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CLB Agenda 05/21/2014 CONTRACTORS LICENSING BOARD Agenda May 21 , 2014 April 16,2014 MINUTES OF THE COLLIER COUNTY CONTRACTORS' LICENSING BOARD MEETING April 16, 2014 Naples, Florida LET IT BE REMEMBERED, that the Collier County Contractors' Licensing Board, having conducted business herein, met on this date at 9:00 AM in REGULAR SESSION in Administrative Building "F," 3rd Floor, Collier County Government Complex, Naples, Florida, with the following Members present: Chairman: Patrick White Vice Chair: Thomas Lykos Members: Terry Jerulle Richard Joslin Kyle Lantz Gary McNally Robert Meister Excused: Michael Boyd Ronald Donino ALSO PRESENT: Michael Ossorio — Supervisor, Contractors' Licensing Office Colleen Greene, Esq. —Assistant County Attorney Kevin Noell, Esq. — Assistant County Attorney James F. Morey, Esq. — Attorney for the Contractors' Licensing Board Thomas Keegan — Licensing Compliance Officer 1 April 16, 2014 Any person who decides to appeal a decision of this Board will need a record of the proceedings and may need to ensure that a verbatim record of the proceedings is made, which record includes the testimony and evidence upon which the Appeal is to be based. I. ROLL CALL: Chairman Patrick White called the meeting to order at 9:00 AM and read the procedures to be followed to appeal a decision of the Board. Roll call was taken and a quorum was established; seven members were present. IL AGENDA—ADDITIONS, DELETIONS, OR CHANGES: The order of the Agenda Order was changed; the following will be heard after Item V, "Discussion:" • Under Item VI. (E)— "New Business:" o Russell G. Spokish, d/b/a"Alno Painting, Inc.,"— Waiver of Exams for Reinstatement; • Under Item VIII. (A) — "Public Hearing:" o Case #2014-06: Hublar Lopez Rodriguez, d/b/a "Man Construction, Inc." III. APPROVAL OF AGENDA: Vice Chairman Thomas Lykos moved to approve the Agenda as amended. Richard Joslin offered a Second in support of the motion. Carried unanimously, 7— 0. IV. APPROVAL OF MINUTES—MARCH 19, 2014: Correction: • Page 26: [Sentence beginning "Attorney Morey confirmed ... "] o Change the word "life" to "lift." Gary McNally moved to approve the Minutes of the March 19, 2014 meeting as amended. Vice Chairman Lykos offered a Second in support of the motion. Carried unanimously, 7— 0. V. DISCUSSION: (None) VI. NEW BUSINESS: (Note: With reference to the cases heard under Section VI, the individuals who testified were first sworn in by the Attorney for the Board.) E. Russell G. Spokish—Request for Waiver of Exam(s) for Reinstatement (d/b/a"Alno Painting, Inc.") Russell G. Spokish was present and represented by his Attorney, Patrick H. Neale. April 16,2014 Michael Ossorio referenced Section 22-191(i) of the Code for Renewals. • Mr. Spokish has been a cabinet installer for approximately 13 years. • He allowed his license to lapse. • He has requesting a Waiver of Testing for the Business Procedures test. • He is present to explain his experience to the Board. Attorney Neale stated: • Mr. Spokish has been a cabinet installer for over thirteen years with significant experience. • He closed his business three years ago but continued to work in the industry during that period of time. • He is requesting a Waiver of the Testing Requirement. • His intention is to go back into business again. Chairman White stated he would categorize the Affidavit of Experience as "self-certified," i.e., the Affidavit was signed by his wife,Martha. Russell Spokish stated his wife is also his business partner. He and his wife have been married for 30 years. He has been in the industry for more than 30 years and she has seen everything that he accomplished, i.e., manufacturing and installing cabinets, cabinet design, etc. Attorney Neale noted two additional Affidavits were included in the packet [from Servio Cortes and Christopher North] concerning Mr. Spokish's experience as a Cabinet and Millwork Contractor. Michael Ossorio confirmed installation of countertops was included under Cabinet and Millwork contractor. Vice Chairman Lykos asked the Applicant to explain exactly what he had been doing in the industry for the past three years while his license was null and void. Mr. Spokish explained he moved to Canton. Georgia and opened a cabinet showroom, doing sales and designs. When he moved back to Naples, he began designing kitchens and baths for other people. He has been working consistently in the industry but has not been able to install his designs because his license has lapsed. Michael Ossorio referenced Section 22-162(5) and the definition of Cabinet Installation Contractor: Cabinet Installation Contractor requires 24 months experience with passing grade on a Business and Law Test; and means any person who is qualified to manufacture, assemble, install, dismantle, maintain, adjust, alter, extend, and design cabinets and millwork. The scope of permitted work shall include, but not be limited to, kitchen cabinets, bathroom vanities, accessory cabinets, counter tops, office furniture, and millwork items which have been manufactured for installation on job site locations. 3 April 16,2014 Richard Joslin referenced the Applicant's credit application which had been impeccable until 2009. He asked what happened after 2009. Russell Spokish replied his business was "devastated" by the housing recession because approximately 90% of his business came from new construction. He paid what he could from his savings. He stated it was a "desperate" time and he let his license lapse because he couldn't afford the payments. Attorney Neale explained the civil judgment. He stated it was an incorrect entry on Mr. Spokish's credit record. He is in the process of contacting TransUnion Credit Agency to have it removed from his credit report because there is no judgment by RBC against his client. There was a Judgment of Foreclosure which was satisfied. When asked why he did not feel it was necessary to re-take the Business and Law test, the Applicant stated it contained a number of mathematical questions which were not relevant to his business. Michael Ossorio stated the County recommended reinstatement without requiring the Applicant to retake the exam. Vice Chairman Lykos moved to approve granting the Applicant's request for a Waive the requirement for testing and to approve reinstatement of his license. Richard Joslin offered a Second in support of the motion. Motion carried, 6— "Yes"/1 — "No." Terry Jerulle was opposed. A. Orders of the Board: Richard Joslin moved to approve authorizing the Chairman to sign the Orders of the Board. Gary McNally offered a Second in support of the motion. Carried unanimously, 7— 0. VIII. PUBLIC HEARING: (Note: With reference to the case heard under Section VIII, the individuals who testified were first sworn in by the Attorney for the Board.) A. Case #2014-06: Hublar Lopez Rodriguez, d/b/a "Nian Construction, Inc." Respondent, Hublar Lopez Rodriguez, was present and represented by his Attorney, Patrick H. Neale. Richard Joslin moved to approve opening the Public Hearing in Case #2014- 06, Hublar Lopez Rodriguez, d/b/a "Nian Construction, Inc." Kyle Lantz offered a Second in support of the motion. Carried unanimously, 7— 0. 4 April 16, 2014 Chairman White briefly outlined the order of the proceedings to be followed which are defined in Collier County Ordinance#90-105, as amended, and Florida Statutes, Chapter 49: • The Hearings are quasi-judicial in nature; • The formal Rules of Evidence shall not apply but fundamental fairness and Due Process shall be observed and govern the proceedings; • Irrelevant, immaterial, or cumulative evidence shall be excluded. • All other evidence of the type commonly relied upon by reasonably prudent persons in the conduct of their affairs shall be admissible, whether or not such evidence would be admissible in a trial in the Courts of the State of Florida. • Hearsay evidence may be used for the purpose of supplementing or explaining any evidence but shall not be sufficient by itself to support a Finding, unless such hearsay would be admissible over objection in a civil action in Court. • The proof required is clear and convincing evidence. • The "Rules of Privilege" shall be effective to the same extent that such Rules are now, or hereafter may be, recognized in civil actions. • Any member of the Contractors' Licensing Board may question any witness. • Each party to the proceedings shall have the right to call/examine witnesses; introduce Exhibits; cross-examine witnesses; impeach any witness regardless of which party called the witness to testify; and to rebut any evidence presented against the party. • The Chairperson or, in his/her absence, the Vice Chair, shall have all powers necessary to conduct the proceedings at the Hearing in a full. fair, and impartial manner, and to preserve order and decorum. • The general process of the Hearing is for the County to present an "Opening Statement" followed by an "Opening Statement" by the Respondent. • Evidence that either party desires to be admitted shall be presented as part of the "Opening Statement." • The County will present its "Case in Chief" followed by the Respondent's defense. • After that, the County may offer a "Rebuttal. " • When the "Rebuttal" is concluded, each party is permitted to present a "Closing Statement." • The County is allowed a second opportunity to rebut the Respondent's "Closing Statement." • That will conclude the Public Hearing. • The Board will close the Public Hearing and begin deliberations. • Prior to beginning deliberations, the Board's Attorney will give a "Charge" to the Board, which is similar to the Charge given to a Jury, setting out the parameters on which the decision will be based. • During deliberations, the Board can request additional information and clarification from the parties. • The Board will decide two different issues: o Whether the Respondent is guilty of the offense as charged in the Administrative Complaint. A vote will be taken on the matter. 5 April 16,2014 o If the Respondent is found guilty, the Board must decide the sanctions to be imposed. • The Board's Attorney will advise the Board concerning the sanctions which may be imposed and the factors to be considered. • The Board will discuss the sanctions and vote. • After the matters are decided, the Chair will orally report the decision of the Board. • The Final Order will include the complete details as required under State laws and procedures. Thomas Keegan, Licensing Compliance Officer, requested to submit the packet of information into evidence as County's Exhibit"A." Vice chairman Lykos moved to approve admitting the information packet into evidence as County's Exhibit "A." Richard Joslin offered a Second in support of the motion. Carried unanimously, 7— 0. Chairman White announced he was filing a Form 8-B, "Conflict of hlterest." He stated he was employed by Antonio Brown, a business owner, who employs Mr. Rodriguez. He turned the gavel over to Vice Chairman Lykos and asked him to chair the balance of the proceedings. Vice Chairman Lykos asked James Morey, the Board's Attorney, for an explanation of the limited of Chairman White's participation during the hearing. Mr. Morey stated the after a disclosure had been made, the individual who made the disclosure was allowed to participate in the deliberations and offer input, but not to sway the vote one way or the other. Thomas Keegan presented the County's "Opening Statement:" • The Respondent is a Collier County registered Building Contractor, License # LCC-20120004890. • Violation: Section 22.201(6) of Ordinance#90-105, as amended: o "Disregards or violated, in the performance of his contracting business in the County, any of the building, safety health, insurance or Workers'; Compensation laws of the State of Ordinances of this County." • March 10, 2014: Received a call from an Investigator for the Florida Department of Financial Services, regarding Nian Construction Inc. The Investigator had been at a job site on March 7, 2014. • He met the Investigator at the jobsites on Linda Drive. The sites were permitted jobs by Nian Construction, Inc. • During her investigator, Ms. Asyia Snodgrass determined that the workers on jobsites 2837, 2785, and 2805 (all on Linda Drive) were employees of Nian Construction, Inc. • She spoke with Antonio Brown, President of Nian, who confirmed the workers were employees, not subcontractors. 6 April 16,2014 • Both Mr. Brown and the Qualifer, Hublar Lopez Rodriguez, were exempted from Workers' Compensation coverage. • Issue: Greg Roe, Rose Insurance, stated the insured neglected to send back the signed Workers Comp applications. He needed coverage ASAP. The policy was issued on March 7t' at 3:02 PM. • A `Stop Work" Order was issued by Investigator Snodgrass on March 10, 2014 for failing to obtain Workers' Compensation coverage for employees on the jobsites on March 7, 2014. • A Notice of Hearing was issued to Mr. Rodriguez on March 11, 2014. • This is the second Workers' Compensation violation issued to Mr. Rodriguez. (See: County's Exhibit "E-20") Attorney Neale presented the Respondent's "Opening Statement:" • The Respondent was willing to accept the County's "Opening Statement." • The employees are covered by Workers' Compensation insurance coverage. • Steps have been taken since the violation was issued to ensure that this situation does not happen again by instituting a new policy where employees report in every day. o ADP, the payroll company, has access to the insurance provider to verify who is working that day and provide coverage for each worker. o A new manager has been hired to monitor that the company is continually in compliance. • They had Workers' Compensation coverage in the past but the leasing company declined to continue coverage because they were too small. • When they went to ADP after the leasing company but there were a clerical error and they were not picked up by ADP's Workers' Comp system to provide insurance coverage. As soon as the lack of coverage was discovered, it was immediately procured through Roe Insurance. • Mr. Rodriguez has entered into a Stipulation Agreement which was discussed with Mr. Ossorio. Mr. Neale read the terms and conditions of the Stipulated Settlement Agreement and Agreed Order into the record as follows: " BEFORE THE COLLIER COUNTY CONTRACTORS' LICENSING BOARD BOARD OF COUNTY COMMISSIONERS, COLLIER COUNTY, FLORIDA, CONTRACTORS' LICENSING BOARD, Case Number: 2014-06 Petitioner, License No.: LCC201200004890/ vs. RB 29003585 7 April 16,2014 Hublar Lopez Rodriguez, d/b/a "Nian Construction, Inc., Respondent. STIPULATED SETTLEMENT AGREEMENT AND AGREED ORDER Hublar Lopez Rodriguez and the Board of County Commissioners, Collier County, Florida, Contractor's Licensing Board (hereafter "the BOARD"), hereby stipulate and agree: 1) Respondent admits the allegations in the Administrative Complaint for the purpose of this Stipulation and settlement of this matter. 2) Respondent and the BOARD hereby agree that he will be subject to probation for a period of twelve (12) months whereby the Respondent will perform his contracting activities under the supervision of the Board. 3) Respondent and the BOARD further agree that Respondent will personally apply for all permits and be present, either in person or telephonically, for any review or questions as to the contracting operations of the company which he qualifies during this restriction period. This includes permits issued by the Cities of Marco Island or Naples, inclusive of Fire Code Reviews. Respondent may, as necessary, respond through a translator to facilitate communication. 4) Fine of$4,200 dollars to be paid within 90 days. 5) Investigation costs of$525 dollars to be paid within 90 days. 6) This Stipulated Settlement Agreement and Order shall be forwarded to the State Construction Industry Licensing Board with a recommendation of no further action." Executed this day of April, 2014. /s/ Hublar Lopez Rodriguez Hublar Lopez Rodriguez Michael Ossorio Respondent Contractors' Licensing Supervisor ORDER ADOPTING STIPULATED SETTLEMENT AGREEMENT THIS BOARD BEING FULLY ADVISED on the Stipulated Settlement Agreement, it is hereby: 8 April 16,2014 ADJUDGED that the foregoing Stipulated Settlement Agreement is adopted in its entirety, and the parties are ordered to comply therewith. DONE AND ORDERED at the regularly set Contractor's Licensing Board hearing at Naples, Collier County, Florida, on this 16th day of April, 2014. Patrick White, Chairman Contractors' Licensing Board " Mr. Neale called Mr. Rodriguez to testify. Attorney Neale questioned the Respondent: Q. Would you state your name for the record, please? A. My name is Hublar Lopez. Q. Did you agree to this Stipulated Settlement Agreement and Agreed Order? A. Yes. O. Do you understand the contents of that Stipulated Settlement Agreement and Agreed Order? A. Yes. Q. Do you accept the contents of the Stipulation as being a settlement in this case? A. Yes. Michael Ossorio stated the County had no further evidence to present, and agreed to the terms/conditions of the Stipulated Settlement Agreement and Order. He further stated the County agreed to the Stipulation because it would expedite the issue—saving the County's time and it was in the best interest of the Licensing Office. He stated the County's case was closed. Michael Osorio explained the company [Nian] paid substantial penalties to the State and was in compliance. The Respondent is a fairly new Contractor who did well on his tests. The Licensing Office wants to have the Qualifier come into the office, talk to the Building Officials and the Inspectors,pull the permits, do the revisions, and further understand the process of being a Qualifier which is important during the first twelve months of starting a business. The penalty assessed was $4,200 which is not that far off from the maximum of$5,000. Mr. Neale concurred, stating his client was willing to stipulate to the terms and conditions of the Agreement to save costs. Vice Chairman Lykos stated Workers' Compensation issues were one of his biggest concerns. While he appreciated the Stipulated Agreement and being able to expedite the process, he was concerned about not having the details of the case 9 April 16, 2014 read into the record. He asked how long the Respondent's employees were without Workers' Compensation coverage before the situation was corrected. He asked where was the diligence to prevent being caught? By not having Workers' Compensation coverage, a company could compete unfairly because it was not paying that expense when bidding a job. The Respondent was called to the podium and a translator (Antonio Brown) was present to assist. Antonio Brown stated he was the President of the company. Vice Chairman Lykos asked Mr. Brown how long his workers went without Workers' Compensation insurance. Mr. Brown replied they started with a leasing company but it was very hard to obtain coverage because they had less than ten employees. They were dropped by the leasing company in January. Afterward, we didn't have any employees. We struggled to find a company to give us Workers' Compensation coverage. We worked only with subcontractors—we didn't have any employees. They signed on with ADP because they offered a package which included payroll and Workers' Comp coverage. We didn't understand that another company was doing the insurance. We sent the paperwork to ADP and thought that everything was in place. We didn't know that we hadn't authorized the other company for the coverage. When the Investigator went to the job site and called us, we said we were covered and to call ADP. They called ADP on Friday who called me on Monday to say that we were not covered. I called the company that was to have provided the coverage and was told that we never authorized them to provide coverage but it was done the same day—a couple of hours later. The applications were in place—the paperwork was corrected and submitted. That's why we had the insurance the same day. If we had applied just because we got caught, it would have taken three or four days. We had everything in place and thought that everything was done. Vice Chairman Lykos again asked how long his employees were without coverage. Mr. Brown responded, "less than 30 days. It was 20 days." Michael Ossorio asked about the penalty assessed by the State. Mr. Brown stated his firm paid $14,000 to the State. Attorney Neale noted the fine paid to Workers' Compensation plus the $4,700 paid to the County was significantly more than a"slap on the wrist." Vice Chairman Lykos asked Investigator Keegan if Nian had been cited for any other violations and his response was, "No." Richard Joslin asked about the first citation issued in July, 2013 for not having Workers' Compensation coverage and the penalty that was assessed. Antonio Brown stated it was approximately $4,000. Thomas Keegan noted Ian Jackson had issued a Citation for $300 to that jobsite in July, 2013. (See: County's Exhibit "E-23") Investigator Jan Jackson was called to testify and was sworn in. 10 April 16, 2014 Mr. Brown stated the company's attorney, Mr. Neale, will help them to ensure that all paperwork is completed and filed correctly. We are spending our resources to make sure that this never happens again. Vice Chairman Lykos recognized that the company has taken serious corrective active prior to the hearing. After further discussion, it was determined the Board supported amending the Stipulated Agreement to reflect the additional time for probation. Mr. Neale stated his client would be agreeable to extending the probation to twenty-four months. Richard Joslin moved to approve accepting the Stipulated Agreement as amended to extend the probation in Item #2 from twelve to twenty-four months and also extends Item #3 to twenty-four months. The fine of$4,200 and the reimbursement to the County of investigative costs of$525 would remain as stipulated. Gary McNally offered a Second in support of the motion. Motion carried, 6— "Yes"/1 — "Abstention." Chairman White abstained from voting. (Note: The Stipulation was amended to conform with the Motion and signed by all parties. A copy of the signed Agreement is attached to the Minutes.) VI. NEW BUSINESS: (Continued) (Note: With reference to the cases heard under Section VI, the individuals who testified were first sworn in by the Attorney for the Board.) B. Terry L. Curtis—Verification of Experience (d/b/a "AAA Eagle Plumbing, Inc.") Michael Ossorio provided background information: • Mr. Curtis is a licensed, registered Plumbing Contractor and has been for several years; • He took the exam for "Class B" Air Conditioning (under 25-tons; under 500,000 BTU); • There are questions concerning his Credit Report; • He lacks the paperwork that verifies his experience. Mr. Ossorio stated, according to the Code, a "Class B" Air-Conditioning Contractor requires 36 months of experience as a licensed Journeyman, or equivalent, with a passing grade on the Business Procedures test. He noted there is a Journeyman test. He stated it typically takes five to six years before a Contractor can take the test as a Journeyman. First, he would work as an apprentice for four years and then, if he passed the required tests, would become a Journeyman. He explained the County accepts Affidavits from previous employers concerning verification of employment and experience. Paul Jackson had an in-house program to teach their apprentices to become Journeymen. The County also 12 April 16,2014 Michael Ossorio asked Mr. Zielinski if he had been before the Fort Myers' Licensing Board and the response was, "Yes." Robert Zielinski explained he was licensed in Lee County, Cape Coral, Punta Gorda, and Port Charlotte. Q. For two companies? A. Yes. Q. I think we're the last one. A. Yes. Q. Can you explain to the Board why you are doing two. A. A—Z Masonry—I have done it forever. People are calling me thinking I am just a masonry company. Actually, I do concrete and masonry. But I'm losing out on some of my concrete work. Chairman White asked if a name change would work. Michael Ossorio responded the Applicant wants to keep A—Z. He indicated he had discussed the option with Mr. Zielinski. A. A lot of people know me as A—Z Masonry and I don't want to lose them because they wouldn't know I changed to Raz Construction. Vice Chairman Lykos referenced Question "K" on the application to qualify a Second Entity which asked "What percentage of ownership do you have in the present business you are qualifying and what percentage of ownership will you have in the business you are attempting to qualify?" He asked if the answer [100%] meant one hundred percent of both. A. Yes. Kyle Lantz commented that one of the things that concerns him when the Second Entity is similar or close to the first company is that the companies might, in certain instances, bid against each other. In this situation, it is probably not the case and it appears the Applicant has done his homework. But the possibility still exists. This is a hurdle that you might need to overcome. A. I have been in business and having been paying bills all my life —that's not me. Vice Chairman Lykos stated one of his concerns was that one company would collect the money and the other would pay the bills. One company has the debt and while the other company has all the revenue. He stated the Applicant had an excellent credit report. Mr. Lykos noted his concern was also expressed by other members of the Board in similar hearings. If you have two business entities that do the same kind of work, you can have all of your accounts in one company that buys all the material but, somehow, that company never seems to make any money. The other company collects the money but never has any expenses. A. If I do a contract with you, you are going to do it under one company or the other, and you are going to pay me on that job. Q. I understand, but you could take A— Z Masonry and buy all the concrete and buy the block even though I've hired the other company—that's my contract 16 April 16, 2014 Michael Ossorio referenced to Section 22-162 (25) of the Code. Landscaping Contractor requires 12 months experience and a passing grade on a business and law test and means any person who is qualified to install and/or remove trees, shrubs, sod, decorative stone and/or rocks, timber and plant materials, and concrete paving units for sidewalks, patios and decks only, whether or not incidental to landscaping, prepackaged fountains, or waterfalls, provided same does not include connection to a sanitary sewer system, portable water line, or to any electrical installation, which tasks must be performed by tradesmen licensed in the relevant trade. Landscape contractors may contract for only removal and/or trimming of trees and/or other combination of the authorized services. All new applicants applying for landscaping license are required to obtain a passing grade on an approved exam pertaining to pruning and safety, in addition to the Business and Law exam. Mr. Ossorio provided background information: • Applicant applied for a Landscaping Contractor's license; • Twelve months of experience is required; He noted Mr. Ramirez was issued a Citation for unlicensed activity and paid the fine of$300 and the violation was abated because he applied within 45 days of the Citation. Mr. Ramirez took and passed the necessary two exams, i.e., Business & Law and Tree Trimming exam. • His issue: providing documentation to support his landscaping experience Jorge Ramirez stated: • He is currently employed by a plumbing company • His goal is to open a landscaping business • His father works at a licensed landscaping company and he will join the business if the Board grants his request for a license o His father has 20+ years of experience and taught the Applicant everything he knows o His brother, Ricardo, taken/passed the BMP exam and has a Limited Commercial Fertilizer Applicator Certificate and will also join the business Chairman White questioned the Applicant concerning a construction experience affidavit signed by Jesus Garcia of Golden Leaf Pest, Inc. He noted the affidavit did not contain any information about when he worked for Golden Leaf or what he did while employed there. A. I worked for Jesus Garcia and helped him out trimming hedges and ... Q. How long and what did you do? A. I trimmed the hedges in front of his Chinese restaurant, part-time on the weekends, for roughly four months. 18 April 16,2014 Q. And there's no one else that you could get any kind of an affidavit from as to your construction experience? A. No, sir, no. I haven't worked for a landscaping company. Q. You worked for Tru-Green. What was that? A. I did not work for Tru-Green. My brother ... Q. I'm sorry ... that was your brother .... A. Alfredo. Vice Chairman Lykos stated in order to get the license, you need 12 months of experience. Typically, an Applicant would provide written verification from a supervisor at the company where he/she worked. The document would state how long the applicant worked and what type of work he/she did. You don't have that. One of the other things that we can accept is your testimony. We need you to tell us that for at least twelve months, you did the kind of work that would qualify for this license. Jorge Ramirez stated: • You can ask me any questions because I feel pretty confident that I can answer them. • I worked in my parents' yard—that's where I learned. We planted coconut palms, guava, lots of foliage and plants that grow in South Florida. • My father showed me everything he knows. • My brother, who took his Fertilizer Applications test, has helped me out with any questions about fertilizers. • I've done lots of work but I can't show you physical proof. • I can just explain to you what I know. That's all I have, sir. Kyle Lantz asked about the Citation for sodding. He asked if Mr. Ramirez had been doing landscaping "on the side" and the response was, "Yes." A. I have been doing this "on the side" for three years. Mr. Ramirez described the equipment he used for his work. Mr. Lantz noted the Applicant had the tools that he needed and resources in his family to help him if he encountered a problem. Michael Ossorio explained the Landscaping Contractor's license does not allow the use of fertilizers. That is a separate license. An extension course is offered and you receive a card upon completion. All employees of any company that applies fertilizer must carry the card. Pest Control is regulated by the Department of Environmental Protection. There is no license requirement for the application of fertilizers. Mr. Ramirez acknowledged that while he worked as a plumber, he would not risk receiving another Citation and $1,000 fine to correct a plumbing problem (such as a broken sprinkler head) while on a landscaping job. If he found it was necessary, he would apply for an Irrigation License. 19 April 16,2014 Chairman White asked Michael Ossorio about the fine and what would happen if Mr. Ramirez's application was denied. Michael Ossorio explained because Mr. Ramirez completed an application within 45 days of receiving the Citation, the violation was abated and noted that the fine of$300 had been paid. The case has been closed. Chairman White summarized if the application is denied, the fine will not increase for the next Citation. He stated the Board wanted to encourage people to come in and make application. Chairman White stated the average work year is approximately 2,000 hours. He asked the Applicant to estimate how many hours of work experience he had over the past three years. A. Easily over 2,000. Easily. Richard Joslin asked if the tree test that Mr. Ramirez took allowed him to trim trees and remove as well as plant them. Michael Ossorio stated he was correct. Mr. Joslin asked the Applicant to explain his experience with trees. A. I have not done any tree trimming. It was required that I take the test. I don't have the equipment to trim trees other than knocking palm fronds down and trimming lower branches and limbs. Q. It's part of the license —you're allowed to do that. A. It's a great opportunity for me but not now ... maybe in the future. Mr. Ossorio was asked for the County's recommendation. He stated a restricted license for landscaping could be issued, minus the trees. The applicant could do plants and sod. He will still be able to trim hedges. Mr. Ramirez stated if, in the future, if he acquires the equipment, he will come before the Board to have the restriction removed. Chairman White suggested that he work for someone who is licensed for trees to gain the experience he will need. Kyle Lantz moved to approve the application for a Landscaping Contractor's license, minus the trees which include patens. Richard Joslin offered a Second in support of the motion. Carried unanimously, 7— 0. F. Bradley J. Garrod, Jr. —Request for Waiver of Exam(s) for Reinstatement (d/b/a "Garrod Painting, Inc.") It was noted that Mr. Garrod was not present. Chairman White tabled the case. G. Mikel G. Diehl—Request for Waiver of Exam(s) for Reinstatement (d/b/a "Florida Hardscapes and Paver maintenance, Inc.") Michael Ossorio provided background information: • The Applicant and his father had been licensed Paving Block Contractors for several years. 20 April 16,2014 • They chose to close their business. • He is before the Board to request a waiver of not only the Business Procedures test but also the Paving Block exam. • There are questions concerning his previous corporation. Mickel Diehl stated: • I believe I have enough experience with over 14 years in the industry. • I'm pretty knowledgeable about the paving block business. Chairman White asked Mr. Diehl to provide details about his experience. A. I started basically with cleaning up trash from job sites to getting into more of the repair aspect to full installations by myself and then into sales. Richard Joslin asked who had worked for in the past. A. I worked for my father's company, M&C Florida Payers, Inc. and I did everything. Q. How long did you work for him? A. I started when I was in high school, about 16 years old, working during the summers. I went to school for a couple of years and then came back. I worked for him for 5 to 6 years. Terry Jerulle asked Mr. Diehl if he was the Qualifier for his father's company. A. Yes, I eventually was the Qualifier for the company. Q. And you became the Qualifier because you took the test? A. Yes. Q. When was the last time you took the test? A. I believe in 2005 or 2006. Kyle Lantz: O. How long has your father's company been out of business? A. About two years. Q. What have you been doing since then? A. I have been working doing pressure cleaning for driveways and pool decks. But I have been getting requests to do paver installations. That's why I'm trying to reinstate my license. Q. You have been working for yourself? A. Yes, sir. Richard Joslin stated there are a lot of derogatory things in your credit history ... low scores from all over Florida. Chairman White noted the Applicant's FICO score was 674 and the minimum threshold was 660. Vice Chairman Lykos stated there was a pending lawsuit. Chairman White: Q. Can you tell us anything about the State of Florida tax lien for $1,037? A. I am not familiar with that. Is it against me? 21 April 16, 2014 Terry Jerulle stated he would not support waiving the testing requirements. The Applicant has not been in the industry for several years; he has not done any continuing education. Chairman White stated if Mr. Diehl takes the test and passes, the Board will not be able to monitor him as Mr. Lantz suggested. Michael Ossorio stated if he took and passed the exam; wrote a letter explaining the pending lawsuit was actually against his father and with a credit score of 674, a license would be issued. County's Recommendation: To approve the application and waive the testing but place the Applicant on a one-year probation with new credit reports, business and personal, to be presented to the Board for review and a disposition of the pending litigation filed in 2012. Chairman White stated the Applicant must be voluntarily dismissed from the suit. Because Florida Hardscapes is one of the defendants, if the suit is ongoing it will appear on one of the credit reports. He supported probation and requirement for new credit reports. Chairman White moved to approve accepting the County's recommendation for a one-year probationary period requiring Mikel Diehl to present new personal and business[Florida Hardscapes/credit reports at the end of the probationary period. Vice Chairman Lykos offered a Second in support of the motion. Carried unanimously, 7— 0. H. Daniel A. Haugen — Contesting Citations #08650 and #08651 (d/b/a "Hot Concepts Fireplaces, LLC.") Citation: #08650 ("Unlicensed Residential Contractor") Date Issued: March 18, 2014 Fine: $2,000.00 (2"d Offense) Description of Violation: Engage in the business or act in the capacity of a Contractor, or advertise self or business organization as available to engage in the business of or act in the capacity of a Contractor, without being duly registered or certified. Vice Chairman Lykos disclosed that he hired Daniel Haugen for a project (installation of a fireplace insert) within the past 90 days but the relationship will not impact his ability to be impartial. Chairman White asked if there would be a pecuniary gain or loss. Vice Chairman Lykos responded the job was completed. It would not affect his judgment or his company. Chairman White concluded there was no conflict of interest; a Form 8B was not needed and full voting. Daniel Haugen stated there were two separate issues: (1) whether the Citation was valid; (2) the fine. • I was issued a Citation prior to this by Reggie Smith for unlicensed advertising. 24 April 16,2014 • I don't think the two are completely related and to say this is a second offense—they are two seemingly separate issues. • My advertising, which was just verbiage, was corrected at the time and addressed. • When I met with Ian Jackson, he stated because of the previous Citation, the new Citation was considered as a "second" Citation. • There were no prior reports of work being done outside of the license. Chairman White noted Citation#7643, issued in June, 2013, stated the violation was that you advertised self which was four different pieces to the Citation. The Respondent was claiming the new violation was different piece of those four. Daniel Haugen stated it was not in the same category—it was not necessarily offending the same thing again. The verbiage in my advertising was corrected and I have not violated that again. Chairman White stated the first Citation was advertising-related and the second one was ... A. Unlicensed residential contractor. Q. You entered into a contract that was beyond the scope? A. That's the point ... that's my second comment. Originally when I went from working for another Contractor in the area, I was aware of what licensing that Contractor had who has been doing work in the area for fifteen years. I went to the Licensing Office to apply for a business license and whatever was required to operate as a business providing fireplaces in Collier County. I was told by the office that a license was not required, but if I wanted to do anything beyond that work, such as structural walls, framing, drywalls, that I could apply for a Residential Contractor's license but if I was just doing fireplaces, it was not required. It was later confirmed by Reggie Smith whom I met with concerning the advertising verbiage who said that he agreed with the Licensing Office that there was no specific licensed required for providing fireplaces—only if we were going to do work beyond providing fireplace systems, that we would need to have a license. He gave me the information. I have since started the process and have submitted applications for a Masonry Contractor's license as well as a Residential Building Contractor's license. Q. And the second of the two Citations was unlicensed residential contractor. A. Right. That was the question I had for Reggie Smith when I met with him ... what license do I need provide fireplaces and he said there wasn't one. And that's why I've gone forward conducting this type of business assuming I had the licenses I needed. I have an LP Appliance license from the State. The installation manual for this particular fireplace states that it is intended to be used with an LP source. Considering that, I can understand how there can be interpretation because the parts are constructed of masonry but the manual specifically states that the masonry pieces are to be glued together. It comes as a kit and it's listed as a complete kit. The fireplace itself—the piping is all designated and outlined ... the sizing, configuration, assembly, products used by the manufacturer. They are listed and tested which is a requirement of the license that I carry. I am to use listed and tested products only. 25 April 16,2014 Q. You are referring to E-11 as the "Library Fireplace," for example? A. It refers to a certain model of the Isokern brand and all the components required to assemble it are provided by the manufacturer. It states the specific products and exactly how they are to be used. It's not like a full masonry fireplace where it's left to the interpretation of the Code or the installer to decide venting requirements or sizing. I have over 20 years of experience in building fireplaces. This is like comparing an oil change with building a car. Terry Jerulle: O. When you said "provide"—does that mean to furnish and install? A. I guess it depends, again, on the definition of"installation" because that's one of the things I discussed with Reggie Smith. He said if you're delivering and setting up the fireplace ...installation might be considered ... if I say I'm installing a gas fireplace, he said the verbiage would include the connection to the gas line which is why I agreed to change it because we're not doing that. We don't do any of the framing and we don't do any gas line connection—no electrical. 