity and good character. / _ (Signatu (Na I •..) o{- (1,,,,roi--4 , (Address) V5 G o fV J Oft:x-`fa CL( / I4 t '5I 1�L -3 A 116 (Telephone) 03 ? 46 I 1 / 0 STATE OF FLORIDA COUNTY OF // The foregoing instrument was acknowledged before me this j'4-- 162 c Oc9hy Data) :Joe, es-A.- ` ✓ who has produced 1J/A-- (name of perso acknowledging) pe&4 vx-G j - (Type of identification) as identification and who did not take an oath. �.._ SIGNATURE OF NOTARY (PRINT NAME OF NOTARY) NOTARY PUBLIC NOTARY'S SEAL rP1OIPOfF1 �lll?naafi de� Iviu Carr, ion D€�a37824 n'®F 0. Expires 05./20,0 4t,I In Balance t Building Your Business a Better Bottom Line Recognized Credit Reporting Agency 12268 Tamiami Trail E, Suite 301,Naples, FL 34113 • 239-774-5100 The information you requested is provided below. The information provided was gathered by third party sources not affiliated with In Balance,Inc. The information provided has not been reviewed/verified by In Balance,Inc.,and therefore responsibility for its accuracy,completeness,and the manner in which it was gathered rests ultimately with the third party sources notwithstanding In Balance,Inc.'s exercise of reasonable care in selecting said third party sources. Personal Credit Report Summary All information contained below is accurate and true as of the indicated search date Name of individual: Joseph P. Hollatz Social Security Number: Credit score: 771 Search date: July 8, 2008 Searches requested: Liens, Judgments and Bankruptcies A search of local, state, and federal databases on the above individual generated the following results: LOCATION DATE AMOUNT ALL SEARCHES FOR LIENS, JUDGMENTS AND BANKRUPTCIES PROVED NEGATIVE t In Balance 'C 12268 Tamiami Trail E, Suite 301,Naples, FL 34113 • 239-774-5100 Hollatz,Joseph P 477940614;CA-2103 Tama Circle #202/Naples FL 34112;Y-11221980;H -N; PAGE 1 DATE 7-08-2008 TIME 12: 18:21 V601 TFLT JOSEPH PAUL HOLLATZ SS: E: CLUB AT THE STRAND 2103 TAMA CIR APT 202 YOB: 1980 RPTD: 7-03 I NAPLES FL 341125441 RPTD: 5-06 TO 1-08 U 6X LAST SUB: 1229200 *1930B BALD EAGLE DR NAPLES FL 341052402 RPTD: 7-03 TO 4-06 U 2X *PO BOX 111512 NAPLES FL 341080126 RPTD: 9-05 U 1X *JOE HOLLATZ PROFILE SUMMARY CNT 00/00/00/00 PUBLIC RECORDS 0 PAST DUE AMT $0 INQUIRIES---4 SATIS ACCTS--13 INST/OTH BAL N/A SCH/EST PAY $410+ INQS/6 MO---0 NOW DEL/DRG---0 R ESTATE BAL--$718, 125 R ESTATE PAY----$4,240 TRADELINE--13 WAS DEL/DRG---0 TOT REV BAL----$66,221 TOT REV AVAIL 36% PAID ACCT---5 OLD TRADE--7-03 SCORE SUMMARY EXP/FAIR ISAAC RISK SCORE 2 = 771 SCORE FACTORS: 12, 10, 14, 01 TRADES SUBSCRIBER OPEN AMT-TYP1 AMT-TYP2 ACCTCOND PYMT STATUS SUB# KOB TYP TRM ECOA BALDATE BALANCE PYMT LEVEL MOS REV PYMT HISTORY ACCOUNT # LAST PD MONTH PAY PAST DUE MAXIMUM BY MONTH *TARGET NB 11-04 $2, 000-L $169-H CLOSED CURR ACCT 2218220 BC CRC REV 1 6-18-08 $0 5-07 (43) B000000000000 435237668659 12-04 000000000000 ** ACCOUNT CLOSED AT CREDIT GRANTOR'S REQUEST ** *SEARS/CBSD 1-04 $1,500-L $1, 458-H PAID CURR ACCT 1230730 BC CRC REV 1 10-16-07 10-07 (45) B000000000000 512107502964 4-04 000000000000 ** ACCOUNT CLOSED AT CREDIT GRANTOR'S REQUEST ** RIVERSIDE BANK GULFCOA 4-05 $57, 000-L $52, 687-H PAID CURR ACCT 1175600 BB H/E LOC 1 8-02-07 8-07 (28) B000000000000 60815 11-05 00000000CCCC +++++ MORE BCLG LKS 1019899 HOLLATZ,JOSEPH P CA-2103 TAMA CIRCLE #202/NAPLES iliv In Balance I 12268 Tamiami Trail E, Suite 301, Naples, FL 34113 • 239-774-5100 PAGE 2 DATE 7-08-2008 TIME 12:18:21 V601 TFLT SUBSCRIBER OPEN AMT-TYP1 AMT-TYP2 ACCTCOND PYMT STATUS SUB# KOB TYP TRM ECOA BALDATE BALANCE PYMT LEVEL MOS REV PYMT HISTORY ACCOUNT # LAST PD MONTH PAY PAST DUE MAXIMUM BY MONTH WASHINGTON MUTUAL FA 6-05 $228, 000-0 PAID CURR ACCT 3180830 BB R/C 30Y 1 9-30-06 9-06 (14) BCCCCCCCCCCCC 1560699205423 9-06 C WASHINGTON MUTUAL FA 3-04 $152, 830-0 PAID CURR ACCT 3180830 BB R/C 30Y 1 11-30-05 11-05 (21) BCCCCCCCCCCCC 1560628379653 10-05 CCCCCCCC MORTGAGE SERVICE CENTE 4-06 $263, 675-0 OPEN CURR ACCT 6990477 FM R/C 30Y 1 7-07-08 $263, 126 7-08 (23) CCCCCCCCCCCCC 9547100288138 6-08 $1, 780 CCCCCCCCCC MIN: 100039048777927478 HSBC/SAKS 12-04 $2, 000-L $334-H OPEN CURR ACCT 1579670 FZ CHG REV 1 7-03-08 $0 1-06 (51) NNNNNNNNNNNNN 784475 1-05 NNNNNNN US BANK/NA ND 8-04 $25, 000-L $10, 392-H OPEN CURR ACCT 3143770 BB CRC REV 1 6-30-08 $892 6-08 (48) CCCCCCCCCCCCC 419000435651 6-08 $18 CCCCCCCCCCCC CAP ONE 7-03 $3, 000-L $310-H OPEN CURR ACCT 1270246 BC CRC REV 1 6-24-08 $0 4-08 (60) NNOCCCCCCCCCC 10-04 CCCCCCCC0000 AMEX 2-06 $9, 000-L $1, 022-H OPEN CURR ACCT 1229200 BC CRC REV 1 6-22-08 $305 6-08 ( 1) C 349990859031 6-08 UNK GMAC MORTGAGE 4-06 $65, 900-L $67, 043-H OPEN CURR ACCT 2993959 FM H/E LOC 1 5-31-08 $65, 024 5-08 (22) CCCCCCCCCCCCC 860149 5-08 $392 CCCCCCCCC MIN: 100039048930871654 COUNTRYWIDE HOME LOANS 11-05 $214, 600-0 OPEN CURR ACCT 3991532 FM R/C 30Y 1 5-31-08 $214, 547 5-08 (27) CCCCCCCCCCCCC 116112962 5-08 $1, 158 CCCCCCCCCCCC +++++ MORE BCLG LKS 1019899 HOLLATZ, JOSEPH P 477940614;CA-2103 TAMA CIRCLE #202/NAPLES {43" In Balance 'C 12268 Tamiami Trail E, Suite 301,Naples, FL 34113 • 239-774-5100 PAGE 3 DATE 7-08-2008 TIME 12:18:21 V601 TFLT SUBSCRIBER OPEN AMT-TYP1 AMT-TYP2 ACCTCOND PYMT STATUS SUB# KOB TYP TRM ECOA BALDATE BALANCE PYMT LEVEL MOS REV PYMT HISTORY ACCOUNT # LAST PD MONTH PAY PAST DUE MAXIMUM BY MONTH COUNTRYWIDE HOME LOANS 9-06 $241, 500-0 OPEN CURR ACCT 3991532 FM R/C 30Y 1 5-31-08 $240, 452 5-08 (18) CCCCCCCCCCCCC 131842638 5-08 $1, 302 CCCCC INQUIRIES FIRST AMER CR SVCS INC 9-27-06 3988260 FR R/E CREDSTAR 8-14-06 1974941 FR UNK R/E STANDARD FEDL BK/FHLMC 7-11-06 2990543 FM FIS CREDIT SERVICES 7-07-06 1988977 FR UNK R/E CONSUMER ASSISTANCE CONTACT: EXPERIAN 701 EXPERIAN PARKWAY, PO BOX 2002, ALLEN, TX 75013 888 .397 .3742 Electronic Articles of Incorporation PO8000065704 For FILED July 10 2008 Sec. Of State clewis RELIABLE MONITORING& HOME SERVICES , INC. The undersigned incorporator, for the purpose of forming a Florida profit corporation, hereby adopts the following Articles of Incorporation: Article I The name of the corporation is: RELIABLE MONITORING& HOME SERVICES , INC. Article II The principal place of business address: 2103 TAMA CIRCLE #202 NAPLES, FL. US 34112 The mailing address of the corporation is: 2103 TAMA CIRCLE #202 NAPLES, FL. US 34112 Article III The purpose for which this corporation is organized is: HOME WATCH, WINDOW WASHING, PRESSURE CLEANING, Article IV The number of shares the corporation is authorized to issue is: 100 Article V The name and Florida street address of the registered agent is: JOSEPH HOLLATZ 2103 TAMA CIRCLE #202 NAPLES, FL. 34112 I certify that I am familiar with and accept the responsibilities of P08000065704 registered agent. July 1D J 2008 Sec. Of State Registered Agent Signature: JOSEPH HOLLATZ ciewis Article VI The name and address of the incorporator is: JOSEPH PAUL HOLLATZ 2103 TAMA CIRCLE#202 NAPLES FL, 34112 Incorporator Signature: JOSEPH PAUL HOLLATZ Article VII The initial officer(s) and/or director(s) of the corporation is/are: Title: PVST JOSEPH HOLLATZ 2103 TAMA CIRCLE#202 NAPLES, FL. 34112 US Title: D JOSEPH HOLLATZ 2103 TAMA CIRCLE#202 NAPLES, FL. 34112 US Title: D KELLI HOLLATZ 2103 TAMA CIRCLE NAPLES, FL. 34112 US Article VIII The effective date for this corporation shall be: 07109/2008 • Jul 15 2008 2: 10PM Ott Insurance Rgency 239-948-2004 p. 2 A. °��R� CERTIFICATE OF LIABILITY INSURANCE DATE 7/1�5/`0088"Y' PRODUCER Ott Insurance THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 10951 Bonita Beach Rd ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Bonita Springs,FL 34135 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Phone (239)948-0001 Fax (239)948-2004 INSURERS AFFORDING COVERAGE NAIC# INSURED Reliable Monitoring& Home Services, Inc. INSURER A: Burlington Insurance Company INSURER B: 2103 Tama Circle #202 INSURER C: Naples, FL 34112- INSURER D: 1239 INSURER E: COVERAGES INSURER F: THE POLICIES OF INSURANCE LISTED 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 15 SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _ — lNSR NSRD TYPE OF INSURANCE POLICY NUMBER �DATTEE IMMIO�wr o DATEYeasuno vrl EXPIRATION LIMITS LTR INaR° — GENERAL LIABILITY EACH OCCURRENCE $1,000,000 GE TO RENTED COMMERCIAL GENERAL LIABILITY 627B0003252 10/01/07 10/01/08 PRA EM oowrence) $100,000 ❑❑ CLAIMS MADE ® OCCUR MED EXP(My One pew) $5,000 A ❑ ❑ PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $1,000,000 �N1 AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/ AGG $1,000,000 • POLICY ❑PROJECT ❑ LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ❑ ANY AUTO (Ea accident) ❑ ALL OWNED AUTOS BODILY INJURY El ❑ SCHEDULED AUTOS (Per person) ❑ HIRED AUTOS BODILY INJURY ❑ NON OWNED AUTOS (Per accident) ❑ PROPERTY DAMAGE ❑ (Per accident) GARAGE LIABILITY AUTO ONLY.EA ACCIDENT ❑ ❑ ANY AUTO OTHER THAN EA ACC ❑ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE ❑ OCCUR ❑ CIAIMS MADE AGGREGATE ❑ DEDUCTIBLE ❑ RETENTION $ WORKERS COMPENSATION AND ❑ WC STATU- ❑ OTH- EMPLOYERS'LIABNJTY TORY LIMITS ER ANY PROPRIETOR/PARTNER I EXECUTIVE EL EACH ACCIDENT OFFICER/MEMBER EXCLUDED? EL.DISEASE-EA EMPLOYEE I yes,desate under SPECIAL PROVISIONS be _ E.L.DISEASE•POLICY LIMIT OTHER DESCRIPTION OF OPERATIONS f LOCATIONS!VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL Collier County Development Services 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO Contractor Licensing THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. 2800 N. Horseshoe Drive AUTHORIZED REPRESENTATIVE Naples,FL 34104 c %)Fax 239-403-2480 w! ACORD 25(2001/08)OF ®ACORD CORPORATION 1988 NOTICE OF ELECTION TO BE EXEMPT Please thoroughly read the instructions before completing this application. Print legibly in each data entry field. If this application contains incomplete or inaccurate information or if the handwriting is not legible,it may cause a delay in the issuance of your exemption. SECTION 1: Applicant Name(please print): 3r9Ste N Applicant's E-mail address(optional): ,..:Noctekolici-Z423o.ko es (or SECTION 2: I am applying for exemption as a(You must check only one box in this section): CONSTRUCTION INDUSTRY($50 FEE REQUIRED) ❑ Officer of a Corporation(Title): -OR- ❑ Member of a Limited Liability Company(LLC) NON-CONSTRUCTION INDUSTRY O FEr REQUIRED) IF Officer of a Corporation(Title): r(c5 i"44 The Division will accept a money order,a cashier's check,or an electronic payment made payable to the DFS WC Administration Trust Fund. An officer electing an exemption under Chapter 440,Florida Statutes is not entitled to benefits under this chapter. SECTION 3. The corporation of which you are an officer or the limited liability company of which you are a member must be registered and in an active status with the Florida Division of Corporations.Applicants applying as an officer of a corporation must be listed as an officer of the Corporation with the Florida Division of Corporations. List the document number(document number shown on your Annual Report)on file with the Florida Division of Corporations. SECTION 4. This exemption application applies only to the person signing the application,the Corporation/LLC that is listed below, and the scope of business or trade listed: Name of Corporation or LLC: 1�C� 11A�It- 1%nlGrlAe l Dry Scrvl(�� Tnr FEIN:16 c°'I(D9I n(� AS REGIISTERED WITH THE FLORIDA'DIVISION OF CORPORATIONS Business Name: I�C.e.'; MC-1 ,v �\v/N A e, r'i rcr�)i cis I Tc. Phone: Qs.31,) IF APPLICABLE-LIST FICTITIOUS NAME;DOING BUSINESS AS(DBA);ALSO KNOWN AS NAME(AKA) Applicant's Address of Record: a 1 C 3 l..r1 r, C,fcic INCLUDE APARTMENT OR SUITE NUMBER City: I iA�IeS State: V-1- Zip: 1-.10 1-.10 ff County: t!v I ` Ii c Scope of Business or Trade: 1.Vot,..t;L)cs�. a5 2. t A�� 1F1�)'1 3. One s''}`Vl 4.�v:.T C(e SECTION 5. List all certified or registered licenses issued pursuant to Chapter 489,F.S.held by the applicant,or the certified or registered license numbers 4eld by the qualifier for the corporation or LLC listed on this application of which the applicant is a corporate officer: SECTION 6. If you have submitted an electronic payment for this application,write the transaction confirmation number in the following space: SECTION 7. Are you affiliated with any corporation(including LLC)other than the corporation(including LLC)to which this application applies? DYes j No IF YES,PLEASE LIST THE NAME(s)AND FEIN(s)OF THE AFFILIATED CORPORATION(s)OR LLC(s): NAME: FEIN: SECTION 8. If your corporation or LLC is engaged in the construction industry,you must provide the required proof of ownership in the corporation or LLC. A. To be eligible for a construction industry exemption as an officer of a corporation,the applicant must be a shareholder, owning at least 10%of the stock of the corporation. A COPY OF A STOCK CERTIFICATE EVIDENCING THE REQUIRED OWNERSHIP MUST BE ATTACHED. B. To be eligible for a construction industry exemption as a member of a limited liability company,the applicant must confirm ownership of at least 10%of the company. THE REQUIRED OWNERSHIP MAY BE ESTABLISHED BY PRODUCTION OF DOCUMENTATION REFLECTING THE REQUIRED OWNERSHIP,OR BY SUBMITTING A STATEMENT ATTESTING TO THE REQUIRED OWNERSHIP. THIS APPLICATION IS CONTINUED ON PAGE 2 DWC 250,NOTICE OF ELECTION TO BE EXEMPT—REVISED 01/2008 NOTICE OF ELECTION TO BE EXEMPT—Page 2 SECTION 9. FRAUD NOTICE A. Any person who,knowingly and with intent to injure,defraud,or deceive the department or any employer or employee, insurance company or any other person,files a notice of election to be exempt containing any false or misleading information is guilty of a felony of the third degree. B. Attestation of applicant-By signing below,I attest that I have r ad,understand and acknowledge the foregoing notice. '" 7<"/ — SIGNATURE OF APPLICANT SECTION 10. You must identify the workers' compensation insurance carrier that covers any non-exempt employees of your business. Carrier Name: 04 A Te•�k,.