99%of the work that we do is for General Contractors. Our Scope of Work is specific to providing a specific product with specific directions in a specific listing. Q. To answer my question, "providing" means furnishing and installing? A. I guess that would be correct. Q. I want the other members of the Board to understand that you are providing pieces and parts, and you go into the field and assembling those pieces and parts. A. Yes, sir. Q. I want to make sure some of the members of the Board understand that. A. The reason why I chose to use the word"provide" is due to the discussion I had with Reggie Smith who said if I used the word "installation" of a gas fireplace or electric fireplace, it assumes that I am doing electrical wiring or gas lines or gas connections which we do not. Q. I think it's important for the Board that when you furnish as refrigerator, you plug in the refrigerator. When you say you are providing a fireplace, people on the Board may not understand what's involved with that. I had you run through that because you are providing pieces and parts. And then you go into the field and you assemble those pieces and parts. A. Yes, sir. Chairman White requested a breakdown of the pieces in the contract that are shown on E-11, 12 and 13. • Building the Base: Is that the piece of the contract that is outside the scope of your license? A. If the base requires anything other than the parts provided by the manufacturer, then the Contractor has to do the additional work. For example, in most cases (and in this case), the fireplace was set in place— assembled—on a concrete footing foundation. We did not pour the foundation. The foundation was there, in place, by the General Contractor or whoever they subcontracted to pour the concrete floor. If there's any concrete 26 April 16, 2014 block built under, on, or around the fireplace, it's done by the General Contractor or the sub. When we refer to the "base," the fireplace has the option of using their provided base or eliminating it depending on the height they want the fireplace opening to be. For example, the base is three inches. If you set that on a concrete floor with the fire brick added, it's going to be a 4 '/-inch height. If you remove the 3-inch base, then your total finished floor height is an inch and three-quarters to an inch and three-eighths. The Contractors like that information because they want to make sure that we understand that the fireplace ends up at the proper height according to their architect's design or design specifications. If the Contractor says we want it six feet off the floor, they have to provide something other than the three inches we provide. Q. I appreciate the detail. What I hear you saying is that as to the library, the great room and the lanai, a base was provided by someone else. A. Yes. Q. Let's jump to "B." You did the construction of the box—that's all stuff that came from the manufacturer and your job is to assemble it, correct'? A. Yes, sir. Q. It was the same thing for all three fireplaces. A. Yes, sir. O. "C"—Build the Firebox. You are using fire brick. Is that within the scope of your license? A. The fire brick isn't actually built on site. It's provided as panels. We don't build brick. That might be a misunderstanding if you look at it as a masonry project. We're not individually laying bricks. We're providing a panel made up of individual bricks and they are put into the fireplace. Q. And you assemble those? A. Right. Q. What about the item for"grouting fire brick joints using mortar?" A. That's the same as ... Q. In the scope or outside the scope? A. Ummm ... O. Your opinion. A. It's something we do ... it's within the directions for the fireplace, specifically to give guidelines of what grout has to be used and how it's to be done. It's all part of the listing instructions provided by the manufacturer. There is no room for interpretation. If I was completely ignorant of masonry ability, they are providing all of the guidelines regarding what kind of mortar is to be used and how much; how thick the mortar joints can be; how it is to be filled in; etc. Q. The only other thing that's different as to the great room and lanai is with respect to metal flue venting and the terminations thereof. Those are within or outside the scope of your license? A. I believe it's within because it's again part of the listed system. The installation manual provides guidelines and specific direction of exactly what flue needs to be used unlike a masonry fireplace where you would have to decipher and mechanically engineer the flue size. In this case, it's given to 27 April 16,2014 you exactly—the size and exact material to be used. There's no option or choice. Ian Jackson, Licensing Compliance Officer, stated the basis for the Citation is the County's position that multiple trades were contracted with in the construction or installation of these fire box/fireplace kits. Chairman White asked what were the specific trades. Mr. Jackson replied the County's position in this particular contract, at minimum, is masonry and mechanical. And with mechanical being a subcontractor trade ... not a Specialty Contractor trade, that's where the residential license and the Citation was noted as residential. Chairman White asked Mr. Jackson to address the penalty and the dollar amount, the contention by Mr. Haugen that they are essentially different violations and the penalty should not be stepped up to the higher amount. Ian Jackson responded the County's position is that it is the same Section number in Florida Statutes: "Engage in the business or act in the capacity of a Contractor or advertise self or business organization ..." Chairman White stated the County's Code, 2006-46 in 1.1.1 is the same as the Statutes? Daniel Haugen stated he had a conversation with Ian Jackson who stated there were two completely separate issues. I could not use the conversation with Reggie Smith to defend myself against the accusation of this violation. Chairman White stated what he heard Mr. Haugen say about his conversation with Reggie Smith had more to do with the scope of work and whether or not you should use some other trades license to do this. Mr. Haugen stated it seemed as if the County stated if the work is not being done by a subcontractor, it must be done by him. Richard Joslin asked if this Citation would also be listed as a Second Offense and was that the reason why the fine was so much larger. Mr. Jackson replied each of the Citations was considered to be a"Second" offense. There was a lengthy discussion during which Mr. Haugen described the installation process and what was required from the General Contractor in order to install the fireplace. Mr. Haugen summarized: "We assemble the fireplace. Whether the Contractor frames it in before or after, we have no involvement with that other than providing the Contractor with the installation manual." It was noted the manual states to assemble with epoxy—not mortar. Vice Chairman Lykos asked Mr. Haugen if he installed the pipe that carried burnt gas from the house and the response was "Yes." He then asked if Mr. Haugen had a license for HVAC and the response was "No." Michael Ossorio stated the County wished to introduce a witness. 28 April 16,2014 Terry Jerulle asked Mr. Haugen if he had any licenses. A. I have the LP Gas Appliance license. It is a State license. Mr. Haugen reiterated he asked the Contractors' Licensing Office what would be required of him to install fireplaces. Reggie Smith stated it could be considered "mechanical" but he was not required to obtain a Mechanical Contractor's license because he was not sizing ducts or installing them, or doing air-conditioning or heating systems or any of the things that fall within that license. My understanding of what I was required to obtain as a license was dictated by a person who has already been doing work in Collier County in addition to the questions I asked the Licensing Office. Vice Chairman Lykos stated part of the problem was, in his opinion, Mr. Haugen was misrepresenting was a true fireplace installation could be. He further stated that Mr. Haugen down-played what was being represented. Installing a fireplace can be comprehensive and include masonry, gas, electric, and ventilation. He continued, "What you are trying to get everybody to believe was installing a fireplace is as simple as throwing something in a hole and walking away when, in fact, it can be very comprehensive." He concluded, "Just because you have a 45-page manual doesn't mean that you have the license or qualifications to install venting for a gas fireplace in a house." Daniel Haugen stated he asked Reggie Smith and Ian Jackson what license they thought he should have and he would obtain it. He further stated he had submitted his application to obtain al Residential Contractor's license. He continued by stating, "Up to this point, I was not aware that was required of me." Chairman White asked why Mr. Haugen was not an LP Gas Installer which would allow him more options. His conclusion was that Mr. Haugen needed more such as a Masonry Contractor's or Mechanical Contractor's license. Vice Chairman Lykos supported the need for a Masonry Contractor's license. Lengthy discussion continued. Kyle Lantz moved to approve upholding Citation #8650. Richard Joslin offered a Second in support of the motion. Carried unanimously, 7—0. Citation: #08651 ("Unlicensed Residential Contractor") Date Issued: March 18, 2014 Fine: $2,000.00 (2nd Offense) Description of Violation: Engage in the business or act in the capacity of a Contractor, or advertise self or business organization as available to engage in the business of or act in the capacity of a Contractor, without being duly registered or certified. Daniel Haugen: • My objection to this Citation is we are providing brick panels for the fireplace. 29 April 16,2014 • We did not build the fireplace. It was built by a Masonry Contractor who installed the flu pipe. • I was hired as a consultant. • The person who made the complaint against me once worked for the same employer that I did. This person does not have any type of license. • If I had been given clear direction from the County three or more years ago, I would have obtained by General Contractors' License and my Masonry License. • I didn't intentionally enter into a contract to do something I was not allowed to do. • I have applied for my Residential Contractor's License. Chairman White stated he objected to the County's use of a previously issued Citation to enhance the penalty. Because there is a crack in the system,this man is being nicked twice, especially since he did not do the work. He supported dismissing the Citation and the fine. Attorney James Morey advised the Board concerning its options: uphold the Citation or dismiss it. If the Citation is upheld, the fine must remain as initially assessed or it can be increased. The Board cannot reduce the fine. Michael Ossorio explained the changes in the Code. Chairman White moved to approve dismissing the Citation. Gary McNally offered a Second in support of the motion. Motion carried, 4— "Yes"/3— "No." Terry Jerulle, Kyle Lantz, and Vice Chairman Lykos were opposed. I. Adriano Cordero —Review of Credit Report(s) (d/b/a "Eco System Paint, LLC.") Michael Ossorio offered background information: • Mr. Cordero's business is less than 12 months old. • There are some issues with his credit history. Adriano Cordero: • He was unemployed for the past 2 '/z years. • He was able to make some payments: Gulf Coast Collections; Florida Power & Light; A/R Resources • He has an affidavit of Financial Support from his brother-in-law Chairman White moved to approve tabling the Case until the next meeting. Vice Chairman Lykos offered a Second in support of the motion. Carried unanimously, 7 — 0. VII. OLD BUSINESS: (None) 30 April 16,2014 IX. REPORTS: (None) X. MEMBER COMMENTS: (None) XI. NEXT MEETING DATE: Wednesday, May 21, 2014 BCC Chambers, 3rd Floor— Administrative Building "F," Government Complex, 3301 E. Tamiami Trail,Naples. FL There being no further business for the good of the County, the meeting was adjourned by the order of the Chairman at 1:45 PM. COLLIER COUNTY CONTRACTORS LICENSING BOARD PATRICK WHITE, Chairman The Minutes were approved by the Board/Committee Chair on , 2014, as submitted" [ ] OR "as amended" [ 1. 31 FORM 8B MEMORANDUM OF VOTING CONFLICT FOR COUNTY, MUNICIPAL, AND OTHER LOCAL PUBLIC OFFICERS LAST NAMErf RST AME D LEN r flyQME OF OU C OMMISSIO TH R CCc TT '1 MAI GADDRESS THE BOARD,COUNCIL,COMMISSION,AUTHORITY OR COMMITTEE ON E I\,q ' \ )� • WHICH SERVE IS A UNIT OF. \ v/ COUNT ❑CITY ❑COUNTY ❑OTHER LOCAL AGENCY CITY 4 t/° ( \ ' (� i NAME QF POUT CA UBD�I'VIS'IpON: ` i m DATE ON WHVOTEIOCCRIjE f.\r MY POSITION IS: .1 i/' q ❑ ELECTIVE APPOINTIVE WHO MUST FILE FORM 8B This form is for use by any person serving at the county, city, or other local level of government on an appointed or elected board, council, commission, authority, or committee. It applies to members of advisory and non-advisory bodies who are presented with a voting conflict of interest under Section 112.3143, Florida Statutes. Your responsibilities under the law when faced with voting on a measure in which you have a conflict of interest will vary greatly depending on whether you hold an elective or appointive position. For this reason, please pay close attention to the instructions on this form before completing and filing the form. INSTRUCTIONS FOR COMPLIANCE WITH SECTION 112.3143, FLORIDA STATUTES A person holding elective or appointive county, municipal, or other local public office MUST ABSTAIN from voting on a measure which would inure to his or her special private gain or loss. Each elected or appointed local officer also MUST ABSTAIN from knowingly voting on a measure which would inure to the special gain or loss of a principal (other than a government agency) by whom he or she is retained (including the parent, subsidiary, or sibling organization of a principal by which he or she is retained);to the special private gain or loss of a relative; or to the special private gain or loss of a business associate. Commissioners of community redevelopment agencies(CRAB)under Sec. 163.356 or 163.357, F.S., and officers of independent special tax districts elected on a one-acre, one-vote basis are not prohibited from voting in that capacity. For purposes of this law, a "relative" includes only the officer's father, mother, son, daughter, husband, wife, brother, sister, father-in-law, mother-in-law, son-in-law, and daughter-in-law. A"business associate" means any person or entity engaged in or carrying on a business enterprise with the officer as a partner, joint venturer, coowner of property, or corporate shareholder(where the shares of the corporation are not listed on any national or regional stock exchange). ELECTED OFFICERS: In addition to abstaining from voting in the situations described above, you must disclose the conflict: PRIOR TO THE VOTE BEING TAKEN by publicly stating to the assembly the nature of your interest in the measure on which you are abstaining from voting; and WITHIN 15 DAYS AFTER THE VOTE OCCURS by completing and filing this form with the person responsible for recording the minutes of the meeting,who should incorporate the form in the minutes. APPOINTED OFFICERS: Although you must abstain from voting in the situations described above, you are not prohibited by Section 112.3143 from otherwise participating in these matters. However, you must disclose the nature of the conflict before making any attempt to influence the decision, whether orally or in writing and whether made by you or at your direction. IF YOU INTEND TO MAKE ANY ATTEMPT TO INFLUENCE THE DECISION PRIOR TO THE MEETING AT WHICH THE VOTE WILL BE TAKEN: • You must complete and file this form (before making any attempt to influence the decision)with the person responsible for recording the minutes of the meeting, who will incorporate the form in the minutes. (Continued on page 2) CE FORM 8B-EFF 11/2013 PAGE 1 Adopted by reference in Rule 34-7.010(1)(f), F.A.C. APPOINTED OFFICERS (continued) • A copy of the form must be provided immediately to the other members of the agency. • The form must be read publicly at the next meeting after the form is filed. IF YOU MAKE NO ATTEMPT TO INFLUENCE THE DECISION EXCEPT BY DISCUSSION AT THE MEETING: • You must disclose orally the nature of your conflict in the measure before participating. • You must complete the form and file it within 15 days after the vote occurs with the person responsible for recording the minutes of the meeting, who must incorporate the form in the minutes.A copy of the form must be provided immediately to the other members of the agency, and the form must be read publicly at the next meeting after the form is filed. DISCLOSURE OF LOCAL OFFICER'S IFjTEREST I, VINCY\ 1 , hereby disclose that on `) 20 t ! (a)A measure came or will come before my agency which(check one or more) inured to my special private gain or loss; inured to the special gain or loss of my business associate, • inured to the special gain or loss of my relative,�r ff • inured to the special gain or loss of O V\ I by whom I am retained; or inured to the special gain or loss of ,which is the parent subsidiary, or sibling organization or subsidiary of a principal which has retained me. wirtf0A. cf)(b)The measure before my agency and the nature of my onflicting inter in the measure is as follows: ry- 01- \PA [¢ * 2 • C 4 J If disclosure of specific information would violate confidentiality or privilege pursuant to law or rules governing attorneys, a public officer, who is also an attorney, may comply with the disclosure requirements of this section by disclosing the nature of the interest in such a way as to provide the public with notice of the conflict. lk 16) 14— Date Filed Signature NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES §112.317, A FAILURE TO MAKE ANY REQUIRED DISCLOSURE CONSTITUTES GROUNDS FOR AND MAY BE PUNISHED BY ONE OR MORE OF THE FOLLOWING: IMPEACHMENT, REMOVAL OR SUSPENSION FROM OFFICE OR EMPLOYMENT, DEMOTION, REDUCTION IN SALARY, REPRIMAND, OR A CIVIL PENALTY NOT TO EXCEED $10,000. CE FORM 8B-EFF. 11/2013 PAGE 2 Adopted by reference in Rule 34-7.010(1)(f), F.A.C. D paty Agency Clerk CLERK e;anduti kir.ituts n-tr 1212812013 • Fil-n 2013-000;17 STATE OF FLORIDA CONSTRUCTION INDUSTRY LICENSING BOARD IN RE: THE PETITION FOR DECLARATORY STATEMENT OF CITY OF PORT ST. LUCIE BUILDING DEPARTMENT 20 FINAL ORDER �S _ - - - This matter came before the Construction Industry Licensing Board (Board) pursuant to section 120,565, Florida Statutes. At a duly-noticed public meeting held art November 15, 2013, in Ft. Lauderdale. Florida, the Board considered ttte Petition for Declaratory Statement filed by CITY OF PORT ST. I.ULII. BUILDING DEPARTMENT, who was present. The Petition was filed with the Department of Business and Professional Regulation on September 26, 2013. Notice of the Petition was published on October 8, 2013, is the Florida Administrative Register. No comments were received. Having considered the Petition and relevant statutes and rules, the Board issues the following: FINDINGS OF FACT: 1. The facts considered by the Board are as alleged in the Petition, a copy of which is attached hereto and incorporated by reference, and presented at the Pagel of 4 meeting, v.'ith no further investigation by the Beard. 2, Petitioner asks the Board whether Mccosukee and Seminole Tribal members are exempt from licensure when contracting with consumers off the reservation to build "chlckee." CONCLUSIONS OF LAW 3. The Construction industry Licensing Hoard has authority to issue this Final Order pursuant to Section 120.565, Florida Statutes, and Rule 28-105, Florida Administrative Code 4. Petitioner is substantially affected, as required by section 120.555. Florida Statutes_ • Therefore, the board hereby issues a declaratory statement that Miccosukee and Seminole Tribal members must be properly licensed for building a '`chickee" not within the hni;n;;:vies of the reservation The applicability of this Declaratory Statement is limited to the set of facts incorporated herein. This Final•Order shall be effective upon piing with the Clerk of the Department of Business and Professional Regulation. DONE AND ORDERED this day of �C' 4r , 2013. Ir s , I 11,2 f r > Rii'ERT W. MOODY, JR., Chair Construction industry Licensing Board Page 2 of _ _ . __. 7007 1 , v . - . . i r tigiblithiiiiiiiimihiv •. ..-.x%.4, familia eac •,.- . 4, ogn .,,.. „..t ,,,,, _ -• -, 4.14'1-44'gja ''--4-'11101:"%•.*. 4:4-,.....AV.•••••ne=t... rAIKete,ritfes kee411.1.44:01,.. ...:4. ,., • Complete rims 1,2,af;c1 3 A ..."3 conVdEte A.SITIanrra -E ' Y.cm 4 If 1-,a.rtqctd D,EllvaTy Ic(:ia::',rod. 1,70.13,1 .-Ra , •,, - . . 1 X Tw PT MI yoor tIELITIEL c.nd r,...•dirik,ad thc i-. ./ELIT.a 1=] c,a...hat ur_a-_,A--,R-Y•im-,n dm card to ynt,', r . i.d.,this cc:ri tc -:Q,back cr:th, wiEL;placa, ' Of on th-t)fmn',If spaca parr 1dr,', 11 R. -.117...,:,...-• kly 61_3 11 Cr-,--4--fly a t.i".,.. r.-J,i,” .,L,..tr...2_,Lff4-124....6`. •2 f..-2 Y,..s - 1, Art;cie Nid•t.-3.w..3 ta. V. • .4i-ilTIIPf dAir,-ryaddli,:-..., b-ek,,,,,.; El If. " .. ,7'..,,.-.71 0-•••••-^;'" • - Construction Industry Licnsirtg Board L_ fp retv Winters,Executive Director 194-0 North Monroe Si 11 - a. ica-lypa 72flaha5see PL 3299 r :rici-zmd ..- ' ,,Fccv-!--;11. -1.,1-0,...ThQr-,SE--,n - 0 haw■.-1 1,1:ifl 'C.D.D. 4, FL..mtri-...".oci c',eLre..,-y?W_.1.1.-",,Ff,,l) k I-1)C:9 V 2 , - . Art-',.;0 flt.-yr bar _ TOO? 149.0 11121D14 33 `'l L841 .1. a-torn-1w rr...-T7,..L.C.rviQe fd-trtf___ PS Fcrot sEill,rat rury 2004 L.,,,,n,Lz;tia Flt_w.F x :t - L . . ._ . 1 i , . - . . - -- _-__---- _—__.------ __._ — ....... - NOTICE OF RIGHT TO JUDICIAL REVIEW A PARTY WHO IS ADVERSELY AFFECTED BY THIS FINAL ORDER IS ENTITLED TO JUDICIAL REVIEW PURSUANT TO SECTION 120.68, FLORIDA STATUTES. REVIEW PROCEEDINGS ARE GOVERNED BY THE- FLORIDA RULES OF APPELLATE PROCEDURE. SUCH PROCEEDINGS ARE COMMENCED BY FILING ONE COPY OF A NOTICE OF APPEAL WITH THE AGENCY CLERK OF THE DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION AND A SECOND COPY, ACCOMPANIED BY FILING FEES PRESCRIBED BY LAW, WITH THE DISTRICT COURT OF APPEAL, FIRST. DISTRICT, OR WITH THE DISTRICT COURT OF APPEAL IN THE APPELLATE DISTRCT WHERE THE PARTY RESIDES. THE NOTICE OF APPEAL MUST BE . FILED WITHIN THIRTY (30) DAYS OF RENDITION OF THE ORDER TO BE REVIEWED. Page 3 of 4 f i ' FILED .Y R7-C` Cap:;unc,t of t.-tx;z rn_fox:raxrK1 F,-u'st:cr, c( r�� CITY OF PORTSTIJL:C +.1tyA9Pnrr Cie ilt J1 - BUiLDJNG DEPARTMENT C_, 912611013 ConLrnctcrLicensing Dc✓isiorl t, i c=ty A CITY FDR AL'.AGES Certified.Mail: 70071490609433295541 Aucust 21, 2913 Construction industry Licensing Board a 7r e'vvWinters, Executive Director _ 1 1940 North Monroe St d . Tallahassee FL 32399 � '9 �0 — . I ' Re: Petition for Declaratory Statement- - . - -- - -' Dear Mr. Winters: Please accept this letter as a rc quest for declaratory statement from the CILB concerning Icensure requirements for the 'dliccosukee Tribe of Indians of Florida 1 and the Seminole Tribe of Florida. Specifically, ace the Tribes exempt from licensure as defined in ES 489 when constructing "chickeea, contracted with consumers off the reservation? If so, st must all person(s) performing the work be a Triba member in order to be exempt,nr can a company owned by a Tribal member employ non-Tribal employees and still be exempt? Should you rend to contact me, you may do so by calling 772-873-5371 or by email to dnotocc cityofps .com. Thank you in advance for your time. `Donna M. Moto Contractor Licensing Coordinator City of Port St Lucie . 1?1 ..s.-w. Fc;i 5iLacicBc:oltvard-P'sr Stl.uci;I-L349S',--5099. 772-871.5152.}7gy,�7L-87i_5=9 CERTIFICATE OF SERVICE I HEREBY CERTIFY that a true and correct copy of the foregoing Order has been provided by U.S. Ma, to: DONNA M. NOTO, CITY OF PORT ST. LUCIE, i 21 SW Port St. Ludic Boulevard, Port St, Lucie, Florida 34984-5099, and by hand/ interoffice delivery to Torn Barnhart, Special Counsel, Suite PL-B1, The Capitol, Tallahassee, Florida 32399-1050; and the Construction Industry Licensing Board, 1940 North Monroe Street, Tallahassee, Florida 32399-f 039, on or before 5:00 p.m_, `his day of_ 2013. # • r N r' Page 4 of 4 FILED Depar tment of Business and Professional Regulation Deputy Agency Clerk CLERK Brandon Nichols STATE OF FLORIDA Date 2/2012014 CONSTRUCTION INDUSTRY LICENSING BOARD File# 2014-01096 DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION, Petitioner, vs. CASE NO.:2013-014826 LICENSE NO.: CBC 1250145 BRENTON LEE MONGAN, & CBC 1257937 Respondent. FINAL ORDER THIS MATTER came before the Construction Industry Licensing Board (hereinafter referred to as the "Board") pursuant to Sections 120.569 and 120.57(2), Florida Statutes, on January 9, 2014, in Altamonte Springs, Florida, for consideration of the Administrative Complaint (attached hereto as Exhibit A), in the above styled case. Respondent was served with the Administrative Complaint by publication. Respondent did not timely return an election of rights form. Petitioner has filed a Motion for Finding of Waiver and Section 120.57(2), F.S. hearing. Petitioner was represented by Kyle Christopher, Esquire. Respondent was not present. Upon consideration, the Board FINDS: 1. Petitioner's Motion is granted, Respondent has waived the right to dispute the material facts. 2. The material facts are not in dispute. 3. The allegations of fact set forth in the Administrative Complaint are approved, adopted, and incorporated herein by reference as the Board's Findings of Fact. 4. The conclusions of law alleged and set forth in the Administrative Complaint are approved, adopted, and incorporated herein by reference as the conclusions of law of the Board. 5. The violations set forth warrant disciplinary action by the Board. 6. The Board finds Pending Final Order in Case 2012-0119129 as an aggravating factor. THEREFORE, IT IS HEREBY ORDERED AND ADJUDGED: 1. Respondent's licenses, CBC 1250145 and CBC 1257937, are hereby REVOKED. Respondent shall immediately surrender or mail all evidence of his license to the Executive Director, Construction Industry Licensing Board, Department of Business and Professional Regulation, P.O. Box 5257, Tallahassee, FL 32314-5257. 2. Respondent shall pay an administrative fine in the amount of$10,000.00 and investigative costs in the amount of$174.06. Said fine and costs shall be paid within thirty (30) days after the date of filing of the Final Order. In addition, the Respondent is required to pay interest on the fine due to the Board at a rate of 18% per annum, beginning on the thirty-first(31st)day after the issuance of the Final Order. 3. Respondent shall pay restitution in the amount of$9000.00 to William Francis Frye. Proof of restitution, or acknowledgment of satisfaction must be provided to the Executive Director of the Construction Industry Licensing Board, at P.O. Box 5257, Tallahassee, FL 32314-5257 within thirty (30) days of the date of the filing of the Final Order. 4. A change in licensure status, including the suspension,revocation,voluntary relinquishment, or involuntary relinquishment of license does not relieve Respondent of the obligation to pay any fines, costs, interest or restitution imposed in this Order. This Final Order shall become effective upon filing with the Clerk of the Department of Business and Professional Regulation. • DONE AND ORDERED this 2 41 day of e brUa r , 2014. 4/■;41001 W. BRIAN CATHEY, Chair Construction Industry Licensing Board NOTICE OF RIGHT TO JUDICIAL REVIEW A PARTY WHO IS ADVERSELY AFFECTED BY THIS FINAL ORDER IS ENTITLED TO JUDICIAL REVIEW PURSUANT TO SECTION 120.68, FLORIDA STATUTES. REVIEW PROCEEDINGS ARE GOVERNED BY THE FLORIDA RULES OF APPELLATE PROCEDURE. SUCH PROCEEDINGS ARE COMMENCED BY FILING ONE COPY OF A NOTICE OF APPEAL WITH THE AGENCY CLERK OF THE DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION AND A SECOND COPY, ACCOMPANIED BY FILING FEES PRESCRIBED BY LAW, WITH THE DISTRICT COURT OF APPEAL, FIRST DISTRICT, OR WITH THE DISTRICT COURT OF APPEAL IN THE FLORIDA APPELLATE DISTRICT WHERE THE PARTY RESIDES.THE NOTICE OF APPEAL MUST BE FILED WITHIN THIRTY (30) DAYS OF RENDITION OF THE ORDER TO BE REVIEWED. CERTIFICATE OF SERVICE I HEREBY CERTIFY that a true and correct copy of the foregoing Final Order has been provided by U.S. Mail to: BRENTON LEE MONGAN, Post Office Box 112667, Naples, Florida 34108; and by hand/interoffice delivery to the Construction Industry • Licensing Board, P.O. Box 5257, Tallahassee, FL 32314-5257; Kyle Christopher, Esq., Chief Construction Attorney, Office of the General Counsel, 1940 N. Monroe St., Ste. 60, Tallahassee, Florida 32399-2202,and Tom Barnhart,Special Counsel, PL-01,The Capitol, Tallahassee, Florida 32399-1050, on or before 5:00 p.m., this day of , 2014. � ,.. ,. FILED Oepartment(gBasinessamProicsswaliteimatim Deputy Agency Clerk STATE OF FLORIDA CLERK Evetta Lawson-Proctor DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATI Date 9/9/2013 File F DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION, Petitioner, v. Case No. 2013-014826 BRENTON LEE MONGAN, Respondent. ADMINISTRATIVE COMPLAINT The Department of Business and Professional Regulation ("Petitioner") files this Administrative Complaint before the Construction Industry Licensing Board, Division I, against Brenton Lee Mongan ("Respondent") , and alleges : 1 . Petitioner is the state agency charged with regulating the practice of contracting pursuant to section 20 . 165, Florida Statutes, and chapters 455 and 489, Florida Statutes. 2 . At all times material hereto, Respondent was licensed as a Certified Building Contractor in the State of Florida, having been issued license number CBC 1250145. 3. Respondent' s address of record is PO Box 112667, Naples, FL 34108 . 4 . On or about February 20, 2013, the Contractors Licensing Board, Collier County, Florida issued an Order in Case No. 2013-01, which disciplined Respondent for committing a willful building code violation in violation of chapter 489, part I, Florida Statutes (2012) . 5. Based upon the foregoing, Respondent violated section 489. 129 (1) (h) , Florida Statutes (2012) by being disciplined by any municipality or county for an act or violation of chapter 489, part I, Florida Statutes (2012) . WHEREFORE, Petitioner respectfully requests the Construction Industry Licensing Board enter an Order imposing one or more of the following penalties: place on probation, reprimand the licensee, revoke, suspend, deny the issuance or renewal of the certificate or registration, require financial restitution to a consumer, impose an administrative fine not to exceed $10, 000 per violation, require continuing education, assess costs associated with investigation and prosecution, impose any or all penalties delineated within section 455.227 (2) , Florida Statutes, and/or any other relief that the Board is authorized to impose pursuant to chapters 489, 455, Florida Statutes, and/or the rules promulgated thereunder. [signature page follows] 2 Signed this 27th day of August, 2013. KEN LAWSON, Secretary Department of Business and Professional Regulation By: MagdaCena OzarawsRi Magdalena Ozarowski Assistant General Counsel Florida Bar No. 94297 Department of Business and Professional Regulation Office of General Counsel 1940 N. Monroe St. , Ste. 42 Tallahassee, FL 32399-2202 (850) 717-1249 Telephone (850) 921-9186 Facsimile Respondent Brenton Lee Mongan DBPR Case Number 2013-014826 Probable Cause Found 08/27/2013 By: Boyette/Evetts 3 NOTICE OF RIGHTS Please be advised that mediation under section 120 .573, Florida Statutes, is not available for administrative disputes involving this type of agency action. Please be advised that Respondent has the right to request a hearing to be conducted in accordance with sections 120.569 and 120. 57, Florida Statutes, to be represented by counsel or other qualified representative, to present evidence and argument, to call and cross-examine witnesses and to have subpoenas and subpoenas duces tecum issued on his or her behalf if a hearing is requested. Any request for an administrative proceeding to challenge or contest the charges contained in the administrative complaint must conform to Rule 28-106.2015, Florida Administrative Code. Rule 28-106.111, Florida Administrative Code, provides in part that if Respondent fails to request a hearing within 21 days of receipt of an agency pleading, Respondent waives the right to request a hearing on the facts alleged. NOTICE REGARDING ASSESSMENT OF COSTS Respondent is placed on notice that Petitioner has incurred costs related to the investigation and prosecution of this matter. Pursuant to section 455 .227 (3) (a) , Florida Statutes, the Board, or the Department when there is no Board, may assess costs related to the investigation and prosecution of the case excluding costs associated with an attorney's time, against Respondent in addition to any other discipline imposed. FILED Department of Business ana Professional Regulation Deputy Agency Clerk CLERK Brandon Nichols STATE OF FLORIDA Date 2120!2014 CONSTRUCTION INDUSTRY LICENSING BOARD File# 2014-01107 DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION, Petitioner, vs. CASE NO.:2013-023647 LICENSE NO.: CFC 148056 ALLEN GENE REEVES, Respondent. FINAL ORDER THIS MATTER came before the Construction Industry Licensing Board (hereinafter referred to as the "Board") pursuant to Sections 120.569 and 120.57(2), Florida Statutes, on January 9, 2014, in Altamonte Springs, Florida,for consideration of the Administrative Complaint (attached hereto as Exhibit A), in the above styled case. Petitioner has filed a Motion for Final Order. Petitioner was represented by Kyle Christopher, Esquire. Respondent was not present. Upon consideration, the Board FINDS: 1. The Petitioner's Motion is granted. 2. The material facts are not in dispute. 3. The allegations of fact set forth in the Administrative Complaint are approved, adopted, and incorporated herein by reference as the Board's Findings of Fact. 4. The conclusions of law alleged and set forth in the Administrative Complaint are approved, adopted, and incorporated herein by reference as the conclusions of law of the Board. 5. The violations set forth warrant disciplinary action by the Board. THEREFORE, IT IS HERERY ORDERED AND ADJUDGED: 1. Respondent shall pay an administrative fine In the amount of$3,000.00 and investigative costs in the amount of$170.49. Said fine and costs shall be paid within thirty (30) days after the date of filing of the Final Order. In addition, the Respondent is required to pay interest on the fine due to the Board at a rate of 18% per annum, beginning on the thirty-first(31st)day after the issuance of the Final Order. 2. To assure payment of the fine, and costs, it is further ordered that Respondent's license to practice contracting shall be suspended with the imposition of the suspension being stayed for thirty (30) days from the date of the filing of the Final Order. If the ordered fine and costs are paid to the Board within the thirty (30) days, the suspension imposed shall not take effect. Upon payment of the fine and costs after the thirty (30) days, the suspension imposed shall be lifted. If the licensee does not pay the fine and costs within said period, then immediately upon expiration of the stay, he shall surrender his license to the Department of Business and Professional Regulation. 3. In addition, Respondent shall complete seven (7) additional credit hours of live continuing education which must be related specifically to Chapter 489 and related rules, within one (1) year. The seven (7) hours ordered shall be in addition to the continuing education required by Rule 61G4-18.001, F.A.C. Proof of the seven (7) additional hours must be supplied directly to Executive Director of the Construction Industry Licensing Board at P.O. Box 5257, Tallahassee, FL 32314-5257. Failure to provide such proof direct to the Executive Director will result in a violation of this Order. 4. A change in licensure status,including the suspension, revocation,voluntary relinquishment, or involuntary relinquishment of license does not relieve Respondent of the obligation to pay any fines, costs, interest or restitution imposed in this Order. This Final Order shall become effective upon filing with the Clerk of the Department of Business and Professional Regulation. DONE AND ORDERED this Ili day of Feb aTY , 2014. ,/(/4 W. BRIAN CATHEY, Chair Construction Industry Licensing Board NOTICE OF RIGHT TO JUDICIAL REVIEW A PARTY WHO IS ADVERSELY AFFECTED BY THIS FINAL ORDER IS ENTITLED TO JUDICIAL REVIEW PURSUANT TO SECTION 120.68, FLORIDA STATUTES. REVIEW PROCEEDINGS ARE GOVERNED BY THE FLORIDA RULES OF APPELLATE PROCEDURE. SUCH PROCEEDINGS ARE COMMENCED BY FILING ONE COPY OF A NOTICE OF APPEAL WITH THE AGENCY CLERK OF THE DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION AND A SECOND COPY, ACCOMPANIED BY FILING FEES PRESCRIBED BY LAW, WITH THE DISTRICT COURT OF APPEAL, FIRST DISTRICT, OR WITH THE DISTRICT COURT OF APPEAL IN THE APPELLATE DISTRICT WHERE THE PARTY RESIDES. THE NOTICE OF APPEAL MUST BE FILED WITHIN THIRTY(30)DAYS OF RENDITION OF THE ORDER TO BE REVIEWED. CERTIFICATE OF SERVICE I HEREBY CERTIFY that a true and correct copy of the foregoing Final Order has been provided by U.S. Mail to: ALLEN GENE REEVES, P.O. Box 111174, Naples, Florida 34108;and by hand/interoffice delivery to the Construction Industry Licensing Board, P.O. Box 5257, Tallahassee, FL 32314-5257; Kyle Christopher, Esq., Chief Construction Attorney, Office of the General Counsel, 1940 N.Monroe St., Ste. 60, Tallahassee,Florida 32399-2202,and Tom Barnhart,Special Counsel PL-01,The Capitol,Tallahassee,Florida 32399-1050,on or before 5:00 p.m.,this IVIJ day of ' brj r ,2014. eN SL. • FILED Noe talent of Business ano?ref r 5lonal Regulation Deputy Agency Clerk STATE OF FLORIDA CLERK Evette Lawson-Proctor DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULAT: Date 10/9/2013 File i DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION,. Petitioner, v. Case No. 2013-023647 ALLEN REEVES, Respondent . ADMINISTRATIVE COMPLAINT The Department of Business and Professional Regulation ("Petitioner") files this Administrative Complaint before the Construction Industry Licensing Board, Division II, against Allen Reeves ("Respondent") , and alleges : 1 . Petitioner is the state agency charged with regulating the practice of contracting pursuant to section 20. 165, Florida Statutes, and chapters 455 and 489, Florida Statutes . 2 . At all times material hereto, Respondent was licensed as a Certified Plumbing Contractor in the State of Florida, having been issued license number CFC 1428056. 3. Respondent ' s address of record is PO Box 111174, Naples, Florida 34108 . 4 . On or about April 17, 2013, the Contractors Licensing Board for Collier County, Florida, through the public hearing process, issued an order in Case No. 2013-04, which disciplined Respondent for committing a willful building code violation in violation of chapter 489, part I, Florida Statutes (2012) . 5. Based upon the foregoing, Respondent violated section 489. 129 (1) (h) , Florida Statutes (2012) by being disciplined by any municipality or county for an act or violation of chapter 489, part I, Florida Statutes (2012) . WHEREFORE, Petitioner respectfully requests the Construction Industry Licensing Board enter an Order imposing one or more of the following penalties : place on probation, reprimand the licensee, revoke, suspend, deny the issuance or renewal of the certificate or registration, require financial restitution to a consumer, impose an administrative fine not to exceed $10, 000 per violation, require continuing education, assess costs associated with investigation and prosecution, impose any or all penalties delineated within section 455.227 (2) , Florida Statutes, and/or any other relief that the Board is authorized to impose pursuant to chapters 489, 455, Florida Statutes, and/or the rules promulgated thereunder. (SIGNATURE PAGE TO FOLLOW) 2 Signed this 24th day of September, 2013. KEN LAWSON, Secretary Department of Business and Professional Regulation By: Thomas H: Camp6e1l Thomas H. Campbell Assistant General Counsel Florida Bar No. 71589 Department of Business and • Professional Regulation Office of the General Counsel 1940 N. Monroe Street, Ste. 42 Tallahassee, FL 32399-2202 (850) 488-0062 Telephone (850) 921-9186 Facsimile Respondent Allen Gene Reeves DBPR Case Number 2013023647 Probable Cause Found 09/24/2013 By: Pietanza/Weller 3 NOTICE OF RIGHTS Please be advised that mediation under section 120.573, Florida Statutes, is not available for administrative disputes involving this type of agency action. Please be advised that Respondent has the right to request a hearing to be conducted in accordance with sections 120.569 and 120.57, Florida Statutes, to be represented by counsel or other qualified representative, to present evidence and argument, to call and cross-examine witnesses and to have subpoenas and subpoenas duces tecum issued on his or her behalf_ if a hearing is requested. Any request for an administrative proceeding to challenge or contest the charges contained in the administrative complaint must conform to Rule 28-106.2015, Florida Administrative Code. Rule 28-106.111, Florida Administrative Code, provides in part that if Respondent fails to request a hearing within 21 days of receipt of an agency pleading, Respondent waives the right to request a hearing on the facts alleged. NOTICE REGARDING ASSESSMENT OF COSTS Respondent is placed on notice that Petitioner has incurred costs related to the investigation and prosecution of this matter. Pursuant to section 455.227 (3) (a) , Florida Statutes, the Board, or the Department when there is no Board, may assess costs related to the investigation and prosecution of the case excluding costs associated with an attorney's time, against Respondent in addition to any other discipline imposed. April 1, 2014 Collier County Contractor Licensing Board RE: Review of Credit Reports To whom it may concern, I have been informed that according to county regulations, my credit does not meet the requirements needed for immediate license approval. Due to the decline in our economy in the past years, my credit score has been affected and damaged. Though payments have fallen behind, it is not my intention to file bankruptcy. My main goal is to eliminate my debt, improve my financial situation, and move forward. It is greatly appreciated that you are taking the time to review this case. The outcome of this meeting is going to determine if my company and I will succeed in Collier County. Thank you very much for your Time. Luis Escobar Manager, Florida lB & S 3395 Sandpiper Way Naples, FL 34109 (239) 860-1150 fffCrounty 110311 GMD Operations & Regulatory Managem t , Licensing Section 2800 North Horseshoe Drive ' I° IGINAL Naples, FL 34104 • ••r•a•saaarwaa•..,,<. ot4 - ? 71. APPLICATION FOR COLLIER COUNTY/CITY OF NAPLES/CITY OF MARCO FIRM INSTRUCTIONS: This application must be typewritten or legibly 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 Collier County Commissioners. For further information, consult Collier County Ordinance No. 90-105, as amended. NAME OF COMPANY: Exact Corporate/Business Name: 7 l--€'fC/ CI 1. 8 �, Fiction Name/DBA: Qualifier Name: o � Physical Address: 3 a C . r 1,t a t- (lDi( ( T2-34/(9 (Number 85 Street) 1 (City) (State) (Zip Code) Mailing Address:33'1.3 %. 6010•11). t f-J CO Ilya (n 71 3q/Q 9 (Number 86 Stt) (CCii y) (State) (Zip Code) ) Telephone: ?39- Apo - // E-Mail: LeStobr i€nclV 7 r I it() ki TYPE OF LICENSE: ❑ General $230.00 ❑ Electrician $230.00 ❑ Building $230.00 ❑ Plumber $230.00 ❑ Residential $230.00 ❑ Air Cond. $230.00 ❑ Mechanical $230.00 ❑Swimming Pool $230.00 ❑ Roofing $230.00 El Specialty $205.00 Specialty trade: L ( t,)w ` rr1 U( CHANGE OF STATUS: ( ) Reinstatement ( ) From One Business to Another ( ) Dormant License to Active ^, Page 1 of 4 I1ba+ C-itatio d 01403) ((- -1 1. The names, titles, home address and phone numbers of all Officers/Managing Members of the Firm. 0,,a/14,(& a u- 23q - 6c)' 0 - /;-/ -- ()ce n 46 3'//b 1 2. List all businesses, firms, entities or contracting businesses you have been associated with during the last ten attild.,,,i_ u_c years(ex. Held a license for or been a partner). Attach extra pages if needed.0___ 3. 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 ./ e e I, (,[.,Lt1. °certify that the foregoing is true and C. -ct to the best of my knowledge. /t j horized Off er of the Firm STATE OF FLORID' COUNTY OF / The foregoing instrument as acknowledged before me this / 51 / a(_e o-o./ Drate / By J of r l GLl.dC -4-6 S / L(_Q (Name of officer, title/agent) (Name of Corporatiof ) a Corporation on behalf of the corporation. (State or Place of Corporation) He/She has produced ,9-N0A identification and did not take an oath. (Type of ide Ification) frro`'1"+° ANAMILE FERRAGIJT („ ) MY COMMISSION#FF071969 NOTARY'S SEAL . 3 EXPIRES November 20.2017 // . 407)i'60'0153 FIorialNotrarvSe vice.com ( ■ ' _�i NOTARY) Page 2 of 4 QUALIFIER INFORMATION: Name: C-t��` c i.,e_A—futtAziv Ci—e4 4 4§-) . Address: 339 5- S L L Lk) .3 40 -Ft 3 l)9 (Number& Street) City) i (State) (Zip Code) Telephone: 23 9- 470 //ye Date of Birth: S.S. #: 000-00- - ". . E-mail: (o cC.e Y 1 .LiR icit, f, , Driver's License: 1. Type of Certificat o Competency for which application is made. . ,I Gua--4, ( 2. The mes and telephone numbers of two persons who will know your whereabouts. (I,/ )o-v,2 k-ke._ 8b`/ 980 — 4772- . 3. Have you ever been convicted of a crime related to Contracting? r)0 (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. (\1) 9. List your business or work experience during the past ten years. Y--(1-4-7/- - ______14,e ic-t;t1j2..-A-17--- - i-/-7,--", - bi,- 40.-/C, 10. Statement of any formal training you have had in the area for which the application is made. M Page 3 of 4 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. C<;el4e4_1—.) 1-2 APP ANT(PLEASE PRINT) ,D-3 4 SC NAME OF PANY Sl e •E • APPI IC• STATE OF FLORIDAIC COUNTY OF J S/ � The foregoing instrument as acknowledged before me this . 9,// % / 0 . 7?7 -e f"/ ) / • Date By U � -° who has produced _A,-4.t1/LL.L'r✓ (N me of person acknowledging) (Type of identifi ( yp anon) as identification and did not take an oath. •'..."4;;�; ANAMILE FERRAGUT ' t31 MY COMMISSION#FF071969 ors ~•', a•.;ot� EXPIRES November 20,2017 NOTARY'S SEAL (407)3984153 F►ondalloraryservice.com ' . 1 I NATU OF Nl►TARY Page 4 of 4 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. ArAt SIGN• 'E OF APPLICANT '" I', 4 L_L e_ . BUSINESS NAME 05 . 0 / . 0---0/ 4/ DATE 3EFORE ME this day personally appeared Wd.1 dc who affirms and says that he ias less than one employee and does not req Workmen's Compensation understands that at any ime he employees one or more persons he must obtain said Workmen's Compensation Insurance. TATE OF FLORIDA ,OUNTY OF 6eglhe for oing instrument was acknowledged before me this 2l S/ a t-eA , L�(Date) ELtai who has produced pt- (n e of person acknowledging) (Type of identific 'on) identification and who did not take an oath. ;:.::� �; ANAMILE FERRAGUT lad - L� MY COMMISSION#FF071969 " . SI • IF 'E 0 •', o?. EXPIRES November 20,2017 (407)398-0153 FloridallotaryService.com !�/) �� ' NOTARY'S SEAL '°RINT NAMEEIWOF NOTARY P :LIC) NOTARY PUBLIC LVERIFICATION OF CONSTRUCTION EXPERIENCE GMD Operations & Regulatory Management Department Licensing Section 2800 N.Horseshoe Drive Naples,FL 34104 6 Applicant's Name: ,O1t `- 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 working 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 relevantexperience: Name: O�',i er ('_ .at. Lt4 £Vo (c/e Title: y eSi 61'`1) / License Number(if applicable): 31105 1 A- Name of Business: `� 6/lS/rac k)r Business Address: O/ �. t1� (?A c1 �° fed ; / j;I'e �l A Business Phone: gam-' c i0 s I . - The Applicant's years of experience from 3 to c?,€)// The applicant's scope of work (specific duties) included: lap 4 iAtrZ(At:Al — a'.v` 1 h4 if Additional Comments: li Falsifying any information provided herein may subject your license to revo I ion. 1 i Signature Print Name: `l airdArNt GIV?6-4.11 4 State of Florida '2ounty of Collier The f egoing instru t w ackn wledg d before me on this ( ��day of -• / LI )y k" Li I r\ i (IGt, 4(Uwho i personally ow to me or p dti uced A is identification and who did not t e an oath. ' id. � / Sina _a 'ud •r _- _ Ps"" : at" -..-s AN MILE F=RRAGUT '' MY COMMISS(O #FF071969 '.;7A.0,0 o' EXPIRES November 20,2017 (407)398-0153 Flork1allotaryService.co_ VERIFICATION OF CONSTRUCTION EXPERIENCE _—.�a . : ., _.: __ a ----.: — GMD Operations & Regulatory Management Department Licensing Section 2800 N. Horseshoe Drive Naples,FL 34104 A ,c__s (/ _ 6.2_144_,- Applicant's Name: 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 working 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 relevantexperience: Name: Larrt. P ARc1c'.e.' Title: Pre.5 j r\e_t 'r License Number(if applicable): Rx OC-)S 3 a,3n Name of Business: 16,A& a r =r.c.. Business Address: le)aoo 51nVc-\e S+re.A- 44. aO 1 t.,xaves t mil_ 3`+\U9 Business Phone. a3ct-5ctis- 11or) 'lhe Applicant's years of experience from Abo3 to ac: 1t.* The applicant's scope of work (specific duties) included: f`\QA-ot.1 -Era cv,;n 9 c nA a c•Juba\ Additional Comments: Falsifying any information provided herein may subject your license o r ocation. Signature Print Name:E L K,`i g- • -/J DKL 05 State of Florida , County of Collier The foregoing instrument was acknowledged before me on this ;t.k day of cr\c,\(ZQ by Lc,, c- c, a_ A • ) 0 n '..>S who is ersonally kw no tome or produced as identification and who did not take an oath. °"� `" �� Signature of Notary !,___) it,r '`,y DENISE GROWN ii 3' VI ewes 24,1017 : `V• f 'Fib:mmiNaMeN _ r My Comm.Expires Mar 24 201, �N 4;.4_,,- fMM11i> National•7 p Vi Caaatiission N EE 51.6'0 , 111100 IMO IMMO Alit VERIFICATION OF CONSTRUCTION EXPERIENCE GMD Operations & Regulatory Management Department Licensing Section 2 0 N.Horseshoe Drive Naples,FL 34104 o � ! ' 0f Applicant's Name: c � Certificate Category Requeste • 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 working 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 relevantexperience: Name: I/J S 4klea)11,122 A(obrAr Title: etfri J r✓ License Number(if applicable): Name of Business: ,ii jL 1 r 9UJ g(iiii Li-t Business Address: . C/ 7 ü-.1 �Lic�j/2••/1-74, ' d 720,/c-0.4./(e, v4 Business Phone: 90/ -62Y- SPZ The Applicant's years of experience from 760 J to 2c2.14 The applicant's scope of work (specific duties) included: %re -(01n0/CV ivoei 444/0 P - Legg 19 / l(z6 recatic -to hyw L.,.-1 $ Mk- ylovO A 4(A4- 1 q1' �( e�V eyrr•PITS 6r Pll9ic-/S. Additional Comments: d Falsifying any information provided herein may subject your license to revocation. ''''-- ignature � Print Nam-. (/AS . L C60,_/'. state of Florida 7ounty of Collier ,r— The f regoin trument sac wled ed before me on this S�day of fr c2e/e/ /l )y /p j ,' `e�QeUtol/who is rsonally known me or pro,�l ced / is identification ar who did not take an oath. A / ;' i tt, Signature f Nota T►p 4' ••'': ,� ��ti{•ANAMILE FERRAGUT 1* . 1 MY COMMISSION#FFQ71969 .8.=a ��or a EXPIRES November20,2017 r n:'oa.nl 41 FinketallotaNSerVice.GOIn.=, AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER I, Q V.a am a resident of 74--/a County, Bt'? id (State) and have resided here for more than five (5) years. 0 During the last five years I have known applicant). I have had the opportunity to observe his or her business and ersonal dealings and find him or her to be a person of honesty, integrity and good character. (Signature) /,_-4eit' t (Name) / q ,;• i (Address) 197 /thi() ,v9 u06_,) Telephone) 3 In -S - STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this c� �� ,/ky �,, (Date) atiottAAJ/__A", '� who has produced pn,C� (name of e on ack r,Yled /(Type of identification) p g g) / ( Yp ) as identification and who did not take an oath. d ST_ • A TIRE OF NO, A //n t// • NOTARY'S SEAL (P'INT NAME OF NOTARY) NOTARY PUBLIC rsnFJE}Utl�c,. 1 NA`M _ .f�T.... MY COMty SSI^V h':r071969 ra>`. EXP' .E dovefriber 20,2017 (40/, ",'i Flcnd;NotaryS'rrvice.com • AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER U-IMHbh(1-4tam a resident of 1/ _ , /4 1 7/ County, /101 rLC 0 (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. r } (Signature) (Name) 0 (Address) g q-(0 U 1/4..)1 2 5: L '1.8, V 7-a-3d-`3 I Telephone) D o q g O -577D- STATE OF FLORIDA COUNTY OF �Y The foregoing instrument was acknowledged before me this d1 6 � a /n� (Date) jt//yro L14 who has produced y-(S2 (/(7/t-,/ (name of person ackiiowled n ( p gi g) r (Type of identification) as identification and who did not take an oath, f SIIN PURE O�AR`� � amt_m_:;:fL4) NOTARY'S SEAL - RINT NAME OF NOTARY)/ NOTARY PUBLIC " .i,.r MLLE FEs",R;tiGUT 344 f MY COMMISSION#FF071969 2017 EXPIRES Novamber 20, '..E c)c Rn•. 3 FtOI dallotaryServce.com RESOLUTION OF AUTHORIZATON WHEREAS ` LO 1 1 - , '� • proposes to (Name of Busine s ntity) engage in contracting as in (Type of legal entity:.core.,partnership,etc. Collier County, Florida,according to Collier County Ordinance 2006-46,as amended;and WHEREAS I i t & r S I-LC proposes to (Name of usiness ti qualify for a Certificate of Competency with h b4--(' (Name of Individual) NOW,THEREFORE,BE IT HEREBY RESOLVED THAT: We the undersigned 4 ti.J. J 0,0MteNC of �C•� Ac, �� f � Officers,Owners,Partners) (�1 , hereby resolve and represent to the Collier County (Name ofBusiness Entity)/ ) Contractors'Licensing Board that the qualifying agent,__l_ � _ Q 6 , is active ii (Na a of I t#vi s ua, '' ii in all matters connected with the contracting business of ' . _ V�� • ,and ame(�,fB^us ess En'•ty) We further resolve and represent that 1.1_, V.:.=1 Q O fl( is _ `, i/t(Names of Individual) legally empowered to act for -f- J1(t in all matters connected with its (Name of Business Entity) intin&bustnisls;attllias the Authority to supervise construction undertaken by (Name of Business Entity)' _ DULY PASSED AND ADOPTED THIS day of G'(c \ f4 • (Officers,Partners,Owners-with i CV\O,ri\C)k 1 lif0,010 �. Designation underneath) Witness Witness Witness Corporate Seal(if Applicable) Or Notary Public Certificate Sworn to and subscribed before me this?I day of J' h`. by 6 0.i0tp6- . illf -7-■....a....ga.' 4 tary Public Name Paint Not, Purl is Sig, Commission Number ''tom 071 I Crs i My Commission expires: II • DO• O,17 ,,rte`'""P`°4:_ ANAMILE FERRAGUT I* oft��i :'i MY COMMISSION#FF071969 Z' oF;;sQ'., EXPIRES November 20,2017 x{407)398-0153 Floridallotary ce,com Servi - - COLLIER COUNTY GOVERNMENT COMMUNITY DEVELOPMENT AND ENVIRONMENTAL SERVICES DIVISION 2800 N.Horseshoe Dr. e Naples.Florida 34104 e 239-403-2400 e FAX 239-403-2334 6 VI , MEMORANDUM DATE: November 29, 2007 TO: Applicant's FROM: Michael Ossorio, Contractor Licensing Supervisor. CC: Robert Dunn, Collier County Building Director. Alamar Finnegan, Collier County Permitting Supervisor. Robert Zachary, County Attorneys Office. All Contractor Licensing personnel. SUBJECT: Collection of social security numbers. Pursuant to Chapter 119, Florida Statues and Collier County Contractor Licensing Ordinance 2006-46 Sec. 2.1.1, all applicants are required to submit their social security number (SSN) for the following purposes: a) Assess applicant's ability to satisfy creditors by reviewing their credit history. b) Verification of applicant's test scores and information. Our office will only use your SSN noted above for those reasons pursuant to Chapter 119. Florida Statues and as may otherwise be authorized by law. We are fully committed to safe-guarding and protecting your SSN and once collected, will be maintained as confidential and exempt under Chapter 1 1 9, Florida Statues. SM CREDIT CHECK CONFIDENTIAL Individual Credit Report Name • ESCOBAR, LUIS FERNANDO Ordered By: RUSH Customer : 9999 Address : 3395 SANDPIPER WAY Received : 03/24/14 NAPLES , FL 34109 Completed : 03/24/14 Social # : Applicar - Bill Amt : $75 . 00 CREDIT RECORD (Credit history has been checked for a period of seven years or from open date . ) Creditor Date Date High Unpaid Past Pay Historic Scat Current Has Account Number Reported Opened Credit Balance Due Terms 30 60 90 Status Rev ECOA ALLY FINCL COLLECTION 24912858800 02/13 04/08 0 4811 4811 0 - - - - - - I9-* 05 C DLA=01/13 AMEX COLLECTION 04/12 11/06 8773 6664 6664 0 - - - - - - 09-* 06 A DLA=04/12 BB&T AS AGREED 10/08 07/07 56916 CLOSED 0 0 0000 00 I1 15 S DLA=10/08 BK OF AMER FORECLOSURE 03/12 05/06 313200 0 0 0 0403 10 M5-* 48 A DLA=03/12 BMW FIN SVC AS AGREED 1000621073 10/08 02/08 16886 CLOSED 0 0 0000 00 I1 07 A DLA=10/08 CACH LLC COLLECTION 03/14 06/12 51056 5105651056 COLL - - - - - - 09-* 02 S ORIGINAL CREDITOR: WELLS FARGO BANK N A CAP ONE COLLECTION 03/14 02/05 2925 2982 2982 89 -- -- - - R9-* 10 A DLA=08/11 CAP ONE COLLECTION 03/14 01/03 510 465 465 13 - - - - - - R9-* 13 A DLA=08/11 CAP ONE AS AGREED 10/11 02/03 2675 PAID 0 REV 0000 00 R1 48 T DLA=10/11 Ordered by: APPLICANT - SEE NAME ABOVE Reporting Agency: Credit Check, Inc. - 3017 Exchange Court, Suite H, West Palm Beach, FL 33409 . (561) 616-5556 SM CREDIT CHECK CONFIDENTIAL Name • ESCOBAR, LUIS FERNANDO Customer: 9999 Page : 2 CREDIT RECORD (Credit history has been checked for a period of seven years or from open date . ) Creditor Date Date iiioh Unpaid Past Pay Historic Stat Current Mos count Number Reported Opened Credit Balance Due Terms 30 60 90 Status see ECCA CBE GROUP COLLECTION 124290112 06/13 05/13 769 769 769 COLL - - - - -- 09-* 00 A ORIGINAL CREDITOR: DOMINION ELECTRIC II CHASE COLLECTION 10/13 09/03 8127 8127 8127 243 - - - - -- R9-* 12 A DLA=08/11 CITIFINANCIA AS AGREED 07/05 07/04 4165 CLOSED 0 0 00 00 00 I1 12 A DLA=07/05 DSNB MACYS CUR WAS 30 03/14 09/07 1750 0 0 REV 0200 00 R1-* 35 A DLA=02/14 FCC) NO STATUS 10/10 06/10 1915 1715 0 COLL - - - - - - 09-* 00 A ORIGINAL CREDITOR: THE MADISON AT SPRING OAK - CONSUMER DISPUTES GREEN TREE FORECLOSURE 08/11 09/07 399750 37248411180 2795 0200 00 M2-* 07 A DLA=04/11 HSBC BANK AS AGREED 01/10 05/04 2690 PAID 0 REV 0000 00 R1 48 A DLA=01/10 LITTON LOAN PD WAS 120 01/11 09/07 399750 0 0 0 0205 01 M5-* 38 A DLA=11/10 NATL FITNESS COLLECTION 12/13 09/11 564 564 564 COLL - - - - - - 09-* 02 A ORIGINAL CREDITOR: AMERICAN FAM FITNSS WEST END SEARS/CBNA AS AGREED 03/14 03/07 9032 CLOSED 0 REV 0000 00 R1 48 A DLA=02/08 SEARS/CBNA AS AGREED 02/14 06/07 4571 CLOSED 0 REV 0000 00 R1 48 A DLA=10/08 Ordered by: APPLICANT - SEE NAME ABOVE Reporting Agency: Credit Check, Inc. - 3017 Exchange Court, Suite H, West Palm Beach, FL 33409 (561) 616-5556 SM CREDIT CHECK CONFIDENTIAL Name . ESCOBAR, LUIS FERNANDO Customer: 9999 Page : 3 CREDIT RECORD (Credit history has been checked fora period of seven years__or from_open_ _date_-) Creditor Dare Date ai ph 'Unpaid Past Pay Historic Star Current Mos Reported Opened Credit Palarce Due .Perms 30 00 90 Status Rev ECOA ST FARM BK PD WAS 30 06/11 10/08 29833 CLOSED 0 0 0600 00 Il-* 31 C DLA=06/11 ST FARM BK PD WAS 90 06/11 10/08 49192 CLOSED 0 0 0502 01 I1-* 32 C DLA=06/11 SUNTRUST MTG PASTDUE120 09/11 09/07 79950 72385 4077 680 0503 02 M5-* 46 A DLA=04/11 SUNTRUST MTG AS AGREED 05/08 09/07 399750 CLOSED 0 0 0000 00 M1 06 A DLA=04/08 TILESTORE AS AGREED 09/09 06/07 3000 PAID 0 REV 0000 00 R1 27 A DLA=02/08 Total trade lines on this report : 25 PUBLIC RECORDS: PUBLIC RECORDS HAVE BEEN CHECKED AT THE COUNTY, STATE AND FEDERAL LEVELS WITH THE FOLLOWING RESULTS AS OF 03/24/14 : SEE BELOW. TRANSUNION PUBLIC RECORD SOURCE DATE LIAB ECOA DOCKET# TYPE COURT LOC PLAINTIFF/ATTORNEY Z 04887406 12/16/11 $209 . 00 I V1102752700 CIVIL JUDGMENT HENRICO COUNTY COURT POUNCEY TRACT VET HOSP Z 04887406 05/18/12 $4 , 212 I V1200775300 CIVIL JUDGMENT HENRICO COUNTY COURT FORD MOTOR CREDIT SOURCE (S) : EQUIFAX TRANSUNION INQUIRIES: 03/24/14 by CREDIT CHECK (TU) #00630273 COMMENTS: FRAUD RECORDS HAVE BEEN SYSTEMATICALLY CHECKED BY THE ABOVE ACCESSED BUREAUS . SAFESCA.N/EQUIFAX, HAWK ALERT/TRANSUNION CHECKED FOR FRAUD . Ordered by: APPLICANT - SEE NAME ABOVE Reporting Agency: Credit Check, Inc. - 3017 Exchange Court, Suite H, West Palm Beach, FL 33409 . (561) 616-5556 SM CREDIT CHECK CONFIDENTIAL Name ESCOBAR, LUIS FERNANDO Customer: 9999 Page : 4 COMMENTS: REPORT WORKED BY NICOLE . CREDIT SCORE: APPLICANT FICO SCORE : 542 (scores range from 300 to 850) *** END OF REPORT *** This information is confidential and is not to be divulged except as required by the Fair Credit Reporting Act. This personal report is furnished simply as an aid in determining the credit desirability of the applicant(s). It is based upon information obtained in good faith by this agency from sources deemed reliable. The accuracy of same,however.is in no way guaranteed By your acceptance and use of this report,you specifically agree to hold Credit Check,Inc.harmless from any liability whatsoever Ordered by: APPLICANT - SEE NAME ABOVE Reporting Agency: Credit Check, Inc. - 3017 Exchange Court, Suite H, West Palm Beach, FL 33409 . (561) 616-5556 Detail by Document Number Page 1 of 2 Detail by Document Number Florida Limited Liability Company FLORIDA IB&S, LLC Fiin information Document Number L14000007213 FEI/EIN Number NONE Date Filed 01/02/2014 State FL Status ACTIVE Effective Date 01/01/2014 Principal Address 3395 SANDPIPER WAY NAPLES, FL 34109 l ailin: Address 3395 SANDPIPER WAY NAPLES, FL 34109 Registered A•ent Name & Address ESCOBAR, LUIS F 3395 SANDPIPER WAY NAPLES, FL 34109 Authorized Person(s) Detail Name & Address Title AMBR FERRAGUT, ANAMILE 3395 SANDPIPER WAY NAPLES, FL 34109 Title MGR ESCOBAR, LUIS F 3395 SANDPIPER WAY NAPLES, FL 34109 Annt.lal Reports No Annual Reports Filed hi rn.//search.sunbiz.ore/Inquiry/CorborationSearch/SearchResultDetail/DocumentNumber/... 3/31/2014 Detail by Document Number Page 2 of 2 Document Images � re E�Nay, 1 3� /02.'2014 �-,�-�� ;F� � � � �, �� View image in PDF format httn-//search.sunbiz.org/Inauirv/CorporationSearch/SearchResultDetail/DocumentNumber/... 3/31/2014 I. L rt 7.--i,i' l 4.,/ , i--. r it ui �<:-sty t �..i �_ ` ,e:% 0,-E, II, 'I I' 1. Cal-3 ily Ti i,:`; 111111(,t !ecarc s J:f thiE : i 1c ..11ar,,,' li C,,,p 7_0,,A. I'',I _y s, _I , 7s kiL 6Jw, 1' ■ 711 , J C'0- ! !_L Iii I'L i . cn n is Li ii i lu `i. -3, ,"i 14( .,. __ ,'i1 , _! L!iLl y " . �r, ,il,yr ! .yc,E. 1 4 hS _R, iL.y Ste_ r _ ' vim- ,_ J. El-bf, 111SLE1 "°_-! 12S _ L!`;fib I 1' I '1 r C i J( --L e ( i„ 261,:.: 1; xz 3} dY -� ' 1 w-" / e : 1 Aagthe ticat� C :LT°3G� 911.509' I1 � I 1C CaRt °� Gci6LAtP e en rL e. o i. 9 e.:11e1 _rnC 1[; we,Rad:Ilea toh�O .fiC is �euiw n r Es1 Co I 1 .. �' i l 1 N E r c kf ._ i. c c 1 1 11 li 1, f1 V ,' li 1' 111! 11 'g TCDEPARTMENT OF THE TREASURY � //t fi INTERNAL REVENUE SERVICE CINCINNATI OH 45999-0023 Date of this notice: 01-21-2014 Employer Identification Number: 46-4562848 Form: SS-4 Number of this notice: CP 575 G FLORIDA IB&S LLC IB ANAMILE FERRAGUT SOLE NUR For assistance you may call us at: 3395 SANDPIPER WAY 1-800-829-4933 NAPLES, FL 34109 IF YOU WRITE, ATTACH THE STUB AT THE END OF THIS NOTICE. WE ASSIGNED YOU AN EMPLOYER IDENTIFICATION NUMBER Thank you for applying for an Employer Identification Number (EIN) . We assigned you EIN 46-4562848. This BIN will identify you, your business accounts, tax returns, and documents, even if you have no employees. Please keep this notice in your permanent records. When filing tax documents, payments, and related correspondence, it is very important that you use your EIN and complete name and address exactly as shown above. Any variation may cause a delay in processing, result in incorrect information in your account, or even cause you to be assigned more than one EIN. If the information is not correct as shown above, please make the correction using the attached tear off stub and return it to us. A limited liability company (LLC) may file Form 8832, Entity Classification Election, and elect to be classified as an association taxable as a corporation. If the LLC is eligible to be treated as a corporation that meets certain tests and it will be electing S corporation status, it must timely file Form 2553, Election by a Small Business Corporation. The LLC will be treated as a corporation as of the effective date of the S corporation election and does not need to file Form 8832. To obtain tax forms and publications, including those referenced in this notice, visit our Web site at www.irs.gov. If you do not have access to the Internet, call 1-800-829-3676 (TTY/TDD 1-800-829-4059) or visit your local IRS office. IMPORTANT REMINDERS: * Keep a copy of this notice in your permanent records. This notice is issued only one time and the IRS will not be able to generate a duplicate copy for you. You may give a copy of this document to anyone asking for proof of your EIN. • Use this EIN and your name exactly as they appear at the top of this notice on all your federal tax forms. * Refer to this EIN on your tax-related correspondence and documents. If you have questions about your EIN, you can call us at the phone number or write to us at the address shown at the top of this notice. If you write, please tear off the stub at the bottom of this notice and send it along with your letter. If you do not need to write us, do not complete and return the stub. Your name control associated with this EIN is FLOR. You will need to provide this information, along with your EIN, if you file your returns electronically. Thank you for your cooperation. 9 i n � "'u s:° n _ �.. a, o n. n"�o '60,,, no `n n� 3 d t a_ ____ _ " oo�n _ . o i n `nom.r?.:„,, 3 ..5 -,.. �..\3 �a6� r7f '7 �e� ,7E 1EC�t[L --cr?,- geka „el, Of 11 ' „,..„ to „b.:, a :M 0 44 f Ta * Ai- -.... f a (1° -- w 1< iN X06 E tSS ft Me: a`'c Avp I certify from the records of this office that FLORIDA i &3, LLC, is a iimgiteo liability company organized under the laws of the State of Florida, filed on January 2, 2014, effective January 1. 2014. „ n Y n M The document number of this company is L14000007213. I further certify that said crnpany has paid all fees due his office through * December 31 2014, a€nd its status is active. zirirs Jam° H .DXkic !k' I ^0n Given under my hand and the a Great Seal of the State of Florida ��' ��c rr at Tallahassee, the Capital; this the c -o� �- . - Fourteenth day of January, 2014 kV _ GW Pyi,f C�+ ` -- a ;;��,', ,°�Fa n■®_.+/fir �..a�.r�.1'_ .� \7 V91644':q ��G '.'"7.14:, Ci H C4 H'' (1-11)) Srmfar r of aft R 0 CR2E022 1-11 PVC '� �U,a�no�noVnc��aoVnoVnoVn��no�no�Vno��n.Vn��n.�noVnc��n��no�no�no�n�VnoVno�n�Vna�ne�n�Vn��no�n� °O °✓ ,„ � 6 � �n,,�C�,,thi ])3 C �C?[ 12�7f1z7[]la 61[l357[l��[]- 1155/ � Ll�5% letsleslet36M05 \3” • STATEMENT OF OWNERSHIP This certifies that I, -4A--1---' am a member or (APPLICANT'S NAME) ti Managing member of -- (L1d� ...TS 45 ) 1-L(LIMITED LIABILITY COMPANY NAME) I own d- % of the units issued by the Limited Liability Company listed above. Affidavit of Applicant: I certify that the information contained is a true and correct statement to the best of my knowledge. �q® Y J � v • 'RiNTNAMk) 0 , I r 1 • 1117-CANT'S SIGN• UHF) I ) 0 - 21- Xi(/' (DATE) • Q 04 V r is V/A "1 O 0:311A.?: 101:4-1.4,Allk X11,1t Ol► .0k%**0% - X era • 0 4.. ii;11, ,�. `- ► is � y 40-4,4 rn Aair 011.74TH o V/A CS 41:140 -0 b.,):( A'40 t OAV ON V Ill 0, ; 74±, . -do) I la A 40 �' 0 C) +-.v4 CA• A y o ; w _ ..,, . A t 4i.• t \___ ` `, 1 cq cz' cl If 10, 1 c: —0 0 (.1, , 40.4 IA'$ x " yxte g :fi c2, 1 --. „ pl A : riff 14Pvf + ')%' 2 .'• +-' (1) ,4 "= o u u 7 Q i 7 VOA . ♦ iry °' 0 Irk'�� 0 ,s ° E M 1 o o _4.2 F .4ita , A = 8 C.) & / > ;11 0 -'-' oA® N p ^i-4 te - 't • �t�to cd rn 0 g N 0 ,4_,„•,_,.,9. 0) 0 x114 oft V " 47.4' Cr I '+-5 6 ci) 1.) 0 v sik i,it bk y pr 6 '.- C5- 8- (4__i i-ci .4 E N 14,0_.4 '004 -' v o� Cd • IP 4 I ; H 04 o *4 tit ) /1 Of.0 A tik ►•.re®� te®4 4 t:( 0 4 * 1:&e 0 4 I .4 0.4 ". ,t, 0..4 4 ti 0A tt 1°4" 4 0,-.4+011417N+0;tirit4+orr ., . it-:-' - Iii‘ iit. -.' * ,0 `,:.:. . -1121...Er.--- di'-— * -0—--. -- AL ti., . . : \ � r• Pis 1 DATE(MM/DD/YYYY) A ; CERTIFICATE OF LIABILITY INSURANCE 13/24/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Ott Insurance Agency, LLC CONTACT NAME_ Brian Seneski 10915 Bonita Beach Rd. Ste. 1141 JA//ON No,Ext1:2399480001 FAX No):2399482004 Bonita Springs FL 34135 ADDRESS:E-MAIL bseneski@hotmail.com�° INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: Cypress Property and Casualty Insurance Co INSURED Florida IB&S LLC INSURER B_ 3395 Sandpiper Way INSuRERc Naples FL 34109 INSURER t): INSURER E: ,INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. — —INSR I --- AD DL SUBR' _ POLICY EFF P OLICY EXP I LTR I TYPE OF INSURANCE N�R'N!JD POLICY NUMBER (9M/DD/YYYY) {M MIDD/!YYY) LIMITS I GENEFAL LIABILITY -- -- EACH OCCURRENCE 5 1 000,000 RENTED DAMAGE-10 I- X COMMERCIAL GENERAL LIABIUT _PREMISES_LF occurs hce) f_5 100 000 CLAIMS-MADE ! X 1 OCCUR M ED EXP)Any one person) I S 5 000 n ! n + 20 0 ,1C "+, 3/24/201� 3/24;2015 PERSONAL C ADv INJUPY 1,000,0001 I ,.� � i GENERA LAG PE alE / 00 000 oc 1, -. APPLIES PRGDU..-TS COMP/DP LrFP CG 5 Can OOi;1 �. 1'L.AGGREGATE _ 49! � 1 LIMIT PRO- , POLICY JE(T �� AUTOMOBILE LIABILITY CO 1 IratD f GL E L!'J 1 --' 1 I 3 r enl)IP iP r p er o ) S ANY AUTO I 30� I'�J ALL OWNED AUTOS_'. SCHEDULED ! ' I... ..,uc deny) —_— 'AUTOS I NON-OWNED PROPERTY DAMAGE ' (Per a cdent) I S HIRED AUTOS _ H UMBRELLA LIAR E -- CLAIMS-MADE LEACH _ OCCUR I EXCESS LIAB I OCCURRENCE AGGREGATE $ DED RETENTION$L— r --- -- - -- --- WORKERS COMPENSATION i WC S T ATU- OTH-�I AND EMPLOYERS'LIABILITY YIN I'I I_ TORY-L IMIT,1, ER ANY(Mandatory B EXCLUDED N/A in PROPRIETOR/PARTNER/EXECUTIVE� �I �I, ' E.L.DISEASE ACCIDENT A EMPLOYE Yl $ OFFICER/MEMBER - $ If yes,describe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) 91436 Ceiling or wall installation 92338 Drywall or wallboard installation 98305 Painting-Interior CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Collier County Contractors Licensing THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 2800 N Horseshoe Dr ACCORDANCE WITH THE POLICY PROVISIONS. Naples,FL 34104 AUTHORIZED REPRESENTATIVE w 239 252 2469 fax . A7.4 ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD ;'lor>ua Client Setup Sheet For: Florida IB&S, LLC dba: Date: Mar24 2014Sales Rep: Joey Agent: 1st Choice Payroll Solutigth Customer#:. **For SPLI NCSU Department use only: ** WIC Approval Date: Payroll Tech: Delivery Method: System: Payroll Information: Contact Name: Anamile Contact Phone#: (239) 860-1216 Fax#: (239) 596-6875 Cell Phone#: Contact Email: anamile fbyahoo.com Pay Period Begins: Mon Mar 31 Ends: Sun , Apr 6 Day To Submit: Wed Apr 9 Pay Day: Fri Apr 11 Delivery Day: Thu , Apr 10 These services will be available after you have been approved and paid for at least three payrolls. If interested please check below: Direct Deposit: ❑ Yes g No EFT/Debit: ❑ Yes d No (Payroll must be processed 2 days prior to check date) (Account will be debited on the payroll check date) Company Information: Owner Information: Company Name: Florida IB&S, LLC Name: Luis Escobar Co Address: 3395 Sandpiper Way Title: MGRM SS#: 697-03-7988 City: Naples State: FL Zip:34109 Address: 3395 Sandpiper Way Phone#: (239) 860-1150 City: Naples State: FL Zip: 34109_ Federal Tax#:464562848 Cell Phone#: 804-382-9828 State Tax#: Email Address: anamile_fb @yahoo.com anamile @industrialbuildinglIc.corn NAICS Code: County: Check Issuing Bank: IYS Wells ❑ SunTrust ❑ BOA Pay Frequency: d Weekly ❑ Bi-weekly ❑ Semi Monthly PTO Accrual: ❑ Yes g No (mark all that apply) Pay Types: E?f Hourly ❑ Salary ❑ Tips ❑ Commission/Piece Work(Must Track Hrs.) (mark all that apply) Payroll Type: ❑Departmental ❑Job Costing ❑Certified ❑OCIP (mark all that apply) Deductions: ❑Emp.Loans ❑ Insurance ❑401K ❑ Tax Levy ❑Child Support (mark all that apply) ❑401K Rollover? ❑Is it a Safe Harbor? ❑Other: Submittal Method: ❑ Online ❑Will Call ❑Will Fax ❑Email Report Delivery: ❑Email ❑Online ❑Fax Does the Company want information on our insurance? ❑ Yes d No WC Codes: 5474 Employee Setup Fees: $ 1.00 per employee Payroll Delivery Charges: $ per pay period Comments/Delivery Instructions: 339x- ��ck p - / 1 L_ '3 C//0 ' Florida-Revised 10-24-13 SOUTH EAST PERSONNEL LEASING, INC. CLIENT LEASING AGREEMENT This Agreement(herein referred to as"Client Leasing Agreement,""Leasing Agreement,"or"Agreement')is entered into this 24 day of `OUTH�./ ST Mar ,20 ,by and between South East Personnel Leasing Inc..a Florida corporation and its subsidiaries(herein referred to l collectively as"SPLI"),and Florida IB&S,LLC (hereafter referred to as"Client'or"Client PERSONNEL LEASING. INC Company"),whose respective addresses are set forth on the signature page of this Agreement. I. PURPOSE subject to the terms and conditions of the plans offered by SPLI.SPLI and its applicable The Parties agree that SPLI is a company engaged in the business of providing carrier reserve the right to change or substitute benefit plans or to implement cost employee leasing services to Client pursuant to this Agreement. This Agreement defines increases. SPLI shall endeavor to provide at least twenty(20)days prior notice of any the allocation of responsibilities between SPLI and Client. This Agreement defines when such change,substitution,or cost increase. No Leased Employee shall be covered by an individual is and is not considered a Leased Employee of SPLI. In consideration of any benefit plan until the Leased Employee has prepared the appropriate submission the mutual promises and covenants contained herein,and for other good and valuable form, submitted it to the carrier, been notified by the carrier of Leased Employee's consideration,SPLI and Client agree to enter into the Client Leasing Agreement,whose acceptance into the plan,and paid the premium for the first month; terms and conditions are set forth below. 