(anc, A`�nc, 1 LLL J J AFFIDAVIT OF APPLICANT: I hereby certify that the information contained herein is true and correct to the best of my knowledge and belief;that this election does not exceed exemption limits for corporate officers, including any affiliated corporations as provided in §440.02 FloridaStatutes.;-1 / AP LICANT'S SI SIGNED DATE S NOTARY STATE OF FLORIDA,COUNTY OF e61-4./ / —' Sworn to and subscribed before me this / 71lay of by r .u7-� ,0+'" o ary u c 5`o Florida Personally Known OR Produced Identification Type of Identifica ioiT Hilda Gilbert Produced - '�of' MY Commission DD537824 �` �Ex. NOTARY SIGNATURE � T_ �� My Commisston x6ptres L Please mail or submit your completed application,application fee,and any required STATE USE ONLY attachments to the district office nearest your place of business. 4415 Metro Parkway,Suite 300 921 North Davis Street 401 NW 2nd Avenue Effective/Issue Date: Ft.Myers FL 33916 Building B,Suite#250 Suite#321,South Tower Telephone(239)938-1840 Jacksonville,FL 32209 Miami FL 33128 Telephone(904)798-5806 Telephone(305)536-0306 610 E.Burgess Road Expiration Date: Pensacola,FL 32504-6320 400 West Robinson Street TALLAHASSEE SUBMITTERS Telephone(850)453-7804 Room#512,North Tower Orlando FL 32801 Walk-in submissions. Control Number: 3111 S.Dixie Highway,Suite#123 Telephone(407)835-4406 or 2012 Capital Circle SE West Palm Beach FL 33405 (407)245-0896 Suite#102,Hartman Bldg. Telephone(561)837-5716 Tallahassee FL 32399-2161 Postmark Date: Live Oak Business Center 499 Plantation FL 33317 Ave.,Suite#116 Telephone(850)413-1609 Plantation FL 33317 5969 Cattlemen Lane Telephone(954)321-2906 Sarasota FL 34232 p ( ) Mail in submissions Payment Number: Telephone(941)329-1120 1111 NE 250'Ave.,Suite#403 200 East Gaines Street Ocala FL 34470 Tallahassee FL 32399-4228 1313 N.Tampa Street,Suite#503 Telephone(352)401-5350 Telephone(850)413-1609 Received Date: Tampa FL 33602 Telephone(813)221-6506 "The collection of the social security number on this form is specifically authorized by Section 440.05(3),Florida Statutes. The social security number will be used as a unique identifier in Division of Workers'Compensation database systems for individuals who have applied for and/or been issued a Certificate of Election To Be Exempt. It will also be used to identify information and documents in those database systems regarding individuals who have applied for and/or been issued a Certificate of Election To Be Exempt for internal agency tracking purposes and for purposes of responding to both public records requests and subpoenas that require production of specified documents. The social security number may also be used for any other purpose specifically required or authorized by state or federal law." DWC 250,NOTICE OF ELECTION TO BE EXEMPT—REVISED 01/2008 COLLIER COUNTY GOVERNMENT 9 !!►,!/� 2800 NORTH HORSESHOE DRIVE ZONING & LAND DEVELOPMENT REVIEW _ NAPLES, FLORIDA 34104 WWW.COLLIERGOV.NET/ZONING ' PHONE: (239) 403-2400 EXT. 5603 r0(°INA`' FAX (239) 530-6286 LAND USE AND ZONING CERTIFICATE HOME OCCUPATION Please take the time to fill out this form as completely as possible. Remember that only someone actually living at the address given below may engage in the home occupation described. Customers, or employees not living at this address are prohibited from traveling to and from the residence if visits are related to this home occupation. The applicant is the person in whose name the occupational license will be issued, and the applicant's signature must appear on this form. Verification as property owner or lessee in the form of a Valid Florida's Driver License or Florida Identification Card and/or copy of valid lease agreement is required. APPLICATION DATE 7'!�` - t' c'O ZONING CERTIFICATE # APPLICANT'S PHONE ,).C13 X3`1 APPLICANT'S NAME ..oCep L lAc\ c, APPLICANT'S HOME ADDRESS a(v 3 "\--.1,\ Nc91,) ( IL 34112 TYPE OF BUSINESS TO BE CONDUCTED f\c'r BUSINESS NAME (IF ANY) �ctio��c �vA110%1n5 " 1-Inr( -SrtVi(et TIV . I, the undersigned, hereby affirm that I am the legal owner of the property at the above address or that I have the legal right to conduct the business described above at this address by virtue of my leasehold interest in this property, and that I have read, understood, and agree to abide by the provisions of LDC Section 5.02.00 `Home Occupations"(see back of application). hZ �J APPLICANT SIGNATU /�*�" DATE / 200s/ FEE: $50.00 CHECKS PAYABLE TO: "BOARD OF COUNTY COMMISSIONERS" TO BE COMPLETED BY COUNTY STAFF ZONING: PROPERTY ID# DATE REVIEWED BY APPROVED HOLD DENIED COMMENTS/RESTRICTIONS: Must comply with Section 5.02.00 of the LDC (see back of application). N.1,1-4, COLLIER COUNTY BUSINESS TAX RECEIPT '..tHE STgT L1 of e /°'''►'�% 4 APPLICATION :se," 0 • '° '` 2800 N.Horseshoe Drive,Naples,FL 34104 .:,— if C1 FLORIok �~ Make Check Payable to: Collier County Tax Collector \..-y '* `°� U Phone: 239-403-2477 Fax: 239-643-4788 Website: www.colliertax.com "zo,0 F `` CHECKLIST Copy of Articles of Incorporation and/or Fictitious letter _Yellow Fire Compliance(list of fire district phone number from the State stating that your business name is on file. enclosed) (850-245-6052 or 6058) www.sunbiz.org Copy of Marco Zoning Certificate.(239-389-5000) Copy of State license from Department of Business and Professional(850-487-1395)or Department of Health. Completed Zoning application with appropriate fee made payable (850-410-3359) to:Board of County Commissioners. Copy of City Business Tax Receipt.(239-213-1800) Completed Business Tax Receipt application with appropriate fee made payable to:Collier County Tax Collector.(239-403-2477) Copy of Motor Vehicle Repair Registration Certificate from Department of Agriculture.(800-435-7352) Other: Copy of Health inspection from Department of Hotels and Restaurants(850-487-1395)or Department of Agriculture. (800-435-7352) CHECK ONE: Date: Original Application Classification Transfer of License# Code Number - - Renewal of License# License Amount CORPORATE NAME- Pei■.m,gt Mel- o/►n) + Aorti s�r∎1 t0-l A-At, 1a) DBA NAME- S��t A5 Gvbvc lb) BUSINESS OWNER OR QUALIFIER'S NAME - Jas (\,\ I1oII�t1-� PHYSICAL ADDRESS- 2,(t>3 �,N,a� t'_ ,rc(e . a c: cApL) 1 FL '3t,1)' , (No P.O.Box allowed) 2a) IS RESIDENCE USED AS AN OFFICE - Yes No 3) BUSINESS MAILING ADDRESS - ':).10`1 1,,^ui ;roc ato. 1 45 I ft i-11)--z Street City Zip 4) OWNER OR QUALIFIER'S RESIDENTIAL ADDRESS - 5) TELEPHONE -Business: .-j-t - )...o13 5fS3"J Home: 6) LEGAL FORM OF BUSINESS: Sole Proprietorship Partnership Corporation LLC LLP 7) OPENING DATE OF BUSINESS OR DATE ASSUMED - 8) OFFICE WITHIN CITY LIMITS OF NAPLES - Y Yes No If Yes,City License No. 9) SOCIAL SECURITY NO. or FEDERAL EMPLOYER IDENTIFICATION NO. at -I �1vl-(z( n 9a) TYPE OF BUSINESS CONDUCTED: ('v�.-er 4slnt n5 i U t+�cjc S\AI 5 a 001•a. GO61 e 1 )9Ge•c (LA NUMBER OF EMPLOYEES- Including of number of owners: I 11) FILL IN THE APPROPRIATE AREAS - . a)Rental units(motel/hotel/apts.)Number of units: ,b) Seating Capacity(rest./cafes,etc.)Number of seats: c)Number of coin-operated machines owned by business or individual: 12) STATE LICENSE OR CERTIFICATION NUMBER- Must have photo copy of state license if state licensed and certified UNDER PENALTIES OF PERJURY,I DECLARE THAT I HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS STATED IN IT ARE TRUE TO THE BEST OF MY KNOWLEDGE. xxxAPPLICANT'S SIGNATURE: DATE: (Owner and/or representative of business)TITLE: ****THIS LICENSE IS NON-REFUNDABLE FOR BUSINESS STATED ABOVE**** COLLIER COUNTY BUILDING REVIEW PERMITTING CONTRACTORS LICENSING 2800 N. Horseshoe Drive Naples, Florida 34104 e (239) 403-2432 • Fax (239) 403-2469 July 30, 2008 Dear; Joseph Hollatz The Contractor's Licensing Supervisor has reviewed your application, and has referred your Certificate of Competency as a roof coating, roof paint, and roof sealing contractor to the Collier County Contractors Licensing Board. The reason for this referral is that it appears that you have issues pertaining to your experience affidavit on your application... If you have any questions concerning this referral, please contact the Contractor Licensing Office at (239)252-2432 or (239)252-2431 (Sincerely. r Contractor Licensing Supervisor a c c t Pr t r cAtnhassabor L ifr!wn , .Jur_ August 1, 2008 Collier County Contractor Licensing Dear Sir or Madam: The first business, Ambassador Kitchens, Inc. installs cabinets in Collier County and the proposed business, Solid Surface T s of Southwest •ri . installs countertops. LAIIP Signed e • :ge This instrument prepared by: Ambassador Kitchens, Inc. 12940 Metro Parkway Fort Myers,FL 33966 12940 Metro Pkwy. • Fort Myers, Florida 33966 (239) 768-0400 • Fax (239) 768-5941 • #7.."'""tir. ---).-... IIIIFI ® Hi - BUILDING REVIEW AND PERMITTING CONTRACTOR LICENSING SECTION COLLIER COUNTY/CITY OF NAPLES/CITY OF MAl a Contractors Licensing Board " A Community Development&Environmental Services Division R. 2800 North Horseshoe Drive 'etverr it 14, , Naples, Florida 34104 , Telephone: (941)403-2431 S. Facsimile: (941) 403-2345 eft ,, d APPLICATION TO QUALIFY SECOND ENTITY THIS FORM MUST BE COMPLETED IF YOU WISH TIO INITIATE OR CHANGE THE STATUS OF AN EXISTING LICENSE. READ ALL INSTRUCTIONS AND MAKE SURE YOU HAVE SIGNED WHERE INDICATED. TYPE OR PRINT IN INK. MAKE CHECKS PAYABLE TO THE COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS. ALL CHECKS MUST CLEARLY STATE APPLICANT'S NAME AND ADRESS. PLEASE ALLOW 2 -3 WEEKS FOR PROCESSING. FEE $ 5 ' /O,, 1. Applicant's Name (Licensee) A(,1 /if I l 'C(7 PI LICENSE # I ( 05( UNDER THE FEDERAL PRIVACY ACT, DISCLOSURE OF SOCIAL SECURITY NUMBERS IS VOLUNTARY UNLESS SPECIFICALLY REQUIRED BY FEDERAL STATUTE. IN THIS INSTANCE, SOCIAL SECURITY NUMBERS ARE MANDATORY PURSUANT TO TITLE 42 UNITED STATES CODE, SECTIONS 653 AND 654; AND SECTIONS 455.203(9), 409.2577, AND 409.2598, FLORIDA STATUTES. SOCIAL SECURITY NUMBERS ARE USED TO ALLOW EFFICIENT SCREENING OF APPLICANTS AND LICENSEES BY A TITLE IV-D CHILD SUPPORT AGENCY TO ASSURE COMPLIANCE WITH CHILD SUPPORT OBLIGATIONS. SOCIAL SECURITY NUMBERS MUST ALSO BE RECORDED ON ALL PROFESSIONAL AND OCCUPATIONAL LICENSE APPLICATIONS AND WILL BE USED FOR LICENSE IDENTIFICATION PURSUANT TO THE PERSONAL RESPONSIBILITY AND WORK OPPORTUNITY RECONCILIATION ACT OF 1996(WELFARE REFORM ACT), 104 PUB.L. 193, SEC.317. ■ 1 0 -/ 1/(t70 I� Place of Birth: (City) Li)a(^ (,�I a (State) FL (Nation) M J8 Social Security Number Date of Birth SEX: Male Female ; RACE: _K(I)White_;(2)African-American; (3)Hispanic_;(4)Asian_(5)Indian;(6)Other I 2. Name of Business To Be Qualified: Do tip Jet r t/lee 11S 6" ak- II I4}zs. -4/7 . --C-i-,,C., Mailing Address: p 0 Din( 666, 1 %rill V of k-- 5 ) / Street or P.O.Box C (City State Zip Street Address: 1p 15U �D 14-t-'� 't c. J ' - riC� 0Y5 rL l e Street city State Zip I Business Phone Number: ij �£t ` `71 O Federal ID Number: 1 0(�° c / APPLICATION TO QUALIFY SECOND ENTITY 3. Applicant's (Licensee)Name: Pd �l i,f /•)e I I 50_,041- Last First Middle Applicant's (Licensee) Official Mailing Address of Record: I3q1A0 me r PVu F . (Ner. Lam. F S3R(P& Street .,ity County State Zip Street Address (if Post Office Box is listed above): Street City County State Zip Home Phone ( ) Office Phone bill) 4 Log.-ogco 4. VERIFICATION OF GENERAL LIABILITY INSURANCE and WORKERS' COMPENSATION (or exemption from Workers Law) INSURANCE (ATTACH A CERTIFICATE OF INSURANCE OR EXEMPTION. 1 HEREBY AFFIRM THAT I HAVE OBTAINED GENERAL LIABILITY AND PROPERTY DAMAGE INSURANCE IN THE AMOUNTS SET FORTH BELOW and workers' compensation insurance (unless exemption has been filed with and approved by the Bureau of Workers' Compensation compliance), for the safety and welfare of the public. I further affirm that I have met all continuing education requirements. I understand that it is my responsibility to maintain all documentation supporting this affirmation of eligibility. I affirm that these statements are true and correct and I recognize that providing false information may result in a FINE,SUSPENSION or REVOCATION of my contractor's license. K-) ,A, R(A 0 t(l OcOli Paae R-'DATE APP _ GNAjo .E PRINT OR TYPE NAME MINIMUM AMOUNTS REQUIRED FOR GENERAL.LIABILITY INSURANCE ='F r. $100,000 bodily injury,:- $25,00. 0 property damage , COMBINED SINGLE LIlVT POLICIES MUST BE IN THE MINIMUM AMOUN TS REQUIRED . TO FILE A NOTICE OF ELECTION TO BE EXEMPT from the provisions of the FLORIDA WORKERS' COMPENSATION LAW, contact your nearest Florida Department of Labor and Employment Security, Bureau of Workers' Compensation Compliance office to obtain form#BCM-250-T. 3 APPLICATION TO QUALIFY SECOND ENTITY 5. QUESTIONNAIRE—QUALIFYING A SECOND ENTITY THIS FORM MUST BE COMPLETED BY THE APPLICANT REQUESTING TO QUALIFY A SECOND ENTITY OR REQUESTING A CHANGE TO AN EXISTING SECOND ENTITY QUALIFICATION. THE APPLICANT AND PRESIDENTS (OR PARTNERS/OWNERS) OF ALL COMPANIES INVOLVED MUST SIGN WHERE INDICATED. PLEASE USE THIS SHEET. ONLY USE ADDITIONAL SHEETS IF NECESSARY. A. Explain why you wish to maintain your present license(s) while qualifying this additional business. The n�� bt,t%tnne�'2, Amba'.)/Acler hi -[ahem, l(Jtd/I /) cabin( cl, Oclic1 xAcf- 0-e T60 inn (/ unkr toy. B. Has the proposed entity been previously qualified? If so, explain why the previous qualifier is no longer willing to continue to qualify this entity. Ar C. If the proposed entity has been qualified within the last 12 months, list the last three jobs completed by the proposed entity. Include dates of completion, address, description of work, name of previous qualifier and name of owner. /y/f, D. List the last three jobs completed by you under your existing license. Include date of completion, address, description of work, name of previous qualifier and name of owner. cO/12(OS -- 61aLe Court Naple , FL -- eabinei- - Mane Parrnalc -1-1,92/0S - dbgo NerigaxA Pla-4a fir. .#/0 Napleei FL- C abinf f5 - eobbq Kite, (0 108 - ibipa SLrdie Nopte5, FL - e_abine+ .S-oon Osborn E. Do the business(s) you presently qualify and/or wish to qualify have any outstanding liens against them or against the property of consumers as a result of construction work or a contract they had with your firm? YES NO )s If yes, identify business and provide explanation. F. List principal suppliers for the past six months for the business you presently qualify. C SLA C.abinef, 3t rD N. Pan An ex eo)wa:1 5-&11 Rnlvn1o; TX C •oce aoa5 Ca{}lemen Road Sa�raSC,-i-a FL abtn � � N a 1e l e Po en( 1-035a C4t ar lode, NC G. List principal suppliers for the past six months for the business you are applying to qualify. c. t 5 CD 3 rci ,n-�,� U 1.- CP8-", ..�* — ,4, nq 20 f'`- /S'T ` 't -e" C, cur 1- tN1 kkorS t'L, L,,R. ; It_J LA •— L . 1°s S�1 T r Je �'�,t ,�k� y rk*pi4S fe., 4 APPLICATION TO QUALIFY SECOND ENTITY H. List persons authorized (currently and in the past 6 weeks)to pull permits on your license(s). /KM I. How are you being paid by the business(s) you presently qualify (examples: salary, % of profits, etc.)? To 07 pro-,1 fD J. How will you be paid by the business you are applying to qualify? 615 0 . ,7 S K. What percentage of ownership do you have in the present business(s) you are qualifying and what percentage of ownership will you have in the business you are attempting to qualify? / dde7/5() 74 L. Do you (applicant) have check writing authority for the present and proposed entity? YES / NO If yes, provide a letter from the bank. M. List officers (or partners, owners) of business you are applying to qualify and give title/position held. jfick '3/4.6 Re S cs.L. S doll a I fro(--S - V N. List officers (or partners, owners) of business you presently qualify and give title/position held. _S-Co Pa P 1 -e 4 �s � -47-e C.-- - O. Do the business(s) you presently qualify and wish to qualify have any other licenses presently qualifying those businesses? YES NO . If yes, list licensee's name, license number and address. P. Submit notarized statements signed by an authorized agent of the entity(s) you presently qualify and from an authorized agent of the proposed entity attesting to the fact that each is aware of what entity you presently qualify, and what entity you are requesting to qualify. 5 APPLICATION TO QUALIFY SECOND ENTITY 6. FINANCIAL RESPONSIBILITY. All applicants/licensees must answer the questions below. If you answer"yes" to any of the questions,a written explanation is required. Additional documentation is also required,as indicated. If you are applying to qualify a corporation.partnership or other legal business entity. ALL OFFICERS OF THAT ENTITY MUST ALSO EXPLAIN IF ANY OF THE BELOW WOULD PERTAIN TO THEM. This would include the president, vice president, secretary, and/or partners or owner of the proprietorship. HAVE YOU, the business organization, or any of the above mentioned individuals in any capacity ever: YES NO \' A. Undertaken construction contracts or work that a third party, such as a bonding or surety company, completed or made financial settlements? VB. Had claims or lawsuits filed or unpaid or past due accounts by your creditors as a result of construction operations? V– C. Undertaken construction contracts or work which resulted in liens, suits or judgments being filed? _ D. Had a lien filed against you by the U. S. Internal Revenue Service or Florida Corporate Tax Division? If "yes", you must attach a copy of the Notice of Lien, and any payment agreement, satisfaction, Release of Lien or other proof of payment. — )( E. Made an assignment of assets in settlement of construction obligations for less than the debts outstanding? F. Been charged with or convicted of acting as a contractor without a license, or if licensed as a contractor in this or any other state, been "subject to" any disciplinary action by a state, county, or municipality? If "yes", you must attach a copy of any state, county, municipal or out-of-state disciplinary order or judgment. G. Filed for or been discharged in bankruptcy within the past five years? If"yes", you must attach a copy of the Discharge Order, Order Confirming Plan, or if a Corporate Chapter 7 case, a copy of the Notice of Commencement. H. Been convicted or found guilty of, or entered a plea of nolo contendere to,regardless of adjudication, a crime in any jurisdiction within the past 10 years? NOTE: IF YOU, THE APPLICANT/LICENSEE, HAVE HAD A FELONY CONVICTION, PROOF THAT YOUR CIVIL RIGHTS HAVE BEEN RESTORED WILL BE REQUIRED PRIOR TO LICENSURE. NOTE: The Board requires any applicant/licensee who answers "yes" to any question contained in the Financial Responsibility Section of the Application to supply a complete explanation of the response, and include a statement detailing the steps taken by the licensee to prevent a recurrence of the circumstances leading to the conviction, discipline,judgment, bankruptcy, or other event leading to the response. You must include any proof of payment,satisfaction of liens,judgments and bankruptcy discharge papers in your submittal,if applicable. Applicants may be required to appear before the Application Review Committee to answer questions regarding such responses. 7. CREDIT REPORT (Reports that do not include the following information will not be acceptable) Reports for the present and proposed entities must be submitted (not more than six months old) from a nationally recognized credit- reporting agency and must be submitted before an additional license can be issued. If you are applying to qualify as an individual, the credit report must be on you. If you are applying to qualify a business organization,the credit report must be on the business organization. If your business is newly established,you will ALSO need to submit credit reports on the following: the newly formed business and the majority owners holding 25%or more interest PLUS letters from three construction related suppliers indicating that an account either exists or has been opened for the entity you are applying to qualify. A credit report is also required for the entity that you are presently qualifying. 6 • APPLICATION TO QUALIFY SECOND ENTITY Make sure you give written authorization to the credit agency so they can accurately check your credit references. Federal, State,County (including all counties within the State of Florida)public records pertaining to judgments,bankruptcies,and tax liens must be searched and results noted on the credit report. The credit report must include a public records check of the home counties and all other counties where 25% or more of the contractor's work has been done over the last three years. (If public records reflect unsatisfied obligations, attach written explanation and legal documentation.) The credit report must reflect officers, partners, and proprietors and FEIN and Social Security numbers. Attach a credit report(s) from a nationally recognized credit-reporting agency to this application. If you are unable to receive the credit report, you may have a credit agency send the credit report directly to: Florida Construction Industry Licensing Board, 7960 Arlington Expressway,Suite 300,Jacksonville,Florida 32211-7467,and complete this statement: I have requested a credit report(s)on Date (PROPOSED ENTITY AND PRESENT ENTITY) to be sent directly from (NAME OF CREDIT REPORTING AGENCY) 8. CORPORATIONS — ATTACH A COPY of the current Annual Report Form filed with the Florida Secretary of State or, if your corporation is newly established, attach a copy of the Florida Certificate of Incorporation for the proposed and present entities, if applicable. All foreign (out of state) corporations must register with the Florida Secretary of State (850)488-9000. 9. FICTITIOUS NAME — ATTACH A COPY of the recorded Fictitious Name Registration from the Division of Corporations; also submit a copy of the filed application or newspaper article for the proposed and present entities, if applicable. (This does not apply to corporations using their registered name.) 10. ORGANIZATIONAL RELATIONSHIPS — Do you qualify any business other than the business you are applying to qualify? YES NO > (If "yes", what percentage of the business do you own (if any)? %). Contact Board office or guidelines to qualify more than one business. Company Name: Company Address: Your License Number: 11. PROOF OF CONTINUING EDUCATION IS REQUIRED when reactivating or reinstating a license. When reactivating or reinstating your license, you must attach a copy of your Certificate of Completion from a Board approved sponsor. You must provide proof of your continuing education hours, equal to those required of an active licensee, during the period of time your license was delinquent or inactive (beginning December of 1993). 7 AFFIDAVIT I, gUI ne( 1 ,5Cof P certify that the foregoing is true and correct to the best of my knowledge. oiger STATE OF FLORIDA COUNTY OF Lee_ The foregoing instrument was acknowledged before me this Hu U/-)l 1 , a00 B Rut ATE)l 1 p by Ru1)be� I 3. P- of n(Yl b �!�r'� or- Y1ite�fle17� (NAME OF OFFICER,TITLE/AGENT) (NAME OF CORPORATION) a F t on'Ct1 corporation, on behalf of the corporation. He/She has (STATE OR PLACE OF CORPORATION) produced (if t Vtf') h '(Q11!-)P as identification and did not take an oath. (TYPE OF IDENTIFICATION) SIGNAT ' OF NOTARY Trcdae, 1. 3ro u n (PRINT NAME OF NOTARY)J NOTARY PUBLIC r rt TRACEY S.BROUGHTON /' `, MY COMMISSION#DD605232 EXPIRES:OCTOBER 15,2010 Bonded by 1st State Insurance 8 AFFIDAVIT The undersigned hereby makes application for Certificate of Competency under the provisions of Collier County Ordinance 90-105, as amended, and vouches for the truth and accuracy of all statements and answers herein contained. The undersigned hereby certifies that he/she is legally qualified to act on behalf of the business organization sought to be licensed in all matters connected with its contracting business and that he/she has full authority to supervise construction undertaken by himself/herself or such business or organization and that he/she will continue during this registration to be able to so bind said business organization. The qualified license holder understands that in all contracting matters, he will be held strictly accountable for any and all activities involving his license. Any willful falsification of any information contained herein is grounds for disqualification. cyvp € 1( 6e,ott Pe APPLICANT(PLEASE PRINT) `';Iid 5_,Laaos2 Tops oP )(A) H (ride c ,r2 NAME OF COMPANY c==. /?96 : V NAT. ' OF-A ' A l STATE OF FLORIDA COUNTY OF 1EE The foregoing instrument was acknowledged before me this A u4 Lb 6 T c 1 OO by 3 (DATE) RtA/j 9 l 1 5. Pag_ who has produced dic i U ec fj t i 0 ei'l!jP (NAME OF PERSON ACKNOWLEDGING) (TYPE OF IDENTIFICATION) as identification and who did not take an oath. A . 1 .A. . , mom SI NATU•gOF NOTARY 4 TRACEY S.BROUGHTON �`�Y"°if, MY COMMISSION#DD605232 r.� EXPIRES:OCTOBER 15,2010 f a^ Bonded by 1st State Insurance I Fn aet 5. ��un I I I' (PRINT NAME OE NOTARY) g NOTARY PUBLIC 9 RESOLUTION OF AUTHORIZATION WHEREAS, u 4i, SZr fA 0-e to ps of SAI 1L :4-7, C� proposes to engage in (NAME OF BUSINESS ENTITY) contracting as (6 in Collier County, Florida, according to (TYPE OF LEGAL-NTITY:CORP.,PARTNERSHIP,ETC.) Collier County Ordinance 99-45; and ,,, ,11 / C-- WHEREAS, O L.