4. Consistent with applicable law,the provision of workers' compensation insurance coverage during the Term for Leased Employees,for which upon request SPLI shall H.TERM provide Client a certificate of coverage, and management of workers' compensation This Agreement shall commence on the Effective Date and remain in full force and effect claims for Leased Employees; for a period of one(1)year thereafter("Initial Period"),unless terminated by either Party 5. Provide unemployment compensation insurance in accordance with applicable law. with thirty(30)days prior written notice or as provided in Paragraph Xl. After the Initial Where required or allowed by law or regulation,SPLI shall have the right to use Clients Period,this Agreement shall automatically renew for one(1)year periods until terminated state identification halprovide numbers for unemployment tax reporting purposes. In such states, by either Party with thirty(30)days prior written notice or as provided for in Paragraph Xl. Client shall provide SPLI with its state identification number used for reporting state During the thirty(30)days from the date written cancellation is sent to the other Party,the unemployment insurance and shall forward all state unemployment information and Parties will continue to meet the obligations set forth in this Agreement,including without notices to SPLI within five(5) business days of receipt. In the event applicable law limitation,the obligation of Client to pay all SPLI invoices. The period that this Agreement affords SPLI the option to report under Clients state identification number, SPLI shall shall be in full force and effect is referred to as the"Term." have,at its sole discretion,the right to do so; 6. Notify in writing all Leased Employees of the inception,termination,and expiration of this Agreement; III. SERVICES PROVIDED BY AND OBLIGATIONS OF SPLI 7. Client and SPLI agree that should any Leased Employee raise an issue of A. Leased Employees covered by this Agreement only include those employees who discrimination,harassment,retaliation,or any other employment related issue,it shall be have completed SPLI's employment process and have been accepted,approved,and Client's responsibility to handle, investigate and resolve such issue(s). Should any paid by SPLI(hereafter referred to as"Leased Employees"). Any individual who does not investigation of such issue(s)occur and should the Leased Employee and Client desire complete SPLI's employment process and is not accepted and approved by SPLI as a SPLI to be involved in such investigation of the issue(s),if SPLI,in its sole discretion, Leased Employee shall not be considered an employee of SPLI for any purpose agrees to be involved in the investigation,SPLI's role shall be strictly limited. SPLI shall including,but not limited to,workers'compensation,benefits or employment related laws. not be a decision-maker/joint employer and SPLI's role shall be limited to conducting Client is solely responsible for all matters,including without limitation,worker injuries and such investigation deemed appropriate by SPLI and attempting to facilitate a resolution of wages that occur while an employee is not acting in the capacity of a Leased Employee. the issue(s)which is mutually agreeable to the Leased Employee and to Client.The In addition.Client acknowledges and agrees that,to the fullest extent allowed by law,it responsibility to defend,resolve and/or end any such inappropriate conduct which may has been allocated all responsibility to properly obtain and to maintain 1-9 forms in be occurring rests solely with Client. conformity with the Immigration Reform and Control Act of 1986 for all current and future Leased Employees. Client represents and warrants that all of its current Leased C. SPLI reserves such right of direction and control over Leased Employees and retains Employees have properly completed 1-9 forms. such right to hire,fire,reassign,discipline and compensate Leased Employees only as is B. The services to be provided by SPLI for Leased Employees include, but are not required by applicable law. limited to,the following: D. The Parties acknowledge that they are entering into a contractual relationship concerning Leased Employees.Client further acknowledges that the Parties'relationship 1. Payment of wages to Leased Employees to the extent required by applicable law and may be influenced by Internal Revenue Code §414(n) and that an employment preparation. administration, compilation, and filing of all payroll information and relationship is being established between SPLI and Leased Employees. distribution of payroll checks to Leased Employees from SPLI's own accounts following invoicing and payment of Client of Service Fee. In the event Client does not pay SPLI E. No person shall become employed by SPLI, covered by SPLI's workers' the invoiced Service Fee,SPLI may,to the extent allowed by applicable law,pay Leased compensation insurance, eligible for any other benefit or term and condition of Employees at the minimum wage rate or minimum salary provided for in the Fair Labor employment,or issued a payroll check,unless and until the following have occurred: Standards Act and pursuant to state law.This provision in no way affects the obligation of Client to pay SPLI for all services rendered during the payroll period,and in no way 1. The applicant has provided all requested information in the Complete SPLI Employee affects the obligations of Client pursuant to local,state and federal law,including,but not Leasing Application and the applicant has signed and dated the Complete SPLI limited to,the requirement to timely pay the invoiced Service Fee which includes,inter Employee Leasing Application. "The Complete SPLI Employee Leasing Application" alia,all Leased Employees'wages. Unless otherwise required by law,the term"wages" includes the SPLI Employee Leasing Application,the Applicant Acknowledgement,the does not include any obligation between Client and a Leased Employee for payments Safe Working Practices Acknowledgement, the Acknowledgment of the Post- beyond or in addition to the Leased Employee's salary,draw,or regular rate of pay,such Accident/Reasonable Suspicion Program,the Form 1-9,and the Form W-4; as bonuses, commissions, severance pay, deferred compensation, profit sharing or 2. The Complete SPLI Employee Leasing Application is delivered to the SPLI payroll vacation,sick or other paid time off pay,unless SPLI has expressly agreed to assume department. "Delivered" means all parts of the Complete SPLI Employee Leasing liability for such payments in this Agreement; Application are mailed,faxed or hand-delivered to the SPLI payroll department and the 2. To the extent required by applicable law. SPLI assumes responsibility for the SPLI payroll department has date and time stamped all parts of the Complete SPLI withholding and remittance of federal and state employment taxes, including but not Employee Leasing Application as received; limited to, federal income tax, state and local income tax, Federal Insurance 3. SPLI must thereafter accept the applicant as a Leased Employee of SPLI. Contributions Act ("FICA"), Federal Unemployment Tax Act ("FUTA"), and state unemployment tax("SUTA")for Leased Employees; W. SERVICE FEES 3.Administration of applicable benefit plans including remitting Leased Employee benefit payments from SPLI's accounts(as required by law)for benefit programs set forth in the A. In consideration for services rendered, Client agrees to pay SPLI service fees attached Exhibits,if applicable,beginning on the Effective Date.A Leased Employee's (Service Fee)in the amount set forth in the Exhibit(s),which is attached and made a part available coverage and eligibility to participate in a given plan shall be govemed by and of this Agreement. The Service Fee includes but is not limited to funds sufficient to pay Page 1 of 7 Revision 0212812014 and administer all wages, payroll taxes,workers'compensation expenses and benefit day job duties of Leased Employees and over the job site at which, or from which, costs incurred by or payable to all Leased Employees.For existing SPLI clients who are Leased Employees perform their services. Client shall be solely responsible for the signing this new Agreement the Service Fee at the commencement of this Agreement quality, adequacy, and safety of the goods or services produced or sold in Client's shall be that which currently exist with the acknowledgment that the total Service Fee is business and Client and not SPLI shall be liable for the acts,errors, or omissions of defined as set forth in this agreement. Client's Service Fee obligation shall continue Client and those of any Leased Employee. during normal periods of Leased Employee absence for vacation, sick leave, legal holidays and emergency situations. It is the intent of the Parties that the Service Fee C. At the end of each pay period,Client shall obtain,maintain,and provide to SPLI all invoiced to Client is one charge where Client accepts,and is satisfied with,the total bill records of actual time worked by each Leased Employee, the status of the Leased that is invoiced to Client,irrespective of what SPLI's actual liability for any component Employee as either exempt or nonexempt,and verify that this information is accurate and part (including, but not limited to administrative fees, payroll taxes, wages, workers' in compliance with the requirements of the Fair Labor Standards Act, other laws compensation expenses, benefits,and other associated costs) may be irrespective of administered by the U.S. Department of Labor's Wage and Hour Division, and any any refund,rebate,or credit which may be applicable.In addition,Client understands that applicable local or state law. Client shall be solely responsible for the verification of the cost of the illustrative component parts enumerated above may change from time to payroll information, including but not limited to verifying that wages, minimum wage, time by the applicable state or federal government,or benefit provider,the Service Fee overtime, prevailing wage rate, piece rate, commissions, and bonuses have been may be increased at any time by SPLI using reasonable business judgment following,or correctly calculated and exempt and non-exempt status has been correctly determined. in anticipation of,such increases. In addition, Client shall be solely responsible for any and all liability to any Leased Employee with regard to all aspects of Client's payroll,whether or not such payroll has B. Client shall pay the entire Service Fee upon delivery of the invoice to Client.Payment been paid through SPLI,including but not limited to wages,minimum wage,overtime, shall be made by either cashier's check or bank wire transfer.If payment is refused by prevailing wage rate, piece rate, commissions, and bonus obligations to Leased Client's bank for any reason,Client agrees to pay any bank or other service charges Employees. Client shall review all payrolls and payroll information provided to Client by imposed upon SPLI by any third-party. To the extent allowed by law,if Client fails to SPLI to ensure that all data and paychecks are accurate and that no incorrect or make payment as provided herein,Client assumes full liability and responsibility for any fraudulent information has been supplied to SPLI. Client acknowledges and agrees that wages,taxes,insurances and employment matters arising subsequent to the last pay any failure on its part to timely review the documentation and paychecks provided by period concerning which Client paid according to these terms. SPLI prior to the time that paychecks are disseminated to Leased Employees shall be an absolute bar to any claim for damages against SPLI.Unless otherwise provided to Client C. If payment is not made when due,Client shall pay SPLI, in addition to all other by SPLI in writing,within forty-eight(48)hours prior to the Client's payday,Client shall amounts due,a three percent(3%)charge on the delinquent amount.In addition,Client provide to SPLI via facsimile transmission, email or via SPLI's intemet connection, a shall pay one and one-half percent(1%%)of the delinquent amount(or such maximum report of the total hours worked by Leased Employees. Client warrants that the lesser interest amount if set by applicable law at a lower amount)for each thirty(30)day information reported to SPLI is correct and accurate. Without regard to the fault or period that the unpaid balance remains outstanding,but in no event shall the amount negligence of any party, Client indemnifies, holds harmless, protects and defends all exceed the lawful rate of interest. SPLI Indemnified Parties(as hereafter defined)from any claims and liabilities that may arise as a result of the improper reporting of such information by Client to SPLI.Client D. SPLI retains the right to modify the payment terms as SPLI deems reasonable, shall be solely responsible for incorrect,improper or fraudulent records of hours worked, including the right to require, among other things, payment prior to the provision of for improper classification of Leased Employees,for all child labor violations,and for any services based on the invoice for the previous pay period.All payments will be applied to fraudulent,improper,or illegal activity engaged in by any Leased Employee.Client shall the most recent invoice issued to Client.SPLI retains the right to apply any overpayment be responsible for any checks that have been requested by Client and which have been to the subsequent invoice issued to Client. issued by SPLI to any Leased Employee,including any checks that have been cashed by a holder in due course,whether or not a stop payment request has been filed. E. Client agrees to pay for any compensation earned but not paid to or for Leased Employees prior to, during, upon termination or expiration, and subsequent to their D. Client agrees it will be solely responsible for damages of any nature arising out of employment with SPLI,including,but not limited to,premiums or contributions payable Clients failure to report to SPLI the payment to an employee of any remuneration for for Leased Employee benefit plans through the end of the month in which the Leased services rendered for Client. In addition,SPLI shall not be considered to be an employer Employee was terminated,unused paid time off,vacation and sick leave,and expense of any individual for whom required payroll information is not supplied during any payroll reimbursement. period(except as may be required by law). Client assumes full responsibility for workers' compensation claims,benefit claims(including but not limited to health insurance claims V. OBLIGATIONS AND DUTIES OF CLIENT and pension claims),tax obligations,employment discrimination claims,general liability A. To the extent allowed by applicable law, Client shall retain sufficient direction and claims,third-party claims,and any and all other obligations or claims pertaining in any control over the workplace and over Leased Employees as is necessary to supervise all way to any individual for whom payroll information is not supplied during any payroll day-to-day work activities of Leased Employees. In addition, Client shall retain such period(except as may be required by law),or who is paid in whole or in part by Client,as sufficient direction and control over Leased Employees and over the workplace as is a non-Leased Employee, subcontractor, volunteer, independent contractor, or in any necessary to conduct Client's business and without which Client would be unable to other capacity.SPLI shall have no obligation to provide workers'compensation insurance conduct its business,discharge any fiduciary responsibility that it may have,or comply for subcontractors and for employees of subcontractors engaged or hired by Client. with any applicable licensure,regulatory,or statutory requirement of Client or any Leased Client shall not, directly or indirectly, engage or hire any independent contractor or Employee. Such authority maintained by Client shall include the right to accept or cancel subcontractor that does not have workers' compensation insurance coverage with the assignment of any Leased Employee. Client will be responsible for verifying skills respect to itself and its employees. Client shall obtain a certificate evidencing workers' and qualifications for employment. If a license or registration is necessary for the compensation insurance coverage with respect to any independent contractor, performance of Client's work,Client shall verify the existence,maintenance and validity subcontractor,and the employees of any such independent contractor or subcontractor of such license or registration for itself and all Leased Employees. engaged or hired by Client. It is the intent of the parties that in no event will any independent contractor,subcontractor,volunteer,non-Leased Employee,or any of the B. To the extent allowed by applicable law, Client shall be responsible for directing, aforementioned individuals be covered by SPLI's workers'compensation policy or be supervising,training,and controlling the work of Leased Employees with respect to the considered a Leased Employee of SPLI. Client shall at all times maintain a workers' business activities of Client. Client shall make any and all strategic,operational,and all compensation policy encompassing all of its employees who are not Leased Employees other business-related decisions regarding Clients business. Such decisions and related pursuant to this Agreement. outcomes shall exclusively be the responsibility of Client and SPLI shall bear no responsibility or liability for any actions or inactions by Client or by any Leased Employee. E. At its own expense,Client shall provide a suitable place of employment for all Leased Additionally,Client shall have sole and exclusive control over the day-to-day job duties of Employees, which shall comply with all applicable local, state and federal laws, all Leased Employees and SPLI shall have no responsibilities with regard to Leased ordinances,and regulations related to occupational health and safety,the environment, Employees' performance of such day-to-day lob duties. Furthermore, SPLI shall not equipment,machinery,and all other matters affecting Leased Employee safety. Client have control over the job site at which,or from which.Leased Employees perform their agrees to provide all facilities,supplies,equipment,training and all other necessary items services. Control over the day-to-day job duties of Leased Employees and over the job that may be required by Leased Employees to perform the Leased Employee services. site at which, or from which, Leased Employees perform their services is solely and Client represents that its working environment, equipment, machinery, supplies and exclusively assigned to Client Client expressly absolves SPLI of control over the day-to- training for existing employees currently meet all local,state,and federal occupational safety and health standards and that they will be maintained in compliance with such Page 2 of 7 Revision 02/2812014 standards during the duration of this Agreement. Client is responsible for compliance with safe work practices and the use of protective equipment imposed by controlling L. Any tax imposed by any local or state taxing authority based upon Clients relationship federal, state and local government, as well as any required by SPLI's workers' with SPLI, such as a sales or use tax, or gross receipts tax, shall be the sole compensation carrier. Client shall comply with any and all safety requirements and responsibility of Client. recommendations made by SPLI's workers'compensation carrier. M. Client shall appoint an authorized representative(s) who will be responsible for F. Client shall provide,at its own expense,reasonable access and accommodations as reporting any and all information to SPLI or receiving Leased Employee information from required by the Americans with Disabilities Act,as amended("ADA'),and any regulations SPLI. Client agrees that the authorized representative has full and complete authority to related thereto.In addition,Client shall comply with the guidelines and provisions of the report information to SPLI and that SPLI may rely on this information.Without regard to ADA in its determinations of individuals it desires to hire,promote,place at certain Client the fault or negligence of any party,Client indemnifies,holds harmless, protects and work location(s),or fire. defends all SPLI Indemnified Parties as hereafter defined from any claims and liabilities and with regard to any action taken by SPLI as a result of the information provided by or G. Upon any request by SPLI or its assigns, Client shall allow an on-site physical to the authorized representative. examination of such books,records,documents and other information sources deemed appropriate by SPLI and/or its assigns to aid SPLI and its assigns in the determination of N. Client agrees to report any complaint,claim,accident,or other employment related proper workers' compensation classifications of Leased Employees, to aid in the issue raised by a Leased Employee to SPLI as soon as it becomes known to Client in determination of payroll amounts paid to such Leased Employees, to aid in the order for SPLI to evaluate whether it is encompassed by any SPLI maintained insurance. determination and evaluation of workers'compensation issues,and to verify compliance Client further agrees to abide by all local, state, and federal employment laws and with safety requirements during the Term of this Agreement. Client shall remain regulations. obligated to SPLI for any misclassification,delinquency and/or unpaid premium amount found in the examination. SPLI or its assigns shall have the right to audit the Client's 0. Client shall provide SPLI written statements of its policies regarding employee records and worksite for up to one year after the end of any policy period,even if this benefits.Such policies will comply with all federal,state and local governmental laws and Agreement has been terminated or has expired. Should Client fail to give access to SPLI regulations. Client will pay for any unpaid benefits due to Leased Employees upon or its assigns,the Client shall pay to SPLI liquidated damages in the amount of three commencement,termination,or expiration of this Agreement,including but not limited to times the most recent annual workers'compensation premium. unused vacation,severance pay,or continuing health and life insurance premiums until the end of the month during which this Agreement is terminated or expires or until the H. For employees hired prior to the Effective Date of this Agreement,Client warrants that end of the month in which the Leased Employee separates employment. SPLI assumes all Leased Employees are United States citizens or have provided proof of employment no liability or responsibility in its receipt of such statements of policies from Client. eligibility documents accepted by the USCIS or its predecessors at the time of said Leased Employee's hire. Any Leased Employee whose proof of employment eligibility P. All accidents or injuries involving Leased Employees shall be reported to SPLI documents(such as temporary work visas issued by USCIS,Bureau of Citizenship and immediately.Client agrees to cooperate with SPLI's workers'compensation carrier in the Immigration Service or Immigration and Naturalization Service)expire while said Leased inspection of work locations and the investigation of workplace accidents and injuries. Employee is covered by this Agreement,must have their I-9 form re-verified by Client Nothing in this Agreement shall relieve Client of any obligations imposed under safety- according to USCIS requirements. It is Client's sole responsibility to complete such re- related law. verification.Furthermore,Client warrants that all Leased Employees'names and social security numbers match and that all Leased Employees hired after the Effective Date of Q. Client maintains the right to request and purchase from SPLI,workers'compensation this Agreement are United States citizens or they have one of the documents currently loss experience data upon termination or expiration of this Agreement(if Client has no accepted by the USCIS as proof of employment eligibility, as shown on USCIS' invoice balance due SPLI,to the extent allowed by applicable law). Notwithstanding instructions for Form I-9.Client agrees to retain the original of the Leased Employee I-9 anything to the contrary contained herein,such data shall be made available to Client in Forms and to deliver a copy to SPLI upon completion by the Leased Employee. Client accordance with applicable law. acknowledges and agrees that during the term of this Agreement, Client will be the sponsoring employer for purposes of petitioning or applying for immigration visas for the R. Client shall maintain workers'compensation insurance coverage for all employees of employment of an alien selected for hire as an employee and that Client shall have sole Client working for Client that are not covered by this Agreement. Furthermore,in states and exclusive responsibility for compliance with the requirements of law regarding the requiring same, Client agrees to maintain separate workers' compensation insurance employment of individuals working pursuant to a visa. Client understands and agrees covering Leased Employees. that it is Client's responsibility to obtain and maintain any necessary visas and to pay all associated costs. S. If any Leased Employee is required in the performance of their duties,to deal with confidential or proprietary information of Client, Client agrees to institute any control I. Any obligation placed upon an employer by applicable law to verify the eligibility of an procedures or confidentiality agreements deemed necessary by Client to ensure against individual for employment through the Basic Employment Verification Pilot Program as disclosure of same. Without regard to the fault or negligence of any party, Client jointly administered by the United States Department of Homeland Security and the indemnifies,holds harmless,protects and defends all SPLI Indemnified Parties from any Social Security Administration ("E-Verify") or any successor program, to the extent and all claims and liabilities which results from a disclosure of same whether during or allowed by law,is retained solely and exclusively by Client. after the Term. J. If any Leased Employee is required to be licensed,registered or certified under any T. Client agrees that for any benefit plan maintained by Client poor to,during,or after the federal,state,or municipal law or regulation,or to act under the supervision of such a Term, Client is solely responsible for determining eligibility, participation, contribution licensed, registered or certified person or entity in performing the Leased Employee matters,administration of Section 125 Plan if applicable,and the proper administration of services,then any such Leased Employee shall be deemed to be an employee of Client COBRA,and that SPLI has no responsibility for such benefits.Without regard to the fault for such purposes but shall remain a Leased Employee of SPLI for unemployment or negligence of any party,Client indemnifies,holds harmless,protects and defends all purposes as allowed by law (SPLI may report Leased Employees under Client's SPLI Indemnified Parties for any and all claims and liabilities or consequences arising out unemployment rate where allowed or mandated by law)and for workers°compensation of the maintenance of such benefits. purposes(where SPLI is supplying workers'compensation coverage). Client shall also be solely responsible for verifying such licensure, registration, or certification and/or VI. WORKERS'COMPENSATION AND SAFETY PRACTICES providing such required supervision. A.Client's workplace must continue to comply with all regulatory aspects of doing business which applied to Client prior to the Effective Date of this Agreement. K. SPLI does not assume any responsibility for and makes no assurances,warranties, or guarantees as to the ability or competence of any Leased Employee. This Agreement B. In relation to the provision of workers'compensation benefits by SPLI,Client shall: in no way alters any responsibilities of Client to perform any and all work history, reference checks and background checks on Leased Employees, Additionally,Client 1. Cooperate with SPLI in the maintenance of a drug-free workplace by requiring assumes full and complete responsibility for the consequences of performing or failing to mandatory,immediate post-accident drug testing; perform, initially and on an on-going basis, such work history, reference checks and background checks on Leased Employees,including,but not limited to,driving record and accident record background checks on Leased Employees. Page 3 of 7 Revision 02/2812014 2. Cooperate with SPLI in conducting pre-employment background investigations,as providing for not less than 30 days'prior written notice to SPLI of cancellation of or any permitted by law:for such job positions as may be determined by SPLI and its workers' changes to such coverage and identify SPLI as an additional insured. compensation carder to represent significant risk; 3. Cooperate in the investigation of any workplace complaint or injury with SPLI,or its C. If any Leased Employee performs any duties which requires the maintenance of a workers'compensation carrier.and provide SPLI,or its workers'compensation carrier, professional license and corresponding professional liability insurance,Client agrees to the right to inspect and access,upon request,Client's premises,records,and employees keep in full force and effect during the Term professional liability insurance which shall in order to investigate the alleged violation of any handbook policy,safety concern,injury cover any acts,errors or omissions,including but not limited to the negligent acts of the or other workplace incident; professional Leased Employee with a minimum limit of One Million Dollars($1,000,000). 4. Timely comply, at its sole expense,with any specific directives from SPLI, or its Not later than five business days after its execution and delivery of this Agreement,Client workers'compensation carrier,regarding the safety of Leased Employees; shall cause its insurance carrier to issue a certificate of insurance to SPLI verifying such 5. Notify SPLI before assigning any Leased Employee to work outside the state(s) coverage and providing for not less than 30 days' prior written notice to SPLI of identified in Addendums to this Agreement; cancellation of or any changes to such coverage and identify SPLI as an additional 6. If any Leased Employee is injured,immediately report the accident or injury to SPLI; insured. 7. Comply with SPLI's, or its workers' compensation carrier's, modified-duty requirements,including reinstatement of Leased Employees in a modified-duty capacity. D. With respect to any group health plan maintained by SPLI which provides coverage to It Client fails to accommodate any Leased Employee released for modified duty eligible Leased Employees, SPLI assumes responsibility for proper COBRA assignment,Client shall pay to SPLI all workers'compensation wages disbursed to such administration,subject to timely notification by Client of the occurrence of any"qualifying Leased Employee as should have been paid in the form of earned wages for performing event." For these purposes any group health plan shall be maintained by SPLI only if the modified-duty services. This provision shall survive the termination or expiration of this contract is between SPLI and the insurer. Client agrees to provide continuation of health Agreement. insurance coverage required by COBRA to any and all eligible participants in Client's current plan or upon termination or expiration of this Agreement,and indemnifies,holds C. SPLI retains the right to change the classification codes,where necessary,to comply harmless, protects and defends all SPLI Indemnified Parties from any claims and with the guidelines set forth by the National Council on Compensation Insurance or liabilities therefor. applicable state regulatory agency. Client agrees to provide prior written notice to SPLI before the addition of any workers'compensation classification. If Client understates or E. All insurance policies maintained by Client shall provide coverage which will be conceals payroll,or misrepresents or conceals information pertinent to the computation pnmary in the event of any claim. All insurance policies shall waive Client's subrogation and application of an experience rating modification factor, the Client shall pay, as rights in favor of SPLI. Client's obligation under this Section VII shall survive termination liquidated damages, 10 times the amount of the difference in premium paid arid the or expiration of this Agreement. amount the Client should have paid plus reasonable attorney's fees. This entire provision may be enforced in the courts of the State of Florida. F. Neither the Client nor employees of the Client are covered by any part of SPLI's Workers Compensation and Employers Liability Insurance Policy. Neither SPLI nor any D. Client understands that SPLI expressly prohibits any of its Leased Employees from of its insurance carriers have any duty to defend the Client or the employees of the Client working outside the state(s) identified in Addendums to this Agreement. If a Leased in any action whatsoever without exception. Employee is directed to work outside the state(s) identified in Addendums to this Agreement,that Leased Employee will be considered immediately terminated from SPLI. VIII. CLIENT REPRESENTATIONS Termination will be effective upon commencement of the trip outside of the state(s) A. Client is a sole proprietorship or a corporation, partnership, limited partnership or identified in Addendums to this Agreement. If the employee is injured while outside of limited liability company in good standing,and the undersigned officer or representative the state(s)identified in Addendums to this Agreement or on a trip outside the state(s) is duly authorized to enter into this Agreement identified in Addendums to this Agreement,he or she will be considered the employee of the Client and it will be the responsibility of the Client to provide workers'compensation B. Client has fully disclosed to SPLI, all investigations, lawsuits, claims, labor coverage and benefits to the injured worker. proceedings,employment related claims or other adversary proceedings involving Client. E. Client understands that SPLI will never be considered the employer of an individual, C. Client warrants that in regard to any individual employed by Client prior to the for any purpose, including workers' compensation coverage, when Client pays said Effective Date,all wages and benefits for such individual are current and have been paid, individual any compensation whatsoever that is not paid through SPLI,including but not and there is no liability for same,including any benefits for retirees. limited to tips, cash, barter, trade, side job(s) or bonuses. The Client or another entity/individual,other than SPLI,will be exclusively liable and responsible for all workers' D. Client warrants that there are no claims or threatened claims or charges pending by compensation claims for any individual that is not considered an employee of SPLI. any employee claiming that Client engaged in any work practices which were in violation of any employment related law including,but not limited to,Title VII of the Civil Rights Act F. If the Client pays any employee of the Client or any employee of SPLI any money for of 1964,as amended,the ADA,the Family and Medical Leave Act("FMLA"),the National services rendered during any period that this contract is in effect,the Client must have its Labor Relations Act("NLRA")and any federal or state discrimination laws. own workers'compensation coverage to cover any such employees as those employees will be considered the employees of the Client and not Leased Employees of SPLI. E. Client has disclosed all employment related agreements pertaining to Leased Employees in effect as of the Effective Date including, but not limited to, collective VII. INSURANCES bargaining agreements and any employment agreements. A. If any Leased Employee is required to drive a vehicle of any kind for Client,Client will provide liability insurance which will insure against public liability for bodily injury,death F. Client warrants that workers'compensation classification codes provided to SPLI are and property damage with a minimum combined single limit of One Million Dollars correct and that Client will utilize Leased Employees only in a manner consistent with ($1,000,000)and uninsured motorist insurance with a minimum combined single limit of those codes.Client will notify SPLI in writing if Leased Employees'job duties change. One Million Dollars($1,000,000).Not later than five business days after its execution and Failure to notify SPLI of Leased Employees' job duties may result in a workers' delivery of this Agreement,Client shall cause its insurance carrier to issue a certificate of compensation rate adjustment and/or termination of this Agreement. Client will be insurance to SPLI verifying such coverage and providing for not less than 30 days'prior responsible for paying any adjustments. written notice to SPLI of cancellation of or any changes to such coverage and identify SPLI as an additional insured. G. Client warrants that it is not a federal, state or local government contractor or subcontractor and that none of the Leased Employees perform work on government B. Client agrees to keep in full force and effect at all times during the Term of this contracts,except as previously disclosed in writing to SPLI. Client agrees to provide Agreement a comprehensive general liability insurance policy in the minimum limit of One written notice to SPLI prior to entering into any government contract. Million Dollars($1,000,000) insuring Client against bodily injury and property damage caused by Client's premises-operations or completed operations. Not later than five H. Without regard to the fault or negligence of any party, Client expressly agrees to business days after the execution and delivery of this Agreement,Client shall cause its indemnity,hold harmless,protect and defend all SPLI Indemnified Parties from any and insurance carrier to issue a certificate of insurance to SPLI verifying such coverage and all claims and liabilities which may arise as a result of acts which occurred prior to the inception of this Agreement. Page 4 of 7 Revision 0212812014 B. All indemnifications are and shall be deemed to be contractual in nature and shall I. Client represents that it has met any and all prior premium and fee obligations with survive the termination or expiration of this Agreement. regard to workers'compensation premiums and employee leasing/professional employer organization payments,to all prior employee leasing/professional employer organizations XI, TERMINATION and workers'compensation carriers,with which Client has previously had a contractual A. If for any reason payment is not made when due,Client agrees that SPLI will have relationship. the right to immediately and retroactively terminate this, its performance hereunder. withhold its employees'services,and/or bring suit seeking damages against the Client. IX. EMPLOYMENT PRACTICES Upon termination or expiration of this Agreement for any reason,or should Client fail to A. Client agrees it is responsible for compliance with all applicable federal,state and pay SPLI for its services when due,all Leased Employees shall be deemed to have been local employment-related laws including,but not limited to,all laws administered by the immediately laid off by SPLI and immediate notification of this shall be provided by Client U.S.Equal Employment Opportunity Commission,Title VII of the Civil Rights Act of 1964, to Leased Employees who have been leased/assigned pursuant to this Agreement. as amended,the Americans with Disabilities Act,as amended("ADA"),the Family and Client will immediately assume all federal,state and local obligations of an employer to Medical Leave Act (FMLA), the Equal Pay Act ("EPA"), the Uniformed Services the employees,which are not in conflict with state or federal law,and will immediately Employment and Reemployment Rights Act("USERRA"),the National Labor Relations assume full responsibility for providing workers' compensation coverage. SPLI will Act, as amended ("NLRA"),the Fair Labor Standards Act("FLSA"),the Occupational immediately be released from such obligations as permitted by law. If for any reason Safety and Health Act ("OSHA"), all environmental protection laws, the Worker (whether or not required by applicable law) SPLI makes any payment to any of the Adjustment and Retraining Notification Act("WARN"),Health Care Reform(as hereafter employees after this Agreement has been terminated or after it has expired,SPLI will be defined)and all local,federal,and state discrimination laws,including,but not limited to, entitled to full reimbursement from Client for such expenditures. those related to child labor laws,discrimination based on race,sex,disability,color,age, genetic information, national origin, religion, and union status, as well as those laws B. SPLI may also immediately and retroactively terminate this Agreement if,at any time, governing harassment of any nature, sexual harassment, and/or discrimination. in SPLI in its sole discretion determines that a material adverse change has occurred in the addition,Client agrees to comply with applicable law in returning Leased Employees to financial condition of Client,or that Client is unable to pay its debts as they become due work upon completion of any approved leave, including FMLA leave, and make in the ordinary course of business. SPLI may also immediately and retroactively reasonable accommodations under applicable disability laws. terminate this agreement in the event of any federal,state,or local legislation,regulatory action, or judicial decision which, in the sole discretion of SPLI,adversely affects its B. With respect to the premises accommodation provisions of the ADA,Client agrees interest under this Agreement. In addition, this Agreement may be immediately and that such responsibilities are solely the responsibility of Client,and Client agrees,without retroactively terminated by SPLI where SPLI in its sole discretion determines the workers' regard to the fault or negligence of any party,to indemnify,hold harmless,protect and compensation risk is unacceptable.Any termination or expiration shall not relieve Client defend all SPLI Indemnified Parties from any and all claims and liabilities as a result of of any obligations set forth herein,including but not limited to its payment obligations to Client's failure to abide by same. SPLI. C. SPLI and Client are each individually responsible for determining whether such Party C. Client's failure to report payroll to SPLI for one or more payroll periods shall result in is a"covered entity"pursuant to HIPAA. If SPLI or Client determines that it is a"covered retroactive termination of this Agreement and cancellation of workers' compensation entity"under HIPAA,such Party is responsible for complying with the HIPAA privacy coverage dating back to the last day that payroll was reported except as otherwise rules in respect of Leased Employee's protected health information. If SPLI is provided by law. Client must notify employees of the retroactive termination of this determined to be a"covered entity"pursuant to HIPAA or is required to sign or obtain a contract immediately. business associate agreement with Client,Client agrees to cooperate in complying with same XII. HEALTH CARE REFORM A. Any and all penalties and liabilities assessed or incurred by any SPLI Indemnified X. INDEMNIFICATIONS Party as a result of a violation of the provisions of the Patient Protection and Affordable A. Without regard to the fault or negligence of any party,Client hereby unconditionally Care Act of 2010,the Health Care and Education Reconciliation Act of 2010,as well as indemnifies,holds harmless,protects and defends and unconditionally releases,acquits, any guidance and regulation issued thereunder(such laws,guidance and regulations are remises, waives and forever discharges, and to the fullest extent allowed by law collectively referred to as"Health Care Reform")with respect to the Leased Employees covenants not to sue SPLI,and all subsidiary,affiliate,related,and parent companies, are the sole responsibility of Client, except as is set forth in Section XII. B. their current and former respective shareholders,attorneys, officers, directors, agents Notwithstanding and in addition to any other indemnification provision contained in this and representatives (all indemnified parties referred to as"SPLI Indemnified Parties") Agreement, without regard to the fault or negligence of any party, Client hereby from and against any and all claims,demands,damages(including liquidated,punitive unconditionally indemnifies,holds harmless,protects and defends all SPLI Indemnified and compensatory),injuries,deaths,actions and causes of actions,costs and expenses Parties and unconditionally releases,acquits, remises,waives and forever discharges (including attorney's fees and expenses at all levels of proceedings),losses and liabilities (and to the fullest extent allowed by law covenants not to sue)all SPLI Indemnified of whatever nature(including liability to third parties),and all other consequences of any Parties from and against any and all penalties and liabilities assessed against any SPLI sort,whether known or unknown,without limit and without regard to the cause or causes Indemnified Party,incurred by any SPLI Indemnified Party,or due as a result of an actual thereof or the negligence(whether active or passive)of SPLI or any SPLI Indemnified or alleged Health Care Reform violation,including,but not limited to,any penalty and/or Party that may be asserted or brought against any SPLI Indemnified Party which is in any liability resulting from a violation of the nondiscrimination requirements and/or the way related to this Agreement,the products or services provided by Client or by SPLI, employer mandate requirements regarding the provision of affordable minimum essential the actions of any Leased Employee,the actions of any employee of Client,or of any coverage related to Client's Leased and non-Leased Employees and their dependents. other individual,any act by or against any individual who is acting outside the capacity of Furthermore,in the event that penalties are assessed or liabilities are incurred by any an employee or Leased Employee at the time the matter arises, including without SPLI Indemnified Party in any situation where:(i)any SPLI Indemnified Party acts(or limitation, any violation of any local, state and/or federal law, regulation, ordinance, does not act)with respect to Leased Employees in the absence of any written directions directive or rule whatsoever,and all employment-related matters which shall include but from Client;(ii)as a result of incorrect information provided to SPLI by Client;or(iii)the not be limited to all matters arising under local,state and/or federal right-to-know laws, failure of Client to provide required information, which in turn was included or not environmental laws, immigration laws (including 1-9 obligations), all laws within the included on reports or returns provided and/or generated by SPLI, including, but not jurisdiction of the NLRB,OSHA,U.S.Department of Labor,and EEOC,including Title VII limited to Form W-2,Client agrees to indemnify,hold harmless,protect and defend all of the Civil Rights Act of 1964,as amended,the ADA(including without limitation those SPLI Indemnified Parties. The provisions of this Paragraph shall not apply in the event aspects relating to employment,public access and public accommodation),the WARN that any penalty imposed by Health Care Reform is assessed against any SPLI Act,ERISA,all laws governing wages and hours(including without limitation:prevailing Indemnified Party as a direct result of SPLI's actions(or inactions)that are contrary to the wage rate;exempt and non-exempt status;child labor;family and medical leave;and lawful and timely written directions received by SPLI from Client regarding Health Care minimum wage and overtime matters),all laws governing race,sex,harassment of any Reform. nature, sexual harassment, retaliation, religion, national origin, color, age, genetic information,veteran status.disability,union status,mental status,and all other types of B. In the event Client offers its own health benefits to Leased Employees,Client shall, discrimination prohibited by applicable law,all laws governing disclosed and undisclosed with or without the assistance of SPLI,be the sole plan sponsor and administrator of benefit plans,and all other labor laws. such plan(s). In any case, Client understands and agrees that Client is solely responsible for establishing and monitoring: (i) the plan under Client's own tax Page 5 of 7 Revision 0212812014 identification number; (ii) employee notices, Form 5500, plan updates, plan testing, proceedings. The Parties agree that this provision shall survive the termination or HIPAA compliance. COBRA compliance, compliance with Health Care Reform and expiration of this Agreement. ERISA responsibilities;and(iii)the correct identification and representation of the plan in any correspondence, communication, or statement issued by Client or by any J. With respect to any dispute concerning the meaning of this Agreement, this representative of Client. Client may, in SPLI's sole discretion, be allowed by SPLI to Agreement shall be interpreted as a whole with reference to its relevant provisions and in adopt SPLI's multiple employer Section 125 plan in order to allow the Leased Employees' accordance with its fair meaning, and no part of this Agreement shall be construed contributions,if any,to be deducted on a pre-tax basis,as allowed by applicable law. If against SPLI on the basis that SPLI drafted it.This Agreement shall be viewed as if Client requests assistance from SPLI with the administration of such plan(s),then SPLI, prepared jointly by SPLI and Client. with written direction from Client, shall assist with plan administration, including bill reconciliation and claims processing. Client shall execute those additional agreements K. Client acknowledges and agrees that SPLI is not an insurance company or insurance necessary or required by SPLI to provide such assistance. In addition to the foregoing, carrier,and is not offering to sell insurance.As a result,no insurable risk is transferred to Client is solely responsible for any premium payments due under its own health benefits SPLI as a result of the Parties entering into this Agreement plan and any COBRA continuation coverage plan. L. Any and all inventions,discoveries,improvements,copyrightable works and creations XIII. GENERAL PROVISIONS (hereafter referred to as"Intellectual Property")which Client has previously, solely or A. This Agreement shall be governed by the laws of Florida and both Parties agree that jointly,conceived or made or may conceive or make during the period of this Agreement, the exclusive venue for any disputes arising from or in any way related to this Agreement whether or not accomplished through the use of Leased Employees,shall be the sole and exclusive property of Client. Client shall have sole and exclusive responsibility for shall be in the federal or state courts located in Hillsborough County,Florida and both protecting its rights to such Intellectual Property and to all of its other assets and SPLI Parties consent to personal jurisdiction over by such courts. shall have no responsibility with regard to same. B. Client cannot assign this Agreement without the written consent of SPLI. It is M. Client acknowledges and agrees that it has not been induced to enter into this expressly understood and agreed between the Parties that this Agreement may be Agreement by any representation or warranty not set forth in this Agreement including assigned by SPLI at its sole discretion. but not limited to any statement made by any marketing agent of SPLI. Client C. Should any term,condition or provision of this Agreement be held to be invalid or acknowledges and agrees that SPLI has made no representation concerning whether unenforceable by a court of competent jurisdiction, the remaining terms, conditions, SPLI's services will improve the performance of Clients business. Client acknowledges and/or provisions of this Agreement shall remain in force and shall stand as if the and agrees that any decisions made relative to cancellation or termination of any unenforceable part did not exist. insurance policies in effect prior to the Effective Date of this Agreement are the sole responsibility of Client. D. Whenever notices are required to be sent to either party,the notices shall be sent to N. Client acknowledges and agrees that SPLI shall not be liable for any Client loss of the following addresses business,goodwill,profits,or other damages. South East Personnel Leasing,Inc. 0. Client specifically authorizes SPLI to conduct a credit and background reference 2739 U.S.Hwy.19 North check on Client and such officers of Client as SPLI deems appropriate in compliance with Holiday,FL 34691 Department requirements of law. Attn:Legal Department Client: Florida IB&S,LLC P. This Agreement constitutes the entire agreement between the parties with regard to this subject matter and no other agreement,statement,promise or practice between the E. The failure of any Party to enforce at any time the provisions of this Agreement shall parties relating to the subject matter shall be binding on the parties. This Agreement may not be construed as a waiver of any provision or of the right of such party thereafter to be changed only by a written amendment signed by both parties,with the exception of enforce each and every provision of this Agreement any change to this Agreement sent by SPLI to Client in writing,in a manner in which proof of delivery can be established and which shall be deemed to have amended this F. The headings of this Agreement are inserted solely for the convenience of reference. Agreement and have been accepted by Client if not objected to in writing by Client. They shall in no way define,limit,extend or aid in the construction,extent or intent of this Notice of such objection must be received by SPLI within fourteen(14)days of Clients Agreement. receipt of SPLI's notification of change (proof of SPLI's receipt of objection must be supplied by Client upon request of SPLI). G. The Parties acknowledge and agree that this Agreement creates no rights for or in favor of any person or third party not a party to this Agreement,and that no such person Q. The failure by either party at any time to require strict performance by the other party may place any reliance hereon. or to claim a breach of any provision of this Agreement will not be construed as a waiver of any subsequent breach nor affect the effectiveness of this Agreement,or any part H. Client acknowledges and agrees that it is solely responsible for obtaining thereof,or prejudice either party as regards to any subsequent action. independent legal advice regarding this Agreement,the relationship created hereby,as well as the related tax and employment law and other ramifications of transacting R. Any false statement or omission with regard to any information supplied by Client to business with an employee leasing company. Client acknowledges and agrees that SPLI SPLI in anticipation of Client's contracting with SPLI or at any other time shall be deemed is not engaged in the practice of law or the provision of legal,financial,tax,or investment a material breach of this Agreement and SPLI, at its option, may terminate this advice or services,and that Client alone is completely and independently responsible for Agreement and seek appropriate relief. its own legal rights and obligations,regardless of any human resource advice which may be supplied to Client. Client at all times retains the right to seek appropriate advice from S. Client represents that there is no existing employee who is subject to collective professionals of its own choosing,including,but not limited to attorneys and accountants bargaining or who is subject to any collective bargaining agreement at any Client and Client is advised and encouraged to supplement any consulting service provided by worksite. This Agreement shall have no effect on any collective bargaining agreement SPLI with advice of its own attorney. between Client and any union which arises during the term of this Agreement. Any responsibility and/or liability with regard to any union contract, union representation I. If an employee or a government agency or entity files any type of claim,lawsuit or petition,union drive, unfair labor practice charge,and with regard to any employment charge against SPLI, Client or both,alleging a violation(s)of any law or failure to do contract between Client and any Leased Employee shall be the exclusive responsibility something which was otherwise required by law,Client and SPLI shall each cooperate and/or liability of Client. SPLI shall not be a party to any such contract.SPLI will have no with the other's defense of such claim,lawsuit or charge. SPLI and Client will make responsibility or liability in connection with or arising out of any such employment available to each other upon request any and all documents that either Party has in its contract,except to prepare checks and to pay any such Leased Employee who is a party possession which relate to any such claim, lawsuit or charge. However,neither Party to such a contract,in conformity with information provided by Client and in conformity shall have the duty to cooperate with the other if the dispute is between the Parties with this Agreement With respect to any employment contract between Client and any themselves,nor shalt this provision preclude the raising of cross claims,counter claims, Leased Employee,and with regard to any union contract,Client shall be acting solely on or third party claims between Client and SPLI, if the circumstances justify such its own volition and responsibility with regard to all aspects of any such contract, including but not limited to its negotiation, compliance, implementation, renewal, Page 6 of 7 Revision 0212812014 enforcement,and termination. The Parties agree that SPLI is not and will not become a paying entity or contributing employer within the meaning of the Multi-Employer Pension Plan Amendment Act and does not and will not have any withdrawal liability under this Act or any comparable law. Under the penalties of perjury,I declare I have read the foregoing document and the facts stated therein are true. I have the authority as a director,officer,and/or owner to bind the applicable party to this agreement. AGREED TO AGREED TO: SPLi CLIENT NAME/ F• .. r.:&S,LLC Signature Date ` 3-p1t/-) y Signature Date Typed/Printed Name Luis Escobar Typed/Printed Name Title of SPLI representative MGRM 2739 U.S.Highway 19 North,Holiday,FL 34691 Title 3395 Sandpiper Way Address 697-03-7988 E216-526-71-025-0 Social Security Number Driver's License Number GUARANTY: Guarantor,whose signature appears below,acknowledges that Guarantor is a direct beneficiary of the above-signed Client Leasing Agreement between SPLI and Client and understands that SPLI is unwilling to enter into or continue the Leasing Agreement without this guaranty being signed. The Guarantor is desirous of ensuring the fulfillment of all obligations of Client. Accordingly: A. Guarantor agrees that in the event Client has not fully complied with all of its obligations under the Leasing Agreement,including indemnification,Guarantor will,upon demand by • SPLI,pay to SPLI all payments not made by Client and will perform all unfulfilled obligations of Client. B. This Guaranty is an absolute and unconditional guarantee of payment and performance. It shall be enforceable against Guarantor without the necessity of:(a)any suit or proceeding on SPLI's part against Client,its successors or assigns;(b)any notice of amendment,modification,supplementation,performance or nonperformance of or under the Leasing Agreement; or(c)any other notice or demand to which Guarantor might be entitled,all of which Guarantor hereby expressly waives. Guarantor expressly agrees that the validity of this Guaranty and Guarantor's obligations hereunder shall not be affected or diminished by any inaction of SPLI,under the Leasing Agreement,or by(i)the release or discharge of Client in any creditors' proceedings,receivership or bankruptc , ")the limitation or modification of the liability of Client,or any remedy for the enforcement of Client's liability under the Leasing Agreement resulting from the op: .io of an .ovision of Title 11, U.S.C.,or any other statute or any court decision;(iii)any modification of the Leasing Agreement;or(iv)the rejection or disaffirmance of the -.si •Agr -••-- • ..y proceedings. Guarantor: / �S ES0p4jG d' rA6 j1 vv• 3- tir re Typed/Printed Name Title Date Page 7 of 7 Revision 02128/2014 SOUTH EAST PERSONNEL LEASING, INC. CLIENT LEASING AGREEMENT STATE ADDENDUM SOUTN[AST FLORIDA PERSONNEL LEASING, INC. L This State Addendum to the South East Personnel Leasing, Inc. ("SPLI") Client coverage and the management of workers' compensation claims, claims filings, and Leasing Agreement is applicable to Florida Leased Employees ("Addendum") and related procedures. modifies the Client Leasing Agreement entered into between Florida IB&S,LLC III. SPLI shall provide written notice of the relationship between SPLI and Client to ("Client") and SPLI dated Mar 24,14 ("Agreement"). In the event of any conflict Leased Employees. between the Agreement and this Addendum, this Addendum shall control for Florida Leased Employees and all other terms of the Agreement still apply.If,at any time,state IV. Pursuant to Fla.Admin.Code R.61G7-12.001,Client shall permit SPLI or its assigns law changes establishing requirements different from the terms contained in this to conduct an annual onsite physical examination of the Client to confirm proper workers' Addendum,Client and SPLI agree to apply the terms in affect according to state law. compensation classification of Leased Employees and to aid in the determination of II. In accordance with§468.525,Fla.Stat.,SPLI; payroll amounts paid to Leased Employees. A. Reserves a right of direction and control over Leased Employees. However,the Client retains such sufficient direction and control as is necessary to conduct the Clients V. Client shall be responsible for the day-to-day supervision and control of Leased business, discharge any fiduciary responsibilities, and/or comply with any applicable Employees with respect to products or services offered by Client and SPLI shall have no licensure,regulatory,or statutory requirements; responsibility with regard to Leased Employee's performance of day-to-day job duties. Client expressly absolves SPLI of control over the day-to-day job duties of Leased B. Assumes responsibility for the payment of Leased Employee wages without regard to Employees and over the job site at which,or from which, Leased Employees perform payment by Client. "Wages" does not include any obligation between Client and a their services.This Agreement in no way alters any responsibilities of Client which arise Leased Employee for payments beyond or in addition to the Leased Employee's salary, from§768.096,Fla.Stat.,and Client assumes all responsibilities pursuant to§768.096, draw,or regular rate of pay,such as bonuses,commissions, severance pay,deferred Fla.Stat.,including,without limitation,responsibility to perform any and all work history, compensation,profit sharing or vacation,sick or other paid time off pay,unless SPLI has reference checks and background checks in respect of the Leased Employees. Upon expressly agreed to assume liability for such payments in the Agreement. becoming known by Client,Client shall immediately provide SPLI with written notice of the assertion of any and all claims, complaints, charges, allegations or incidents of C. Assumes full responsibility for the payment of payroll taxes and collection of taxes tortious misconduct or workplace safety violations. from payroll on Leased Employees; VI. Client understands that,pursuant to Florida law,it may not enter into an employee leasing relationship with SPLI if Client owes a current or prior employee leasing company D. Retains the authority to hire,terminate,discipline and reassign Leased Employees. any money pursuant to any service agreement which existed between that current or Client retains the right to accept or cancel the assignment of any Leased Employees; prior employee leasing company and Client,or if Client owes a current or prior insurer any premium for workers' compensation insurance. Client hereby represents and E. Retains a right of direction arid control over the management of safety, risk and warrants to SPLI that it has met and paid any and all prior premium obligations in relation hazard control at the work site including responsibility for performing safety inspections of to workers'compensation premiums or other insurance carriers and all fee payments to Client equipment and premises.responsibility for the promulgation and administration of any employee leasing company. employment and safety policies,and responsibility for providing workers'compensation Under penalties of perjury,I declare that I have read the foregoing Addendum and that the facts stated in Section 6 therein are true. AGREED TO: F•�}:- IB&S,L• CLIENT i dir Signatu Date Luis r -.bar Typed/Printed Name MGRM Title AGREED TO: SPLI Signature Date Typed/Printed Name Title of SPLI representative Page 1 of 1 Revision 02111/2014 • COLLIER COUNTY BUSINESS TAX RECEIPT o4.T_ S APPLICATION ! . e�. 'Fib TZ-tf,r 2800 N.Horseshoe Drive,Naples,FL 34104 <�-Ili, _ ao l Make Check Payable to: Collier County Tax Collector Phone: 239-252-2477 Fax: 239-643-4788 Website:www.colliertax.com goo wE 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 (850-488-0595) to:Board of County Commissioners.(239-252-5603) Copy of City Business Tax Receipt.(239-213-1800) Completed Business Tax Receipt application with appropriate fee made payable to:Collier County Tax Collector.(239-252-2477) Copy of Motor Vehicle Repair Registration Certificate from Department of Agriculture.(800-435-7352) Other: Copy of Health inspection from Department of Hotels and Please contact the Property Appraiser's office at 239-252-8145 Restaurants(850-487-1395)or Department of Agriculture. regarding tangible tax. (800-435-7352) TCK ONE: Date: Original Application Classification Transfer of License# Code Number - - Renewal of License# License Amount 1) CORPORATE NAME- – 012 C& . 8, LC0 . la) DBA NAME- �-- lb) BUSINESS OWNER OR QUALIFIER'S NAME - 6 t v_a_p I'y Le., r� 1 2 PHYSICAL ADDRESS- 3395-- S 4 a PS -FL- 3(4 r 0 (No P.O.Box allowed) I 2a) IS RESIDENCE USED AS AN OFFICE - `— Yes No 3) BUSINESS MAILING ADDRESS- 3395 Qi-C . ; elr U..201 \ Q.t(e3 3 op q • Street City i Zip 4) OWNER OR QUALIFIER'S RESIDENTIAL ADDRESS- 5) TELEPHONE -Business: 239_?toe- i t r-0 Home: a 3 9 -" 5-9(0 ee j 17c 6) LEGAL FORM OF BUSINESS: Sole Proprietorship Partnership Corporation t.- LLC LLP 7) OPENING DATE OF BUSINESS OR DATE ASSUMED - 0W. OD - /4 8) OFFICE WITHIN CITY LIMITS OF NAPLES- Yes No If Yes,City License No. 9) SOCIAL SECURITY NO. or FEDERAL EMPLOYER IDENTIFICATION NO. - _ - - (4 *see back of application for explanation 9a) TYPE OF BUSINESS CONDUCTED: COS r , C 10) NUMBER OF EMPLOYEES -Including number of owners: 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 co i y of state license if state licensed and certified UNDER PENALTIES OF PERJURY,I D LARE THAT I HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS STATED IN ' • RE TRU • .-'ii' BEST OF MY KNOWLEDGE. xxxAPPLICANT'S SIGNATURE: A 1 `� t!_f, -- DATE: 03 . 1 aeI V (Owner and/or representative of business)1'11 LE: • 4v 21 ****THIS LICENSE IS NO -REFUNDABLE FOR BUSINESS STATED ABOVE**** CAT County COLLIER COUNTY GOVERNMENT DEPT. OF ZONING& LAND DEVELOPMENT REVIEW WWW.COLLIERGOV.NET (239) 252-2400 FAX (239)643-6968 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 D /. r ZONING CERTIFICATE#TC- APPLICANT'S NAME= �� -C YY�i '�/.( PHONE: c',3GJi _. 24„G7 JJ APPLICANTS HOME ADDRESS 3395 S [ r t' 6211/4 L_' (4j(7 g TYPE OF BUSINESS TO BE CONDUCTED BUSINESS NAME (IF ANY) — (T.)/21'dit Ta ?Jjl- 1, the undersigned, hereby affirm that I am the legal owner of the property at the above address or that l 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 • the provisions of LDC Section 5.02.00 'Horne Occupations"(see back of application). --) APPLICANT SIGNATURE A _ %G i ' • DATE ` ' O FEE: $50.00 CHECKS PAYABL- TQ: "COLLIER COUNTY TAX COLLECTOR" wIS 1 ` TO BE COMPLETED BY COUNTY STAFF ZONING: P j D PROPERTY ID# z-7"I ' l . t �!? q. DATE 3 74/it REVIEWED BY ZS'` ' APPROVED HOLD DENIED COMMENTS/RESTRICTIONS: Must comply with Section 5.02.00 of the LDC ('see back of application). /R © ar 6 a„ y - P--& )( fiv4- • lax Collector Staff: Please forward a copy of issued certificate and receipt to Collier County Zoning Department. Cfo lei County Growth Management Division Planning & Regulation February 24, 2014 Escobar, Luis fernando 3395 Sandpiper Way Naples, FL 34109 Re: Citation No. 8587 This notice is to inform you that you have been found in violation, and are required to pay tine within 10 days of receipt of this letter. Our records indicate that we have not received payment for the citation you were issued on 02/07/14, in the amount of$1,000.00. In the event a first uncontested violation is the result of the violator engaging in the business or acting in the capacity of a contractor of advertising himself or herself or a business organization as available to engage in the business or act in the capacity of,,a,z,efttfastor without being duly registered or certified, the penalty shall be abated from$1,000.000 if t ' violator submits a completed application in accordance with Section 2.1 and 2.2 of th e within forty-five (45) days of the date of issuance of the Citation for the violation Failing to pay the fine with which you were cited may result in one or all of the following: Collection of amounts due under this citation are governed by Florida Statutes Section 489.127 and Collier County Ordinance 90-105, as amended. Failure to pay this citation grants the power to Collier County to take certain collection actions. These actions include, but are not limited to: • Reporting of the delinquency to credit reporting agencies. • Referral of the matter to a collection agency. • Additional fines imposed by the Contractor's Licensing Board. • Filing a lien on all of your personal and real property with the Clerk of Courts, which lien shall remain in place until paid and satisfied. • Foreclosure of the lien to take possession and sale of the property subject to lien in order to V satisfy the- obligation. y"" .._.__....., You can prevent these actions by mailing or delivering your check, cash, or money order`'--_r within ten (10) days of the date of this letter to: ""C Tliier County Contractor Licensing 2800 North Horseshoe Drive Naples, Florida 34104 MAKE ALL CHECKS PAYABLE TO BOCC CHECKS MADE PAYABLE TO OTHER AGENCIES CANNOT BE ACCEPTED If you have already mailed your payment, you can •;,, egard this reminder, though we strongly recommend you call to confirm that your payme _,� "ived. If you have any questiolas[e arding your citation, please contact us at(239) 44 * --r - kl,g �- i X14 ` ,,,---- t T nk you, N T��'� f �'+ Tom' c-ic 4 Michae sorio Licensing Supervisor ; \.„ Iti 'er County GMD Operations & Regulatory Man Licensing Section ORIVINAL , 705 2800 North Horseshoe Drive 0 ,020\64 Naples, FL 34104 a014- 0$ 3 APPLICATION FOR COLLIER COUNTY/CITY OF NAPLES/CITY OF MARCO FIRM INSTRUCTIONS: This application must be typewritten or legibly 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 Collier County Commissioners. For further information, consult Collier County Ordinance No. 90-105, as amended. NAME OF COMPANY: Exact Corporate/Business Name: C Q C Y�e 1 Rfeyvki u vv. Qu CZLf �� . Fiction Name/DBA: //}} Qualifier Name: C13 n 2 f!e (- �t err 1 �JS vrU i ;i o Physical Address:4 V e s1&^.0 . C. 3 0-31 t'4 1Q� e.//z o, (Number 86 Street) ity) (State) (Zip Code) Mailing Address: /;cZ`16 Co `ra JJ �� (.0--s 4 ?cl i 2 40 (Number & Street) / (CAP (State) (Zip Code) Telephone: 1Z3°1 ?.&O -- 0 L('j E-Mail: i 3 g3 7a G c7 c,oe 23') 060-0 gc-g TYPE OF LICENSE: ❑ General $230.00 ❑ Electrician $230.00 ❑ Building $230.00 ❑ Plumber $230.00 ❑ Residential $230.00 ❑ Air Cond. $230.00 ❑ Mechanical $230.00 ❑ S imming Pool $230.00 ❑ Roofing $230.00 Specialty $205.00 Specialty trade: en, h 1)-P-1 r3i v • iiISCIERVIErt CHANGE OF STATUS: MAR 2 7 2014 ( ) Reinstatement ( ) From One Business to Another ( ) Dormant License to Ac ive c.f Page 1 of 4 : k 1. The names, titles, home address and phone numbers of all Officers/Managing Members of the Firm. P- Os Vatdo e- . 6ovv-L ,.- 'Z - i s`1 C, Co- ovvo w )-a)- 3//70 ef3,J zee I oY I-- 6-6/167 f btt" i c !Li U e.✓o --32337400,0,--- --J t Cul Adi 11 gOV A� (5 k 3 ,r E, 2. 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. AiOr°L`C 3. 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. Nam AFFIDAVIT I,a tko. o G• ( ,o &certify that the foregoing is true and c fi-ct to the best of my knowledge. I/ " orized Officer of the Firm 1 STATE OF FLORIDA COUNTY OF BOO(e-/ The foregoing instrument as acknowledged before me this 03/z `7oi (Date) By 05■ 0-LdD e. 60 s&Z.o-Cep'Z_ of Cwt vie e.. pie war 01.4'\ Q V c-C t 7- (Name of officer, title/agent) (Name of Corporation) � a --Co t,i 4 .... Corporation on behalf of the corporation. (State or Place of Corporation) He/She has produced identification and did not take an oath. (Type of identification) NOTARY'S SEAL oj,QTQOes, Notary Public State of Florida ? t ^, Jove M Rodriguez ■roG , O( My Commission EE080286 410bb , 4 o p.o Expires 06/15/2075 /��`'! / ( G A ' •F NO ARY) AK Page 2 of 4 2f QUALIFIER INFORMATION: Name: 05JaL G ot&zc- (6) z Address: /Q(4 (es _ 3(-02,0 (Number& Street) Li (City) (State) (Zip Code) Telephone: (237) ZOO-5'04 f Date of Birth: S.S. #: 000-00- E-Mail: © f '37.yet 0 o p c..o v4--\ Driver's License: 1. Type of Certificate of Competency for which application is made. ©b1v\ e ( ((c -Tav-■ 2. The names and telephone numbers of two persons who will know your whereabouts. eta i tj/E I l — C g`� S ya---Oble — 7 ci Z- 3. Have you ever been convicted of a crime related to Contracting? i A 4, 0 (If yes attach extra sheet with explanation) 7. Have you or any firms you have been associated with ever filed bankruptcy? l) 0 8. List all debts you or any company(s) associated with you refused or failed to pay and reasons why. I - A •V O! V 9. List your business or work experience during the past ten years. ��t w C r a 2.600 `'T`e vv'OcAi 10. Statement of any formal training you have had in the area for which the application is made. Page 3 of 4 G1TS, LLC Examination Operations Division Providing the services and products to assist Government Agencies to make informed educated decisions. Official Examination Score Report March 19, 2014 Official Score Report: Candidate Information: Name—Osvaldo E. Gonzalez Gutierrez Candidate#: 45703370G Testing Site: Ocala, FL Final Score Result: Business Procedures Score: 76% These results represent the grade that has been achieved on the Business Procedures examination(s) administered by Gainesville Independent Testing Service for Collier County, Florida on March 19, 2014. If you have any further questions, please do not hesitate to contact us. Sincerely, Jay Bowermeister President PO Box 831127 Ocala,Florida 34483-1127—Voice(352)369-GITS –Fax(352)387-2443 800 997 2129 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. , n--, O'` lowarl (1500 k(0 Z I. -o/Li?ei 41 _,..„ AP- ICANT(PLEASE PRINT) Ca e-re atmc I Qj,?- =t,,.e= NAME OF Cs PANY / / SIGN' RE OF APPI ICANT STATE OF FLORIDA . COUNTY OF (0107 The foregoing instrument as acknowledged before me this O/ 2c/ (Date) By OS f0—L'i C\„1/0_, C----. t7c,-(jet..._ who has produced( as identification and did not take an oath. NOTARY'S SEAL ;040. Oa; Notary Public State of Florida .,A /� Jose M Rodriguez (SIG NA . 11.EZel-70-1=y) s b` My Commission EE080266 fI "40E-ro Expires 06/15/2015 Page 4 of 4 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. MIOV SIGNA I ° OF APPLICANT Ccatx +M-`- e.- el./e v ti JW\ /PU'4 C t 77 .ivv c-. BUSINESS NAME 7 (°)/2-- ii WP-, DATE BEFORE ME this day personally appeared s.5 r�C.t',� - -'ea r Cc°Z._ who affirms and says that he ias less than one employee and does not require Workmen's Compensation understands that at any irae he employees one or more persons he must obtain said Workmen's Compensation Insurance. ;TATE OF FLORIDA ;OUNTY OF 'he foregoing instrument was acknowledged before me this V'Iz/ at-, (-do do &• & Vc^Z. .0 z ate)/ Y �� - who has produced �{. �-- (name of person acknowledging) (Type of identification) 3 identification and who did not take an oath. Affd ao�r¢Y F% Notary Public State of Florida SIGNA rT'I, Gr zogr Y��' ® . Jose M Rodriguez d 5 • a°` My Commission EE080266 v ! u, ( 2_ ''of a∎o� Expires 06115!2015 J NOTARY'S SE a (PRINT NAME OF NOTARY PUB ) NOTARY PUBLIC AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER I, 610441 (2ob(e3 0 , am a resident of a-,( l 1 e/ County, pCOi k cal ca-- (State) and have resided here for more than five (5) years. During the last five years I have known OSJo-k-do e: 60^-7-0-(e7.-- applicant). I have had the opportunity to observe his or her business and personal dealings and find him or her o be a person of honesty, integrity and good character. /, (Signature) :aele>..._s. (Name) 6 iv G - 3 i (Address) C2.3.5—/P r,,5, c i li 7 1St 5 Ins k 3 V (f Telephone)(2 39) 2C"' fQ--- g0 q`J STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this C9 2- ` 1 2/Y by (name of person acknoMedging) (Type of identification) as identification and who did not take an oath. AIr ILA :/1_ SIGN'T ) • I'rT, , L it / �` e� NOTARY'. '• .^• (PRINT NAME OF NOTARY)�� Zois "G,,, Notary Public State of Florida NOTARY PUBLIC Jose M Rodriguez o` My Commission EE080266 �°f of��o�' Expires 06/15/2015 AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER I, 6u 1 , am a resident of Co d 1 County, C-COVI d_c=--- (State) and have resided here for more than five (5) years. During the last five years I have known OS%i 2--( • &'01•\2.. a-CE° Z.- (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) (J), I elefret.A0 `fie wtd/1(c).-- (Address) (S3? y/s"a- /L. ( g-C_3 V( Telephone) 0-3742:5-- 7C.' STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this 0)/2- lo 1 5'' by (Date) tit ��=✓t�t c� - t�vu �� who has produced Z.1 4rvi-Le y (name of person acknowledging) (Type of identification) as identification and who did not take an oath. oar°ue� Notary public State of Florida I� I L I- Jose M Rodriguez SIG 'A �J l•T Y c oR My Commission 6E080266 s'�of F6oa Expires 06/15/201s NOTARY'S SEAL (PRINT NAME OF NOTARY) NOTARY PUBLIC COLLIER COUNTY GOVERNMENT COMMUNITY DEVELOPMENT AND ENVIRONMENTAL SERVICES DIVISION 2800'x.Horseshoe Dr. • Naples.Florida 34104 o 239-403-2400 • FAX'239-403-").334 MEMORANDUM DATE: November 29, 2007 TO: Applicant's FROM: Michael Ossorio, Contractor Licensing Supervisor. CC: Robert Dunn, Collier County Building Director. Alamar Finnegan, Collier County Permitting Supervisor. Robert Zachary, County Attorneys Office. All Contractor Licensing personnel. SUBJECT: Collection of social security numbers. Pursuant to Chapter 119, Florida Statues and Collier County Contractor Licensing Ordinance 2006-46 Sec. 2.1.1, all applicants are required to submit their social security number (SSN) for the following purposes: a) Assess applicant's ability to satisfy creditors by reviewing their credit history. b) Verification of applicant's test scores and information. Our office will only use your SSN noted above for those reasons pursuant to Chapter 119, Florida Statues and as may otherwise be authorized by law. We are fully committed to safe-guarding and protecting your SSN and once collected, will be maintained as confidential and exempt under Chapter 119, Florida Statues. VERIFICATION OF CONSTRUCTION EXPERIENCE; GMD Operations & Regulatory Management Department Licensing Section 2800 N.Horseshoe Drive Naples,FL 34104 05v(),\ D Applicant's Name: e . e�o~n 1e Certificate Category Requested: 711 \ s '---0-0(oc\ore, 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 working 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 dl license number off the person signing below and verifying Applicants relevant experience: Name: LCv\9R-Q��O C1v�b2Q 3 ` Title: 9 � t( \Q 1\* License Number(if applicable): (.2,7\. I()(4.41 21 ty\Name of Business: 0C\ t1-`11- ---Ct— Business Address: C.)-1`2.0 kci)d�!r\ 1 I "Vt-t.3 L .)y {01 Business Phone: 2.(-- :\- �l b -�G 2-1 The Applicant's years of experience from A-0()y to 0 The applicant's scope of work (specific duties) included: ----\---\-Additional Comments: t✓ (�t�l�`� C� � kJf' KU' , ■_) . • Falsifying any information provided herein may subject your license to revocatio pr "Pr 4,40pr Sign-.or Print Name: Ltolo F&) t.;lcio_f ,_ State of Florida County of Collier The foregoing instrument was acknowledged before tre on this B d o 0Q∎ C by ,,hb�C D ( %-R i tka, who is personally known to ine or prod c;• as identification and who did not taken oath. ( � MI � t0 Notary Public State of Florida Sig ature of Nei ary s . Malra Loris _ My Commission EE HMO � '�orR Expires 03/01/2017 5 .otriiftwvp-1-*,.-:---'-':-- '''•' -- ' '.-- - ' - '' - -r-4,,ISSM „..,..,...,,,-..—vef-■*r4r.-.,*1.,:st -4' ' '., :'"':4:kelt. .p_ #(.4.t„...:::-,..4 „............„.,2.::'-',6YY.=:•..;%r-7,,,.,•-•,, : --4/ ,,Aiiii..1.;:v :Itill7 ,.tivatte, BER HAS BEEN ESTABLISHED FO 1 i OSVAL rl . 1 L I' OO ENRiaUF ' 1 = II _ 1 II Go NZALE ZmaUTI ERR g Z 1 I. -,. .li,,. ...._... .._ . NATURE ) ti [ 1: ,_....._ -- i<_..,..-.:„ ...-._! ,...., ,,,, ,...,,,,-:::. ,,::,,,,,•..,,,,,-...,,.,:-.. : „.....„,.„:„,,,, ,..,!• .L.2... L,' . :':,..%.1::'':',4‘;.,j.iiC,..',,ill',:'L''' . \'Cld..L.'•' 7.-.':',-", !_y_:-'-',;-.