- 9 ,r., r-2 /a 5 a7 3 )a 'proposes ualif for a Certificate to qualify (NAME OF BUSINESS ENTITY) of Competency with 3 e041 \ c -? (NAME OF INDIVIDUAL) NOW, THEREFORE, BE IT HEREBY RESOLVED THAT: We the undersigned k) cc Co e y s of C%Ct'Cl b . 1,./ -A-c.Q K3 6 ll� ,tom hereby (0- ICERS,OWNERS, PARTNERS) (NAME OF BUSINESS ENTITY) resolve and represent to the Collier County Contractors' Licensing Board that the qualifying agent, CI+ , is active in all matters connected with the contracting business of (NA OF ∎IDIVID ) , r L,� o!i'�? 4 /#-r-P �d/S��t 1- , and (NAME OF BUSINESS ENTITY) We further resolve and represent that J ,o P c, 1-Q., is legally empowered . �, (NAME OF INDIVIDUAL) JJ (� to act for c G�'f) ) &c f A e, U' a ,'LL,,c.in all matters connected with its contracting business, (NAME OF BUSINESS ENTITY) and has the authority to supervise construction undertaken by . (NAME OF BUSINESS ENTITY) ,, (Ofcer artners, Own- — ith Designation underneath) (vv SS) A - 'r ' (WIT SS , /, l'e (W TNESS) / Corporate Seal(if applicable)or Notary Public Certificate Sworn to and subscribed before me this ` day of (-- A (,l�T ,2008 by t , / . I _/ g •,1) PDMU■kkr) IL I A. .1±; to, /... 0.417, NOTARY PUBLIC NAM R$]NTED NOT 7 PUBLIC SIG W URE COMMISSION NUMBER ► `� Y,� TRMMIS.ON#DDTON MY COMMISSION EXPIRES: "� -- �`"'°6� MY COMMISSION#00605232 EXPIRES:OCTOBER 15,2010 cf*r Bonded by 1st State Waller 1 0 fltbassablar i!ifrhens, Jrtr_ August 1, 2008 Collier County Contractor Licensing Dear Sir or Madam: I, Russell Scott Page,President of Ambassador Kitchens, Inc. am aware that Scott Page is presently qualifying Ambassador Kitchen, Inc. and is requesting to qualify Solid Surface Tops of Southwest Florida, Inc. Signed „��__ , _ R . . _S '*• � �- STATE OF FLORIDA COUNTY OF LEE Sworn to and subscribed before me this I _11- day of A iAO(,1'7 2008,by RLAbb \1 5. 'C'n who is personally known to me or who has produced as identification and who did/did not take an oath. N . Public (Print,type stamp commiss d name of Notary Public) This instrument prepared by: Ambassador Kitchens, Inc. TRACEY S.BROUGHTON ,��'� MY COMMISSION#DD605232 12940 Metro Parkway EXPIRES:OCTOBER 15,2010 Fort Myers, FL 33966 coon Bonded by 1st State Insurance 12940 Metro Pkwy. • Fort Myers, Florida 33966 (239) 768-040() • Fax (239) 768-5941 P.0.Box 60601 •• Ft.Myers,FL 33906 • Phone:239-931-4800 • Fax:239-939-9656 • Solid.Surface Tops of Soutwest Florida, Inc. August 1,2008 Collier County Contractor Licensing Dear Sir or Madam: I,Glenda Balentine,Secretary of Solid Surface Tops of Southwest Florida,Inc.am aware that Scott Page is presently qualifying Ambassador Kitchens,Inc.and is requesting to qualify Solid Surface Tops of Southwest Florida,Inc. Signed \itn- c� , ` len a alentine STATE OF FLORIDA COUNTY OF LEE Sworn to and subscribed before me this I�j (�day of {7(./t( (..i 1) �n� CoC C� ,by G'`'F,tr)dCl P '. .i who is personally known to me or who has produced as identification and who did/did not take an • TRACEY S.BROUGHTON Public tMY COMMISSION . EXPIRES:OCTOBER 15,201#00605232 0 Tr 8 e ✓• I )(_,I h 1st State Insurance (Print,type,or stamp commissioned name oaf Notary Public) This instrument prepared by: Solid Surface Tops of Southwest Florida Inc. P O Box 60601 Fort Myers,FL 33906-6601 Solid Surface+Solid Service 08/05/2008 11:50 18005958941 MERIT CREDIT PAGE 01 EXPERIAN BUSINESS REPORT PAGE RPT DATE TIME PORT TYPE 1 09/01/2008 11:26:34 -ALJ REPORT 404 AMBASSADOR KITCHENS INC BIN: 740246958 12940 METRO PKWY FILE ESTABLISHED: AUG. 1993 FORT MYERS FL 33966-1319 PHONE: 239-7680400 EXECUTIVE SUMMARY THE PRIMARY BUSINESS FOR AMEASSADOR KITCHENS INC IS FURNITURE STORES (SIC 5712) KITH A SECONDARY BUSINESS CATEGORY OF INDUSTRIAL BUILDINGS & WAREHOUSES (SIC 1541) . DAYS BEYOND TERMS (DST) FOR AMBASSADOR KITCHENS INC AS OF 08/01/08 ; 0 ** THIS BUSINESS 13 PAYING, ON AVERAGE, PREDICTION FOR 09-24-08 : 1 0 DAY(S) LATER THAN INVOICE DUE DATE.** DST NORMS FURNITURE STORES: 8 ALL INDUSTRIES: 6 THE MOST FRSQUENT PURCHASING TERMS IN THE FURNITURE STORES INDUSTRY ARE NET 30, CREDIT AND 0000000 DBT RANGES BASED ON CURRENT PAYMENT BEHAVIOR: THIS BUSINESS'S RANGE - 80% OF U.S. BUSINESSES HAVE A DBT OF 0 - 15, 11% OF U.S. BUSINESSES HAVE A DET OF 16 - 50, 5% OF U.S. BUSINESSES HAVE A DBT OF 51 - 90, 4% OF U.S. BUSINESSES HAVE A DST OF OVER 90. HISTORICAL PAYMENT GUIDE 6 MONTH ACCOUNT BALANCE RANGE : $400-$1500 (CURRENT TOTAL: $1500) HIGHEST CREDIT AMOUNT EXTENDED: $8500 (MEDIAN: $1300) INDUSTRY PAYMENT COMPARISON : HAS PAID SOONER THAN 50% OF RELATED FIRMS PAYMENT TREND INDICATION : STABLE SIGNIFICANT DEROGATORY DATA: NONE REPORTED COPYRIGHT 2008 EXPERIAN INFORMATION SOLUTIONS, INC. ALL RIGHTS RESERVED. **CONTINUED** 08/05/2008 11:50 18005958941 MERIT CREDIT PAGE 02 EXPERIAN BUSINESS REPORT PAGE 2 08/01/2008 AMBASSADOR KITCHENS INC BIN: 740246958 TRADE PAYMENT INFORMATION TRADE PAYMENT EXPERIENCES (TRADE LINES WITH AN (*) AFTER DATE REPORTED ARE NEWLY REPORTED) RECENT ACCOUNT STATUS HIGH -DAYS PAST DUE- BUSINESS DATE LAST PAYMENT CREDIT BALANCE 1- 31- 61- CATEGORY REPTD SALE TERMS $ $ CUR 30 60 90 91+ COMMENTS +AIR TRANS 06-08 06-08 2200 100 100% OUST 11 YR AIR TRANS 06-08 NET 30 0 CUST 2 YR BLDG MATRL 06-08 04-07 CREDIT <100 0 tFINCL Svcs 07-08 06-06 VARIED 8500 1200 100% +OPPC SUPPL 07-08 06-08 CREDIT 1300 200 100% PACKAGING 07-08 NET 30 0 COST 1 TR PRNTGGPUBL 07-08 VARIED 100 0 RENTALS 04-08 NET 10 300 0 PAYMENT TOTALS CONTINUOUSLY REPORTED( 8) : 12500 1500 100% DST: 0 ADDITIONAL PAYMENT EXPERIENCES -ACCT SVCS 08-07 06-07 NET 10 1300 <100 13% 29% 29% 29% BANK CARD 07-08 NET 30 0 SATSFTRY CRED CARD 09-06 NET 30 100 0 ACCTCLOSED +LEASING 06-08 CONTRCT 800 300 100% PETROLEUM 03-07 02-06 VARIED 200 0 CUST 14 YR -PLUMBING 08-07 06-07 NET 10 2400 <100 29% 29% 42% TEMP HELP 08-07 NET 7 4300 0 +TELECOM 05-06 NET 30 <100 <100 100% COPYRIGHT 2008 EXPERIAN INFORMATION SOLUTIONS, INC. ALL RIGHTS RESERVED. 08/05/2008 11:50 18005958941 MERIT CREDIT PAGE 03 EXPERIAN BUSINESS REPORT PAGE 3 08/01/2008 AMBASSADOR KITCBENS INC BIN: 740246968 PAYMENT TRENDS (BASED ON CONTINUOUSLY REPORTED TRADE LINES) FURNITURE STORES INDUSTRY: SIC NO. 571 -DAYS PAST DUE- INDUSTRY BUSINESS DJILANCE 1- 31- 61- CUR DST DST 6 CUR 30 60 90 91+ AS OF 08/01/08: N/A N/A 0 1500 100% 07-01-08: 80% 8 2 600 85% 15% 06-01-08: 80% 7 2 500 88% 12% 05-01-08: 80% 7 1 1500 96% 4% 04-01-08: 809 7 1 1000 93% 7% 03-01-08: 80% 7 0 1300 100% 02-01-08: 66% 8 1 1100 94% 6% PAYMENT HISTORY--QUARTERLY AVERAGES -DAYS PAST DUE- BALANCE 1- 31- 61- DBT $ CUR 30 60 90 91+ 2ND-Q-08 (APR-JUN) : 2 800 90% 10% 1ST-Q-08 (JAN-MAR) : 1 1100 96% 4% 4TH-Q-07 (OCT-DEC) : 1 1800 96% 4% 3RD-Q-07 (JUL-SEP) : 0 2200 97% 3% 2ND-Q-07 (APR-JUN) : 4 5500 75% 25% COPYRIGHT 2008 EXPERIAN INFORMATION SOLUTIONS, INC. ALL RIGHTS RESERVED. **CONTINUED** 08/.0 /2008 11:50 18005958941 MERIT CREDIT PAGE 04 EXPERIAN BUSINESS REPORT PAGE 4 08/01/2008 AMBASSADOR KITCHENS INC BIN: 740246958 COMPANY BACKGROUND INFORMATION PRIMARY PRODUCT/SERVICE: FURNITURE STORES SIC: 5712 ADDL PRODUCT/SERVICES : INDUSTRIAL BUILDINGS AND WAREHOUSES SIC: 1541 ADDL PRODUCT/SERVICES : CARPENTRY WORK SIC: 1751 BUILDING CONTRACTORS 1521 YEARS IN BUSINESS : 15 NO. OF EMPLOYEES : 7 PRINCIPALS) : SCOTT PAGE JOHN DEERE TITLE: VICE PRESIDENT : RUSSEL S, PAGE TITLE: PRESIDENT FEDERAL ID : 65-0371613 COPYRIGHT 2008 EXPERIAN INFORMATION SOLUTIONS, INC. ALL RIGHTS RESERVED. **CONTINUED** MERIT CREDIT HAS RETRIEVED THE ABOVE BUSINESS REPORT FOR LICENSING PURPOSES AS REQUESTED BY THE BUSINESS OWNER/PROPRIETOR. PUBLIC RECORDS FOR THIS REPORT HAVE BEEN CHECKED AND VERIFIED AT THE COUNTY, STATE AND FEDERAL LEVELS. PUBLIC RECORDS LEARNED: _0_ SOURCES OF INFORMATION: EXPERIAN BUSINESS INFORMATION SERVICES IRS LIEN SECTION COUNTY COURTHOUSE RECORDS IF YOU HAVE ANY QUESTIONS REGARDING THIS REPORT, PLEASE CONTACT MERIT CREDIT AT: 1-800-371-3348 OR 239-277-3202, MERIT INC.CREDIT, _ ^� I2734 Kenwood Lane #85 Fort Myers,FL 33907 (Mailing addrw only) — -- — —.. OAT.RECEIVED aPORT TYPE — CONTRACTORS LICENSING 8/1/200e BUSINESS REPOSITORIES: ; PREPARED BX: — i __ EXPERIAN JC t J i, ; ,Lt t ai t f i NAME: SOLID SURFACE TOPS OF SOUTHWEST 6150 IDLEW1LD ST _. FLORIDA,INC FORT MYERS, SSN/FEIN!01-0659507 1 33966 • � i � �}'.� .� } ji `tf �- �}14�i f T f I ' 1r- THE REPORTING BUREAU CERTIFIES THAT: PUBLIC RECORDS HAVE BEEN CHECKED ON AI ,COUNTY,STATE AND FEDERAL I LEVEL, INCLUDING PINELLAS COUNTY FOR JUDGEMENTS, FORECLOSURES, GARNISHMENTS, BANKRUPTCIES, TAX WENS, AND OTHER LEGAL,ACTIONS INVOLVING TIDE SUBAECT(S)WERE OBTAINED DIRECTLY THROUGH THE REPOSITORIES USED, OR BY DIRECT SEARCHES.OR A PUBLIC RECORDS SEARCH FIRM OTHER THAN THE REPOSITORY,OR BY ALL METHODS WITH THE FOLLOWING RESULTS: PUBLIC RECORDS LEARNED: —0-- I i PRINCIPAL: JACK BALENTINE S.S.# . NO INFORMATION WAS FOUND AFTER CHECKING THE FOLLOWING DATABASES: TIRADE PAYMENT•DATA IJCC FINANCIAL STATEMENTS PUBLIC RECORDS COIMR*ANY BACKGROUND BANKING INFORMATION CORPORATE RECORDS SOURCE OF INFORMATION: EXPERIAN BUSINESS INFORMATION SERVICES IRS LIEN SECTION COUNTY COIJRTIIOUSE RECORDS FLORIDA DEPARTMENT OF STATE/DIVISION OF CORPORATIONS MERIT CREDIT: Telephone 239-277-3202 or 1-800471-3348 Toll Free FAX 239-277-3258 or 1-800.595-8911 Toll Free This taw/win it fumit ked is retpot oc to in inquiry rot she rumen of Hewing yr evaluating c,adit risks. The lntannatioa furnished must DO tied In strict confidence end eontptioa with the PreiSions of Public Law 91-S08,the Paw Crean Averting Act, 100/100 .d 9S966£66£Z :XVd 'Id MS d0 Sd01 SOYSuS QI'IOS I^Id I£ :£0 Iad 8002-IO-9IIV fLIG-31-2008 15:08 BIJBEY BANK 2397908010 P.01/01 1ff 3useyn, • • August 1,2008 To Whom It May Concern: This letter is to confirm that Scott Page is the authorized sierier on checking account #a1111111111P in the name of Ambassador Kitchens,Inc. This account has a balance of$227,558 as of August 1,2008. if you have any questions,please feel free to call me at 239-689-7118 and upon receiving „ authorization to discuss this account with you from Mr. Page,I will be happy to assist you, Thank you, P,k_o_ V - id-' .ana Ford Commercial.Administrative Supeivi gnr Busey Bank,N.A. 1 '.r TOTAL P.01 Wachovia Bank, N.A. FL9125 12270 Metro Parkway Fort Myers, FL 33966 Tel 239 768-3414 Fax 239 768-3683 August 1, 2008 WACHOVIA To Whom It May Concern: SOLID SURFACE TOPS OF SOUTHWEST FL INC has a current checking account balance of$19,956.66. Sincerely, �/ f Jacqueline M Trammell Bank Officer II Wachovia Bank, N.A. FL9125 12270 Metro Parkway Fort Myers, FL 33966 Tel 239 768-3414 Fax 239 768-3683 August 1, 2008 WACHOVIA To Whom It May Concern: SOLID SURFACE TOPS OF SOUTHWEST FL INC has a checking account with Wachovia Bank NA, and Scott Page is an authorized signer able to sign checks. Sincerely, Of i Jacqueline M Trammell Bank Officer � Business► B in Cash Manager Cas Checking WACHOVIA. 01 031 130 0 34 • Electronic Delivery 11111111111111 111111111111111111 SOLID SURFACE TOPS OF SOUTHWEST FL INC P 0 BOX 60601 CB FORT MYERS FL 33906 Business Cash Manager Checking 5/31/2008 thru 6/30/2008 Account number: Account owner(s): SOLID SURFACE TOPS OF SOUTHWEST FL INC Account Summary Opening balance 5/31 $14,059.26 Deposits and other credits 90,731.30+ Checks 54,819.88 - Other withdrawals and service fees 7,895.31 - Closing balance 6/30 $42,075.37 Deposits and Other Credits Date Amount Description 6/02 2,462.50 DEPOSIT 6/04 8,810.00 DEPOSIT 6/05 5,125.00 DEPOSIT 6/09 637.00 AUTOMATED CREDIT AMERICAN EXPRESS SETTLEMENT CO. ID. 1134992250 080609 CCD MISC 4098458128 6/09 6,572.00 DEPOSIT 6/12 5,935.00 DEPOSIT 6/13 4,195.00 AUTOMATED CREDIT BANKCARD BTOT DEP CO. ID.5472116301 080613 CCD MISC 524771000099750 6/16 1,098.00 DEPOSIT 6/17 4,000.00 DEPOSIT 6/18 1,987.50 DEPOSIT 6/19 560.00 AUTOMATED CREDIT AMERICAN EXPRESS SETTLEMENT CO. ID. 1134992250 080619 CCD MISC 4098458128 6/20 3,252.00 DEPOSIT 6/25 750.00 DEPOSIT 6/26 560.00 AUTOMATED CREDIT AMERICAN EXPRESS SETTLEMENT CO. ID. 1134992250 080626 CCD MISC 4098458128 6/26 4,567.00 AUTOMATED CREDIT BANKCARD BTOT DEP CO. ID.5472116301 080626 CCD MISC 524771000099750 Deposits and Other Credits continued on next page. WACHOVIA BANK,N.A., SMALL BUSINESS GULF COAST page 1 of 12 iliac Business Cash Manager Checking WACHOVIA 02 031 130 0 34 Deposits and Other Credits continued Date Amount Description 6/27 3,079.00 DEPOSIT 6/30 100.00 AUTOMATE NKCARD BTOT DEP CO. ID. MISC 6/30 37,041.30 DEPOSIT ,,SO Total $90,731.30 Checks D to Date Date Number Amount posed Number Amount posted Number Amount posted 7375 1,097.34 6/03 7404 851.75 6/06 7427 537.52 6/13 7377* 2,663.52 6/03 7406* 4,083.71 6/09 7428 413.73 6/16 7379* 1,765.34 6/02 7407 637.71 6/09 7429 654.10 6/24 7381* 220.72 6/02 7408 76.73 6/11 7430 1,250.00 6/20 7382 114.49 6/03 7409 834.70 6/10 7431 517.33 6/30 7383 40.83 6/03 7410 1,061.00 6/12 7432 513.31 6/20 7385* 803.82 6/03 7411 450.00 6/10 7433 321.15 6/20 7386 1,455.49 6/03 7412 976.50 6/11 7434 220.87 6/23 7387 220.72 6/03 7413 1,351.00 6/13 7435 561.29 6/20 7388 3,420.89 6/02 7414 36.71 6/17 7436 362.17 6/20 7390* 220.88 6/03 7415 716.32 6/16 7437 559.57 