-' Mar 24 14 09:508 239-277-0167 2392770167 p.2 Prepared By: Merit Credit (239) 277-2202 (800) 371-3348 TR.ANSUNION CREDIT REPORT [FOR] [SUB NAME] [MKT SUB] [INFILE] [DATE] [TINE]I) NP6284423 MERIT ME 16 IOP o 9/ 3 63/24/1= 08:52C7 [SUBJECT: GONZALEZ, 'OSVAL,DO E. ISSN] [BIRTH DATE] SR. RPTD] [FORMER ADDRESS] 1/39 27680 ROSLIN DR. , BONITA SPRINGS FL. 34135 16020 ARBOR VIEW BV. , 4130. NAPLES FL. 34110 3;x06 [CURRENT EMPLOYER AND ADDRESS] [POSITION] 1' I t,,: SELF EMPLOYED LVERF] [RPTD] (F�- [FORMER EMPLOYER AND ADDRESS] 2/12 2/12 MUD S.LINGER CARPENTERS H 10/08 12/08 M O D E L P R O F I L E * * **rICO CLASSIC 04 ALERT: SCORE A L E F� T '� SCORE x549 : 039, 010, 020, 018 *** IN ADDITION ***TO THE FACTORS LISTED ABOVE, THE NUMBER OF INQUIRIES ON THE CONSUMER'S ***CREDIT FILE HAS ADVERSELY AFFECTED THE CREDIT SCORE. C R E D I T • S U M M A R Y * * PR=O COL=6 NEG=6 HSTNEGp rT O T di L F I L E :-I H I S T O R Y TRD=11 RVL=8 INST=3 MTG-C OPN=O INQ=2 HIGH DEED GEED LIM BALANCE PAST DUE 0 THLY PAY AVAILABLE REVOLVING: $202 $300 CLOSED W/BA.L: $51 $2 $35 83% TOTALS: S202 $2213 $2213 $ $3�i00 $ 2 a �2 6_ $2213 $35 C O L L E C T : O N S SURNAME SUBCODS ECOA OPENED CLOSED SPLA.CED CREDITOR ACCOUNT# GERIFIED MCP N CRED SfiR V 1{M3001 I BALANCE REMARKS 10/13 $141 12 VERIZON WIRELES 092 01102420' 3/14A $141 514_ PLACED FOR COLLECTIO CAVALRY PORT Y 1YNA008 I 14543301 2/r11 $599 08 HSBC BANK NEVAD 09B 3/ 14A $716 PLACED FOR COLLECTIO CAVALRY PORT Y 1YI/A008 I 1/10 13842870 $78 J 08 HS3C BANK NEVAD 0913 3/14A $928 PLACED FOR COLLECTIO PORTFOLIO RC V 1KSE0 O3 I 3/11 $16.59: HSBC CONSUMER LEND 09B 31320020208042 3/14A $16 .5K PLACED FOR COLLECTIO LVNV FUNDING Y 21T9002 I 12/09 $1119 12 CREDIT 2/14A,„ CREDIT ONE BBANK BANK 09B $2052 PLACED FOR COLLECTIO ARS V 22Q4002 I 8/12 $513 MEDICAL 09B 000000000000000000 12/12A $513 PLACED FOR COLLECTIO Mar 24 14 09:50a 239-277-0167 2392770167 p.3 T R A D E S SUBN?C 7E SL`BCODE OPENED HIGHCRED TERMS ACCOTJI�TT4 'KAXDELQ PAYPAT 1-12 MOP RFIED CREDLIM PASTDUE AMT-MOP PAYPAT 13-24 ECOA COLLATRL/LCANTYPE C SD/FD BALANCE REMARKS CAP ONE 3 1DTV001 4_/07 MC 30/50/ $1201 R09 3/14A $500 I CRE'DI'T CARD $1870 12/09F $1870 CLOSD BY CRDT GRANTOR EST PREMIER B 41 PF045 1//05 $343 2/13A $250 R09 I CREDIT CARD S34 3 �RD 7�09F S.343 UNPAID ELNC CERGD OFF HSBC BANK B 2EF9001 3/07 $598 R09 2i 11A $0 $0 I CREDIT CARD 8/09F $0 PURCH BY OTHER LENDER GECRB/JCP D 235058D 3/08 $494 10/10A $200 R09 CHARGE ACCOUNT $0 7409F $0 PURCH BY OTHER LENDER HSBC BANK B 2EF9001 4/07 $786 R09 2/10A $0 $0 CREDIT CARD 9/0,� $0 PURCH BY OTHER LENDER CREDITONEBNK B :4MR013 2/06 $1119 12/69A $650 $0 R09 SLDTO SOLD TO ANO 9/f9F $0 UNPAID BLNC CHRGD OFF MART/CONTFIN F 2AQE003 4//3 $202 MIN35 111111111 R01 2/14A $300 $0 I CREDIT CARD $51 9 0/ 0/ 0 NAT/CONTFII+ 12/13A $300 $0 I CREDIT CARD 11/13C $0 PURCH BY OTHER LENDER 7 0/ 0/ 0 WEDS/WDS F AUTOMOBILE 12/130 $G CLOSED 45 0/ 0/ 0 SANTANDER P 1819003 2/12 $15.9K 7<M384 111111110111 I01 5/13A $0 C AUTOMOBILE 111 5 j 13 C $0 CLOSED 15 0/ 0/ 0 WELLS FARGO B 908N714 9/0$ $17. 0K 72M344 2/12A 111111111111 I01 $0 111111111111 I AUTOMOBILE 2/12C $0 CLOSED DUE TO TRNSFR 41 0/ 0/ 0 i I N Q U I R I E S � DATE SUBCODE SUENAME TYPE AMOUNT 3/24/14 ZNP6284423 (FLA) MERIT CREDIT 4/18/13 FNJ45534E4 (EAS) CONTINENTAL C R E D I T R E P O R T S E R V I C E D B Y : TRANSUNION 800-888-4213 2 BALDWIN PLACE P.O. BOX 1000.OHESTER, PA. 19022 Mar 241409:50a 239-277-0167 2392770167 p.4 Consumer disclosures car_ be obtained online through TransUnioo at: http://www.transunien.com CREDITOR CONTACT INFORMATION PIN CRED SER YC1KM3001 (952) 939-E100 POE 5517 HOPKINS ICI. 55343 CAVALRY PORT YOlYNA008 500 SUMMIT LAKE DR VALHALLA 800; 501 0909 NY. 1,,�035�5 PORTFOLIO RC Y.CI.KSE003 287 INDEPENDENCE VIRGINIA BEACH VA. 23462 (8G0) 772-1413 LVNV FUNDING YC21T9002 (866) 464-1183 525 PILOT ROAD LAS VEGAS NV. 89119 ARS 66TH AVE NW T !C2BQ4002 E FO_ LAUDERDAL FL. 33313 (954) 321-SG57 1801 CAP ONE BC1DTti001 POB 30281 SALT LAKE C (800) 955-7070 TTY' UT. 84130 FST PREMIER BZ41PF045 3820 N LOUISE AVE SIOUX FALLS SD. 57107 HSBC BANK BC2EF9001 PO BOX 9 BUFFALO NY. (888} 385-8916 Y. 1�230 GECRB/JCP OC235058D PO BOX 965007 ORLANDO FL (866j 227-5213 32896 CREDITC!hIEBl'Y BC54MR013 ;877) 825-3242 PO BOX 98872 T�IF�T%CONTFIN LAS VEGAS NV. 8^-.193 FF2AQE003 PC BOX 11743 WILMINGTON DE. 19850 WFDS/WDS FS839N077 P.O_ BOX 1097 WINTERVILLE NC. 28590 SANT ANDER FA1R1 S 7 0 3 70 BOX 961245 FORT WORTH 1855} 92?-9282 WELLS FARGO N7 7n"161 BA9C8N714 MAC 4031-080 PHOENIX AZ. 85038 CONTINENTAL F 4553464 121 CONTINENTAL ER NEWARK DE 19713 (866) 638-8558 END OF T_RA,NSUNIOI\T REPORT MERIT CREDIT HAS RETRIEVED THE ABOVE PERSONAL CREDIT REPORT FOR LICENNSING 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 HAVE ALSO BEEN VERIFIED FOR PINELLAS COUNTY. PUBLIC RECORDS LEARNED 0 SOURCES OF INFORMATION: TRANS UNION LLC 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) 2� X77-3�v2 , II Q at V/) e V/llk err V/) fr!1t/% a%V/�► frr 1P0 011 0 • ; bkV,110A%`4,0 /14,; )-4,0 4 %11.,0:4A;13440 %000.% lit Ap.,...g 1.-...w,Tio•-410■■ * 771 47* 17 A 4 * )n, ,__''Ilv ___ Jr „ AAA oil to A ;1, E. H $1D oc H A 4 or? F 0 c::: -• .. zt < vp V ot t•Woibk c) P P rD n o plb, -• cfr:,,, ,_._, , „8 , * r14 Ix v) H P 4Jo C. o o � °-h N' �t�/_1h r+ , toof.�• \,, _ s �, H t►♦ �' O T WO 11110 �•�= , ..„, P#i, = , o P d OtO� A m d7 n CD O �.a , r + E o � o o —1 . c„, 5 r -...' \ Oil 4 elliq �i� n N FITD It t; "V Ilk cr) Nr 1: A V� O �' o N y1 *:1w)trib. 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'� `� r"Y, '�'+�a3� •�tikes" �w t' �� s"" x� � z� ' �'� ¢ ..��*�` !VISION ORPORAT1ONS Detail ti Florida Profit Corporation CALIMETE PREMIUM QUALITY INC Filing Information Document Number P13000074045 FEI/EIN Number 46-3618166 Date Filed 09/06/2013 State FL Status ACTIVE Principal Address 15246 CORTONA WAY NAPLES, FL 34120 Mailing Address 15246 CORTONA WAY NAPLES, FL 34120 _Registered Agent Name & Address GONZALEZ, OSVALDO E 15246 CORTONA WAY NAPLES, FL 34120 Officer/Director Detail Name & Address Title P GONZALEZ, OSVALDO E 15246 CORTONA WAY NAPLES, FL 34120 Title Treasurer ROBLEJO RIVERO, GIORKY 5235 HEMIGWAYCIR APT 1804 NAPLES, FL 34116 http://search.sunbi z.org/Inq uiry/Corporati onSearch/SearchR esul tD etai I/Enti tyN ame/domp-p13000074045-afcee9l b-ea5a-4034-b33d-cOc88aa7b0cf/CALI M ET E/... 1/2 3/24/2014 Detail byEntityName Annual Resorts Report Year Filed Date 2014 02/27/2014 2014 03/24/2014 Document Images 03/24/2014 --AMENDED ANNUAL REPORT View image in PDF format 02/27/2014 --ANNUAL REPORT View image in PDF format 09/06/2013 -- Domestic Profit View image in PDF format • http://search.sunbiz.org/I nq ui ry/Corporati onSearch/SearchR esultD etai I/Enti tyN ame/domp-p1 3000074045-afcee9l b-ea5a-4034-b33d-c0c88aa7b0cf/CALI M ETE/... 2/2 Electronic Articles of Incorporation P13000074045 FILED For September 06, 2013 Sec. Of State sgilbert CALIMETE PREMIUM QUALITY 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: CALIMETE PREMIUM QUALITY INC Article II The principal place of business address: 1 5246 CORTONA WAY NAPLES. FL. US 34120 The mailing address of the corporation is: 15246 CORTONA WAY NAPLES, FL. US 34120 Article III The purpose for which this corporation is organized is: ANY AND AI LAWFUL BUSINESS. Article IV The number of shares the corporation is authorized to issue is: 1000 Article V The name and Florida street address of the registered agent is: OSVALDO E GONZALEZ 1 246 CORTONA WAY NAPLES. FL. 34120 I certify that I am familiar with and accept the responsibilities of registered agent. Registered Agent Signature: OSVALDO E GONZALEZ P13000074045 FILED Article VI September 06, 2013 Sec. Of State The name and address of the incorporator is: sgilbert OSVALDO E. GONZALEZ 15246 CORTONA WAY NAPLES FL 34120 Electronic Signature of Incorporator: OSVALDO E. GONZALEZ I am the incorporator submitting these Articles of Incorporation and affirm that the facts stated herein are true. I am aware that false information submitted in a c ocument to the Department of State constitutes a third degree felony as provided for in s.817.155, F.S. I understand the requirement to file an annual report between January 1st and May 1st in the calendar year following formation of this corporation and every year thereafter to maintain "active" status. Article VII The initial officer(s) and/or director(s) of the corporation is/are: Title: P OSVALDO E GONZALEZ 15246 CORTONA WAY NAPLES, FL. 34120 US ACORD DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 03/21/14 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: G&P Insurance,Inc. (Arc,Nr o,Ext): (239)353-3500 FAX No): (888)353-9910 4930 Golden Gate Pkwy E-MAIL SS : pattimuzzonigro @allstate.com Naples,FL 34116 INSURER(S)AFFORDING COVERAGE NAIC# Phone (239)353-3500 Fax (888)353-9910 INSURER A: CYPRESS PROPERTY AND CASUALTY INS. INSURED INSURER B: CALIMETE PREMIUM QUALITY INC INSURER C: 15246 CORTONA WAY INSURER D: NAPLES FL 34120 INSURER E___.____. INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IILTR TYPE OF INSURANCE INSR WVD POLICY NUMBER POLICY EFF POLICY EXP LIMITS (MM/DD/YYYY) (MM/DD/YYYY)i GENERAL LIABILITY EACH OCCURRENCE $ 500,000.00 V COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES R occurrence) $ 100,000.00 I CLAIMS-MADE IV OCCUR 20P0009898-0 MED EXP(Any one person $ 5,000.00 A 11/01/2013 11/01/2014 PERSONAL&ADV INJURY $ 500,000.00 'l GENERAL AGGREGATE $ 1,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER' PRODUCTS-COMP/OP AGG $ 1,000,000.00 RO- 1J POLICY L- jECT - - LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) ANY AUTO BODILY INJURY(Per poison) S ALL OWNED — SCHEDULED BODILY INJURY(Per accident' $ AUTOS _. AUTOS NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE ice_ L. EXCESS LIAB CLAIMS-MADE AGGREGATE S DED RETENTION WORKERS COMPENSATION WC STATU _-- OTH- AND EMPLOYERS'LIABILITY Y/N TORY LIMITS -. ER ANY PROPRIETOR/PARTNER/EXECUTIVE I E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED'? N/A (Mandatory in NH) I E .DISEASE-EA EMPLOYE $ If yes,describe under I DESCRIPTION OF OPERATIONS below ! E.L.DISEASE-POLICY LIMIT $ DESCRPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) — I CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE COLLLIER COUNTY LICENSING DEPARTMENT THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 2800 NORTH HORSESHOE DRIVE NAPLES,FL 34104 AUTHORIZED REPRESENTATIVE IORI HALL ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05)QF The ACORD name and logo are registered marks of ACORD of�xc spy��, Ap,*-V gg l4dIt4=�. tr` JEFF ATWATER CHIEF FINANCIAL OFFICER STATE OF FLORIDA 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: 4/1/2014 EXPIRATION DATE: 3/31/2016 PERSON: ROBLEJORIVERO GIORKY FEIN: 463618166 BUSINESS NAME AND ADDRESS: CALIMETE PREMIUM QUALITI 5235 HEMINGWAY CIR APT 18 NAPLES FL 34116 SCOPES OF BUSINESS OR TRADE: CARPENTRY INSTALLATION OF CA 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 440.05(13),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. DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 07-12 QUESTIONS?(850)413-1609 of 4te sF O,� m -lr'III�.�. n wr3 • JEFF ATWATER CHIEF FINANCIAL OFFICER STATE OF FLORIDA 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: 4/1/2014 EXPIRATION DATE: 3/31/2016 PERSON: GONZALEZGUTIERREZ OSVALDO E FEIN: 463618166 BUSINESS NAME AND ADDRESS: CALIMETE PREMIUM QUALITI 15246 CORTONA WAY NAPLES FL 34120 SCOPES OF BUSINESS OR TRADE: CARPENTRY INSTALLATION OF CA 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 440.05(13),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. DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 07-12 QUESTIONS?(850)413-1609 „ , - , ,. ..-..-4-er , a_ .$005 i_� DRIVER_LICENSE CLASS E 4 C1SVA�£}t3 E G�t�{ZALEZ CUB ERREZ = , ,--, :„..._ ._ , .,,,,.: 15246 CORTO A WAY NAPLES,FL 34120-0$ 3 7 #” DQe sic: i 6-00 fit 3y - /- rw I1f :ez. �s'? r2vv53F+ DRIVER 4? :,i Of z f7"^47t ��"ftkC� C4:1��Z z;t.:FS t-.n Eseist?�; g,�r ya3�'Jtehr.-r ^;t t t_��,€. t,_ :v� • T County COLLIER COUNTY GOVERNMENT DEPT. OF ZONING & LAND DEVELOPMENT REVIEW WWW.COLLIERGOV.NET (239)252-2400 FAX (239)643-6968 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 O3 Z`F 7�'l`� ZONING CERTIFICATE#TC- APPLICANT'S NAME - \`r0-(-- . .; �j vt'Zr PHONE: (2--3`) Z 0 c7--g-0 r.I APPLICANTS HOME ADDRESS 152-'4 6 C--0-4Tc;"a_ Wc21 1 - yt/ A 3 y/Z TYPE OF BUSINESS TO BE CONDUCTED f '"t S k —�--f �✓ BUSINESS NAME(IF ANY) (AIL( e e_oAc Q J 42_0 T V\ C I, the undersigned, hereby affirm that I am the legal owner of the property at the above add�`ess or that/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 ab fj 'y the provisions of LDC Section 5.02.00 "Home Occupations"(see back of application). /// ' 22 APPLICANT SIGNATURE X DATE O/ 't t'/y FEE: $50.00 CHECKS PAYABLE TO: "COLLIER COUNTY TAX COLLECTOR" / 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). Tax Collector Staff: Please forward a copy of issued certificate and receipt to Collier County Zoning Department. COLLIER COUNTY BUSINESS TAX RECEIPT oFTKE s,,F APPLICATION ==��r 2800 N.Horseshoe Drive,Naples,FL 34104 1 .,o1 Make Check Payable to Collier County Tax Collector Phone: 239-252-2477 Fax: 239-643-4788 Website:www.colliertax.com goo W�T� 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 (850-488-0595) to:Board of County Commissioners.(239-252-5603) Copy of City Business Tax Receipt.(239-213-1800) Completed Business Tax Receipt application with appropriate fee made payable to:Collier County Tax Collector.(239-252-2477) Copy of Motor Vehicle Repair Registration Certificate from Department of Agriculture.(800-435-7352) Other: Copy of Health inspection from Department of Hotels and Please contact the Property Appraiser's office at 239-252-8145 Restaurants(850-487-1395)or Department of Agriculture. regarding tangible tax. (800-435-7352) CHECK ONE: Date: Original Application Classification Transfer of License # Code Number - - Renewal of License# License Amount 1) CORPORATE NAME - Cat v.. Piti,,Ati.lvvt QuaLi '7— ✓C V e la) DBA NAME - lb) BUSINESS OWNER OR QUALIFIER'S NAME - (15 ufa( 2) PHYSICAL ADDRESS - /3'°ZcP6 s' o_ A.joer� F'C 3 V/ �J (No P.O.Box allowed) (J 2a) IS RESIDENCE USED AS AN OFFICE- Yes No 3) BUSINESS MAILING ADDRESS-15Z zf 6 Cca-1/77o v\CY___ e> 3 VIZ-0 Street Citi Zip 4) OWNER OR QUALIFIER'S RESIDENTIAL ADDRESS- 5) TELEPHONE -Business: C2` 3J".e c— fO 5(9 Home: 6) LEGAL FORM OF BUSINESS: Sole Proprietorship Partnership Corporation LLC LLP 7) OPENING DATE OF BUSINESS OR DATE ASSUMED- ¢)°/74:),f20/' 8) OFFICE WITHIN CITY LIMITS OF NAPLES- Yes No If Yes,City License No. 9) SOCIAL SECURITY NO. or FE/D' ERAL EMPLOYER/ IDENTIFICATION NO. q1,� - 361 Q t..7 / (e) [�3 *see back of application for explanation 9a) TYPE OF BUSINESS CONDUCTED: tit P St\ C ,(6 a,.1,T✓/ 10) NUMBER OF EMPLOYEES -Including number of owners: Z / 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 DECLARE4 •AT I HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS STATED IN IT ARE 'rj TO THE BEST OF MY KNOWLEDGE. xxxAPPLICANT'S SIGNATURE: `Q !to DATE: 'C1,/Z� ;�dJ/ (Owner and/or representative of business)TITLE: ****THIS LICENSE IS NON-REFUNDABLE FOR BUSINESS STATED ABOVE**** SECTION Via, B, AND C FOR OFFICE USE ONLY THIS SECTION TO BE FILLED OUT BY CONTRACTORS/BCC LICENSING BOARD SECTION A Classification of Contractor: County Certification Number: Department Supervisor Date: THIS SECTION TO BE COMPLETED BY PLANNING SERVICES SECTION B Business is an in-home occupation and the applicant has agreed to adhere to the requirements as set forth in the Collier County Zoning Ordinance. PROPERTY Business DOES COMPLY with the Collier County Zoning Ordinance. ZONED Signed: Title: Date: Comments: TI-HS SECTION TO BE COMPLETED BY THE HEALTH DEPARTMENT SECTION C Business DOES COMPLY with the local and/or State requirements. Signed: Title: Date: :_ In accordance with Florida Statute 205.0535(5), we require you to provide us with either a Federal Employer Identification Number (FEIN) or a Social Security number. Cheryl Haskins—D/B/A National Storefront Glass, Inc. Contest of Citation 8694 Table of Contents El—Hearing Request (provided by Ms. Haskins) E2—Copy of Citation (provided by Ms. Haskins) E3—Confirmation of Hearing E4 through E6—Case Detail Report E7—Email Correspondence E8 & E9—Collier County Ordinance 2006-46 Section 1.1 "Unlawful to Contract without a Certificate of Competency" E10—Collier County Ordinance 2006-46 Section 1.6.3.22 "Glass and Glazing Contractor" Ell—Collier County Ordinance 2006-46 Section 1.6.1 "Contractor Definition" E12 & E13 —Contract E14 through E19— National Storefront Glass, Inc., Corporation Documents E20 through E25—2013 Case, CEUL20130015694, uncontested citation #8144 From: S Haskins [n]a Tito_chaskins0927(aacgn-maii_com] Sent: Monday, April 07, 2014 4:28 PM To: OssorioMichael Cc: rhaskins©nationaistorefrontglass.com; Sie Kamide Subject: Administrative Hearing Request! Micheal, I would like to formally request an Administrative Hearing to dispute the citation that was issued to myself Cheryl Haskins and to National Storefront Glass, Inc on 4/1/14 for a violation of policy (F) under Description of Violation . Please advise on a date and time I will need to appear. Thank you for your time Cheryl Haskins COLLIER COUNTY 0 8 6 9 4 j 9J GROWTH MANAGEMENT DIVISION ' CQt ZO1`{6Q9�5-ZS. CITATION Pursuant to section 89.127.(3)(a):Florida Stah test the undersigned hereby certifies that upon personal investigation,he/she-has-reasonable-and`probable grounds to believe that the person-Whose name appears below as issued to,did violate subsection 489.12741),Florida Statutes,and the Collier County Contractor's Licensing Ordinance No.2006-46(as may be amended)by committing the violations ted below. - • Month A. A •Da Year m Z. Alv ' . - _ - Issued To I r _ try ?1i.Ri/, I►i ' ► c651 ,'1C Address Cp[,/V 4r � _ter City QC•te?5q State Y 1 Zili r15lG . Telc h ne 1,1:). pate of Birth Race Sex Height .. P,P 9 . I(0 le� X 1 1_ Vehicle Make/Iype(if applicable) Year. Color T'arg No. Location of Vrolatlbn 1.77 LL l', `ei '/ ( - sopTIONS I have been'informed o`f the violaticin'kewhicti`1'h'a've been charged acid t le d the following option(Check one) , 1) ❑ I choose to pay the penalty of$��4 11.9.-.- 2) ❑ I choose not to pay the penalty,and will request in writing by certifi d m il or band delivery an Administrative Hearing before the Contractor's Licens•rg Description of Violatio 'Da Vi lation Observed I ess o tii .o t.as a licensee,cer' t holllcr or a) ❑ Falsely hold 1 or s rg:.. , registrant; :(�? ,�-� �,,( h) 0 rttlsoly tmpersonalCf'firstc t_%Sr tt�, ;`d nt; c)'❑'Present as his/her own the certificate 'gistration of another - d)'❑ Knowingly give false or forged evidence to the Board or a member thereof: e)•❑ Use or attempt to use'a certificate or registration which has been suspended or revoked f) ( Engage in,the business or act in the capacity of a contractor or advertise,self or business organization as available to,engage in the business or act in the capacity of a contractor-without being duly registered or certified; g) ❑ Operate a'business'oigantzation engaged in contracting after(60)days; h) ❑ Commence or perform work for which a buildingpennit is required pursuant to an adopted state minimum building code or without such permit being in effect; . i) ❑ Willfully or deliberately-disregard or violate any Collier County ordinance `` relating to uncertified or unregistered contractors- A person or business organization operating on an inactive pr suspended certificate, , or registration,or operating beyond the scope of wo or•e ographical scope of the registration,is not duly certified or registered. F SIGNATURE(RECIPIENT) SIGNA -,' (INVESTIGATOR) 1 ,cam Xf.,1 p�(RECIPIE NAME) PRINT(INVESTIGATOR'SNAKE) I Pursuant to 489.127,Florida Statutes, willful refusal to sign and accept this citation k constitutes a misdemeanor of the second degree, punishable as provided in section F 775.082 or 775.083 Florida Statutes. 4 (SEE REVERSE FOR INSTRUCTIONS) • COWER COUNTY CONTRACTORS LICENSE • C er ov..net Report Title: Code Case Details Date: 5/5/2014 9:05:28 AM Case Number: ceu120140006525 Case Number: CEUL20140006525 Status: Citation Case Type: Unlicensed Date&Time Entered: 4/1/2014 2:14:47 PM Priority: Normal Entered By: lanJackson Inspector: lanJackson Case Disposition: Unpaid Jurisdiction: City of Naples Origin: Field Observation Detail Description: Citation 8694 to Cheryl Haskins/ National Storefront Glass, Inc./813 886 1901. Unlicensed glass & glazing at 1774 9th St N K-1 (Victorias Secret Pink at Coastland Center) Location Comments: 1774 9th St N K-1 /folio 13803960004 Property 13803960004 Viniatnr Haskins, Cheryl CL-k Business Management& Budget Office 1 Code Case Details Execution Date 5/5/2014 9:05:28 AM Desc Assigned Required Completed Outcome Comments Preliminary Investigation lanJackson 4/1/2014 4/1/2014 Citation 4/1/14. Buildout of commercial space at 1774 Required 9th St N (Victorias Secret Pink at Coastland Center). Builder/permit holder Commercial Contractors, Inc./Brain Krol 616-850-1278. Found that Commercial Contractors had subcontracted glass&glazing to National Storefront Glass, Inc./Cheryl Haskins 813- 886-1901. Company previously cited for same violation 10/29/13. Previous citation issued to Richard Haskins. In speaking with Ryan Haskins,was advised that Richard Haskins is now deceased, leaving a sole corporate officer, Cheryl Haskins.Was advised by Ryan Haskins that he was a corporate officer, but found that Ryan Haskins had resigned from National Storefront Glass, Inc. on 1/15/14, opening new corporation, NSG Glass, Inc. Contract in violation is between Commercial Contractors, Inc.and National Storefront Glass, Inc., with Cheryl Haskins apparently the lone corporate officer. Unable to establish any construction qualifcation for National Storefront Glass, Inc to allow for contracting in Collier. Advised Ryan Haskins of licensing violation and citation issuance. Issue Citation (Licensing) lanJackson 4/1/2014 4/1/2014 Complete 4/1/14. Citation issued to Cheryl Haskins. Emailed to Ryan Haskins (rhaskins @nationalstorefrontglass.com).Will attach read receipt and reply from Haskins for verification of delivery of citation. Email attached from Haskins, indicating delivery of citation. Citation Paid/Contested clements_k 4/15/2014 4/15/2014 Payment Not Received Generate Follow Up Letter clements_k 4/15/2014 4/15/2014 Complete Citation Paid clements_k 4/25/2014 4/25/2014 Payment Not Received — Generate Follow Up Letter clements_k 4/25/2014 4/25/2014 Complete Citation Paid clements_k 6/7/2014 Pending Violation Description Status Entered Corrected Amount Comments Unlicensed Glass/Glaze Open 4/1/2014 $0 Business Management& Budget Office l 2 Code Case Details Execution Date 5/5/2014 9:05:28 AM Title Reason Result Compliance Fine/Day Condition Business Management& Budget Office 3 Jacksonian From: Ryan Haskins [rhaskins @nationalstorefrontglass.com] Sent: Tuesday, April 01, 2014 3:02 PM To: Jacksonian Subject: RE: Collier County Licensing violation and citation Ian, I will get back with you in the next day or so to let you know we are going to proceed with things. Thanks From:Jacksonian [mailto:lanJackson@colliergov.net] Sent: Tuesday, April 01, 2014 2:55 PM To: Ryan Haskins Subject: Collier County Licensing violation and citation Ryan, As discussed this morning, I've attached a citation issued to Cheryl Haskins for unlicensed glass&glazing contracting in Collier County.The citation is being considered a second offense violation, as it appears that you had resigned from National Storefront Glass, Inc., leaving Cheryl as the sole corporate officer of National Storefront Glass, Inc..The second offense penalty is$2000.00. Please send a reply to this email, verifying that you've received it. The links below will get you started in obtaining a Collier County Specialty Contractors' License. Feel free to contact me with any questions. Contact information for our customer service is on the contractors' licensing homepage below. http://www.collier.uv.nel/iridex.aspx?page=3363 contractors licensing homepage. http://www.colliergov.net/index.aspx?page=3397 application forms. Ian Jackson License Compliance Officer Contractors'Licensing/Growth Management Division 2800 North Horseshoe Dr Naples, F134104 Phone:239-252-2451 Fax:239-252-2469 ianjackson @colliergov.net Untie'r?c�.a Lay, ft l,.E _..i.es es . .t recce_ 1' do not vran t tots'_sd.rses r-.i:<_._d in .,1_.e .,d r€., _,.,_3 t releedt,_'.o n.,<seed eiecir)m ',le: to trts ent=t}' btroteo d,contact roc off ice by t fieehore or in tstotto r 1 El ORDINANCE NO.2006-46 AN ORDINANCE AMENDING COLLIER COUNTY ORDINANCE NO. 90-105, AS AMENDED, THE COLLIER COUNTY CONTRACTORS' LICENSING BOARD ORDINANCE;AMENDING SECTION 1.3.1 OWNER-BUILDERS,TO INCREASE THE MAXIMUM EXPENDITURE LIMIT TO $75,000, TO ALLOW FOR THE REPAIR OR REPLACEMENT OF CERTAIN ROOF SHINGLES °AND TO PROVIDE FOR A DISCLOSURE STATEMENT; AMENDING SECTION 1.3.2 PUBLIC WORKS, EXEMPTING CERTAIN EMPLOYEES OF GOVERNMENTAL AGENCIES FROM THE REQUIREMENTS OF THIS ORDINANCE; AMENDING SECTIONS 1.6.1.1 THROUGH 1.6.3.48, REMOVING THE SPECIFIC TIME REQUIREMENTS FOR TESTING AND ADDING THAT TESTS BE APPROVED ACCORDING TO SECTION 2.6 OF THIS ORDINANCE; FURTHER AMENDING SECTION 1.6.2.11 STRIKING THE EXCLUSION OF LIQUID PETROLEUM GASES; FURTHER AMENDING SECTION 1.6.3.25, TO ADD REQUIREMENTS FOR NEW APPLICANTS FOR THIS LICENSE;FURTHR AMENDING SECTION 1.6.3.48 TO ADD REQUIREMENTS FOR NEW APPLICANTS FOR THIS LICENSE; AMENDING SECTION 2.5.4.6 ADDING MISSING LANGUAGE AT THE END OF THE PARAGRAPH; AMENDING SECTION 2.6 TO REFLECT THE RECOGNITION OF ADDITIONAL TESTING AGENCIES; AMENDING SECTION 2.11.2 ADDRESSING THE ISSUANCE OF TEMPORARY LICENSES; ADDING SECTION 4.1.8.2, ADDRESSING FINANCIAL HARM CAUSED BY CONTRACTORS CAUSING CUSTOMERS TO SEEK A VARIANCE OR ADMINISTRATIVE REMEDY; AMENDING SECTION 4.3.2 ELIMINATING THE ADMINISTRATIVE FEE FOR COMPLAINANTS; AMENDING SECTION 4.3.5.1.(t), INCREASING MAXIMUM FINES TO TEN THOUSAND DOLLARS; PROVIDING FOR CONFLICT AND SEVERABILITY; PROVIDING FOR INCLUSION INTO THE CODE OF LAWS AND ORDINANCES; AND PROVIDING FOR AN EFFECTIVE DATE. WHEREAS,certain provisions of this Ordinance are being amended at the discretion of the Board of County Commissions upon recommendations from staff, area contractors andthe• general public. _•I NOW, THEREFORE, BE IT ORDAINED BY THE BOARD OF:COUNTY COMMISSIONERS OF COLLIER COUNTY,FLORIDA that: SECTION ONE: ORDINANCE NO. 90-105, AS AMENDED, IS HEREBY AMENDED AS FOLLOWS: PART ONE: CERTIFICATES OF COMPETENCY REQUIRED. 1.1. Unlawful to Contract without a Certificate of Competency. It shall be unlawful for any person,firm,partnership,corporation or other legal entity to: engage in any construction contracting business, advertise or represent himself/herself or a business organization as available to engage in any construction contracting business,or act in the capacity of a contractor or subcontractor for any of the trades listed in Section 1.6 of this Ordinance, within the unincorporated area of Collier County and the incorporated area within the boundaries of the City of Naples and within the City of Marco Island, without having first made application for and having been issued a current and valid Collier County/City Certificate of Competency or an applicable State Certified License. Nothing herein shall be construed to mean that there cannot be employees in a trade who arc not qualified or certified within the definitions herein set forth if -1- Words underlined are added;words struck through are deleted. tie7 such employees are employed by a licensed contractor who exercises supervision and control over said employees. Indicia of an employment relationship shall include the employer's regular payment of wages and compensation, FICA deductions, tax withholding and provision of Workers'Compensation to the employees,all as prescribed by law. 1.2. Building Permits. 1.2.1. No building permit shall be issued for the construction,alteration,or repair of any structure unless the applicant for the permit possesses a current Collier County/City Certificate of Competency, an applicable State Certified License, or is exempt from the operation of this Ordinance. 1.2.2. It shall be unlawful for any owner-builder to procure a building permit and to use said permit with the intent to aid or abet an unlicensed contractor to perform the permitted construction, alteration, or repair. Such conduct shall be punishable as a violation of this Ordinance and the permit and inspection shall be considered invalid for that portion of the construction related to the violation. 1.3. Exemptions. 1.3.1. Owner-Builders. The provisions of this Ordinance shall not apply to owners of property when acting as their own contractor and providing . • - .. _.- :mselves, when buil: • - but . --- - - - building e . .• •- ; - -- •• ,eel - s : -O r the occupancy or use of—such owners and nut offered for sale or louse. In all actions brought . - . . :. - . - • .:.• - . • •icat©of Occupancy is • • - -- - •: onstruction was undertaken for purposes of sale-or lease. This 43'^z.e r-w i l d e r-a p p _ . . _ _ : _ - :.• :. _ •: .• - . • • . .•° - • - •• • G a v*• . - - • . .. . • . direct, onsite supervision themselves of all work not performed by licensed contractors: (a) When building_ or improving farm outbuildings or one-family or two-family residences on such property for the occupancy or use of such owners and not offered for sale or lease, or building or improving commercial buildings, at a cost not to exceed $75,000, on such property for the occupancy or use of such owners and not offered for sale or lease. In an action 2 Words sirue t,ub aic deleted;words underlined are added. altos, or extend any above ground system used for the storing and dispensing of gasoline, kerosene, diesel oils and similar liquid hydrocarbon fuels or mixtures (not to include pollutant storage). 1.6.3.22. Glass and Glazing Contractor requires twenty-four (24) months experience, a passing grade on ftthree-an approved test and a passing grade on a fWe42}-1}ettr business and law test,and means those who are qualified to select,cut,assemble,and install all makes and kinds of glass and glass work, and execute the glazing frames,panels,sash and door and holding metal frames, ornamental decorations, mirrors, tub, shower enclosures, and portable partitions. The scope of work shall include the installation of hurricane shutters or devices that are integral with the window system. 1.6.3.23. Insulation Contractor. a. MI types except buildings - requires thirty-six (36) months experience, a passing grade on a-t re°�3); an approved test and a passing grade on a two(2)hour business and law test, and means those who are qualified to install, maintain,repair, alter, or extend any insulation primarily installed to prevent loss or gain of heat, from internal or external sources on pipes, vessels, ducts, fire stopping materials, sprayed-on fire resistive materials, or built-up refrigerated boxes or rooms,and acoustical materials. b. Buildings - requires twenty-four(24) months experience, a passing grade on e-three-3) hour an approved test and a t-we-{2}-houf business and law test, and means those who are qualified to install,maintain,repair, alter,or extend any insulation primarily installed to prevent loss or gain of heat from rooms or buildings. 1.6.3.24.Irrigation Sprinkler Contractor requires twenty-four(24)months experience and a passing grade on a-t E3T.,,,u,_ an approved test and a passing grade on a two (2) hour business and law test and means any person who is qualified to install, maintain, repair, alter or extend all piping and sprinkler heads used for irrigation, including any required connections to a water pump;however,such work does not include direct connection to potable water lines. 1.6.3.25. Landscaping Contractor requires twelve (12)months experience and a passing grade on a t-,‘.4a--(-Z-)-houf business and law test and means any person who is qualified to install and/or remove trees, shrubs, sod, decorative stone and/or rocks, timber and plant materials, and concrete paving units for sidewalks, patios and decks only, whether or not incidental to landscaping, prepackaged fountains, or waterfalls,provided same does not include connection to a sanitary sewer system,potable water line, or to any electrical installation, which tasks must be performed by tradesmen licensed in the relevant trade. Landscape Contractors may contract for only removal and/or trimming of trees and/or any other combination of the authorized services. AlI new applicants applying for landscaping license are required to obtain a passing grade on an approved exam pertaining to pruning and safety,in addition to the business and law exam. 18 Words struck threugh are deleted;words underlined are added. El charges adopted by Resolution pursuant to Section 2.1.5 herein, and must submit an entire new application. If, as of the date of receipt by the County of said new application, three (3) years have passed since the date of his/her most recent examination that the individual passed to acquire the former Certificate, that individual must pass all then applicable testing requirements. If the request is to reactivate a dormant certificate, the re-testing requirement can be waived by staff if the applicant proves that he/she has been active in the trade in another jurisdiction,or has been active as an inspector or investigator in the trade,or for other valid reason that would render such re-testing superfluous. 1.5. Contractors'Identification Required on all Advertising Mediums. 1.5.1. All contractors licensed under the provisions of this Ordinance shall be required to firmly affix and/or to display the qualifier's Certificate of Competency Number and the "Doing Business As"Name on all advertising mediums used by the contractor,including but not limited to, contracts, brochures, business cards and vehicles used in their trade or business. The minimum height of each number or letter affixed to and displayed on vehicles shall be two (2) inches. 1.6. Definitions and Contractor Qualifications. 1.6.1. Contractor means the person who is qualified for and responsible for the entire project contracted for and,except for those herein exempted, the person who, for compensation, undertakes to, or submits a bid to, or does himself or by others, any or all of the following construct, repair, alter, remodel, add to, demolish, subtract froiii, or improve any building or structure., including related improvements to real estate, for others, or for resale to others, as hereinafter defined in Sections 1.6.1 through 1.6.3 of this Ordinance. 1.6.1.1. General Contractor requires forty-eight (48) months experience with a passing grade on a six (6) hour an approved test and a two(2)hour business and law test and means a contractor whose services are unlimited as to the type of work which he/she may do, except as provided in this Ordinance or in the Florida Statutes_ NOTE: Also see Sect. 1.6.2. 1.6.1.2. Building Contractor requires forty-eight (48) months experience with a passing grade on a-si-x-({r}-lteur an approved test and a two (2)hour business and law test and means a contractor whose services are limited to construction of commercial buildings and single-dwelling or multiple-dwelling residential buildings, which commercial or residential buildings do not exceed three stories in height, and accessory use structures in connection therewith or a contractor whose services are limited to remodeling,repair,or improvement of any size building if the services do not affect the structural members of the building. NOTE: Also see Sect. 1.6.2. 6 Words ek4 g j are deleted;words underlined are added. Commercial Contractors, Inc. SUBCONTRACT PO $$ 20429 16745 Comstock Street Grand Haven,Michigan 49417 Contract Date : 02/13/14 resw.teamlcci.net Job # : 2144906 Pink VS National Storefront Glass, Inc Coastland Center 5901 Jetport Industrial B 1900 Tamiami Trail North Tampa, FL 33634 Naples, FL 34102 Proj . Coord. : Ken R. Sharkey Attn: Bill Newton Supervisor: Gregory French V: (813) 886-1901 Jobsite Phone : (618) 499-7143 F: (813) 886-1500 Costcode : 08800-1 bnnsgi @aol .com Order materials immediately and schedule all labor, materials, tools, equipment and services as necessary to complete the Glass. All work shall be as per: codes; landlord requirements; Standard Form of Agreement Between Contractor and Subcontractor AIA Document A401-1997 REVISED 01/15/09; C.C.I. Bid Instructions (01/25/07) ; General Conditions; specifications; Latest FL state statute for Indemnification Section 725.06; latest FL state statute for Extent of 1 A00.00, A00.01, A00.02, A00.03, A00.04, A00.10, A01.01, A01.11, A02.01, A02 .10, A03. 01, A04.01, A05. 01, A06.01, A07.01, A07.02, A08. 01, A08.05, A08. 06, A08.10, A08.11, A08.20, A10.01, A10.02, A10.03, A10.04, A10. 05, A1006, A10.07, A10. 08, A10.09, A10.10, Al2.01, Al2 .02, A13 .01, A13.02, A14.01, A14.02, E01. 01, E02.01, E03.01, E04.01, E04.02, E04. 03, E04.04, E05.01, M01.01, M02 .01, M03.01, M04.01, P01.01, P02. 01, P02.02, P03 .01 , S01 , 01, S02 .01, S02 .10, 503. 01, 503 .02, SO4.01, S05. 01, 506.01, DATED 12/20/13; ** Sign here to acknowledge receipt and agreement to all above documents. ** All work to be completed by: Measure/ order by 4/8; Install by 4/17/14 Cupplementary Cub contract Conditions: 1. Progress billings must be submitted to CCI upon 50% and 100% project completion. 2. Invoice the final 1095. retention and all previously unbilled approved change orders within 30 days of project completion. 3. Charges for extra work will not be allowed unless approved by this office prior to the commencement of such work. 4. Daily removal of trash and surplus materials according to requirements is included. All work shall be completed for the total sum (including all applicable federal, state and local taxes) of: $ 3325.00 FEIN: 593318094 * three thousand three hundred twenty-five and 00/100 Dollars * Glass Scope of work to include: FURNISH & INSTALL: 1/2" Clear Tempered Glazing a Storefront Per A08.01 FURNISH & INSTALL: 1/4" Clear Plate Mirrors a PINK Fitting Rooms Per A10.09 [Quantity: 4] (Includes Glass, Mastic, Primer, & Fasteners) Glass Scope of work does not include: Sales Area Mirrors (Owner Furnished) Toilet Room Mirrors (Owner Furnished) Backwrap Mirror (Owner Furnished) (11) � 42-4540 •Fax 616 842-4548 Phone (6 6�8 Commercial Contractors, Inc. 10745 Comstock Street SUBCONTRACT PO # 20429 Grand Haven,Michigan 49417 Contract Date: 02/13/14 unvw.tearnai.net Job # : 2144906 Please sign and return a copy of this agreement. Ken R. Sharkey Date 02/13/14 for Commercial Contractors, Inc. as General Contractor Date for National Storefront Glass, Inc (813) 886-1901 as Subcontractor Phone (616)842-4540 •Fax (616)842-4548 ErS Detail by Entity Name Page 1 of 3 It s;. aaz, , 0. ,.-> mom,R 0nH. �f Detail by Entity Name Florida Profit Corporation NATIONAL STOREFRONT GLASS, INC. Filing Information Document Number P95000037616 FEI/EIN Number 593318094 Date Filed 05/11/1995 State FL Status ACTIVE Last Event AMENDMENT Event Date Filed 11/06/2013 Event Effective Date NONE Principal Address 5901 JETPORT IND. BLVD TAMPA, FL 33634 Changed: 06/12/1997 Mailing Address 5901 JETPORT IND. BLVD TAMPA, FL 33634 Changed: 08/14/2008 Registered Agent Name & Address HASKINS, CHERYL L 9303 POST RD ODESSA, FL 33556 Name Changed: 01/24/2014 Address Changed: 01/24/2014 Officer/Director Detail r r Detail by Entity Name Page 2 of 3 Name & Address Title D HASKINS, RICHARD G 9303 POST RD ODESSA, FL 33556 Title President, Treasurer, Secretary HASKINS, CHERYL 9303 POST RD ODESSA, FL 33556 Annual Reports Report Year Filed Date 2012 04/28/2012 2013 01/29/2013 2014 01/24/2014 Document Images 01/24/2014 -- ANNUAL REPORT View image in PDF format 01/15/2014 -- Off/Dir Resignation View image in PDF format 11/06/2013 -- Amendment View image in PDF format 01/29/2013 -- ANNUAL REPORT View image in PDF format 04/28/2012 -- ANNUAL REPORT View image in PDF format 03/22/2011 -- ANNUAL REPORT View image in PDF format 02/19/2010 -- ANNUAL REPORT View image in PDF format 03/27/2009 -- ANNUAL REPORT View image in PDF format 08/14/2008 -- ANNUAL REPORT View image in PDF format 02/13/2007 -- ANNUAL REPORT View image in PDF format 02/13/2006 -- ANNUAL REPORT View image in PDF format 02/10/2005 -- ANNUAL REPORT View image in PDF format 02/04/2004 -- ANNUAL REPORT View image in PDF format 01/13/2003 -- ANNUAL REPORT View image in PDF format 02/21/2002 -- ANNUAL REPORT View image in PDF format 01/22/2001 -- ANNUAL REPORT View image in PDF format 01/26/2000 -- ANNUAL REPORT View image in PDF format 07/30/1999 -- ANNUAL REPORT View image in PDF format httn•//crarrh cnnhi7 nra/Tnriirv/C''.nrnnratinnCrarrh/CearrhRecnitDDetail/FnfitvNarnr/rinrnn_n d/1/')n1d Detail by Entity Name Page 3 of 3 01/15/1998 -- ANNUAL REPORT View image in PDF format 06/12/1997 -- ANNUAL REPORT View image in PDF format 07/23/1996 -- ANNUAL REPORT View image in PDF format 05/11/1995 -- DOCUMENTS PRIOR TO 1997 View image in PDF format CoDyriQht. and Privacy re'i 1 s State of Honda,Department of State A I I 1 1 •_ - _ IT • //-1 -A• 0 '--'1-/0- i_n_ __iar\ a :l m_.,:+_.l�T..__.../.7,._.f... Aii inn1 n • ci 5 0000.376 / G (Requestors Name) (Address) i • - 900255570359 (Address) (City/State/Zip/Phone#) [c1/15/14--01011--020 035.00 0 PICK-UP ❑ WAIT MAIL (Business Entity Name) (Document Number) Certified Copies Certificates of Status Special Instructions to Filing Officer: ,• 0/\ U1 i --•�r to Office Use Only ` )10 0 1 4-1 ( TRANSMITTAL LETTER TO: Amendment Section Division of Corporations SUBJECT: National Storefront Glass, Inc. (Name of Corporation) DOCUMENT NUMBER: P95000037616C The enclosed Officer/Director Resignation for a Corporation and fee are submitted for filing. Please return all correspondence concerning this matter to the following: Cheryl Haskins (Name of Person) National Storefront Glass, Inc. (Name of Firm/Company) 9303 Post Rd (Address) Odessa Florida 33556 (City/State and Zip Code) For further information concerning this matter, please call: Cheryl Haskins at(813 )810-0927 (Name of Person) (Area Code& Daytime Telephone Number) Enclosed is a check for$35.00 made payable to the Florida Department of State. Mailing Address: Street Address: Amendment Section Amendment Section Division of Corporations Division of Corporations P.O. Box 6327 2661 Executive Center Circle Tallahassee, FL 32314 Tallahassee, FL 32301 cr co-34(05/13) C lc • • OFFICER/ DIRECTOR RESIGNATION FOR A CORPORATION Ryan Haskins Secretary and Vice President Y , hereby resign as (Title) of_National Storefront Glass, Inc. (Name of Corporation) P95000037616 •a corporation organized under the laws of the State of (Document Number,if known) Florida (Signature 01 resigning of leer/director) /---. r^; 11 5,•• FILING FEE IS 535.00 Make checks payable to Florida Department of State and mail to: Amendment Section Division of-Corporations P.O.Box 6327 Tallahassee,Florida 32314 t:It? Oifirergov.net Report Title: Code Case Details Date: 5/5/2014 8:48:06 AM Case Number: ceuI20130015694 Case Number: CEUL20130015694 Status: Closed Case Type: Unlicensed Date&Time Entered: 10/29/2013 9:47:39 AM Priority: Normal Entered By: lanJackson Inspector: lanJackson Case Disposition: Paid Jurisdiction: City of Naples Origin: Field Observation Detail Description: Citation 8144 to Richard Haskins/National Storefront Glass, Inc. unlicensed glass/glaze at 1900 9th St N, Coastland Center Location Comments: 1900 9th St N/folio 13803960004 MitlAart r..... Property 13803960004 lkiA -'x c' rine - y„ V W - ` - 'i t a. SMA e`^* at. 210 i li ;..w;•g* ataix.?. _.yi "k.,`" k°24 .:11r.a ....Ali ist-Igym':-..M .,aitM=° # 'i° -� Violator Haskins, Richard Business Management& Budget Office CZ 1 Code Case Details Execution Date 5/5/2014 8:48:06 AM • -' Desc Assigned Required Completed Outcome Comments Preliminary Investigation lanJackson 10/29/2013 10/29/2013 Citation 10/24/13. Field observation at Coastland Required Center. Found unit being built out for tenant. City of Naples permit issued to Daniel Bisson CBC/Bisson Construction 407-709-4338. Found that Richard Haskins/National Storefront Glass, Inc. (813-787-7168) had contracted with Bisson Construction for Glass/Glazing at location. Contract scanned into case. Haskins not qualified w/State or Collier license. Issue Citation (Licensing) lanJackson 10/29/2013 10/29/2013 Complete 10/29/13. Citation 8144 and SWO issued. Emailed citation to Haskins. Citation Paid/Contested JenniferBlanc 11/13/2013 11/4/2013 Payment o Received Violation Description Status Entered Corrected Amount Comments Unlicensed Glass/Glaze Open 10/29/2013 $0 • Title Reason Result Compliance Fine/Day Condition Business Management & Budget Office 2 c eu zo 130615( q COLLIER COUNTY - 14 4 • BUILDING REVIEW& PERMITTING CITATION Pursuant to section 489.127.(3)(a),Florida Statues,the undersigned hereby certifies that upon personal investigation,he/she has reasonable and probable grounds to believe that the person whose name appears below,as Issued To,did violate Subsection 489 127(1),Florida Statutes, and Collier county Contractor's Licensing Ordinance No.97-68(as may be amended from time to time)by committing the violation stated below. Month (I)C` Day z9 Year1 Time(156 ,ePM Issued To: f11(�t1�1 - 4u1S�1��S Address 9 I ild r� ---1 77 City 0 ,e5,?0,i State � Zip ,)% Telephone No. LD. Date of Birth Race Sex Height h13767 716,5 FEI- a331 )01 a Vehicle Make/Type(if applicable) Year Color Tag No. Location of Violation I^0� C[4(4 AI v i 61 OPTIONS • 1 have been informed of the violation of which 1 have been charged and elect the following option(Cheek one) I) f=1-I choose to pay the penalties.of$ I on the Citation. 2) ❑ ,I choose not to pay the penalty and will request in writing by certified mail or hand delivery an Administrative Hearing be ore th Co tractor's Licensing Board Description of Violation f kli IK, /�q,(�SS Dat RR Observed If a) ❑ Falsely hold self or busme_ rg3tnz g oRR a license,certificate holder or registrant; vvv b) ❑ Falsely impersonate a certificate holder or registrant; c) ❑:Present as his own the certificate or registration of another; d) Ill Knowingly give false or forged evidence to the Board of a member thereof; e) ❑ Use or attempt to use a certificate or registration which has been suspended or voiced; f) Engage in the business or act in the capacity of a contractor or advertise self or business organization as available to engage in the business or act in a capacity of a contractor without being duly registered or certified; g) ❑ Operate a business organizatiun engaged in wuhactiug after(60)days ji I following the termination of its only qualifying agent without designating another primary 1 qualifying agent,except as provided in ss 489.119 and 489.1195,Florida Statues; !- h) ❑ Commence or perform work for which a building permit is required pursuant to an adopted state minimum building code,without such permit being in effect,or i) ❑ Willfully or deliberately disregard or violate any Collier County ordinance relating to uncertified or unregistered contractors. A person or business organization operating on an inactive ,1 s i tided certificate or registration,or operating beyond the scope of work or geoa ph . scope of the registration,is not duly certified or registered. //l1 J7 SIGNATURE(RECIPIENT) S1GNA SIZE(INVESTIGATOR) E-1, 0,i1-pc Id Z4'I(3 ��- E A'I Air PRINT(RECIPIENT'S NAMC) PRINT(INVESTIGATOR' NAME) Pursuant to 489.127,Florida Statues,willful refusal to sign and accept this citation constitutes a misdemeanor of the second degree,punishable as provided in section 775.082 or 775.083 Florida Statutes. (SEE REVERSE FOR INSTRUCTIONS) COLLIER COUNTY Y CONTRACTORS LICENSE DEPARTMENT = 1 7,7_, INSTRUCTIONS PAYMENT OF CITATION: The penalty for each uncontested violation has been set by the Board of County Commissioners of Collier County and shall be payable to the Board of County Commissioners, 2800 North Horseshoe Drive,Naples,Florida,34104, not later than 10 days of the notice receipt,exclusive of weekends and legal holidays. PAYMENT MUST.BE MADE BY CASH,MONEY ORDER, OR CHECK: ALL FEES MUST BE REMITTED IN U.S.FUNDS. • • FINE SCHEDULE-UNCONTESTED VIOLATIONS 1st Uncontested Offense $300.00 ....Each Uncontested Offense Thereafter $500.00 REQUEST FOR HEARING: You may request an Administrative Hearing Within the same ten(10)day time frame, before the Collier County,Contractor's Licensing Board upon notice,in writing, to the Director of the BuildineReview and Permitting Department. If you do not request a hearing or pay the penalty fee as prescribed,the citation shall automatically become a Final Order of the Contractor's Licensing Board ordering the violator to pay the civil penalty,set forth on the citation without a hearing. A certified copy of such Order shall bc'rccordcd in public're.vids'and llteieafter shall constitute a lien against most real or personal property owned by the viola- tor. Upon petition to the Circuit Court,such Order may>be'enforced in the same manner as a Court Judgement by the Sheriff's Office of the State.If after three(3) months from filing such lien,the lien remains unpaid,the Contractor's Licensing Board may authorize the County Attorney's,Officeto foreclose on the lien. If you or your designated representative show at the Administrative Hearing that the citation is invalid,or the violation has been corrected prior to appearing, the Board may dismiss the citation unless the Board finds the violation to be irreparable or irreversible. The maximum penalty for a contested citation is$1,000 for each day the violation exits. Each day a willful knowing violation continues shall constitute a separate offense • and penalties shall continue to accrue.Any aggrieved party may appeal a Final • Administrative Order of the.Board to the Circuit Court.Such appeal shall not be a hearing de novo,but shall be limited to appellate review of the record created before the Board.An appeal must be filed within thirty(30)days of the execution of the Order. If you need additional information,'call c r , E15 Page 1 of 2 From: Jacksonian Sent: Tuesday, October 29, 2013 10:06 AM To: 'Richard Haskins' Subject: RE: Collier County Attachments: 131029100708_0001.pdf http://www.colliergov.net/index.aspx?page=3363 Mr. Haskins, As we discussed, I've attached the citation and a link to Collier County Contractors' Licensing webpage. Payment of the citation is due in 10 business days. All information for payment is on page 2 of the attachment. The link will get you started in obtaining a Collier County Specialty license. Feel free to contact me if you have questions. Ian Jackson License Compliance Officer Contractors'Licensing/Growth Management Division 2800 North Horseshoe Dr Naples, Fl 34104 Phone:/2739-252-2451 Fax:239-252-2469 ianjackson@collierciov.net From: Richard Haskins [mailto:rhnsgi @aol.com] Sent: Monday, October 28, 2013 3:40 PM To: Jacksonlan Subject: Re: Collier County Mr Jackson, Please give me a call when you get a minute ! Richard Haskins President National Storefront Glass 5901 Jetport Industrial Blvd Tampa Fl 33634 (813)886-1901 F(813)886-1500 www.Nationalstorefrontglass.com On Oct 25, 2013, at 9:13 AM,Jacksonian <lanJackson@colliergov.net>wrote: Mr. Haskins, As we discussed, please send your contract for review. Thank you. Ian Jackson License Compliance Officer Contractors'Licensing/Growth Management Division 2800 North Horseshoe Dr Naples, Fl 34104 Phone:239-252-2451 r,�A•//T„ i7;Prr ,� „>,/.1,At.A AATl_Ci tl,V;PnxTTI(,rcz_Prt)(1/CF/C-FTTT.701 M15694/RF%,7OC x/31/7014 Page 2 of 2 Fax:239-252-2469 ianjackson @colliergov.net Under Honda Law,e-mail addresses are public records.if you do not want your e-mail address released in response to a public records request,do not send electronic mail to this entity. Instead,contact this office by telephone or in writing. i�ni A To Whom it May Concern, Bradley Carrocl, president of Garrod Painting Inc., is requesting reinstatement of my Collier Count Contracting License. i grew up in Collier County, and was sponsored through Coiiier County for initial acquisition of license. I moved out of the area to Charlotte County shortly after obtaining my license, but have always maintained a license in good standings with Charlotte County, City of Punta Gorda, and Lee Gionty. am requesting a renewal of my license in Collier County for the ability to no and complete work in Collier County again. Please review the at =.1ched applicatia-] as well as proper documentation for consideration of reinstatement. Thank you for your time, zY Bradley Garrod . , President Garrod Painting Inc v.0 GMD Operations & Regulatory Management Licensing Section 2800 North Horseshoe Drive Naples, FL 34104 APPLICATION FOR COLLIER COUNTY/CITY OF NAPLES/CITY OF MARCO FIRM INSTRUCTIONS: This application must be typewritten or legibly 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 Collier County Commissioners. For further information, consult Collier County Ordinance No. 90-105, as amended. NAME OF COMPANY: l Exact Corporate/Business Name: 6'n 2/2_06 P //k.41/V9 //lC. Fiction Name/DBA: Qualifier Name: / )2P L Physical Address: Liz l E3 54 Poe], UhP(a1O - c. rL PO(Number 86 Street) (City) (State) (Zip Code) Mailing Address: Po 80 P0/21 C/7/)/2/0/-M rI 3J 9 / (Number & Street) (City) (State) (Zip Code) Telephone: 624/ 743 7 Z(A E-mail yac i p -r)&/l( f 1. Can TYPE OF LICENSE: U ❑ General $230.00 ❑ Electrician $230.00 ❑ Building $230.00 ❑ Plumber $230.00 ❑ Residential $230.00 ❑ Air Cond. $230.00 ❑ Mechanical $230.00 ❑ Swimming Pool $230.00 ❑ Roofing $230.00 Specialty $205.00 Specialty trade: CHANGE OF STATUS: f Reinstatement From One Business to Another 4/28/2014 Reinstatement Fee=$205.00 (�` If 2011-2013 Back Year Fees=$555.00 Page i of 4 *Different fees may aDDly* Total=$760.00 1. The names, titles, home address and phone numbers of all Officers/Managing Members of the Firm. ISPI)/ Lcy C—,'02/2-0 Mq4 re/26226(3 Z4ki�. / &OE 2. List all businesses, firms, entities or contracting businesses you have been associated with during the last ten years (ex. Held a license for or been a partner). Attach extra pages if needed. �Gt 2/e06 b Zt(c D �/V C 3. List all debts you or any company(s) associated with you refused to pay and the reasons for the refusal to pay. Attach extra pages if needed. AFFIDAVIT igJ 0/ 6a-Q---72-6 certify that the foregoing is true and correct to the best of my knowledge. Authorized Officer of the Firm STATE OF FLOI,pA n COUNTY OF ,Jp vi The foregoing foregoing instrument as acknowledged before me this 3 "vZt1�i) Date) By g')rC t� cr)Ck V�'�QC of 64 ��l'b[� P (n1 }` (Name of o icer, title/agent) (Name of Corpotion) a 17c, 1?i& Corporation on behalf of the corporation. (State or Place of Corporation) He/She has produced k/10—)(1 identification and did not take an oath. (Type of)identification) NOTARY'S SEAL l KArrIMYN Aff OWE E , * MYCOMMIS$KN#EE 173191 (SIGNATURE OF NOTARY) �74t SXPIFlE8:February 26,2010 / ye' 9anda?TNT Mget Wary Servitss Page 2 of 4 a 1 QUALIFIER INFORMATION: • Name: �J2//-). LE j 6/=12/2cL Address: /DQ i (,(5 L fir)6 ---Pun i0 -Clorcia...__ F! 35Q (O n (Number& Street) (City) (State) (Zip Code) Telephone: (AP ��rj g Date of Birth: S.S. #: 000-00- , E-Mail: orrca/ocu n t.0/.79 C� Driver's License: / 1. Type of Certificate of Competency for which application is made. /9(21_1?b_./75 2. The names and telephone numbers of two persons who will know your whereabouts. /Q1J(70 � �� 94// <W5 &45 /e n 5 / 5/6eo{q 467 ei7g0 3. Have you ever been convicted of a crime related to Contracting? /Y (If yes attach extra sheet with explanation) 7. Have you or any firms you have been associated with ever filed bankruptcy? NO 8. List all debts you or any company(s)associated with you refused or failed to pay and reasons why. A/6 (74 E, ) 2 r CX G'Z e.7) a - 0( /9U 9. List your business or work experience during the past ten years. ii/U1 G/C.e72.5.-e, h0/e,72 10. Statement of any formal training you have had in the area for which the application is made. )'i C ( � /off.`✓G�1 Page 3 of 4 CD-Plus o rt ID No. Description Exam Date Score Location 12052 PAINTING 9/24/2002 76.7 VENICE 12053 BUSINESS AND LAW 9/14/2002 78 VENICE 12695 TILE & MARBLE 11/2/2002 NO SHOW - NAPLES P:�.inted ,0 '01 4:02:2C PM Collier County CD-Plus for Windows 95/98/NT Page :1 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. /62An�eV (--;A -720/1 APPLICANT(PLEASE PRINT) p220 PAiki-71/n C /NC. NAME OF COMPANY SIGNATURE OF APPLICANT STATE OF FLO,$ PA - COUNTY OF V /c 4`(.._ The foregoing instrument as acknowledged before me this (314Cf- , tJ ` j/ (Date) 7 By �� G d who has produced pe«a.,L l 7Q10G,+,� (Name of person cknowledging) / (Type of id tification) as identification and did not take an oath. NOTARY'S SEAL 45‘';`,Y.1'.`",,, KATHRYN cV AtiTONEW SIGNATR OF NOTARY) it._ y4 MY COMMISSION#EE 17319 i {7 ,: ,. EXPIRES:February 26,2016 ��'�OF v‘.0,?' Bonded Thal Budget Nein,5'ervIC6S Page 4 of 4 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 ?ossible revocation of my Certificate of Competency. • SIGNATURE OF APPLICANT 6i220/ 47,72�7,-,cf //tic, BUSINESS NAME 4/y/f _____ DATE EFORE ME this day personally appeared C / ' 6 vibe-) who affirms and says that he is less than one employee and does not require Workme 's Compensation understands that at any Tie he employees one or more persons he must obtain s 'd Workmen's Compensation Insurance. 'ATE OF FLORIDA )LINTY OF .e foregoing instrument was acknowledged bofore me this /. /y J, �- (Date) / (3vc d/ 6ct d who has produced 17crif ati /1o,, --1 (name of pphrson acknowledging) ('T'ype of identification) identificntinn find who did not take an oath. y ? ;4 / l in SIfPI` • OF NOT 4 'Y IA 1 T) � ��fry I ��l 1 f' NOTARY'S SEAL (P ,.INT N ME OF NOTARY PUBLIC) '` 1�r�;a�rr� A TONELIJ NOTARY PUBLIC �15 ,* MY COMMISSION#EE 173191 ;,jt', EXPIRES:February 26,2016 •;,o;;,;s' Bonded Thai Budget HeftyServica9 4 • AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER 602.1 AOkr2.P // am a resident of (ZCI, Cc County, r/O 2/da_ (State) and have resided here for more than five (5) years. )uring the last five years I have known 6rad/F� t•Jl,try d (Applicant). I have had he opportunity to observe his or her business and prsonal dealings and find him or her to be a person of ionesty, integrity and good character. 1 (Signature)_¢ % �)9-L- _- (Name) ea l A-)/O/2LZ.Li (Address) S7 t, &AAA id i(t07/-i, � Telephone) Q V/ e)S--8 8S0(7 STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this -b• 1 , ✓e IL by /� ' �/� (Date) il--tthi Nkl iMP4// who has produced p �C��li��ij� rival .1 l (name of Verson acknowledging) (Type of identification) as identification and who did not take an oath. _ t, �,0Z o�„rr_►0 JENNIFER RULING fir/ �; ZLL/ MY COMMISSION#rFfOO7100 SIGNA,f R ti OF 'I'ARY EXPIRES:APR 11,2017 °" Bonded through 1st State Insurance ( Cifik//a. Piddil NOTARY'S SEAL (PRINT NAME OF NOTA£' ') . NOTARY PUBLIC 10 t I AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER /6i , am a resident of Chap/O . ;aunty, F/O2/6/G2 (State) and have resided here for more than five (5) years. During the last five years I have known 0,(// applicant). I hav- had he opportunity to observe his or her business and person l dealings and find h', or her to..- a per .n;of ionesty, integrity and good character. (Signature) /_, (Name) 0C2-/:-/c /0 (Address) 25/ x' / ,Q ((I ry.r j2 -7 4a 6ordaFl 35q3 Telephone) 641 g/5 (D k S STATE OF FLORIDA COUNTY OF The foregoing instrument was acknowledged before me this / by J ( ale? r 1fe. 6i VTbC.l' who has produced 1� L (name of p son acknowledging) f (Type of identification) as identification and who did not take an oath. _ Li . 1 S 7NA _TRE OF NC TARY A 1'` to ii A-4 ila f�r, NOT ARVS SEAL (PRINT N �.I` OF NOTARY) NOTARY PUBLIC ow:ake(.c KATHRYN#/AiiTONEW i 1 * MY COMMISSION If EE 173191 -:. ,qr^_+ EXPIRES:February 26,2016 Bonded That Budget Notary Swims • 9 CDPR2307 -- Qualifier Certification Information Collier County Board of County Commissioners Printed on 2/19/201 9: 07 : 38AM CD-Plus for Windows CERT NBA: 24414 QUALIFIER NBR: 23352 BRADLEY JOHN GARROD JR. CLASS CODE: 4270 PAINTING CONTR. STATE NBR: COUNTY COMP CARD: STATE EXP LIAB EXP WC EXP ORIG ISSD RENEWAL EXPIRES 1/8/2004 1/13/2003 9/30/2003 DBA: DI ABRUZZO PAINTING, INC. WC EXEMPT: Y OL EXEMPT: N ADDRESS : 4112 32ND AVENUE S.W. EXEMPT EXP DATE: 1/21/2005 CITY: NAPLES FL 34116- PHONE: (239) 348-7611 FAX: (239) 348-7611 NOTE: It is the qual=ifier ' s responsibility to keep all business, licensing and requirements current and to provide up to date copies for Collier County files. This includes all insurance certificates and any change of address information. Ccler County / c- vG"_.c/ C Cont:aCLor PAINTING, CON°_'R. L- Ap?uzzn PAINTING EIJ,D1 01IN ,2ND c, L` NAPLES FL Id]IC- Signed: • • VERIFICATION OF CONSTRUCTION EXPERIENCE GMD Operations &Regulatory Management Department Licensing Section 2800 N.Horseshoe Drive Naples,FL 34104 k pplicant's Name: 'oce /QQQ l7 /.26 L/7 :ertificate Category Requested: Of 2/ t(. ), :he Applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the pplication for this certificate the Applicant must verify their experience within this trade. You are being requested to 'rovide information that will aid the Applicant in meeting this requirement. You should verify time of active experience ✓orking as an apprentice or a skilled worker(e.g. as a worker commanding the wage of mechanic or better in the trade). 'ime served solely in a supervisory or administrative role should be described, but may or may not be considered efficient to demonstrate required trade experience. The person verifying trade experience must provide the following 'formation: `ame, Title and license number off the person signing below and verifying Applicants relevant experience: ame: 67-a c Ce_y_ ,- C�,Q itle: Pr2�/6 / License Number(if applicable): t/—?4 OD/ ame of Business: 6272/WCe P621-17 b-729 usiness Address: L/27/ JQ Inc-S —9 / C /o /am_ j/ 3.39Y6 usiness Phone: 910e-/3 7 Zeo6 The Applicant's years of experience from to he applicant's scope of work (specific duties)included: �G_e_ ?&779- /'-9/cl) 20! G203 COM CL ate' 71 ew con 5 c7z7 07) czs7cK (.re x/70 C2x_Je o • iditionalComments: ----PLCa .0( ) a&Qc (` Zi ilsifying any information provided herein may subject your license to revocation. 7/\./ Signature Print Name: /-0C-2/(_,C-(/ 6Qr✓Oc; ite of Florida runty of Collier e foregoing instrument was acknuvledged before me on this fay of'�t"7�ti�sl� Vjr c6X Q.� ClLvl'�d who is personally know to me r -oduced identification aid who did not take an oath. -- / iorYfi4 e �6 0, JA Lk; f l�tl+H IN kg,p? MY COMMISSION#EE 173ts' S gnature o Notary ,,. EXPIRES.February 26 2tf5 _ 'Grr.'ltr' .e �t"�A�W3yq sFY 7 E L D INc DEPART ME NT .., , v PUN'::A G OR'L)w, RUiLpiiKt, Ci T Y OF PUNTA GORDA, F_OFiDA, DEPARTMENT CERTIFICATE OF COMPETENCY 941-575-3324. ext 326 W. f�1A.RlOIV '�E. BRADLEY J GARROD PUNTA GORDP,, FL 33950 GARROD PAINTING INC 941-515-3324. ext 1 PO BOX 494410 e-mail: buiidingdept @ci.punte-gorde.f.ue PORT CHARLOTTE FL 33949 CERT.C-15-00009657 http://ci.punta-gorda.fl.us/depts/growth mamt/building.htn-ii TYPE: PAINTING CONTRACTOR NOT`VALID AFTER: September 30,2010 Expired or cancelled insurance automatically inact:vates license BUILDING DEPARTMENT CITY OF PUNTA GORDA BUILDING DEPARTMENT CITY OF PUNTA GORDA, FLORIDA 325 W. MARION AVE. CERTIFICATE OF COMPETENCY 941-575-3324, ext PUNTA GORDA, FL 33950 BRADLEY J GARROD 941-575-3324, ext GARROD PAINTING INC e-mail: buildinedept OCi.punta-eorda.6l.us PO BOX 494410 PORT CHARLOTTE FL 33949 http://ci.ounta-porcia.fl.us/deptsiarowthmErmu'buildinP.html CER T.#11-00009657 TYPE:PAINTING CONTRACTOR Expired or canceled insurance automatically inactivates a licenso NOT VALID AFTER: September 30,2011 BUILDING DEPART-Mr-NT CITY OF PUNTA GORDA. BUILDING DEPARTMENT CITY OF PUNTA GORDA,FLORIDA 326 W. MARION AVE. CERTIFICATE OF COMPETENCY 941-575-3324,ext 1 PUNTA GORDA FL 33950 BRADLEY J GARROD 941-575-3324. ext 1 GARROD PAINTING INC e-mail: buildin2,deQt@ci.Qunta-g,orcia.fi.us PO BOX 494410 PORT CHARLOTTE FL 33949 n://cI.pu05e-Eor da.fl.us/Oeptsjcrov,tl,merrIt ih!ildinF.htm CERT.E 12-00009657 TYPE:PAINTING CONTRACTOR Expired or cancelled Insurance automatically inactivates a license NOT VALID AFTER: September 30,2012 BUILDING DEPARTMENT `TIM' OF PUP:T A GORDA BUILDING DEPARTMENT CITY OF PUN T.4.GORDA, FLORIDA 326 W. MARION AVE. CERTIFICATE OF COMPETENCY PUNTA GORDA, FL 33950 91-''2-575-3324 ext BRADLEY GARROD 941-F75-3324: e"i GARROD FA!NTIP C In: PD BOX:490410 P9RT CHARLOTTE F_E3949 J.t: ;/ _,�1 u.fl a ner t ='tr i CERT.=13-00009657 TYPE'PAINTING CONTRACTOR Expired o'cancelled Insurance_aulomatically mact V a li NOT,./ALID AFTER: September 30,2013 i` v u _ _ �, KE.ihv A one; foe ,. ,,,ia h_.' ot>'iT. License Holder BRADLEY J GARROD - Name FIT7 Name GARROD PAINTING INC Aacres_, PO PDX 494-410 PORT CHARLOTTE FL 33949 Than:you for assisting Lee County Contractor Licensing in that abort 'Go Green;. Please keep is -`enbfro in a safe place as you will not be receiving any additional copies of your license from this office. Be sure to keep your email address current with us at all times. Below please find your Lee County Certificate of Competency. This Certificate will need to be renewed yearly if you wish to perform work in Unincoprorated Lee County. Renewal win begin in the middle of August of each calendar year. If you choose to place your license on inactive status please notify this office as soon as possible. Please keep yourself up to date with our departments information by periodically reviewing our website at www.lee-county.com/dcd!contractorlicensing.htm In addition to this Certificate, it is your responsiblity to maintain your workers compensation, general liability insurance and obtain a yearly business tax receipt from the Lee County Tax Collector while performing work in Unincorporated Lee County. You may email your certificates of insurance to ContractorLicensingQLeegov.com. Our phone number is 239-533-8895. Please send e-mall address and/or telephone changes to ContractarLice,sing©Leego'v.com P0v A E CHANGE P TEASE READ; In an e o to reduce costs and "gc green we will no Icnoe bs. rs iii renewv.Eil reminders. If you rush to recelve c renewa' rem'.nde Ala email please provid_ ,rs vt'M your Eris.. audress 'aldncf your case OOUr .ae. ti se C a Ou fete -- Conditions of Cerlticat, LEE COUNTY Cord-iiion_o`l-rfii�ra,- CERTIFICATE OF COL'PETENCY 1 x3£,533 889 She main,aln-ecu,re �cth� Renewal due for active and inactive certificate each yeas in September Ce ` 'u1eC NAMES BRF,OLFY!GAt P.OD D/B/i, GARROD PAJN INO INC COMP NO sr-la!!appe on a O FOP, rarac Si7naiute c•Lice;se Helder 13 . S _ I L IC200 -02%72 License Holder BRADLEY J GARROD Name Firm Name. GARROD PAINTING INC Addressi PO BOX 494410 PORT CHARLOTTE FL 33949 Below please find your Lee County Certificate of Competency. This Certificate will need to be renewed yearly if you wish to perform work in Unincoprorated Lee County. Renewal will begin in the middle of August of each calendar year. If you choose to place your license on inactive status please notify this office as soon as possible. Please keep yourself up to date with our departments information by periodically reviewing our website at www.lee-county.com/dcd/contractorlicensing.htm In addition to this Certificate. it is your responsiblityto maintain your worker's compensation, general liability insurance and obtain a yearly business tax receipt from the Lee County Tax Collector while performing work in Unincorporated Lee County. You may do so by emailing your certificates to ContractorLicensing @Leegov.com. Our phone number is 239-533-8895 Please e-mail address and/or telephone changes to ContractorLicensing @;Leegov.corn Our.here Conditions of Certificate LEE COUNTY Conditions of Certificate CER T 1FICAI E OF COMPETENCY 2s�)503"885x' Sh a maintain required insurances o cetive Renewal due for active and inactive certificates certificate each year in September. NAMED BRADLEY J GARROD D%BrA GARROD RAINING INC COf��P NO s.all a Gear or all Shall infcr� the Ccn I m_tor of LICENSED FOR Faimmici Cnir al d,e . o, iclet advertisements Including vei ice_ refiecucE a business name NOT VALID API ER: 0:+%3u', u11 ,on i Or p s Hol I.L ,ING DEPARTM=N7 ..iVY OF puNT A. GORDA BUILD' 1\1 -. DEPARTMENT w`{TY OF PUNTA GORDA.: LOR';DA 326 W. MARION AVE. CER.TiFICATE OF COMPETENCY PU TA. GORS;`, FL 539'50 eke _ BRADLEYJ GARROD 942-575-3324, ex GARROD PAINTING INC PO BOX 4944.10 C IYiZI�: bU!iCi G2U}�CI. r ;DiD?.fI.US PORTCHARLOTE FL33949 t.LF://Ci.GUnie nr0afl uS/Ceo' /E G.r,T ,`>7_mrrb iric.,`t;r,, CERT.#14-00009E57 TYPE:PAINTING CONTRACTOR Expire0 or Cdrlcei'Ieo III:G!"er1Ce eutomenoN Inet71Veoes e i`.Ce,"is' NOT VALID AFTER: September 30,2014 CHARLOTTE COUNTY LICENSING CERTIFICATE OF COMPETENCY CHARLOTTE COUNTY LICENSING NOT VALID AFTER 09/30/201 CERTIFICATE OF COMPETENCY . g n NOT VALID AFTER 09/30!201 Li ..Type: L PADCTp:G DTA GARROD PAINTING INC Tip: L L"l`1 AAA 00101 16 DB_a GA12P OD P ATATTl?vG INC BRADLEY GARROD L P o EX 49 411 ,c-N-1,- AAA 00101 lb PORT CHARLOTTE FL ;3949- B RADLEY G-RROD _'O B _4P.441(-:. .. POR? CHARLOTTE FL 539-19- = i DATE: Novenlber 29, 2007 TO: Applicant's "ROJ\1: Oii�:buei Osso in, Contractor Licensing Supervisor. CC: Robert Dunn, Collier County Buiidin_ Dir ctor. A lamar Finnegan, Collier County PerinittiEg Superviscr. Robert Zachary, County Attorneys Office. All Contractor Licensing personnel. SUBJECT: Collection of social security numbers=. Pursuant to Chanter 119, Florida Statues and Collier County Contractor LiceDsiirg Ordinance 2006-46 Sec. 7.1.1, all applicants are required to submit their soc_a: security number (SSr ) for ilr following✓T purposes: a) Assess applicant's abiblijto satisfy creditors by c j i L- in vreGit lit `o �LL rr \7er if Cat 0,1 of applicant's test scores and inf.=.atio n. Our office ,11 01 use S.b S _:SId as mar 01.h We are fully committed rC) scrb-gusr li andpn cr your "S 4 21n C'.ca collected, will be maintained as Ct,:nden ?al and Ch-ver 19, Finr'dn '" c SK if --1 7C-1 . 7i: .: ---.„ Tr r-----i /—:',: 7- ',7-----i 7----Th !ii-- Cornmercia Credit Report Company: SARR.oD PAINTING, INC . Date: _I/9 3 ;13 Cust. No.: 99 Address: 4271 JANES STREF, _ Price: sr:9 0 . X10 Ordered By: PORT CHARLOTTE, _FLORIDA 33980 Page: - Telephone: ;9 41> 743-7266 (X) Corporation PRINCIPALS: E N: 03-0496688 P'RESIDEI.T/V=CE PR.ES/TREAS/SEC GA.RROD, BR,z-, _-_, .7 . JR. Address: 1094 FERGUS LANE PUNTA GORDA, FLORIDA 33983 Social Security Number: - Stock Ownership: N/A Address: Social Security Number: Stock Ownership: Address: Social Security Number: Stock Ownership: Address: Social Security Number: Stock Ownership: CL3 .(r, PAID NG, _i,!O . was Trr _ -r- -- _ fli- "n= ? - - ff.L , on 12/06, 2002 . The charter racer 1s =J2U _ 129 20 he e- _ste ed a _?' - _v A �S.O,9 , BRADLEY, J . JP. . of 1C94 FERGUS LANE, PUNTA GOR.DA, FLORIDA x .983 . C ices E-ire EASED from CARP.OD DRYWALL at $700 . 00 per month . The company can-C . NET WORTH: ON FILE PITH STATE The company maintains banking relations with BANK OF AMERICA The officer handling the account is N/A - PORT CHARLOTTE, FLORIDA Reported for: API (72)NT b .<E , Reported by: Credit Check, Inc - 3017 Exchange Court; Suite H, West Palm Beach, FL 33409 . (561) 616-5956 S�4§ Commercial Credit Report Company: G.'=RROD PAINTING, INC . * Date: -12/23/113 Gust. No.: 9999 Address: 4271 JAMES STREET Price: 590 . 00 Ordered By: PORT CHARLOTTE, FLORIDA 33980 age: 2 PUBLIC RECORDS WERE CHECKED FOR COLLIER COUNTY, FLORIDA. A SEARCH OF COUNTY, STATE; AND FEDERAL RECORDS HAS BEEN CONDUCTED WITH THE FOLLOWING RESULTS: SEE BELOW**X *** Credit Profile *** Creditor Opened High Balance Rating SHERWIN WILLIAMS FAXED A&E PAINTS FAXED REMARKS: N/A = NOT APPLICABLE/NOT AVAILABLE * NAME CHANGE AMENDMENT FILED 06/02/03; OLD NAME WAS : DI ABRUZZO PAINTING, INC . A PUBLIC RECORDS SEARCH WAS CONDUCTED ON THIS NAME ALSO WITH THE FOLLOWING RESULTS : CLEAR AS OF 12/23/13 - SEVEN YEAR SEARCH . *** PUBLIC RECORDS SEARCH AS OF 12/23/13 IS AS FOLLOWS : ( 1 ) UCC FILING NO . 200901697956, 12/18/09, SECURED PARTY : SUETRUST BANK: COLLATERAL : ALL ASSETS, ACCOUNTS, FIXTURES AND CHATTEL PAPER INCLUDING PROCEEDS AND PRODUCTS _.__ 1R.y_ _lJ I'G BATE : 12/10/14 END OF PUBLIC RECORDS SEARCH . REPORT WORKED BY RENEE END OF REPORT . Tns commercial report is furnished simply as an aid in driermin ty the cred't desirability of the plicae l It is based upon information ob(ained in good toPh by this agency fcom sources deemed reiiabO The accuracy of sane,however is in no c c.guaranteed. By your acceptancc aru use of thi_i epert you_pec[ficahy arpee to hold„rent:Chace Inc harm e_,1 orn& , iftg w ..._:;eV ccr. r CONFIDENTiAL �l � CI Ck Individual Credit Report Name - GARROD, BRADLEY JOHN JR. 'Ordered By: Customer : 9999 Address : 1094 FERGUS LANE Received : 02/05/14 PUNTA GORDA, FL 33983 . ..-.._ . Completed : 02/05/14 Social # : Applicant : -3045 Bill Ant : $60 . 00 CREDIT RECORD (Credit history has been checked for a period of seven years or from open date . ) D.3=E 5/3 BANK CC AS AGREED 12/13 02/05 377 CLOSED 0 REV 00 00 00 R1 48 A DLA=03 /05 ALLY FINCL AS AGREED 01/14 08/10 22765 11153 0 378 0000 00 I1 40 C DLA=,12 /13 AM HONDA FIN AS AGREED 07/04 09/03 13647 CLOSED 0 0 00 00 00 Il 09 P DLA-07/04 AMEX PD WAS 30 09/12 11/04 2375 PAID 0 0 0100 00 01-* 48 A DLA=09/12 AMEX AS AGREED 05/10 11/04 7283 PAID 0 REV 0000 00 R1 40 A DLA-02 /09 BK OF AMER CUR WOS120 01/14 11/09 144340 128114 0 944 05 02 08 M1-* 48 C DLA=01/14 BK OF AMER AS AGREED 12/09 08/08 142408 CLOSED 0 0 0000 00 M1 16 C DOA-12 /09 CAP ONE AS AGREED 03/06 05/00 673 PAID 0 REV 00 00 00 R1 48 A DLA=03 /06 CASE - CC AS AGREE-, 10/08 01/06 1500 PAID 0 RED,/ 0000 00 R1 32 A DOA-03 /08 Ordered by APPLICANT - SEE NAME ABOVE Reporting Agency: Credit Check, Inc. - 3017 Exchange Court, Suite H, West Palm Beach, FL 33409 (561) 616-5556 Li(ED 1 Li ,, -IT CK coNHDENTIAL, Name • GARROD, BRADLEY JOHN JR. Customer. : 9999 Pace : CREDIT RECORD has erio o p_ (Credit history orb Iz� been checked for a p _d f ..even ears or from open date . ) C TI AS AGREED 01/14 05/11 6866 6045 0 124 00 00 00 Rl 31 A DLA=01/14 END NAPLES AS AGREED 02/05 07/03 476 PAID 0 REV 0000 00 Rl 18 A DLA=02/05 GECRB/DNKNDI AS AGREED 01/14 11/06 0 CLOSED 0 REV 00 00 00 Rl 48 A DLA=01/14 HARLEY DAVID AS AGREED 08/08 09/04 20273 CLOSED 0 0 0000 00 I1 45 A DLA=08/08 JAGUAR CRED AS AGREED 05/08 08/06 22618 CLOSED 0 0 0000 00 Ii 21 A DLA=05/08 LAND ROVER AS AGREED 08/06 09/05 27444 CLOSED 0 0 00 00 00 Il 11 A DLA=08/06 SEARS/CBNA AS AGREED 01/14 05/10 3806 3743 0 73 00 00 00 Rl 43 A DLA=11/13 SUNCOAST CU AS AGREED 12/13 07/11 14472 7644 0 260 0000 00 Il 29 C DLA=12 /13 SUNTRUST MIG FORECLOSURE 12/13 11/05 120000 0 0 0 C1. 01 24 M5--* 48 A DLA=08/11 Total trade lines on this report : l8 PUBLIC RECORDS: PUBLIC PECORDS HAVE BEEN CHECKED AT THE COUNTY, STATE AND FEDERAL LEVELS WITH THE FOLLOWING RESULTS : CLEAR AS OF 02/05/14 . SCiURC. S ` : Ed'i FAX NS, F1 ON INQUIRIES: Ordered by: APPLICANT - 0E; NAME ABOVE Reporting Agency. Credit Check, Inc. 3017 Exchange Court, Suite H, West Palm Beach, FL 33409 (561) 616-5556 Name - GA_RROD, BRADLEY JOHN JR . Customer : 9999 Pane : 3 INQUIRIES: 02/05/14 by CREDIT CHECK (TU) #00630273 COMMENTS: FRAUD RECORDS HAVE BEEN SYSTEMATICALLY CHECKED BY THE ABOVE ACCESSED BUREAUS . SAFESCAN/EQUIFAX, HAWK ALERT/TRANSUNION CHECKED FOR FRAUD . REPORT WORKED BY RENEE CREDIT SCORE: APPLICANT FICO SCORE : 613 (scores range from 300 to 850) *** END OF REPORT *** h-s ofdsmatIon is con Ode I;al a la is r.,f:o be divulged exe-n_as requ`. d by the FaIr CSed.t Reporting Act. Tn!s persona e.resort rni hed s ply as as,aid in de'erm,rinp the°reds d sOraa O n o""a app i a t ) It Is based upon information obtained in coo fail fabl by th:s agency from.=,oa c-s deemed re!lablc. Tne accuracy of same hov.ever,is it no way guaranteed. By your a.,cep:aace and use cf ns reboil,pa.specifically agree tc hold Creel CheK Inc.harmless from any liab Oit,vi,atsoe5e Ordered by APPLICANT - SEE NAME ABOVE Reporting Agency: Credit Check, Inc - 3017 Exchange Court, Suite H. West Palm Beach, FL 33409 . (561) 616-5556 L)etail h. 1 ntit■ \.ame Page 1 of?. a t`i+` n�9 < Pte , f r t •'C 744irr mgR i44 '= t-114 r.:,A .,e V.44,00,,* ,y k s a;,.:h '>�:rd.:�: .�,�.�,t:r•., M. Detail ni Name Florida Profit Corporation GARROD PAINTING, INC. Filing Information Document Number P02000129420 FEI/EIN Number 030496688 Date Filed 12/06/2002 State FL Status ACTIVE Effective Date 12/05/2002 Last Event NAME CHANGE AMENDMENT Event Date Filed 06/02/2003 Event Effective Date NONE Principal Address •271 JAMES STREET PORT CHARLOTTE, FL 33980 Changed: 06/15/2005 Mailing Address P.O. BOX 494410 PORT CHARLOTTE, FL 33949 Changed: 06/15/2005 Registered Agent Name & Address GARROD, BRADLEY JJR 1094 FERGUS LANE PUNTA GORDA, FL 33983 Name Changed: 04/28/2011 ddress Changed: 04/28/2011 Officer/Director Detail Name & Address Title PVTS GARROD, BRADLEY JJR 1094 Fergus Lane Punta Gorda, FL 33983 http://search.stmbiz.org/hiquiry/CorporationScarch'ScarebResuliDetail/Entil Name4lomp ... 2/20/2014 D,1=tail by Entity Name PaL:!.e 2 of Annual Reports Report Year Filed Date 04/28/2011 Home Contact Us E-Filing Services Document Searches Forms Help 2012 04/30/2012 2013 04/24/2013 Document Images 04112412013 . ANNUALREPORJ View image in PDF format 1 041',0/20 N VA R EI,P OPT r View image in PDF format 04/28/2011 A N uALR p 0 F.:7,3 View image in PDF format 04/2212010 ANNUAL REPORT View image in PDF format 07f10i2009 ANNUAL Fn::Don-r- View image in PDF format 06118/7009 AN N IAL REPORT I View image in PDF format 04/22/2009 — ANNUAL REPORT View image in PDF format .04/08/200 ANNUAL REPORT View image in PDF format 03/2612007 ANNUAI. REPORT View image in PDF format —1 y .2Erlc ANNUAL REPORT, View image in PDF format 0611505 NrA!At 00 A REPORT View image in PDF format 04/29/2004 -- ANNUAL REPORT View image in PDF format 1 0609/2003 -- ANNUAL. REPORT View image in PDF format 06/02/2003 L.- Name Change View image in PDF format 12/06/2002 -- Domestic Plot I View image in PDF format http://search.sunbiz.orgInquiry/CorporationScarcIVSearchResuliDetail/EntityName/domp-... 2;20/2014 2000 FOR PROFIT C RPORP tO6\I AMENDED 1t\Rd UkL REPORT FILED Jut 10 20)0 DOCUMENT# P02000129420 Secretary of State: Entity Name: GAR%D PAINTILIC. INC. Current Principal Place of Business: New Principal dace of Business: 4271 JAMES STREET PORT CHARLOTTE FL 3398C Current Mailing Address: New Mai!Lig Address: P.O_ BOX 494410 PORT CHARLOTTE FL 33949 FEI Number:03-0496638 FEI Number Applied For( ) FE; vurriber Not Appi:cabie( ) Certificate of Status Desired( ) Name and Address of Current Registered Agent: Name and Address of New Registered Agent: WOTITZKY, EDWARD L 223 TAYLOR STREET PUNTA GORDA, FL 33950 US The above named entity submits this statement for the purpose of changing us 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: PT ( )Delete Title: PVTS (X)Change ( 1 Addition Name: GARROD, BRADLEY J JR Name GARROD,BRADLEY J JR Address. 1094 FERGUS LANE Address: PO BOX 495218 City-St-Zip: PUNTA GORDA. FL 33983 City-St-Zip: PORT CHARLOTTE,FL 33949 Title: VPS iX)Delete Title: ( )Change ( 1 Addition Name: GARROD, BRENT A Name: Address: 3289 SAN WILDCAT RUN ROAD Address: CIC`.l St-Zip: ARCADI.A„ FL 34266 C!ty-St-Zip, hereby certify that the information supplied iwith this filing does not qualify fo-the exemption stated in Chapter 119, Florida Statutes I further certify that the information indicated on this deport or supphimental report is true and accurate and that mv_ electronic signature shall have the same legal effect as if macs under oath: that I am an officer or director of the corporation or the receiver ort;ustee e_mpo,cered to execute this report a5 ier uirE00 by Charter LW Florida Statutes and th 3-Y y al-tie api above, or on an attachment with an address. with all other I n_ empowered. ;li N,f Ti l[ BRADLEY GARROD PVTS :I Ele t ci Ic Sidnaturc of Sig nlnd Off r 7r Date „. -,,, - ---- 12 ....„_ .:, _.:;1-',..' ..;-'”: 1 - -0,--- I --r ,.:, --,,:„ I:: ,,,,,. 1: -,..,_-.-.=- i i ; 11:11 i IN 11 I lillif lij it 111 1 iii 111 ! 11 1! il (Requestoes Name) i i :1 1 11! Ill Jill)1 11 1 ' lig lii ,1 ll', i ! )1 I I; 1 i I .AI ! , I / jai 1 11: p 11 ,. 1,1,,,1 ii,, it 1111 1/1 , 11 I•, (Address) t Ail II / 00 n n 1 0 s'f oriP 7 C : A.,,A,„, ,-,,,,t • fl (Address) t r k (CifY/StaterZipiPhore#) - - , i 06/02/T4——010.c.'il——0_02 i ; 0 picK_up El WAIT 0 MAiL I 1 (Business Entity Name) - 1 (Document Number) Certified Copies Certificates of Status i ) Special instructions to Filing Officer: f i 1 I ..._ :. . .._ !. ! I 0 : ---7--, -,---:. 1 -7 Office Use Only / c / /6,9-7 ---.--- 7. /6/A,A,4 / — VVOTITz , IATariTzKy, Ross, GOLDIVIN,r, STUR.GES TUTTT F, RN-FITS At LAW NVOTITZKY' 'F1-1-1A-P,%IUD CF_EaTqL-1,' }AL F.V,,"01-17/KY" Ufa.ESTATE LKWY.7,a 23 TAZIOP,STREIT" TZLEPP 9-2 A±RrN R ROSS •-FT:SUPREME col:rc ,, JASON B C-Etc:IFIED C.T_Pri:rf CAE PUNIA C-O,RDA.,FixanDA 33950 ENGLEA ADOD(9411 47.3-100 E MEDIkTC):,, ERN7,51"Vs'.STURGES,T 18501".,5-ITRY503-7.aRCIE,SUITE 501 FAC.S.P',1=1-E: 1,4 R_ OARI caTsi iE AND PORT(2-LARIOTTE,Fr-ORLDA 3394E PUNTA".3-0PDA.