6/20 7391 583.98 6/02 7416 243.21 6/17 7438 536.25 6/23 1 7394* 504.57 6/05 7417 47.20 6/17 7439 3,657.00 6/23 7395 825.00 6/04 7418 1,380.78 6/16 7442* 2,624.12 6/30 7396 975.15 6/10 7419 127.20 6/16 7443 592.93 6/30 7397 1,081.00 6/04 7420 2,625.00 6/18 7447* 580.31 6/27 7398 850.88 6/09 7421 400.00 6/20 7448 748.29 6/30 1 7399 510.16 6/05 7422 1,107.86 6/17 7449 630.91 6/27 7400 687.84 6/11 7423 616.44 6/16 7450 1,176.10 6/30 7401 558.99 6/09 7424 504.57 6/16 7451 96.00 6/30 7402 220.87 6/09 7425 220.88 6/23 Total $54,819.88 7403 574.92 6/06 7426 520.26 6/13 *Indicates a break in check number sequence WACHOVIA BANK, N.A., SMALL BUSINESS GULF COAST page 2 of 12 Business Cash Manager Checking 01 031 130 0 34 _ WACHOVIA. Electronic Delivery SOLID SURFACE TOPS OF SOUTHWEST FL INC P 0 BOX 60601 CB FORT MYERS FL 33906 Business Cash Manager Checking 5/01/2008 thru 5/30/2008 Account number: Account owner(s): SOLID SURFACE TOPS OF SOUTHWEST FL INC Account Summary Opening balance 5/01 $6,919.60 Deposits and other credits 115,154.47 + Checks 103,922.57 - Other withdrawals and service fees 4,092.24 - Closing balance 5/30 $14,059.26 Deposits and Other Credits Date Amount Description 5/01 772.00 DEPOSIT 5/01 925.00 DEPOSIT 5/02 4,195.00 AUTOMATED CREDIT BANKCARD BTOT DEP (1 ()_,vv CO. ID.5472116301 080502 CCD 1 MISC 524771000099750 5/02 5,576.75 DEPOSIT 5/05 21,249.00 DEPOSIT 5/06 900.00 DEPOSIT 5/08 3,142.00 DEPOSIT , 5/09 637.00 AUTOMATED CREDIT AMERICAN EXPRESS SETTLEMENT COO re- \--"^ CO. ID. 1134992250 080509 CCD MISC 4098458128 5/12 63.23 TRANSFER FROM 2000032174083 5/15 5,282.00 DEPOSIT 5/16 1,385.00 DEPOSIT 5/20 7,121.82 DEPOSIT 5/21 1,600.00 DEPOSIT 5/22 1,151.27 AUTOMATED CREDIT BANKCARD BTOT DEP �e c O(7 CO. ID. 5472116301 080522 CCD MISC 524771000099750 5/27 30,919.00 DEPOSIT 5/28 3,242.00 DEPOSIT 5/29 26,993.40 DEPOSIT Total $115,154.47 WACHOVIA BANK,N.A., SMALL BUSINESS GULF COAST page 1 of 12 IIIP o,�„ Business Cash Manager Checking ilmalliss 02 04111MONNOW 031 130 0 34 WACHOVIA. Checks Date Date Date Number Amount posted Number Amount posted Number Amount posted 7304 287.18 5/08 7332 654.65 5/07 7357 220.88 5/27 7305 476.54 5/06 7333 1,681.28 5/12 7358 473.85 5/20 7307* 360.05 5/01 7335* 482.34 5/08 7359 480.10 5/19 7309* 229.13 5/02 7336 69.30 5/09 7360 432.05 5/19 7310 1,000.00 5/06 7337 360.24 5/13 7361 120.26 5/16 7311 39.25 5/01 7338 1,855.00 5/20 7362 996.28 5/27 7314* 266.40 5/01 7339 73.01 5/12 7363 1,044.00 5/22 7315 1,705.92 5/01 7340 2,536.69 5/08 7364 4,214.57 5/22 7316 451.11 5/08 7341 220.72 5/12 7365 2,895.00 5/22 7317 671.56 5/08 7342 616.44 5/08 7366 1,400.00 5/29 7318 518.85 5/01 7343 3,708.00 5/05 7368* 710.00 5/27 7319 498.41 5/05 7344 4,089.35 5/07 7369 504.57 5/27 7320 220.88 5/12 7345 498.42 5/09 7370 220.87 5/27 7321 545.82 5/05 7346 220.87 5/12 7371 574.92 5/27 7322 527.79 5/05 7347 489.32 5/12 7372 559.57 5/23 7323 870.51 5/07 7348 553.42 5/09 7373 518.86 5/28 7324 75.25 5/07 7349 489.53 5/09 7374 15,042.00 5/30 7325 2,603.63 5/07 7350 43.92 5/13 7376* 2,283.75 5/27 7326 76.32 5/06 7351 135.61 5/20 7378* 2,466.10 5/30 7327 2,194.37 5/12 7352 328.60 5/16 7380* 237.44 5/29 7328 7,314.00 5/06 7353 720.00 5/12 7384* 24,718.00 5/30 7329 472.13 5/12 7354 10.00 5/23 7392* 556.00 5/30 7330 26.46 5/08 7355 872.70 5/16 7393 515.00 5/30 7331 285.00 5/06 7356 312.53 5/19 Total $103,922.57 *Indicates a break in check number sequence Other Withdrawals and Service Fees Date Amount Description 5/02 72.15 AUTOMATED DEBIT BANKCARD DISCOUNT ��rr\I' c� -.d -C e- C D MISC O. ID. 5/05 93.44 AUTOMATED DEBIT BANKCARD MTOT DISC 4) '_ og (o_nc e, CO. ID.911161161filiiiiiiiiii5 CCD / c1 S-- 'fy-/S . l`(j. MISC 511011101111119801160 "] 5/05 562.50 AUTOMATED DEBIT IRS USATAXPYMT CO. ID. CD MISC 5/06 1,553.48 AUTOMATED DEBIT WRIGHT EXPRESS FLEET DEBI CO. I CCD MISC 5/07 8.77 AUTOMATED DEBIT FLA DEPT REVENUE CO1 CO. ID. 7 CCD MISC WitlefliMal 5/09 (30.70 COMMERCIAL SERVICE CHARGES FOR APRIL 2008 Other Withdrawals and Service Fees continued on next page. WACHOVIA BANK, N.A. , SMALL BUSINESS GULF COAST page 2 of 12 ► Business Cash Manager Checking g rag WACHOVIA 03 031 130 0 34 Other Withdrawals and Service Fees continued Date Amount Description 5/12 540.88 AUTOMATED DEBIT IRS USATAXPYMT CO. ID. MISC 5/16 200.00 AUTOMATED DEBIT CAPITAL ONE ONLINE PMT CO. ID. D MISCOINIIMPRIMPSIMMISO 5/19 424.10 AUTOMATED DEBIT IRS USATAXPYMT CO. IDAMPIPPINNIMINIOSISAISI MISC 5/22 19.80 AUTOMATED DEBIT BANKCARD DISCOUNT ) (V) � CO. ID. 2 CCD `.- -X MISC witamermariwas 5/27 586.42 AUTOMATED DEBIT IRS USATAXPYMT CO. ID.alildiSIMISIONCIASCD MISC Total $4,092.24 Daily Balance Summary Dates Amount Dates Amount Dates Amount 5/01 5,726.13 5/12 2,697.76 5/22 5,025.52 5/02 15,196.60 5/13 2,293.60 5/23 4,455.95 5/05 30,509.64 5/15 7,575.60 5/27 29,277.26 5/06 20,704.30 5/16 7,439.04 5/28 32,000.40 5/07 12,402.14 5/19 5,790.26 5/29 57,356.36 5/08 10,472.36 5/20 10,447.62 5/30 14,059.26 5/09 9,467.99 5/21 12,047.62 • page 3 of 12 WACHOVIA BANK, N.A. , SMALL BUSINESS GULF COAST Business Cash Manager Checking WACHOVIA. 01 031 130 0 34 _ Electronic.Delivery IIIIIIIIII,I�I11II1111I'll'1'll' SOLID SURFACE TOPS OF SOUTHWEST FL INC P 0 BOX 60601 CB FORT MYERS FL 33906 Business Cash Manager Checking 4/01/2008 thru 4/30/2008 Account number: , Account owner(s): SOLID SURFACE TOPS OF SOUTHWEST FL INC Account Summary Opening balance 4/01 $9,521.08 Deposits and other credits 59,997.21 + Checks 57,429.39 - Other withdrawals and service fees . 5,169.30 - Closing balance 4/30 $6,919.60 Deposits and Other Credits Date Amount Description 4/02 659.00 DEPOSIT 4/02 4,217.01 DEPOSIT 4/04 2,772.00 DEPOSIT 4/04 3,163.00 DEPOSIT 4/04 6,434.00 DEPOSIT 4/07 925.00 DEPOSIT 4/10 1,538.00 DEPOSIT 4/10 1,835.00 TRNSFR 2000032173916 04/10 ONLINE TRNSFR CONFIRMATION#VY96687841 4/14 1,670.00 DEPOSIT 4/14 13,795.00 DEPOSIT 4/16 526.50 AUTOMATED CREDIT BANKCARD BTOT DEP CO. ID.5472116301 080416 CCD MISC 524771000099750 4/18 2,410.00 DEPOSIT 4/21 735.00 AUTOMATED CREDIT BANKCARD BTOT DEP CO. ID.5472116301 080421 CCD MISC 524771000099750 4/22 2,240.00 DEPOSIT 4/24 11,227.20 DEPOSIT 4/25 1,236.50 DEPOSIT 4/28 4,614.00 DEPOSIT Total $59,997.21 WACHOVIA BANK, N.A., SMALL BUSINESS GULF COAST page 1 of 11 ' glA Business Cash Manager Checkin eram g g WACHOVIA. 02 031 130 0 34 Checks Date Date Date Number Amount posted Number Amount posted Number Amount posted 7232 220.88 4/01 7272 1,699.65 4/09 7291 438.99 4/17 7239* 1,674.59 4/01 7273 1,174.22 4/07 7292 1,229.42 4/18 7251* 220.87 4/01 7274 777.19 4/09 7293 504.57 4/18 7252 482.68 4/01 7275 616.44 4/07 7294 220.88 4/30 7257* 103.88 4/03 7276 69.30 4/09 7295 559.57 4/21 7258 207.63 4/01 7277 23.23 4/11 7296 510.16 4/24 7259 477.29 4/01 7278 510.82 4/14 7297 487.11 4/28 7260 65.93 4/02 7279 639.43 4/07 7298 220.87 4/30 7261 419.76 4/07 7280 479.10 4/14 7299 437.53 4/25 7262 724.30 4/01 7281 151.16 4/11 7300 540.09 4/25 7263 10.00 4/02 7282 513.30 4/14 7301 506.93 4/28 7264 7,314.00 4/02 7283 220.87 4/30 7302 1,112.08 4/29 7265 556.75 4/03 7284 464.76 4/11 7303 189.82 4/30 7266 479.10 4/07 7285 569.32 4/11 7306* 696.78 4/30 7267 220.88 4/30 7286 515.63 4/15 7308* 5,717.00 4/25 7268 510.16 4/04 7287 996.28 4/16 7312* 1,443.34 4/30 7269 504.57 4/07 7288 1,044.00 4/17 7313 21.96 4/30 7270 559.57 4/07 7289 11,624.75 4/17 Total $57,429.39 7271 5,000.00 4/04 7290 750.00 4/21 *Indicates a break in check number sequence Other Withdrawals and Service Fees Date Amount Description 4/03 18.41 AUTOMATED DEBIT BANKCARD MTOT DISC CO. ID. D MISCii4999691iliiO 4/07 35.91 AUTOMATED DEBIT AMERICAN EXPRESS AXP DISCNT CO. ID. 1 MISC 4/08 ,,742.94 AUTOMATED DEBIT IRS USATAXPYMT CO. ID. CD MISC 2 L..flU- 4/08 t„,;1,591.66 AUTOMATED DEBIT WRIGHT EXPRESS FLEET DEBI CO. ID. CCD MISC �� 4/09 ,30.00 COMMERCIAL SERVICE CHARGES FOR MARCH 2008 4/14 756.74 AUTOMATED DEBIT IRS USATAXPYMT CO. I A� CCD MISC 0 4/16 • 9.06 AUTOMATED DEBIT BANKCARD DISCOUNT CO. I D MIS 4/18 150.00 AUTOMATED DEBIT CAPITAL ONE ONLINE PMT .f,, CO. I Dr' MISC 8 Other Withdrawals and Service Fees continued on next page. WACHOVIA BANK, N.A., SMALL BUSINESS GULF COAST page 2 of 11 • '2008 FOR PROFIT CORPORATION AMENDED ANNUAL REPORT FILED May DOCUMENT# P02000044081 Secretary of State Entity Name: SOLID SURFACE TOPS OF SOUTHWEST FLORIDA, INC. Current Principal Place of Business: New Principal Place of Business: 6150 IDLEWILD ST UNIT B FORT MYERS, FL 33912 Current Mailing Address: New Mailing Address: PO BOX 60601 FORT MYERS, FL 33906 FEI Number.01-0659507 FEI Number Applied For( ) FEI Number Not Applicable( ) Certificate of Status Desired( ) Name and Address of Current Registered Agent: Name and Address of New Registered Agent: BALENTINE,JACK L 1118 NW 17TH ST CAPE CORAL, FL 33993 US The above named entity submits this statement for the purpose of changing its registered office or registered agent,or both, in the State of Florida. SIGNATURE: Electronic Signature of Registered Agent Date OFFICERS AND DIRECTORS: ADDITIONS/CHANGES TO OFFICERS AND DIRECTORS: Title: DP ( )Delete Title: ( )Change ( )Addition Name: BALENTINE,JACK L Name: Address: 1118 NW 17 ST Address: City-St-Zip: CAPE CORAL,FL 33993 City-St-Zip: Title: DT ( )Delete Title: DTVP (X)Change ( )Addition Name: PAGE,RUSSELL S Name: PAGE,RUSSELL S Address: 1612 SAVONA PKWY Address: 1612 SAVONA PKWY City-St-Zip: CAPE CORAL,FL 339405041 City-St-Zip: CAPE CORAL,FL 339405041 Title: VP (X)Delete Title: ( )Change ( )Addition Name: PAGE,LEIGH A Name: Address: 1612 SAVONA PKWY Address: City-St-Zip: CAPE CORAL,FL 33940 City-St-Tap: Title: S ( )Delete Title: ( )Change ( )Addition Name: BALENTINE,GLENDA Name: Address: 1118 NW 17TH ST Address: City-St-Zip: CAPE CORAL,FL 33993 City-St-Zip: I hereby certify that the information supplied with this filing does not qualify for the exemption stated in Chapter 119, Florida Statutes. I further certify that the information indicated on this report or supplemental report is true and accurate and that my electronic signature shall have the sa'hte legal effect as if made under oath;that I am an officer or director of the corporation or the receiver or trustee empowered to execute this report as required by Chapter 607, Florida Statutes;and that my name appears above,or on an attachment with an address,with all other like empowered. • SIGNATURE: GLENDA BALENTINE SEC 05/19/2008 Electronic Signature of Signing Officer or Director Date 2008 FOR PROFIT CORPORATION FILED ANNUAL REPORT _ Jan 14, 2008 08:00 AM DOCUMENT#P93000001351 y�;—.- Secretary of State 1. Entity Name tilr . AMBASSADOR KITCHENS, INC. f ',; ;,,r , ,_ Principal Place of Business Mailing Address 12940 METRO PKWY 12940 METRO PKWY FORT MYERS,FL 33966-1319 US FORT MYERS,FL 33966-1319 US • III III 111f111I ICI/III III I/III IIIII 111111111 II I11111111 II III ' 01052008 No Chg-P CR2E034(11/05) DO NOT WRITE IN THIS SPACE 4. FM Number Applied For ' 65-0371613 Not Appiicabte • 5, Certificate of Status Desired ❑ $8.75 Additional Fee Required 6. Name and Address of Current Registered Agent • PAGE,RUSSELL S DO NOT. WRITE 12940 METRO PKWY FORT MYERS, FL 33966-1319 IN THIS SPACE 8.The above named entity submits this statement for the purpose of changing its registered office or registered agent.or both.in the State of Florida. i am familiar math.and accept the obligations of registered agent. SIGNATURE Sgnat.ra.Nand or printed name of waived agent and Wad appeal. (NOM Regrtved Agent swam a mwwa vow rrne4p1g) DATE FILE NOWIII FEE IS$150.00 9. Election Campaign Financing $5.00 May Be After May 1,2008 Fee will be S550.00 Trust Fund Contribution. Added to Fees - 10. OFFICERS AND DIRECTORS PM PD NAME PAGE,RUSSELL S sTEErAOOAESS 1612 SAVONA PKWY pry-sr-r.IP CAPE CORAL.FL 33904 VD TIAM NTE DEER,JOHN E U00000783550 STREET ADDRESS ROUTE 1.BOX 45 01/16/08-80019-008 150.00 cm-sr-ZIP WAUCHULA.FL 33873 • • TOLE SD ' • MALE PAGE,LEIGH A STREET ADDRESS 1612 SAVONA PKWY DO NOT WRITE Cur.ST•aP CAPE CORAL,FL 33904 • ORE • IN THIS SPACE NAME STREEI ADDRESS city-st-ar TOLE NAME STREET ADDRESS COY-Sr-ZIP TITLE • •I . r- . • NAME 1 . SIR EI ADDRESS - _ . CITY-ST-ZIP • , . • 12. I hereby certify that the information supplied with this filing does not qualify for the exemptions contained in Chapter 119.Florida Statutes.I further certify that the information indicated on this report or supplemental report is true and accurate and that my signature shall have the same legal effect as it made under oath;that I am an officer or director of the corporation or the receiver or trustee empowered toe.- e this report as required by Gnapler 607,Florida Statutes;and that my name appears in Block 10 or Block 11 it changed,or an an attachmen wi address .th Oil"o empower,.•. SIGNATURE: _% Styli/Fray I-lU-ok / 39-16g-ogoo IMMATURE AND •.7:"-77,...r..":"7-Apr, '■OFW OR DIRaCTOa Dawns Nolo a • ' ACCOUNT: 04/30/2008 USBANK DOCUMENTS: 57 AMBASSADOR KITCHENS INC 30 12940 METRO PKWY 6 FORT MYERS FL 33966 51 -------------------------------------------------------------------------------- CAREFREE BUSINESS ACCOUNT 71506673 LAST STATEMENT 03/31/08 10, 000 . 00 AVG AVAILABLE BALANCE 10, 000 . 00 23 CREDITS 180, 127 . 37 67 DEBITS 180, 127 . 37 THIS STATEMENT 04/30/08 10, 000 . 00 DEPOSITS REF # DATE AMOUNT REF # DATE AMOUNT REF # DATE AMOUNT 04/02 28, 330 . 01 04/09 1, 224 . 56 04/18 1, 069 . 00 04/04 13, 186 . 80 04/14 22, 771 .60 04/24 13 , 220 . 80 OTHER CREDITS DESCRIPTION DATE AMOUNT TRANSFER FROM MONEY MARKET ACCOUNT 71403831 04/01 1, 697 .38 TRANSFER FROM MONEY MARKET ACCOUNT 71403831 04/04 940 . 00 TRANSFER FROM MONEY MARKET ACCOUNT 71403831 04/08 6, 753 . 37 TRANSFER FROM MONEY MARKET ACCOUNT 71403831 04/09 4 0 8 . 9 7 TRANSFER FROM MONEY MARKET ACCOUNT 71403831 04/10 2, 506 . 74 TRANSFER FROM MONEY MARKET ACCOUNT 71403831 04/11 876. 65 TRANSFER FROM MONEY MARKET ACCOUNT 71403831 04/14 59 . 94 TRANSFER FROM MONEY MARKET ACCOUNT 71403831 04/16 380 .68 TRANSFER FROM MONEY MARKET ACCOUNT 71403831 04/17 4, 546.64 TRANSFER FROM MONEY MARKET ACCOUNT 71403831 04/21 2 , 574 . 72 TRANSFER FROM MONEY MARKET ACCOUNT 71403831 04/22 1, 222 .88 TRANSFER FROM MONEY MARKET ACCOUNT 71403831 04/23 1, 147 .62 TRANSFER FROM MONEY MARKET ACCOUNT 71403831 04/24 1, 533 .47 TRANSFER FROM MONEY MARKET ACCOUNT 71403831 04/25 45, 398 .74 TRANSFER FROM MONEY MARKET ACCOUNT 71403831 04/28 28 , 818 . 99 TRANSFER FROM MONEY MARKET ACCOUNT 71403831 04/29 1, 149. 08 TRANSFER FROM MONEY MARKET ACCOUNT 71403831 04/30 308 . 73 * * * C O N T I N U E D * * * Busey Bank, N.A. • 877-877-7664 • Member FDIC • www.busey.com PAGE: - iUSeyBANK DOCUMENTS: mow °4 705132 ` - - AMBASSADOR KITCHENS INC 3'- 12940 METRO PKWY - FORT MYERS FL 33966 35 CAREFREE BUSINESS ACCOUNT 71506673 LAST STATEMENT 04/30/08 10, 000 . 00 AVG AVAILABLE BALANCE 10, 000 . 00 20 CREDITS 193 , 249 . 58 54 DEBITS 189, 942 . 08 THIS STATEMENT 05/30/08 13 , 307 . 50 DEPOSITS REF # DATE AMOUNT REF # DATE AMOUNT REF # DATE AMOUNT 05/02 5, 245 . 00 05/15 7, 856 . 00 05/30 3 , 307 . 50 05/09 8, 044 .47 05/29 26, 975 . 78 OTHER CREDITS '7■CRIPT7nN DATE AMOUNT TRANSFER FROM MONEY MARKET ACCOUNT 71403831 05/01 5, 643 .25 TRANSFER FROM MONEY MARKET ACCOUNT 71403831 05/02 200 . 67 - ===R FROM MONEY MARKET ACCOUNT 71403831 05/06 7, 092 . 00 TRANSFER FROM MONEY MARKET ACCOUNT 71403831 05/08 3 , 104 . 69 TRANSFER FROM MONEY MARKET ACCOUNT 71403831 05/09 918 . 82 TRANSFER FROM MONEY MARKET ACCOUNT 71403831 05/13 1, 203 . 92 TRANSFER FROM MONEY MARKET ACCOUNT 71403831 05/15 5, 075 . 09 TRANSFER FROM MONEY MARKET ACCOUNT 71403831 05/19 4, 268 . 74 TRANSFER FROM BUSINESS MONEY MKT ACCOUNT 71403831 05/20 9, 139.27 TRANSFER FROM BUSINESS MONEY MKT ACCOUNT 71403831 05/21 4, 370 . 67 DEPOSIT - COURTESY TICKET 05/21 22, 257 .32 TRANSFER FROM BUSINESS MONEY MKT ACCOUNT 71403831 05/23 34 . 10 TRANSFER FROM BUSINESS MONEY MKT ACCOUNT 71403831 05/27 15, 328 . 78 TRANSFER FROM BUSINESS MONEY MKT ACCOUNT 71403831 05/28 37, 546 . 66 TRANSFER FROM BUSINESS MONEY MKT ACCOUNT 71403831 05/29 25, 636 . 85 CHECKS CHECK #• .DATE AMOUNT CHECK #. DATE AMOUNT CHECK #. .DATE AMOUNT 625*05/06 1, 000 . 00 8628 05/09 918 . 82 8631 05/06 2 , 450 . 00 8602*05/02 200 . 67 8629 05/08 254 .40 8632 05/13 118 . 80 8624*05/06 30 . 21 8630 05/23 20 . 00 8633 05/12 1, 016 . 60 * * * C O N T I N U E D * * * Busey Bank, N.A. • 877-877-7664 • Member FDIC •www.busey.com PAGE: 1 abuseDOCUMENTS: giallillillfr 06/30/2008 A AMBASSADOR KITCHENS INC 30 12940 METRO PKWY 8 41 FORT MYERS FL 33966 CAREFREE BUSINESS ACCOUNT 71506673 LAST STATEMENT 05/30/08 13 , 307 . 50 A;% 20 CREDITS 199 , 227 . 65 AVAILABLE BALANCE 10 , 000 . 00 187 , 089 . 15 63 DEBITS THIS STATEMENT 06/30/08 25 ,446 . 00 DEPOSITS - - - - - - - Rt- = - ATE AMOUNT REF # DATE AMOUNT REF # DATE AMOUNT 06/04 13 , 841 . 30 06/16 5, 749 . 53 06/24 6, 778 .47 06/06 15, 941 . 61 06/18 59, 087 . 64 06/30 15, 446 . 00 06/11 40, 062 . 60 06/19 1, 643 . 00 OTHER CREDITS AMOUNT DATE TRANSFER FR'`,, BUSINESS BUNESS MONEY MKT ACCOUNT 71403831 06/03 6 , 582 . 94 TR -- SESS MONEY MKT ACCOUNT 71403831 06/06 2, 311.37 TRANSFER BUSINESS MONEY MKT ACCOUNT 71403831 06/10 138 .24 FROM BUSINESS 06/11 444 .62 YZ,_�5-_? FR�:•i � _ �L�S MONEY MKT ACCOUNT 71403831 TRANSFER FROM BUSINESS MONEY MKT ACCOUNT 71403831 06/16 403 . 54 TRANSFER FROM BUSINESS MONEY MKT ACCOUNT 71403831 06/18 8,418 . 56 TRANSFER FROM BUSINESS MONEY MKT ACCOUNT 71403831 06/20 06/23 11,4157 . 00 TRANSFER FROM BUSINESS MONEY MKT ACCOUNT 71403831 06/24 2, 525 . 58 TRANSFER FROM BUSINESS MONEY MKT ACCOUNT 71403831 06/26 4, 663 .74 TRANSFER FROM BUSINESS MONEY MKT ACCOUNT 71403831 06/27 187 .68 TRANSFER FROM BUSINESS MONEY MKT ACCOUNT 71403831 06/30 3 , 784 . 00 TRANSFER FROM BUSINESS MONEY MKT ACCOUNT 71403831 CHECKS CHECK # . .DATE AMOUNT CHECK # . .DATE AMOUNT CHECK # . DATE AMOUNT 8653*06/03 1, 200 . 00 8667 06/09 254 .40 8672 06/09 8658*06/02 18 .55 8668 06/11 103 . 00 8673 06/06 575 . 00 8664 06/16 244 .73 8669 06/09 242 . 31 8674 06/11 92 .40 8665 06/06 1, 736 . 37 8670 06/03 3, 467 . 00 8675 06/02 416 .75 8666 06/11 211 .41 8671 06/10 138 .24 8676 06/09 135. 00 * * * C O N T I N U E D * * * Busey Bank, N.A. • 877-877-7664 • Member FDIC •www.busey.com Qualifier Certification , Information CDPR2307 - Qualifier Certification Information Collier County Board of County Commissioners Printed on 9/12/200 11:13 :17AM CD-Plus for Windows CERT NBR: 11056 QUALIFIER NBR: 11056 RUSSELL SCOTT PAGE CLASS CODE: 4040 CABINET INSTALL CONTR. STATE NBR: COUNTY COMP CARD: 3560SC STATE EXP LIAB EXP WC EXP ORIG ISSD RENEWAL EXPIRES 2/4/2008 1/1/2008 9/2/1993 9!30/2008 DBA: AMBASSADOR KITCHENS, INC. WC EXEMPT: Y OL EXEMPT: Y ADDRESS: 12940 METRO PARKWAY EXEMPT EXP DATE: 9/14/20°3 CITY: FT. MYERS FL 33912 PHONE: (239) 542 -8980 FAX: (239)768-5941 1_ is the qualifier' s responsibility to keep all business, licensing and requirement_ _.:Trent and to provide up to date copies for Collier County files. This includes all i:-.s�rti-.=_ ce_t ficates and any change of address information. County . City of Marco/ City of Napes _o..__actor L_cer.sing ?.3=NET INSTALL CONTR. _x :;'30/2008 Status:ACTIVE ENC. FACE __ -. _ FARk Al _== FL 33912 .. lI 09-24-2007 ti ALEX SINK STATE OF FLORIDA CHIEF FINANCIAL OFFICER DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * * CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 09/24/2007 EXPIRATION DATE: 09/23/2009 PERSON: PAGE RUSSELL S FEIN: 650371613 BUSINESS NAME AND ADDRESS: AMBASSADOR KITCHENS INC 12940 METRO PKWY FORT MYERS FL 33966-1319 SCOPES OF BUSINESS OR TRADE: 1- CABINET BUILDER/INSTALLER IMPORTANT: Pursuant to Chapter 440 . 05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be exempt... apply only within the scope of the business or trade listed on the notice of election to be exempt. Pursuant to Chapter 440.05113), F.S., Notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09-06 QUESTIONS? (850) 413-160 PLEASE CUT OUT THE CARD BELOW AND RETAIN FOR FUTURE REFERENCE STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES IMPORTANT DIVISION OF WORKERS'COMPENSATION F CONSTRUCTION INDUSTRY µ Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA L elects exemption from this chapter by filing a certificate of election WORKERS'COMPENSATION LAW under this section may not recover benefits or compensation under this EFFECTIVE: 09/24/2007 EXPIRATION DATE: 09/23/2009 D chapter. • PERSON: RUSSELL S PAGE H Pursuant to Chapter 440.05(12), F.S., Certificates of election to be FEIN: 650371613 exempt... apply only within the scope of the business or trade listed on E the notice of election to be exempt. BUSINESS NAME AND ADDRESS: R AMBASSADOR KITCHENS INC E Pursuant to Chapter 440.05(13), F.S., Notices of election to be exempt 12940 METRO PKWY and certificates of election to be exempt shall be subject to revocation FORT MYERS, FL 33966-1319 if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The SCOPE OF BUSINESS OR TRADE: department shall revoke a certificate at any time for failure of the 1- CABINET BUILDER/INSTALLER person named on the certificate to meet the requirements of this section. QUESTIONS? (850) 413-1609 CUT HERE * Carry bottom portion on the job, keep upper portion for your records. DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 09-06 i -s-• DATE(MM/DDIYYYY) ACORD CERTIFICATE OF LIABILITY INSURANCE O?1 ASF1 ID 06/11;/08 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Ri„ok Management Insurance HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR T Box 6187 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. ii: c Myers FL 33911-6187 ' Phone: 239-278-3939 INSURERS AFFORDING COVERAGE NAIC#1 T INSURED ' INSURER A: FCCI Insurance Company I I 1_INSURER B: Ambassador Kitchens, Inc. & Anchor Transportation Trust INSURER C: i(— 12940 Metro Parkway ; INSURER D: ` Fort Myers FL 33912 — - f INSURER E: I COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSIrADD POLICY NUMBER I PODCYEFFECTIVE i POLICY EXPIRATION LIMITS LTR 1NSR TYPE OF INSURANCE I DATE(MM/DDIYY) DATE(MM!DD!YY) I GENERAL LIABILITY : EACH OCCURRENCE $ 1,000,000 • • . $ 100,0)0• A I X� COMMERCIAL GENERAL LIABILITY 1 GL0004032 02/04/081 02/04/09 PREMISES(Ea I J CLAIMS MADE LXJ OCCUR MED EXP(Any one person) �$ 5,0001 I PRIMARY PERSONAL BADVINJURY 1$ 1,000 000 1" on I GENERAL AGGREGATE , $2,000r 000 XlContractual GEN'L AGGREGATE LIMIT APPLIES PER:! PRODUCTS-COMP/OP AGG I $2,O O O f000 iI—1 POLICY X I JECOT- LOC I AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 A X 1 ANY AUTO CA0008279 11/21/07 ' 11/21/08 (Ea accident) f I— • j ALL OWNED AUTOS BODILY INJURY $• ---1 (Per person) SCHEDULED AUTOS -- — —— !..-----i !i 7 X I HIRED AUTOS BODILY INJURY ;_I (Per accident) $ X j NON-OWNED AUTOS r PROPERTY DAMAGE $ —1 - ------ — (Per accident) I ( GARAGE LIABILITY AUTO ONLY-EA ACCIDENT i $ r _ ._—_________- ! ANY AUTO OTHER THAN EA ACC I $ j — I AUTO ONLY: AGO 1 1 $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 11`1 1 1 OCCUR , CLAIMS MADE ! _AGGREGATE j $ 1 I $ ' _I DEDUCTIBLE $ I RETENTION $ $ WCSIAIU- 1 101H-I WORKERS COMPENSATION AND ! X !TORY LIMITS I ! ER I ' A EMPLOYERS'LIABILITY 58055 06/25/08 06/25/09 E.L.EACH ACCIDENT ; $ 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ' EL.DISEASE-EA EMPLOYEE!! $ 1,00 Q,0 0 0 If yes,describe under E.L.DISEASE-POLICY LIMIT j $ 1,O O.,O SPECIAL PROVISIONS below O O OTHER • DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT!SPECIAL PROVISIONS Fax: 768-5941 I I I CERTIFICATE HOLDER CANCELLATION COLLIER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE T E EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 D S WRITTEN Collier County NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO O SO SHALL Contractors Licensing IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS A ENTS OR 2800 N. Horseshoe Drive REPRESENTATIVES. Naples FL 34104 AI��l Fa�f $LBRESENTATIVE ACORD 25(2001108) `I rSIDr��(l11�W(} ©ACORD CORPO TION 1988 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA BOARD OF COUNTY COMMISSIONERS ) COLLIER COUNTY, FLORIDA, Contractors' ) Licensing Board ) ) ) Petitioner, ) ) B.O.C.C. ) CASE NO.: 2008-11 ) vs. ) LICENSE NBR.: 29660 ) Paul L. Riddleberger ) Riddleberger Custom Homes, LLC ) ) ) Respondent (s) ) ) ADMINISTRATIVE COMPLAINT The Contractors' Licensing Board of Collier County, Florida, (hereinafter Board), files this Administrative Complaint against Paul L. Riddleberger, D/B/A: Riddleberger Custom Homes, LLC., (hereinafter Respondent), License Number 29660 and says: COUNT I 4.1.8.1(c) - The contractor's job has been completed, and it is shown that the customer has had to pay more for the contracted job than the original contract price, as adjusted for subsequent change orders, unless such increase in cost was the result of circumstances beyond the control of the contractor, was the result of circumstances caused by the customer, or was otherwise permitted by the terms of the contract between the contractor and the customer. COUNT II COUNT III COUNT IV COUNT V It is determined that the above stated charges are grounds for disciplinary action under Ordinance 90-105 of Collier County, Florida, as amended. Dated: g Director or his/her Designee Collier County Bldg. Review & Permitting Summary CLB 2008-11. Paul L. Riddleberger- D/B/A: Riddleberger Custom Homes, LLC Homeowners, Tracy and Dori Crowell, signed a contract with Paul Riddleberger of Riddleberger Custom Homes, LLC for the construction of their single family home in January 2006. The Construction began approximately November 2006. In April 2007, Mr. Riddleberger could no longer fulfill the contract nor complete the construction due to a licensing issue. The two parties agreed in July 2007 that the contract would be terminated and the Crowell's would need to find a new contractor to complete the construction. Also, it was understood that the contractor was paid in full at this point and what was constructed was built according to plans and in compliance with building codes. At the time of termination, the block and framing for the first level of the home was complete and the framing for the second level of the home was up. When construction resumed it was determined that the second story framing was not built to specifications and would not have passed inspections. The framing for the second level of the home required demolition and replacement at a cost of$26,111.00. CLB 2008-11. Paul L. Riddleberger—D/B/A: Riddleberger Custom Homes, LLC. Table of Contents: • El & E2- Formal Complaint • E3- Certificate Detail Report • E4- Notice of Hearing • E5- Notice of Hearing mailed certified • E6-Notice of Hearing posted at property • E7- Notice of Hearing posted at property • E8 & E9- Construction Contract • El 0- Construction Draw Schedule • El 1- Cost of Demo and Replacement of Framing • E12- E14- Statement from Architect describing deficiencies CONTRACTORS' LICENSING BOARD • • 2800 N. HORSESHOE DRIVE • • • NAPLES.; FLORIDA 33942 •. . COMPLAINT NUMBER ZaoS- I ` • • COMPLAINANT: ANY PERSON WHO BELIEVES THAT A CONTRACTOR HOLDING A STATE CERTIFICATION OR. CERTIFICATE OF COMPETENCY HAS VIOLATED COLLIER COUNTY ORDINANCE NUMBER 90-105, AS AMENDED, MAY SUBMIT A .WORN COMPLAINT TO THE CONTRACTOR LICENSING SUPERVISOR, OR HIS/HER ' DESIGNEE. THE COMPLAINT SHALL BE IN SUBSTANTIALLY THE• FORM . PRESCRIBED BY THE CONTRACTOR LICENSING SUPERVISOR. THE ' COMPLAINANT SHALL PAY A FEE. OF $50.00, TO DEFRAY THE COSTS OF ADMINISTERING THE 'COMPLAINT, AT THE TIME OF FILING THE COMPLAINT. THE COMPLAINING PARTY SHALL STATE 'WITH PARTICULARITY WHICH SECTION(S) OF THIS ORDINANCE HE OR SHE BELIEVES HAS BEEN • VIOLATED BY THE CONTRACTOR AND THE ESSENTIAL FACTS IN SUPPORT • THEREOF. . COMPLAINT . PLEASE PRINT OR TYPE AND RETURN SIGNED COPIES OF THE COMP INT. , _ . . DATE 7 3 e1 • AGAINST: p CONTRACTOR'S NAME: I _ r ?Viettt N Pit PHONE: 24 I It7 BUSINESS NAME: UC U11S 1h 0�1W Lir() • • LICENSE NUMBER I F• KNOWN: 29(V1) COLLIER •CO. COMPETENCY # : 1 1UP0 • CONTRACTOR'S BUSINESS ADDRESS: 3Z24 4(6,4 �F11'c 1• 0414 fl 3+112 . .: . . . FILED BY: ` . ' ' NAME: I1.1G1 4 .�VIi CCOWfA HOME PHONE: 711:g17 ADDRESS: 1 I vN Cidel (b �� 2oi BUS. PHONE:_ • • ADDRES HERE WORK DONE: 2-4115 4 S lake W. • • • CITY: COUNTY C1I46( DATE OF CONTRACT Inikifl 204 ' DATE JOB STARTED V14 20101e • DATE JOB COMPLETED OR NEW HOME OCCUPIED PA . ' WERE THERE PLANS AND SPECI ICATIONS?\CS IS THERE A WRITTEN CONTRACT'! IF YES, AMOUNT OF CONTRACT LI �'`'" HAS CONTRACTOR BEEN PAID IN FULL?4O IF NOT, WHAT AMOUNT? O'1I(1'1e¢ - WAS A BUILDING PERMIT OBTAINED? - • WHO OBTAINED BUILDING' PERMIT? prtii AlAfllf'f PERMIT # IF KNOWNIX040I4O1O. HAVE YOU COMMUNICATED BY LETTER WITH THE LICENSEE711TA DATE 1141D0 -YOU HAVE HIS REPLY? JO PLEASE ATTACH TO THIS ,. FORM ALL C PIES OF THE PURCHASE AGREEMENT, BUILDING CONTRACT, HOME IMPROVEMENT CONTRACT, COPIES OF RECEIPTS AND/OR CANCELED CHECKS AVAILABLE AND ANY ADDITIONAL EVIDENCE TO SUBSTANTIATE YOUR ALLEGATIONS. LIST ANY • SUBSECTIONS OF SECTION 4 OF COLLIER COUNTY ORDINANCE NUMBER 90-105, AS AMENDED, WHICH, IN YOUR OPINION, HAVE BEEN VIOLATED BY THE CONTRACTOR WHICH IS THE SUBJECT OF THIS COMPLAINT, (LIST SUBSECTION NUMBER) - 4.1.8.1(c)- The contractor's job has been completed, and it is shown that the customer has had to pay more for the contracted job than the original contract price, as adjusted for subsequent change orders, unless such increase in cost was the result of circumstances beyond the control of the contractor, was the result of circumstances caused by the customer, or was otherwise permitted by • the terms of the contract between the contractor and the customer. PLEASE STATE THE FACTS WHICH YOU BELIEVE SUBSTANTIATE YOUR CHARGE OF MISCONDUCT AGAINST THE SUBJECT CONTRACTOR: ' (LIST FACTS SEPARATELY FOR EACH SUBSECTION NUMBER ABOVE) Homeowners, Tracy and Dori Crowell,contracted with Paul Riddleberger of Riddleberger Custom Homes, LLC for the construction of their single family home in January, 2006. Construction began approximately in November, 2006. In April, 2007 Mr. Riddleberger could not continue with the construction due to a licensing issue. The two parties agreed in July, 2007 that their contract would be terminated and the Crowells _ would find a new contractor to finish the construction. It was understood that the contractor was paid in full to that point and what was constructed was built according to - plans and in compliance with building codes. At the time of termination the block and framing for the first level of the home was complete and the framing for the second level of the home was up. When construction resumed it was determined that the second story framing was not built to specifications and would not have passed inspection. The framing for the second level of the home required demolition and replacement at a cost of $26,111.00. (IF ADDITIONAL SPACE IS 1■t-, D, USE SEPARATE SHEET) (C044 •INANT'S SIGNATURE) STATE OF = ° W • COUNTY OF cc • Sworn to (or affirmed) and subscribed before me this 1 day of "RUCIk3 ' 0°3! .by—_-"Can )QC14,5a1-1 . (name of person making statement) • . mss+ Notary Public State of Florida _ �_.t . Jennifer E Blanco ' GNATURE w F NOTARY PUBLIC - +� My Commission DD514564 �+or ti Expires 02/0512010 • PRINT, TYPE OR STS' • COMMISSIONED NAME OF NOTARY PUBLIC) Personally known - or Produced identification . G ;1-, Certificate Detail Report CDPR2305 - Certificate Detail Report CERT NBR QUALIFIER NAME DBA STATUS 29660 PAUL L. RIDDLEBERGER RIDDLEBERGER CUSTOM HOMES, LLC CANCEL DETAIL CLASS CODE CLASS DESC STATE NBR 1200 RESIDENTIAL CONTR.-REGISTERED TEMP ORIG ISSD DATE STATE EXP DATE 7/26/2006 9/15/2006 RENEWAL DATE COUNTY COMP CARD COUNTY EXP DATE EXPIRE DATE 9/30/2007 OTH OL NBR COUNTY OL EXEMPT N CNCL DATE COUNTY OL NBR COUNTY OL EXP DATE 0TH OL EXP DATE 003152 9/30/2007 REINSTATE DATE 7/26/2006 DBA PHONE FAX (239)248-9187 (239) 417-8849 MAILING ADDRESS PHYSICAL ADDRESS 3224 ARECA AVE. 3224 ARECA AVE. NAPLES FL 34112- NAPLES FL 34112- LIABILITY INSURANCE COMPANY EXP DATE FIRST COMMERCIAL INS. AGENCY 3/18/2009 PHONE EFFECTIVE DATE (386) 775-1781 3/18/2008 POLICY NUMBER CNCL DATE L040001088 INSURANCE LIMITS 500, 000 WORKERS COMPENSATION INSURANCE WC EXEMPT Y COMPANY EXP DATE PHONE EFFECTIVE DATE POLICY CNCL DATE oilier County Board of County Commissioners Printed on 7/3/2008 8:45:54AM D-Plus for Windows 95/NT Page 1 111411 COLLIER COUNTY BUILDING REVIEW & PERMITTING CONTRACTOR'S LICENSING 2800 N. Horseshoe Drive • Naples,Florida 34104 • (239) 403-2432 • Fax (239) 403-2469 CERTIFIED MAIL# RETURN RECEIPT REQUESTED Date: 6/3/08 Paul L. Riddleberger 3224 Areca Ave. Naples,Fl. 34112 RE: Complaint filed against you by Tracy and Dori Crowell Dear Mr.Riddleberger: A complaint has been filed against you by the above referenced individual. A hearing of this complaint will be held by the Contractors' Licensing Board on August 20,2008 at 9:00 AM in the Board of County Commissioner's Room,Third Floor,Administration Building(W. Harmon Turner Bldg.), at 3301 East Tamiami Trail,Naples,Florida. Your presence before the Contractors' Licensing Board is required at this time. The packet you will receive marked composite exhibit"A"will be delivered to the members of the Contractors' Licensing Board one week prior to the hearing. If you wish to prepare a defense packet and have it delivered in conjunction with composite exhibit"A",you must make fifteen copies and have them in our office by 8:00 AM on Wednesday, one week prior to the hearing. In your packet, you may give a summary of events. At this meeting,you may present evidence and be represented by an attorney of your choice. In the event the Contractors' Licensing Board finds you in violation of Section number(s)4.1.8.1(c)of Ordinance#2002-21,as amended,the range of disciplinary sanctions which may be imposed are from an oral reprimand to a suspension or revocation of your Collier County Certificate#29660 and/or suspension or revocation of your permit privileges against your state license#N/A, Sii er1 y, Ian`kson Licensing Compliance Officer phone#239-252-2451 /mw o l l i e r C o 14 11 t v 0 • , i 1 . 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'4:,,,:::';'.*..,,'7'''..,.;;‘',,,., • Tracy Dori --rainy Proposal to construct a single family two story home as described below to be built on the owners property located in Kings Lake,Naples. Structural Home will be CBS construction with main floor monolithic slab on grade minimum of 4 inches with 12 by 16 inch monolithic perimeter footing and interior reinforcements as needed. At a finished floor height as prescribed are Flood Plane Elevation/Collier County. Exterior walls first floor are 8 inch block with 12 inch tie beam to a height of 10 feet. Second floor will consist of wood floor joist with 2x4 exterior walls to a height of 8 feet. All roof supports are to be pre engineer9d roof- ses, OSB sheathing with 20 year rated asphalt-ree singles, All details reference approved pl ked and dated Exterior Exterior will stucco over concrete block first and stucco and lath over wood second floor; facia and sofitt are aluminum. Windows are to be Norandex Reynolds single pane, single :um with tilt sash, white; All exterior door are metal, to inclu• - sin t4 i ont, s gle garage, two overhead garage, three double 2/6 ( , - : - .oors onto patio Interior Interior walls are to be typical wood or metal stud with 'A inch drywall with light texture throughout. Interior finish of exterior walls will be 3/4 inch PT w/ drywall. All walls and ceiling painted flat white, wood doors and trim white semi-gloss. Interior floor finishes in main living, to include LR, DR, kitchen, all bathrooms, and laundry area white 16 by 16 floor tiles. Master, upstairs bedrooms including stair steps and Florida room Berber carpet with padding. Interior doors are to be flush panel Luan w/2-1/2 inch clam shell casing, with matching 3-1/2 inch baseboard. Mechanical Electrical wiring will be rated copper as per building code Collier County (bcCC). With 100 amp breaker panel. To include a switched ceiling light or fan outlet on every room. Receptacles as per bcCC and all required appliances (plugs, switches;connectors,relays, etc)to supply power to support all integral systems. Plumbing Plumbing will be 3/4 inch copper feed main supply line with CPVC drops and riser to supply misc. interior water services. To include all sinks, sink faucets and drains, toilets, bathroom tubs, tub faucets, shower faucets and drains including 5 foot whirlpool in master bath. One 45 gallon hot water heater. All parts fittings required to complete according to approved plans and bcCC HVAC Air conditioning and heating to be forced air duct system utilizing 1- 1/2 ton(or as rated) cooling compressor with 10 KW heat strip. Kitchen Kitchen cabinets will be Mill Pride or equal with flat panel natural wood doors as per approved kitchen drawing. Counter top shall be Formica with 3 inch back splash. Builder shall supply dishwasher and ceramic self cleaning oven in white. Electric details includes 5 overhead recessed lights and three way switches 1 kage This proposal does not take into consideration the pool,pool deck or screen enclosure pool or pool deck $198,776.25 With impact fees and pool anddeck considered $229,074.24 , • ///".7 CONSTRUCTION DRAW GUIDELINE FIRST PAYMENT Floor slab poured,foundation survey and evidence of all required insurance. **SURVEY CERTIFICATION SHOULD BE MADE TO'1'H.@;FOLLOWING: BANK: FIFTH THIRD BANK,IT'S SUCCESSORS AND/OR ASSIGNS CUSTOMER: DORI SCHOLZ AND TRACY JACK CROWELL BUILDER: RIDDLEBERGER CUSTOM HOMES LLC TITLE COMPANY: TAMELA WLSEMAN PA UNDERWRITER ATTORNEYS'TITLE INSURANCE FUND,INC. SECOND PAYMENT Building dried in;Flood Application if in Flood Zone"A"(Paid receipt not required on Cash Escrow). For construction financing,flood insurance must be obtained by the borrower at such time as the property is eligible for flood insurance. The property is eligible for flood insurance when the buildings are walled and roofed. In order to insure that the flood insurance requirements are met,proof of flood insurance must be obtained after the slab has been poured. No additional draws will be advanced after the pouring of the slab until such time as the proof of insurance has been obtained.Be advised,that the amount of flood insurance required may be less that the total loan amount. It is the Borrower's responsibility to obtain any excess coverage to to obtain any excess coverage to adequately protect its investment in the event of a flood. Minimum insurance required: $250.000.00 (Coverage amount should be estimated cost new or loan amount) THIRD PAYMENT Tub set,windows and/or window frames installed;completion of rough heating and/or air-conditioning,rough electrical and rough plumbing. FOURTH PAYMENT Exterior and interior walls completed and painted;roof complete;all windows and exterior doors in place; bathroom tile work complete;interior trim installed and painted. FIFTH PAYMENT Building substantially complete and accepted by Owner,all waiver,releases and affidavit of lien furnished on the proper form,certificate of occupancy issued from building authority and°' a survey. CONTRACT PRICE $208,090.49 LESS HOUSE DEPOSIT $0.00 POOL CONTRACT $1 8,000.00 LESS POOL DEPOSIT $0.00 SEA WALL/DOCK CONTRACT $0.00 LESS SEA WALL/DOCK DEPOSIT $0.00 LESS PREDRAW AT CLOSING ($38,107.48) TOTAL TO BE DISBURSED $187,983.01 FIRST PAYMENT 20% $33,996.60 DATE SECOND PAYMENT 20% $33,996.60 DATE THIRD PAYMENT 20% $33,996.60 DATE FOURTH PAYMENT 20% $33,996.60 DATE FIFTH PAYMENT 20% $33,996.61 DATE HOUSE TOTAL $169,983.01 MISCELLANEOUS DRAWS: POOL DRAW#1 -SHELL $6,000.00 DATE DRAW#2-ROUGH PLUMBING/DECK $6,000.00 DATE DRAW#3-COMPLb f"h $6,000.00 DATE _ POOL TOTAL: $18,000.00 SWAT T-AND/OR DOCK - I DRAW S0.00 DATE {� �\f Arno Construction 3435 Enterprise Ste 23, Naples Fl 34104 ph. (239) 434 9364 fax (239) 434 9367 Certified Building Contractor Reg. # CBC1255481 August 5, 2008 PROJECT: ALTERATIONS AND ADDITIONS TO CROWELL RESIDENCE ADDRESS: 2995 KINGS LAKE BOULEVARD,NAPLES,FLORIDA OWNERS: TRACY&DORI CROWELL Re Demolition Cost and Construction material Cost for Replacement of Pre-Existing Work and Material 1 . Demolition and removal of existing wood framing due to deficiency in construction. $ 3, 400 . 00 2 . Dumpster fees for removal of old framing. (3) at $450 per dumpster. $ 1, 350 . 00 3. Purchase of new truss assembly and framing package installation approx. $12 . 611 . 00 4 . Framing cost for truss assembly and framing package installation. $ 8, 750 . 00 Total Cost $26, 111 . 00 Respectfully, 1 Fred J. Brunoli V - 1 - FROM : RUJU>ARCH I TECT FAX NO. : 239 403-3854 Feb. 07 2008 05:58PM P2 • " l i : ''' \% 1.:- ..... 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Johnson d/b/a/Johnson's Tree Service And ) Stump Grinding, Inc. ) ) ) ) Respondent (s) ) ) ADMINISTRATIVE COMPLAINT The Contractors' Licensing Board of Collier County, Florida, (hereinafter Board), files this Administrative Complaint against David L. Johnson, d/b/a Johnsons Tree Service and Stump Grinding, Inc., (hereinafter Respondent), License Number 30172 and says: COUNT I 4.1.6- Disregards or violates, in the performance of his contracting business in Collier County, any of the building, safety, health, insurance or Worker's Compensation laws of the State of Florida or ordinances of this county. COUNT II COUNT III COUNT IV COUNT V It is determined that the above stated charges are grounds for disciplinary action under Ordinance 90-105 of Collier County, Florida, as amended. Dated:7/16/08 Director or his/her Designee Collier County Bldg. Review & Permitting Summary CLB 2008-12 David L. Johnson- D/B/A: Johnson's Tree Service and Stump Grinding, Inc. On July 2, 2008 I, Ian Jackson, observed six individuals in the process of removing an approximately 75-85 foot pine tree from the property located at 99 Glades Blvd. In the parking area of the property, I noticed a truck and trailer advertising a company by the name of Johnson's Tree Service and Stump Grinding. I then confirmed with the employees that they were working for Mr. Johnson. While on site, I checked the county database and found Mr. Johnson had Worker's Compensation exemption. However, there was no coverage listed for the employees. After further reviewing the county database, I noticed that Mr. Johnson was issued a citation on February 7, 2007 for lack of Worker's Comp coverage for employees. The citation was paid the same day. I contacted Mr. Johnson, where he met me on site. When asking Mr. Johnson how the employees were covered, he stated that he was unable to show proof of coverage for the six individuals working. I arranged a meeting with Mr. Johnson for the following morning where the Notice of Hearing was issued. CLB 2008-12 David L. Johnson D/B/A Johnson's Tree Service and Stump Grinding, Inc. Table of Contents: • El /E2- formal complaint • E3- Certificate detail report • E4-Notice of Hearing signed by Mr. Johnson • E5- Worker's Comp exemption for Mr. Johnson • E6- County database showing previous citation for same violation • E7- County database showing payment of previous citation • • CONTRACTORS LICENSING BOARD • • 2800 N. HORSESHOE DRIVE • • • . • NAPLES.; FLORIDA 33942 COMPLAINT NUMBER LL'C'`' -fZ • • COMPLAINANT: ANY PERSON WHO BELIEVES THAT A CONTRACTOR HOLDING A STATE CERTIFICATION OR CERTIFICATE OF COMPETENCY HAS VIOLATED COLLIER COUNTY ORDINANCE NUMBER 90-105, AS AMENDED, MAY SUBMIT A £ 1ORN • COMPLAINT TO THE CONTRACTOR LICENSING SUPERVISOR, OR HIS/HER DESIGNEE. THE COMPLAINT SHALL BE IN SUBSTANTIALLY THE FORM PRESCRIBED BY THE CONTRACTOR LICENSING SUPERVISOR. THE COMPLAINANT SHALL PAY A FEE. OF $50.00, TO DEFRAY THE COSTS OF ADMINISTERING THE COMPLAINT, AT THE TIME OF FILING THE COMPLAINT. THE COMPLAINING PARTY SHALL STATE 'WITH PARTICULARITY WHICH SECTION(S) OF THIS ORDINANCE HE OR SHE BELIEVES HAS BEEN • VIOLATED BY THE CONTRACTOR AND THE ESSENTIAL FACTS IN SUPPORT • THEREOF. • COMPLAINT . • PLEASE PRINT OR TYPE AND RETURN SIGNED COPIES OF THE COMPLAINT. • DATE 7//t4.98• AGAINST: •6 139-(140- G105-3 CONTRACTOR'S NAME:y`�91 L. ubb1�h PHONE: _ BUSINESS NAME ile\ll"i11V1 t({( •CtfV1 A na C411 640 LICENSE NUMBER IF KNOWN: 30112 •) • V • COLLIER CO. COMPETENCY #: 3Ctii • • • • CONTRACTOR'S BUSINESS ADDRESS: 2523/ • • Zt)w, S Ct 3411 • • FILED BY: • C WA NAME: �0, 4r fin • __ft 1CP�11\ HOME PHONE: 'l ADDRESS: Zs N IJ�{C(�1�f Jlft BUS. PHONE: • ADDRES WHERE WORK DONE: 91 TIPS t.1 vd- • CITY: 011110 COUNTY C1)1(04- . • DATE OF CONTRACT DATE JOB START .(111 di 1b(U1 7 Zeg DATE JOB COMPLETED OR NEW HOME OCCUPIED OA Pr 4V,P4. -[ a • . WERE THERE PLANS AND SPECIFICATIONS? i IS THERE A WRITTEN CONTRACT?'' IF YES, AMOUNT OF CONTRACT HAS CONTRACTOR BEEN PAID IN FULL? IF NOT, WHAT AMOUNT?, � - WAS A BUILDING PERMIT OBTAINED? WHO OBTAINED BUILDING PERMIT? . PERM T # IF KNOWN "� • HAVE YOU COMMUNICATED BY LETTER WITH THE LICENSEE?, PS • C I IV ' • . DATE -113 uR . DO.-YOU HAVE HIS REPLY?4_____5 PLEASE ATTACH TO THIS +. FORM ALL C PIES OF THE PURCHASE AGREEMENT, BUILDING CONTRACT, HOME IMPROVEMENT CONTRACT, COPIES OF RECEIPTS AND/OR CANCELED CHECKS AVAILABLE • AND ANY ADDITIONAL EVIDENCE TO SUBSTANTIATE YOUR ALLEGATIONS. LIST ANY • SUBSECTIONS OF SECTION 4 OF COLLIER COUNTY ORDINANCE NUMBER 90-105, AS AMENDED, WHICH, IN YOUR 'OPINION, HAVE BEEN VIOLATED BY THE CONTRACTOR WHICH. IS THE SUBJECT OF THIS COMPLAINT, (LIST SUBSECTION NUMBER)4 I, L; . . . 4.1.6- Disregards or violates,in the performance of his contracting business in Collier County,any of the building, safety, health,insurance or Worker's • Compensation laws of the State of Florida or ordinances of this county. • • PLEASE STATE THE FACTS WHICH YOU BELIEVE SUBSTANTIATE YOUR CHARGE .OF MISCONDUCT AGAINST THE SUBJECT CONTRACTOR:- (LIST FACTS SEPARATELY FOR EACH• SUBSECTION NUMBER ABOVE) • • On 7/2/08 I, Ian Jackson, observed six individuals in the process of removing an • approximately 75-85 foot pine tree from a property at 99 Glades Blvd. In the parking area _ • of the property there was a truck and trailer with the Johnson's Tree Service and Stump - Grinding advertising on the vehicle. I then confirmed with the employees that they were _ . working for Mr. Johnson. While on site I checked the county database and found Mr. - Johnson had a Worker's Compensation exemption, and showed no sign of coverage for •• • employees. The county database also shows Mr. Johnson was issued a citation 2/7/07 for - not having Worker's Comp coverage for employees. That citation was paid the same day. • I contacted Mr. Johnson where he met me on site. When asked how the employees were - . covered he stated there was no coverage for the six people working. I arranged a meeting with Mr. Johnson for the following morning where the Notice of Hearing was issued to _ Mr. Johnson. • (IF ADDITIONAL SPACE IS . E5ED, USE SEPARATE SHEET) . • . ( PLAINANT'S SIGNATURE) • STATE OF . COUNTY OF 1 Oil Vt. • ' Sworn to (or affirmed) and subscribed before me thisl�O day of cju1y , , •by �DR 0r.t�1s0n • • I (name of person making statement) Notary Public State of Florida - -,-% AP ./ // P JenniferE Blanco -- -- ------ IGNATUR OF NOTARY PUBLIC My Commission DD514564 - Dta a Expires 0210512010 S • S II II 4 PRINT, TYPE OR STAMP COMMISSIONED NAME OF NOTARY PUBLIC) known ✓ or Produced identification . Personally E-Z Certificate Detail Report CDPR2305 - Certificate Detail Report CERT NBR QUALIFIER NAME DBA STATUS 30172 DAVID L. JOHNSON JOHNSON'S TREE SERVICE & STUMP GRIN ACTIVE DETAIL CLASS CODE CLASS DESC STATE NBR 4430 TREE REMOVAL & TRIMMING CONTR. ORIG ISSD DATE STATE EXP DATE 10/17/2006 RENEWAL DATE COUNTY COMP CARD COUNTY EXP DATE EXPIRE DATE 9/30/2008 0TH OL NBR COUNTY OL EXEMPT Y CNCL DATE COUNTY OL NBR COUNTY OL EXP DATE 0TH OL EXP DATE REINSTATE DATE DBA PHONE FAX (239) 940-6653 MAILING ADDRESS PHYSICAL ADDRESS 25231 BUSY BEE DR 25231 BUSY BEE DR BONITA SPRINGS FL 34135- BONITA SPRINGS FL 34135- LIABILITY INSURANCE COMPANY EXP DATE OSWALD TRIPPE & CO, INC 4/4/2009 PHONE EFFECTIVE DATE (239) 433-4535 4/4/2007 POLICY NUMBER CNCL DATE PAC6744681 INSURANCE LIMITS 2, 000, 000 WORKERS COMPENSATION INSURANCE WC EXEMPT Y COMPANY EXP DATE PHONE EFFECTIVE DATE POLICY CNCL DATE E3-3:06'oilier County Board of County Commissioners D-Plus for Windows 95/NT Printed on 7/2/2008 :lOPM Page 1 /� . . , . Employer Detail Page -Microsoft Internet Explorer provided by The Collier County IT Department 1.711 n]'x _ . ....._____.......... ,,..,,. , 4 4.,,d4- lc http://www.fldfs.corn/WCAPPS/Compliance_pOctw -c-ripts/Employ- erTasp?EmpID=9;;20002278201 — ------714•41 1411 I X 1,i '5--,,j, ________11:i)171 Fie Edit View Favorites Tools Help --- `i;It cIPt 140:-,Employer Detail Page , I 1 fli - Ezi rip - Page v ,',.4 Tools - 00W011,4i1Dfr4fiSe4"*flinikiltc Employer NEIMB 'JOHNSON'S TREE SERVICE&STUMP GRINDING INC A, ot-!-.c?.r,rig."-„,,,,V, ,' ,,,„,1,,,,,,.,,, ",4,..p, 7,,,,,,,,.„■,,4,.!, ...,,, ....''' ,,,'".,,;A:',7:' , ‘, „.',".,..'i 25231 BUSY BEE DRIVE Sa*:4111,:t-t,'Statute.A.T::-„,--,‘L', '....;,,-;,,.... :,t Address ......_ City BONITA SPGS Cdhtici US' - '-, ' ' ;„-„, State FL Zip 34135 EMIll Lee - . . ..-... , Databases ",,,',,,- ,, ' ,,' : ' , Employer Type CORPORATION i NAICS Code I .., , .. . oirectoiy, No Coverage History 1;f1;111.109.0-06 .- P:g.iii:::;.4'-',:';':41:',"1'6. ,--;' ' ,:-'410''.:?;'''''' Exemption Listings '11 P.,. 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CERTIFICATE OF LIABILITY INSURANCE CERTIFICATE NO./DATE AC08-6200560-699081 7/25/2008 11:30:51AM PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Highpoint Risk Services#500#s 0LC 14160 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Dallas, TX 75254 DaTXas 254kway. (800) 632-5096 (972) 715-0959 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fax: (972) 404-4450 INSURERS AFFORDING COVERAGE INSURED: AMS 1/c/f: INSURERA: Companion Property and Casualty Insurance Comp JOHNSON'S TREE SERVICE AND STUMPGRINDING, INC. INSURER B: 25231 BUSY BEE DR. BONITA SPRINGS, FL 34135 INSURERC: (239) 940-6653 Fax: (239) 949-2342 INSURERD: _INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE IMM/DD/YY1 DATE(MM/DD/YY) GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any One Fire) $ ICLAIMS MADE El OCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ --- GENERAL AGGREGATE _$ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ POLICY n JECT 1 1 LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ _ OCCUR ❑CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE _ $ RETENTION $ $ WORKERSCOMPENSATIONAND WC77779990601 X EMPLOYERS'LIABILITY 07/21/2008 04/01/2009 IWCSTATU- X 10TH- TORY IIMITR FR E.L.EACH ACCIDENT $ 1000000 A E.L.DISEASE-EA EMPLOYEE $ 1000000 E.L.DISEASE-POLICY LIMIT $ 1000000 OTHER LIMITS $ LIMITS $ DESL.RI 1 ION OF OPERA I IONS/LOLAI IONSIVEHICLESIEXCLUSIUNS ADDED BY ENDORSEME O EISPECIAL PROVISIO S 1. This certificate remains in effect, provided the client's account is in good standing with AMS. Coverage is not provided for any employee for which the client is not reporting wages to AMS. Applies to 100% of the employees of AMS leased to JOHNSON'S TREE SERVICE AND STUMPGRINDING, INC., effective 07/21/2008. 2. Workers Compensation Coverage is for the state of Florida only. 3. This insurance carrier has an AM Best rating of A- or better. 4. Insured is afforded Workers Compensation & Employers liability as a co-employer under the policy for employees leased from AMS. ***PLEASE SEE ATTACHED EMPLOYEE ROSTER.*** CERTIFICATE HOLDER I I ADDITIONAL INSURED;INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3 0 DAYS WRITTEN COLLIER COUNTY BLDG. PERMITTING CONTRACTORS LICENSING NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 2800 N. HORSESHOE DR. IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 239-252-2469 NAPLES, FL 34104 REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25-S(7/97) ©ACORD CORPORATION 1988 eXA.abitr 13 , CERTIFICATE OF LIABILITY INSURANCE Certificate Number:AC08-6200560-699081 EMPLOYEE ROSTER Attached roster includes employees paid through 07/20/2008.To verify employee's who may have been added since 07/20/2008,please call 1-800-728-0623. * Please note employee roster for this client is updated on a WEEKLY basis. EMPLOYEE LIST: HAMES,JEFF W. JOIME,VICENTE L. RHODES,KYLE J. TZOY,EDWIN L. TZOY,GIOVANI E. TZOY,HECTOR HU 7/25/2008 Page I of I