(94:)639-":617 DEFNIS Ryxt_LACTS, P ORE C ilVi4L07.71-E(941; 27-1368 '1u,-.1 4K CLFCL,r1T taTVIL Piease Reply to: WEB 5117- LEO WOTITZRY vA:ritzkylaw co nt oo 031.1NaL. Punta Gorda May 12, 2003 FLORIDA DEPARTMENT OF STATE Division of Corporations Corporate Filings P.O. Box 6327 Tallahassee, FL 32314 Re: DiAbruzzo Painting, Inc. Gentlemen: Enclosed for filing please find Articles o fAmendrn ant to the Articles of Incorporation ofDiAbnizzo Painting, Inc. The amendment amends the name of the corporation and changes same from DIA.bruzzo Painting, Inc. to Garrod Painting, Inc. Also enclosed please find our check in the sum of S35.00 as and for the corporate fee. We appreciate your consideration of tiis matter. -Very truly yours, WOl T 7 Ky,TOT1TZTY. ROSS. LAN, .9.T1_aGES & T 7,71 T T- P A. fie f:„.„--7 - Edward L. Wotitzkv ELAV/ma • Encl. Carr,-,d Ltr _ - • ESTABL 72, PEISONAL oluno ONG cr. V-Fri NI:1Y 11. :1_ •-LIV-1 •.t .‘‘‘ TROSITS&ES:SA:a.PiXTNIt;C:-PROBATE•L11±,PMAI,:f17:11::-•Cr, :MXTrut: • Rai E,S2TE CLOSINCS-TITLE LNSLIPLANCF•REAL PROPERT Y LA1'•CONDOMT:sart..1 AO,• ARTICLES OF AMENDMENT TO 1 0-2 ARTICLES OF INC:30PPOR.ATION OF D AE RUZZO INC, Pursuant to the provisions of Sectio-is 607,1005 and 607,1006 of the Florida Statutes, the undersigned, being the sole ir corporator and director of the corporation hereby adopts the following Articles of Amendment to the Articles of incorporation: The current name of the corporation is Di Abruzzo Painting, inc. 2. The Articles of Incorporation sr€ hereby amended to change the name of the corporation to Garrod Painting, Inc.. As a res1 it, Article of the Articles of incorporation is hereby amended as follows: NAME: The name of tt,a corporation is GARF?0D- PAINT!NG, INC . a Florida corporation 3. The amendment to the Articles of Incorporation was adopted on the 12th day of May, 2003. 4. The foregoing amendment was adopted by the incorporators and sole director of the corporation without shareholoer action as no shares for this corporation have been issued, and, as a result, shareholier action was not required. IFJ WITNESS HEREOF,the undersigned hereby sets his hand and seal effective the 12' day of May, 2003, and hereby documeis his approval of the foregoin,d Articles of Amendment to the Articles of inccrporalion neretolore set forth. / f Sicned. Sealed and Delivered /1 / I I in the Presence of: / / /7 , 42...T7 • I III / ) Ec-e cvc —cccc Cla do t. Bifaretti Villalobos, Fri td Name fl•f First Mess Sol- orporator and Director 411r. 71- Printed Name of Second Witness STATE OF FLORIDA: COUNTY OF CHARLOTTE.: The foregoing Articles of Amendrient to Articles of incorporation were acknovviedoed before me this / day of May, 2003, by Claudio R. BifarEatli Vilialobos.the Sole Incorporator and Director of DI ABRUZZO PANTING, INC., a Florida corporation. He is p,_ernally known to ns;, or produced as identification, and did take an oath and deposed and stated the foregoing statements and matters are true and correct, Notary Public cl . ' Printed Narrk of Notary Public My Commission Expires: Commission/Serial Number Shirley A Coker f Nt°T1: Nts,Commission CC994598 Tires January 1E,2005 G:1Srity,4".,--coocrat;omGarrotA-iides c AmencirrznI - . t.. , ,..,.. . . _ . • ., . , ,*,.---- -. i!ft„g.,,,'S. ---- .,-...;',4Z,.-.4,.' •k, , .. , 1 ..., .. ._„..„ , — ,, !:1 •Ii. I i tii ir E yC 1 i%,,I, Li I 9 i [ii pi)li rn t (Requester's Name) 1; ill I ,iii 1 ill ii id it', g k, 4; iii 1 Tilifi ; il i!1 illil lill‘11! II !I ■ . . ,'“ ! Ili ;. 1P411 !I ir ' - - ' -- - - - — ' li.111111 J111(111 -114111t11:i i!ION..Ilikl if (i'-',zidreSs) i 00 00094 " # / A (Address) i ! (City/StatefZip/Phene t) — 0 PiCk-LIP WAIT NIAL i 1 _ I(Business Britity Name) 2.7-FECIPIE Wiit, i I(Document Number) i ,..,, Certified Copies Certificates of Status i----.. n .1 i Special instructions to Filing Officer: 1 1 I i! 1 i , , ---------- i i . , 4 , / 9 / . 4/ 4:! t t I ffice Use 1.Only il 1 i i 1 • P „ S MfTlY r LETTER December 4th, 2002 To: Department of State 'Division of Corporations P.O. Box 6327 Tallahassee, FL 32314 Di 13:BRL1770 PAINTING, INC. Enclosed is an original and one copy of the articles of incorporation and a check in the amount of $78.75. This checV covers ths filing fee and Certified copy_ Please mail the Certified copy to Borro Tax A3sociates 3940 Radio Road Suite 103 Napies, Flortia 34112 (239) 79`2-1040 We thank you for your assistano3 in this matter. Index to Articles of Incorporatior: CORPORATE NAME: Page 1, item I EFFECTIVE DATE/TERM: Page 1, item CAPITAL STOCK: PauE,,- INITIAL REGISTERED AGENT: Page 3, item Vi INITIAL OFFICERS: Page 3 item VII DIRECTOR(s): Page 3 Item VIII INCORPORATOR(s): Page 4 Item Xi ACKNOWLEDGMENT: Page 5 Bottom of page e . ee ARTIC:4ES OF IICORPORATION see. OE DI ABRUZZC PA:NTING, INC. cr The undersigned associates the ,,,lvees foi t E' purpose of":`efor_I-Liegee' corporation for profit under Chapter 6)7,, Florida Statutes, and -Certi;ty follows : — 77 I. NAME : The name of the Corporation is DI ABRUZZO PAINTING, INC. TERM: The term o existence of the Corporation is perpetual . The corporation shall be deemed to have commenced its existence on DECEMBER 5'2, 2002 . 'We-Li:AWE LATE III. PURPOSE: The corporation Is organized for the purpose of owning, operating, governing, administering and managing any legal business including but not limited to residentia2 and coriercial painting contractor, or any other related service, whoIesal2 and retail sales, installation, service, and any other legal business and to exeecise all powers and discharge &1.i responsibilities granted to it as a co:T,oration under the laws of the State of Florida and these Articles of Incorporation and the laws of the United States. IV. POWERS: The powers of the Corporation shall include and be governed by the following provesions: 1 . The corporation shall have all of the common law and statutory powers of a corporation for profit which are not in conflict with the terms of these Articles, and in addition, al: the powers conferred by the Florida General Corporation Act upon a corporation. 2 . The corporation shall have all of the powers reasonably necessary to implement the powers of the corporation, including btt, not limited to: s . To have pe.::-poturill b. To have a corporc, te seal, which may be altex:eC pleasure, and to use the same :Dy causi-Lg it, or a facsimile thereof, impressed, affixed, or in any other marnex reproduced. c. To purchase, take, receive, lease or otherwise acquire, own, hold, improve, use, and otherwise deal in and with real on personal property or any interest thereen, whenever situated. d. To sell, convey, nortgage, pledge, create a security interest in, lease, exchange, transfer, and otherwise dispose of all or any part of this property and assets. e. To lend money to, and use its credit to assist its officers and employees whenever, in the and of the di reh O " O the corporstion. such loav a r t.7 or 5C LSt5Ce ma? COZ QX 07' benefit the corporz.tio , The lean , yua7, -.nt . c,” otjA*--Y VI . INITIAL REGISTERED CFFICE, =C1TITIAL AGENT, PRINCIP.k.L oFFIcr, ACCEPTANCE OF REGISTERED AGENT i The initial registered agent office. 4112 32nd kve SW - Naples , FL 34116 an5. the rial7(Wi7 cf its, initial regi!,-.ttare agent is Claudio R. Bifaretti iiilob s . The initial principal office (and mailing address) of the corporation is 4112 32nd. Ave SW - Naples, FL 34116. The undersigned, Claudio R. Bifaretti V.,711a1obcs, hI coning these Article , accepts the appointment as iniiai reg:,stered agent, and affirms that he is farillar with, and accepts the obligaton of that position. VII . MANAGEMENT OF THE AFFAIRS OF THE CORPORATION-OFFICERS : The affairs of this corporation shall be managed by its officers, subject, however, to the directions of the Board, of Directors , except to the extent that the Directors shall have d.4.legated the responsibility for such management under the provisions of thes Articles and in accordance with the Bylaws . The officers of this copora.tioL: shall consist of a President, a Vice President, Secretary, and a Trasurer, -all of whom. shall be elected by the Board of Directors according to the Bylaws of this coLporation. The Directors may, if they desire, combine the off ices of Secretary and Treasurer and, in addition, provide for such other officers , agents , supervisory personnel or employees of the corporation as they shall see fit, none of which need be a, member of the corporation . Comllencing with the first annual meeting of the Board of Directors subsequent to inceporation, officers will be elected annually to hold office unti . the next annual meeting of the board of Directors or until their successors ara elected and qualify. The names and addresses of the officers who are to srve until the first election by the Board of Directors are: NAME: ADDRESS : POSITION: Bradley J. Garrod Jr. 7950 PI:eserve Cir. #324 PRESIDENT Naples, FL 34119 Claudio R. Bifaretti Villalobcf: 4112 32hd kve SK SECYETPX : Nar,14. FL :77:1; 1-7-;n7SIIPErR VIII . DIRECTOR(S) : There shall be ONE (1) director (s) of the corporation . The name (s) and address (es of the initial board of Cirector ) who shall serve until the first electicn are. NAME: ADDPESS : Claudio R. Bifaretti Villalobo 4112 32nd Ave SW Napla , FL 34116 . • IX. REMOVAL OF OFFICERS AND DIRECTORS: The officers and directors may be removed, prior to the expiration. of their terms in accordance with the provisions of the Florida law applicable to corporations for profit, which provisions shall control; hewever, there shall not be applicable, controlling provisions of law for the removal of officers or of directors, then the following shall app17: Any efficer may be removed prior to the expiration of his term of office in thi manner provided hereinafter, or in such manner as provided by the Bylaws . Any officer may also be removed for cause by a two-thirds (2/3) vote of the full Board of Directors at a meeting of Directors called at least in part f'.or the purpose of considering such removal. Any director of this corporation may be removed with or without cause, and for any reason, upoc a petition in writing of a majority of the stockholders of this corporation appro7ed at a meeting of the stockheiders called, at least in part, for this purpose, by a two-thirds (%) vote of the stockholders . The petition calling for the removal of such director shall set forth a time and place for the meeting of stockholders, and notice shall, be given to all members of such special meeting of the stockholders at least ten (10) days prior to such meeting in the Fanner provided in the Bylaws for the giving of notices of special meetings . It any such meeting the director whose removal is sought shall be given the opportunity to be heard. X; INDEMNIFICATION OF OFFICERS IND DIRECTORS: Every director and every officer of the corporation shah: be indemnified by the corporation against all liability and expenses, including counsel fees, reasonably. incurred by or imposed upon hi in connection with any proceedings to which he may be a party, or in which he may become involved, by reason of his being or having been an officer or director cf the corporation, whether or not he is a director or officer at the time suee liability or expenses are incurred except in such cases wherein the director or officer is adjudged guilty of willful misfeasance or malfeasa: .ce in the performance of his duties; provided that in the event of any claim for reimb'irsement or indemnification hereunder based upon a settlement by the director r officer seeking such reimbursement, or indemnification, the indemrificatic171 shall apply- only if the Board o.t Directors approves such settlemit ai:L6 s beillg in the int;eesl. of the corporation. The foregoing rigats of indemnification shall be in addition to and not exclusive of all other rights to which such directors of officers may be entitled. XI . INCORPORATOR(S) : The names and addresses of the incorporator (s) are: NAME: ADDRESS : Claudio R. Bifaretti Vallalobos 4112 32nd Ave SW Napl':4s , FL 34116 , XII . CONTRACTUAL RELATION ; In the absence of fraud, no contract ee other transaction between this corpoeation and any other person, flee , association, corporation or paetnershi.a shall be affectee or invalidated by the fact that any officer or director ':f this corporation is pecuniarily- Cr otherwise interested in, or ie a direetor , member or officer of any sech firm, association corporation or partnership, or is a -party to or is Pecuniarily or otherwise interested in :each contract or other transaction, or is in any way connected with a:ly persoe, firm, association, corporation, or partnership, that is intereseed therein , pecuniarily or otherwise. Any director may vote and be counted in deteleaining the existence of a quorum at any meeting of the Board of Directors of this corporation for the purpose of authorizing such contract or transacticn with like force and effect as if he or she were not so interested, or were not a director, member or officer of such other firm, association, corporation or partnership, providing that such director shall have disclosed to all other directors at or before the meeting, or all other directors shall otherwise know the facts of such relationship or interests of the director. In any and all events , a contract or transaction which is fair and reasonable as to this corporation at the time it is authorized by the board shall nevertheless be enforceable and neither void nor voidable . XIII . BYLAWS : The original Bylaws of this corporation shall he adopted by a majority vote of the Directors of the corporation. The Bylaws of this corporation may be amended, altered or rescinded by the Board of Directors only in the manner peovided for in the Bylaws. XIV. AMENDMENT OF ARTICLES : If the provisions of statutory law of the State of Florida applicable to this cceporation shall provide an exclusive method or methods for the amendment of these Articles inconsistent with the provision hereinafter set forth, then the provisions of such law applicable to this corporation for the amendmeat of these Articles shall apply . Otherwise, when the provisions of statetory law applicable to the amendment of these Articles are not exclusive ca permit amendment by a proces or- processes set forth in the Artic.lies, the-a these Articles of Incorporation mv be amended. from time to time bv :tesGlutri adopted by a me'Tortv 0± tin oard of Directors at any meeting of all the Directors of the corporation called, at least in part, to consider such amendment at which all of the directors are present. If law permits, the amendatory methods set forth in this ArticJs. shall be exclusive methods for amendinc these Articles of incorporation . The undersigned izeoeporator (s) have /exe"C4ted. these Articles cAT Incorporation on the 4'h day of Decembse, 2462/ / t /I 4 / ! , Claudio R., .Eifaretti CFRTIFICATE OF DESIGNTION oF REG1E RE D. AGENTIREGISTLRED OFFICE PURSUANT TO THE PROVISIONS OF SECTION 6070501 or 617-0501, FLORIDA STATUTES, THE UNDERSIGNED CORPORLTION, ORGANIZED UNDER THE LAWS OF THE STATE OF FLORIDA. SUBMIT THE FOLLOWING STATEMENT IN DESIGNATING THE REGISTERED OFFR,-,EIF EGISTERED AGENT, IN THE STATE OF FLORIDA. 1. The name of the corporation is: DI A-3RUZZO PAINTING, INC. 2. The name and address of The reoistei`ed agent and office is: Claudic R. Bifareti Villalobos 4112 32' Ave SIN Naples, FL 34116 Having been named as registered agent ar d to accept service of process for the above stated corporation at the pace gesia-iated in this certificate, I hereby accept the appointment as registered agnt and ao-ee to act in this capacity, further agree to comply with the provisions of all statutes relating to the proper and complete performance of my duties, and I m familIa with and accei:r..t i ,-,- posititni ac re/gf-'tered agent. ( / ( - C (Signature) ,/ (D a r DIVISION OF CORPORATIONS, P.O. SOX 6327, TALLAHASSEr':. Fr i 1, 1 : 1,< 1 J-, I I_1—,LI—, _ ,, ......,,-• , - j un Oc e 2003 F' , 9 - ,_, . .....„i• .c.,- S e C retaf—v- of *,::-.,' tat': ,,,.....„ • 2O F0F4, PROFIT CORPORILTIOK UltEFO NESS: REPORT ,E,$) DOCUMENT t P02000129420 A .,..,•i.--,,,y,,,,,.„. 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OFFICER5 AND DIRECTORS ADDETY-1,1S/CHANGEE TO OFFICEM AND DIRECTORS ON 11 ,-• . 0 tkielt 11111,,E 1 VII PD • 0C 0*Anon j-6 GARROD,BRADLEY J JR I 1 Vtill AtIML.1860 PRZSERVE CIR 1824 spartkoNd 1 IA ', crtv.s;-2F I NAPt.Es.Ft.. 34119 c4r-ss2it 1 U; ________ ..? InIE ts-n) - 0 Otitt Ina ( D CtrIrtr 0 Adth;71&‘. ,u ) bLA44 BIT-' R c Ill VILLALOBOS,CLAUDIO P 4-,74.1.1oD4rss 41122D AVE SW - stint AdaRts-,, 1 , Cif-M-2r IN_APLES,FL a.a 116 . — ---------_-- ----- 0 Dt,e7 . lila 1 ri my 0 tt6tv, i Hoot I l r,1005 — _ t ( via — - - —0 De+sir--•_11-714,_ _ __ _ D Cbdrz- CD luld'e,-. ■ 1 stAtiladtAM ', smen e.)av,...c, 1 i UTY-di-ZP CITY•SI-ZIP 1 Ismt 0 Derr . NILS 0 ctriv, 0 kezI.-1:., . I ' kk6C YAW 1 stRita azetit.,v : suet/awns. 1 1 tftv-II.te arr.o-ztt 1 - _ , int* 0 Deiete rda 0 claret 0)"tl'r iyaw. m.he i ststi 1 odOrEss . sirtrt Ansr.z i car-zd.ze ' CriY-$7.-zt 12. 1 twetsy certify that the teIhr--111*21 .4 tea ,0 I fiqn ooeu.,,r:1,:te;1;1r:inlay to,the exernoons,taita-,Ts,,,,.ton 11907(1X!) Ftoddt S'IlLdefi.1 torew certify that tee intorrraton that r.-7 slims/at Shal■hay ;h.:,.larflo 4filt.)<Ow a$II rld4 upoor crates Dar I zrh tte otrK;er or cerecery r.t,r,r cr:tior.'vc,,,7:(4`):suP.10,11C.1.,re,67444;effic„, . . .1 is roo..treti .,..Chant-60/,F;oddr STatulem,and C-1E3 rov ooroo Appev in tilocl;le of" f Cfillr■VIMI.OP 0,1 An Zttttincr.ont P•th,.accife$.1.,',. ,. ,, ..!,:25).efy1cx-Avereo. / / -, 1 0,,, . 4 .'----t 1 Lk/ i (9/,-;,/(,/`-'6 /1:2,-- 1'--•_z-,, ) r''. '-,,f?,- `';': ` ' ' tt Cr,t Y.te.,1 it,tr11:- — _.—._,/—.._-_,.._ _..., --,----- —__ ( , ' ' -1- r,.''15 V«v«,««-,. -,,«-,L.' '',C7r".:"4,.1`,,r-r',,,- e , , , • Form Request for Taxpayer Give form to the (Rev.October 2007) identification Number and Certification requester. Do not Department of the Treasury send to the IRS. Internal Revenue Servioe Name.,(as shown on your income tax return) o ro Business name,if different from above a. 4 o Check appropriate box: ❑ IndividuaV t Sole proprietor 'Corporation ❑ Partnership P Pxe t ❑ Limited liability company.Enter the tax classification(D=disregarded entity,C=corporation,P=partnership) $ ❑ payee a 2 ❑ Other(see inshuntions) = Address(number,street,and apt or suite no.) Requester's name and address(optional) E3 City,state,and ZIP code vt i �� '. , , �, ; a List account number(s)here(optional) to Part4•; Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box.The TIN provided must match the name given on Line 1 to avoid Social security number backup withholding. For individuals,this is your social security number(SSN). However,for a resident alien,sole proprietor,or disregarded entity,see the Part I Instructions on page 3. For other entities,it Is your employer identification number(EIN). If you do not have a number,see How to get a TIN on pace 3. or Note,If the account is In more than one name,see the chart on page 4 for guidelines on whose Employer identification number• number to enter, �% r Part; l Certification Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number(or I am waiting for a number to be issued to me),and 2. I am not subject to backup withholding because:(a) I am exempt from backup withholding,or(b)I have not been notified by the Internal Revenue Service(IRS)that I am subject to backup withholding as a result of a failure to report all interest or dividends,or(c)the IRS has notified me that I am no longer subject to backup withholding,and 3. I am a U.S.citizen or other U.S. person(defined below). Certification instructions.You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax retum.For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement(IRA),and generally,payments other than interest and dividends,you are not required to sign the Certification,but you must provide your correct TIN.See the instructions on page 4. Sign Signature of f • Here U S.person Date General Instructions ( Definition of a U.S. person, For federal tax purposes, you are considered a U.S.person if you are: Section references are to the Internal Revenue Code unless An Individual who is a U.S. citizen or U.S.resident alien, otherwise noted. A ain s i N, corporation, CorrlNa "iy, til-aSSOUiH i0i1 U6at6u Ui Purpose of Form organized in the United States or under the laws of the Unites A person who is required to file on information return with the States, IRS must obtain your correct taxpayer identification number(TIN) * An estate (other than a foreign estate), or to report, for example, income paid to you, real estate A domestic trust(as defined in Regulations section transactions, mortgage interest you paid, acquisition or 301.7701-7). abandonment of secured property, cancellation of debt, or Special rules for partnerships.Partnerships that conduct a contributions you made to an IRA. trade or business in the United States are generally required to Use Form W-9 only if you are a U.S. person (including a pay a withholding tax on any foreign partners'share of income resident alien), to provide your correct TIN to the person from such business. Further, in certain cases where a Form W-9 requesting it(the requester) and,when applicable,to: has not been received,a partnership is required to presume that 1. Certify that the TIN you are giving Is correct(or you are a partner is a foreign person, and pay the withholding tax. waiting for a number to be Issued), Therefore, if you are a U.S. person that is a partner in a 2. Certify that you are not subject to backup withholding, or partnership conducting a trade or business in the United States, provide Form W-9 to the partnership to establish your U.S. 3. Claim exemption from backup withholding if you are a U.S. status and avoid withholding on your share of partnership exempt payee. If applicable,you are also certifying that as a income. U.S. person, your allocable share of any partnership income from The person who gives Form W-9 to the partnership for a U.S.trade or business is not subject to the withholding tax on purposes of establishing its U.S. status and avoiding withholding foreign partners' share of effectively connected income. on its allocable share of net income from the partnership Note. If a requester gives you a form other than Form W-9 to conducting a trade or business in the United States is in the request your TIN, you must use the requester's form if it is folio■ ing cases: substantially similar to this Form 1N-9. Tit t_l. oN'nel" t' t fy ant 13,3i Lei N I F r.v t tr e Lt .. y C IL �0V ( A. `t' ,-�' INS E f 3/2.0 _ __ _i r THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS s CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER. AND THE CERTIFICATE HOLDER. I IMPORTANT: If the certificate holder is sn ADDITIONAL INSURED. the policy(ies) must be endorsed. If SUBROGATIOIr, IS WAIVED. subject to the terms and conditions of the policy, terrain policies may require an endorsement. Astatement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(c). V9"i7A, RO =DDCER L.J NAVE Van Soles Work Comp Sys terns I. PHONE r ExS 863-438-27 1 ? ,.,0N.,-863-438-2711 1 711 E. Main Street, ETC 411 ADDRESS E Haines City, FL 3384 4 INSURER(S) AFFORDING COVERAGE t NAICA' j . 1 INSURER i -fi sUPED Garrod Painting, Inc. INSURER E 4271 James Street t INSURER C_ E 9 41-743-726. URER D Port Charlotte, FL 33980,, ws t REF E Star Insurance Company ; INSURER F_ COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLIO( PERIOD INDICATED. NOTWITHSTANDING ANY RECUREMENT. TERM OR CONDITION 0$ ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY I r ^JN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS Or SUCH, I t ,.IES ! SITS SHOtJN MAY HAVE BEEN REDUCED BY PAID CLAIMS. Itisk -- ----_ _-- — IA J�'suss- - - - - ----._._ PCl'C' ,r LTR TYPE ,NSU RANEE Yt c JvC =OLICY i.1BEE lvl, CL Y'Y (MI ;DC ... LIMIT COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE Ni.L-E I RtR c _ -_ - CLAIMS-MADE ( OCCUR j ! PREMISES IEz occur e.,ej MED EXP(Any onepe son! S [PERSONA`_&A[$INJURY $ - - NON"L AGGRE GATE LIMIT PP:ES PER. I GENERAL AGGREGATE S POLICY PR �_-- JE L0, PRODUCTS OM OP AGO S OTHER S ..._ ------.-- AUTOMOBILE LIABILITY Ndl`JI-.J-swat-Thy' S r.a aca ien _ BODILY INJURY Pe ANY AUTO ( person; S DOWNED SCHEDULE, AUTOS AUTOS NON-O hNED BODILY I IJRY (P e ac den, S PROPERTY' C vA S _... HIRED AUTOS AUTOS I Per act ae 0 - ---._ I UMBRELLA LIAR cC OCCURRENCE EXCESS LIoB I-1 CLAMS-MADE I AGGRE E S ( DE PETEr IOr S -- --._.--- - -. ..-Lth ERs OMr ds TJd ; / ��"_ � �u _I� � I EMPLOYE-RS' LIABILITY YIP. ( - EANY05 O IETO R NER XEcUiIC r N p. EL EACH LEN 1 , 000 ,000 E lorr rasER X LUDED% r � 11/17/14 t Mandatory m H; WC 080199400 11/17/13 ,E DIS _EI ( . 1 ,000 ,000 J It yeE describe Lode, ■ ESSCORIETEDN P, PER T o ds Selo• I- —I 1 IE c C r__. M"1 1,- int U00_JI I I t I l__ I I DESCRIP I,ON OF OPERATIONS LOCATIONS _EF'I°_ CC Is_ is I usust.EuI FE,IlarKs S_ _, e.r y De attached(mere space c reeu,redt 30 days written notice _,o the event of cancellation. Bradley Garrod is inc.'_ucr-d. in the Workers Comp. 1 � CERTIFICATE HOLDER CANCELLATION Collier County SHODLD AN OF THE ABOVE DESCRIBED POLICIES BE CANCEL BEFORE �� Contractors Li ccnsd ng Board. THE EXPIRATION DATE THEREOF. NOTICE WD_ RE DELIVL J B IN 2800 N. 1C'irseti!)" .:? ACCORDANt F WITH THE POLICY PROVISIONS r_ Nales, r '.---- rp� I I Cii 1988-2013 AC Cr c,C ORPCRA I )I v vI, F r ACORD25(2013/04) The ACORD name and logo are registered marks of ACORD Proof oI Coverage Page 1 of 1 A—,-; JEFF AT IA'I'ER, CHIEF FINANCIAL OFFICER -.- Fl OF DEPAR I MEN I° OF FINANCI:kI. SERVICFS Exemption Detail Page This database bras last updated 1 hursdad,'\larch 27,2014 12:14:‘NI. Return to Previous Page BRADLEY CI ck Hera to V e v GARROD PR Jan 23 2013 Jan 23 2015 Construction Act/It es Listed an GARROD - PAINTING INC mpt on C ICI,Here to r,ie,v GARROD BRADLEY GARROD PR Feb 18 2011 Jan 23 2013 Construction Act s ties Listed on PA INT'NG INC Exemption A k Here to View ( BRADLEY GAR SOD PR GARROD Marl 2009 Feb 18 2011 Construction A,IVL s Listed OP PAINTING INC xemptlon I BRACE PH j Dick Here to V ex., GARROD GARROD PR Mar a?007 Mar 72009 Construction Act Mies 15102 on P<IN TING INr, GARROD Exemption BRADt FY CI c - � k H re to J are '� GARRO:? PR li Feb 24 2005 Feb 24 2007 Construction Activities Listed on PAINT NC NC Exemption Cik H e to Harw BRADLEY PR an 17 2004 Jan 21 2005 Construction A t vd s■fisted on r RP CU CARROD E xer, lion AINT INC IN'J Cl rk rare to Vcw GARROD BRADLEY PR Jan 22 2003 Dec 31 2003 Construction Act v r es t fisted o, GARROD ( cxemphen PAIN NC INC BRADLEY r e Here to Hear G HR TC SS Sep 5 2007 Sep 4 2009 Construction ry t s steal on j C,ARROD S JCCO INN Exempt on Return to Search Page https://apps8.fldfs.com/proofof co verage/FxemptionDetail.aspx?pr person id=000768540 3/27/2014 r,, c- - CT, > "n '..-: - C) 4)-)-• rf.'" ■-='' 0.--4 rD .7 .q) ('h ro ci — ro ci) if) z , i >,,, . --- ..< 0 ,,. - , cr' = — >- ro z , \-- \'---\.: ,---- C c ,-, a) ,,e ....., g2L 24 ' CI '-',/""i,t 171 C m c rr, - — r- - In Orril --/ ,.., z -0 o ri .„ E _ „,, - .... uo vl. a',) r= a VI .J--,-„..•,- VI CD Cu c . 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E) ---i war-----i O rn 0 0--- --I („,,f'. 2 ( D ' 7* -4 .--• 0 1..J frIl n vs na o rD rD "r5 Im'si o 0 -,< = vs r-i- D c a) = a -' -I ,_ titirTVZ= 2 r-i. -I -7 VI "'-'I (D ni 0 c — 0 r+ -4 -1 a) ,-t. --s -÷, ,. a-- 2 r„ a- --s r-t -400 a) H ::-7.1)1):' m " ()) -° I) ZIT- CD cD v, s.1 ' - Cr, sr, c., LOCAL B US NES-S: MUST BE DISPEL, EE IN A DDNSPICUCUS BLASS EXPIRES Sep e nUer 30 2010 TYPE OF BUSINESS 091581 CONTRACTOR PAINTING &WALL COVERING NEW'BUSINESS X RENEWAL SUPPLEMENTAL BUSINESS 4271 JAMES ST TP,ANSFEP.- ADDRESS PORT CHARLOTTE; FL 33980 ORIGINAL TAX 35 00 BUSINESS GARROD PAINTING INC NAME APB/OUN.T 35.00 PENALTY C:.Ou OWNER BRAD GARROD TOTAL 35.00 MAILING PO BOX 494410 ADDRESS PORT CHARLOTTE, FL 33949 THIS FORT!BECOMES A RECEIPT ONLY WHEN VALIDATED - PAID-E0i,4h=6. D001-0001: WEB 09/EE/200= 33 . 00 2000/2010 CHARLOTTE COUNT Y ACCOUNT 5840 LOCAL BUSINESS TAX RECEIPT MUST BE DISPLAYED IN A CONSPICUOUS PLACE EXPIRES September 30, 201D TYPE OF BUSINESS 001581 CONTRACTOR PAINTING&WALL COVERING NEW BUSINESS X RENEWAL SUPPLEMENTAL BUSINESS 4271 JAMES ST TRANSFER- ADDRESS PORT CHARLOTTE: FL 33980 ORIGINAL TAX 35.00 BUSINESS GARROD PAINTING INC NAME AMOUNT 35.00 PENALTY 0.09 OWNER BRAD GARROD TOTAL 35.0 MAILING PO BOX 494410 ADDRESS PORT CHARLOTTE, FL 33949 THIS FORM BECOMES A RECEIPT ONLY WHEN VALIDATED PAID-90I4hSb •000I-0091, WEB 09/ES/E009 S3. 00 Dear Business Owner: Your 2009-2010 Charlotte County Local Business Tax Receipt is attached above. Please detach the receipt and display it in a place that is visible to the public and available for inspection. The Charlotte County Local Business Tax Receipt is in addition to any other license or certificate that may be required by lav,,and does not signify compliance with zoning. health, or regulatory requirements_The Charlotte County Local Business Tax Receipt is non-regulatory and is not an endorsement of work quality. Your 2.009-2010 Local Business lax Receipt is valid from September 01, 2009 through Sept,I,. .7 Wit- <,.r-Jdl r".:- int nr,I aI_ mailed in June to the address of record at that time Any C onge- Sj,your'_oonl bus esE ax ,nrd um ne to c I L Na me. Ova meh■, Phys=ca i AddresE or von Ciosinc yeJ(-Business pne-a.se C. coy—net our c4.44(de( a:t t . 2r.Ir r F LOCAL BUSINESS TAX R`CE[ - ',.A I,F1 55!5 MUST ES DISPLAYED. IN ACONSPICUOUS PLACE ,'.pl RU SEPTEMBER 00 . TYPE OF 1581 CONTRACTOR PAINTING 8:WALL COVERING (CONTRACTOR PAINTING &WALL C BUSINESS RENEWAL B'USIN'ESS 4271 JAMES ST ADORES`, PORT CHARLOTTE, FL 33980 BUSINESS GARROD PAINTING INC NAME leIc0.5) h5t 35 00 'PENALTY 0.0 OWNER BRAD GARROD TOTAL 35.00 MAILING PO BOX 494410 ADDRESS PORT CHARLOTTE, FL 33949 - 1 i IS ES:P:5;EECOMES�,RECEIPT(U 1' . iEN VALIDATED _ _ _ __ - _- Paid 10/D1,/201,0 Receipt # 898°00DO OED 7 3.5 . 00 2010/ 2011 CHARLOTTE COUNTY LOCAL BUSINESS TAX RECEIPT ACCOUNT 5840 MUST BE DSFL,AYED IN A CONSPICUOUS PACE EXPIRES SEPTEMBER 30,2011 TYPE OF 1581 CONTRACTOR PAINTING&WALL COVERING(CONTRACTOR PAINTING&WALL C- BUSINESS RENEWAL BUSINESS 4271 JAMES ST ADDRESS PORT CHARLOTTE, FL 33980 BUSINESS GARROD PAINTING INC NAME AMOUNT 35.00 PENALTY 0.00 OWNER BRAD GARROD TOTAL 35.00 MAILING PO BOX 494410 ADDRESS RESS PORT CHARLOTTE, FL 33949 Paid 1.0/01/2 DlE Receipt # 89B-0DD00007 D= , DD Deer Business Owner Your 2010- 2011 Charlotte County Local Business Tax Receipt is 50800e l ab tic. Paco,;-detach the ipt and dispit,y r Ie ;He is visible to the public end available for inspection. The Charlotte County Local Business Tax Rece-U is In adcR of to'cll:, OtHEI II, ,.sP csoOtIoate the:may be iect LIS ed . IF:d;arid-- not s snl ' c.:nll` an„e J'II c(LI'mg health n b:st.gulotory requirements The'CII. icttc ' C,,Illy L---_i Bill_ Ic ;:z-cc on-heg Chat..' 55 1 IS no ei-Ksorsehneel.C WCr„ othabo, 2010 201 1 I.ss-so EH_ - e R( p 20 2011 / 2012 CHARLOTTE COUNTY LOCAL USINES-E TAX RECEEPT AC,COUNT 5840 OUST BE DISPLAYED IN A CONSPICJOUS PACE — E�PIS-S SEPTEMBER 35,2012 TYPE, BUS N O ESS 1581 CONTRACTOR FAINTING S WALL COVERING(CONTRACTOR PAINTING S WALL C _NE'd AL BUSINESS 4271 JAMES ST ADDRESS PORT CHARLOTTE, Fl 33980 BUSINESS GARROD PAINTING INC NAME AMOUNT 35.0= PE'IG_.LT. 0.U9 OWNER BRAD GARROD TOTAL 35-00 MAILING PO BOX 494410 ADDRESS PORT CHARLOTTE, FL 33949 THIS SOS, BECOMES A RECEIPT gLY WHEN VALIDATED Paid 05/30/2E1,1 Receipt # 899-E00E0972 35.0E 2011 1 2012 CHARLOTTE COUNTY LOCAL BUSINESS TAX RECEIPT ACCOUNT 5840 MUST BE DISPLAYED IN A CONSPICUOUS PLACE EXPIRES SEPTEMBER 30.2012 TYPE OF 1581 CONTRACTOR PAINTING&WALL COVERING(CONTRACTOR PAINTING&WALL C BUSINESS RENEWAL BUSINESS 4271 JAMES ST ADDRESS PORT CHARLOTTE, FL 33980 BUSINESS GARROD PAINTING INC NAME AMOUNT 35.00 PENALTY CLOD OWNER BRAD GARROD TOTAL 35.00 MAILING PO BOX 494410 ADDRESS PORT CHARLOTTE,Al 33949 HS AOPG EECOMES A RECEIPT ONLY 1NREI-,vA.LID-.-EO Paid 09/30/2011 Receipt # 899-00000972 3E.0 Dear Business Owner. Your 2011 - 2012 Charlotte County Local Business Tax Receipt is attached above.Please detach the receipt and display it in a place final is visible to the public and available for inspection. The Charlotte County Local Business Tax Receipt is in addition to any other license or certificate that may be required by Iav,'and doer- not signify compliance with zoning,health.or regulatory requirements,The Charlotte County Local Business Tax Receipt is non-regulatory and is not an endorsement of vvork quality Your 2011 - 2012 Local Business Tar Receipt is valid C M Sente i'Le! 01. 201:1, U hrc un 221 2 ; mat r,d i� J,,w is or eed,Jress of record al that time Any Cilt,ancer.to you :_och,H isiustz Tat,At,cittuh n 20121 2013 CHARLOTTE COQ 1N Y LOCAL. EUC[NE5C 1-AX : €M r BRAD GARROD TOT:" PC BOX 494410 PORT CHAR-CTTE, Fi 33949 - Paid 09/27/20!12 receipt HINT-OLGE-I=I 33 .EL 2012/ 2013 CHARLOTTE COUNTY LOCAL BUSINESS TAX RECEIPT 5840 DISPLAYED IN A corn.,_IcuoU.,PLACE EXPIRES SEPTEMBER 30,201: TYPE OF 1581 CONTRACTOR PAINTING&VJALL COVERING(CONTRACTOR PAINTING&WALL C; EUSINESS RE. �r,;�E� A, ELISNES.c 4271 JAMES ST ,-,DDRESS PORT CHARLOTTE, FL 33980 JO9N SS GARROD PAINTING INC �;�;L1 35.00 AL,,E —E N 0.00 088(NER BRAD GARROD TOTAL 35.00 P:.=;i,JfdJ, PO FOX 49441D ,_ SC PORT CHARLOTTE FL 23949 Peic E9/E7/POLE Receipt # TNT—DOOE4EEl 35. 00 Cear L - Turaer V r 2012- 20 3 Cf, i _,+',. ., u! x_or_ r:coos 1.-Y knet.norni itt r.t.0 ..o artor,aa_Pi. ntradonord the. <. and rstroolny - osibrn is pub:_. and rVairt_e fob inspenLiton I h.Cc.arlC' _ ,,ortr''. CC.a: Edusin,.S5 Tai.Fterater .I in addition in- A , ether JCa:.I,, Or C" .. I„r, .that i. 1101 C':■,d -.213.12torling hero ., rearalataty fe _ _.li="I.tt I`ic:r_ .ot e Coruntd. Lontai Eairta3eotn c,.: n_ .,. Ur, i_ not_r}Endorser-neat " noy.rr 2052 -2013 lordorn .a a __ -. 2C12 rr 2013 201 / 2014 CHARLOTTE COUNTY LOCAL BUSINESS lA?X RECEIPT -,c.c ul,;-, 0 E BRAD CA PROD TOTAL 35.00 MP.'LING PO BOX 494410 DJRESS PORT CHARLOTTE,FL 03949 Paid 09/27/2013 Receipt 4 INT—DOD28283 33.D0 • 2013/ 2014 CHARLOTTE COUNTY LOCAL BUSINESS TAX RECEIPT ACCOUNT 5840 i`a�LST BE o. PL.,,.veo i,a S Loeser Sous PLACE EXPIRES SEPTEMBER 30,2014 TYPE CP 1581 CONTRACTOR PAINTING&WALL COVERING (CONTRACTOR PAINTING&WALL C+ BL'SiNESS RENEWAL BUSINESS 4271 JAMES ST ADDRESS PORT CHARLOTTE:FL 33986 BUSINESS GARROD PAINTING INC NAME AMOUNT 35.00 PENALTY 0.00 OWNER BRAD GARROD TOTAL MA;LING PO BOX 494410 ADDRESS PORT CHARLOTTE FL 33949 Paid D9/27/2013 Receipt qt INT-00028E83 3.5. DD Dear Business Owner: Your 2013-2014 Charlotte County Local Business Tax Receipt is attached above. Please detach the receipt and display it in a place-that is visible to the public and available for inspection. The Charlotte County Local Business Tax Receipt is in addition to any other license or certificate that may be required by law and does not sienity compliance with zoning: health;w regulatory requirements.The Charlotte County Local Business Tax Receipt is non-regulatory and is not an endorsement of wort;quality. Your 2013 - 2014 Local Business lax Receipt is said from September 01, 2013 through.September 30, 2014 .Annual account notices. rz . orailed in.June to the address Cl record nt that rime Any ChT qes to your i.oca Accoun_due to p1.r , Name. _�,�e�_ ip Phy i_ A_iC ., o" !o Hg your _.Rineg c4 1-74? I .- I C. . oUvecto , 2480 Thompson Street Fort Myers, Florida 33901 sf"e of \c"c''' www.leetc.com Tel; 239.533.6000 Locaf Busines Tax Acc-c$unt-r 0834 Dear Business Owner: Your 2013-2014 Lee County Local Business Tax Receipt is attached below. The receipt is non- regulatory and is issued using the information currently on file with our office. It does not signify compliance with zoning, health or other regulatory requirements nor is it an endorsement of work quality. Annual account renewal notices are mailed in August to the address of record at that time; to ensure delivery of your annual notice, mailing addresses may be updated online at www.leetc.com. If there is a change in the business name, ownership, physical location or if the business is being closed, please follow the instructions on the back of this letter to transfer or to close the account. I hope you have a successful year. Lee County Tax Collector Detach and display bottom portion and keep upper portion for vour records CCJL/t) LEE COUNTY LOCAL BUSINESS, TAX RECE FT 2014 Tax Collector —_ ACCOUNT NUMBER: 0804377 ACCOUNT EXPIRES SEPTEMBER 30, 20€4 tS�a�e a of Flo May engage in the business or PAINTING CONTRACTOR Location 4271 JAMES ST PORT CHARLOTTE FL 33980 THIS LOCAL BUSINESS TAX RECEIPT IS NON REGL!'_P yOCr GARROD PAINTING !NC GARROD E CADLEY J THIS IS HOT P. F': L � — J r A a' ' vr4 . 0°T ,,ate. Prov, Inc. Proi 13614 Progress Boulevard Alachua, Florida 32615 866-720-7768 April 24, 2014 Michael Ossorio, Supervisor Contractor Licensing Collier County 2800 North Horseshoe Drive Naples, FL 34104 Dear Mr. Ossorio, The purpose of this letter is to request the opportunity for Prov, Inc. to make a presentation to the Collier County Contractor Licensing Board regarding testing services. Prov has been actively administering contractor licensing examinations for County licensing agencies in Florida for the past year. We believe our services would be of great use to your contractor licensing board as it has been to other licensing agencies in the State. If possible, we would like to make a short presentation to your board during your upcoming meeting on May 21, 2014. Please let me know if this will be possible. Thank you. Sincerel Henry Ssrensen, Ph.D. President Prov, Inc. www.provexam.com FLORIDA ProV Contractor Examinations Candidate Information Bulletin Table Of Contents I General Testing Information This Candidate Information Bulletin provides you with GENERAL TESTING INFORMATION 1 information about the testing and application process for CONTACT INFORMATION 1 becoming licensed in cities/counties in the State of EXAMINATION CATEGORIES 2 Florida. To be licensed, you must pass a test to confirm EXAM ADMINISTRATION METHOD 3 that you have attained at least a minimum level of COMPUTER-BASED TESTING 3 knowledge regarding the principles, practices, statutes TEST CENTER LOCATIONS 3 and regulations governing construction in Florida. The cities/counties have authorized Prov to develop and APPLICATION &SCHEDULING PROCESS 5 administer their contractor licensing testing program. APPLYING TO TEST 5 Prov provides tests through a network of computer SCHEDULING YOUR TEST 5 testing centers in Florida as well as other States. Prov RESCHEDULING A TESTING APPOINTMENT 5 works closely with the cities/counties to be certain that EXAM COST 5 the licensing tests meet local requirements as well state ACCEPTABLE METHOD OF PAYMENT 5 requirements in basic principles and testing WHAT IT COSTS TO TEST 5 development standards. This bulletin has been RETESTING POLICY 5 developed to help explain the rules and processes RESULTS REPORTING 5 candidates will need to undertake to complete the REVIEWS 6 testing requirement for their cities/counties licenses. EXAM CHALLENGE PROCESS 6 Prov is not authorized to make the determination of HAND SCORE REQUEST 6 which test(s) candidates must take. If a candidate is TEST DAY RULES AND PROCEDURES 6 unsure which test is needed for the license being sought, CHECK-IN DEADLINE 6 resolve this question with your local licensing board PROOF OF IDENTITY 6 before registering. If candidates take the wrong test,the PROHIBITED ITEMS 6 test fee will not be refunded. APPROVED ITEMS 6 REFERENCE MATERIAL RULES 7 - VISITOR POLICY 7 Contact Information UNETHICAL CONDUCT POLICY 7 For questions not addressed in this bulletin contact: PROV'S NON-DISCRIMINATION STATEMENT 7 SPECIAL ACCOMMODATIONS 7 For Licensing Questions- For Testing Questions - Prov, Inc. PREPARING FOR YOUR EXAMS 8 Contact your local licensing 13614 Progress Boulevard STUDYING FOR YOUR EXAM 8 jurisdiction. Alachua, FL 32615 PURCHASING REFERENCE MATERIALS AND STUDY GUIDES 8 Ph: (386) 518-6889 Reference Materials Available from Prov 8 Toll Free: (866) 720-7768 SAMPLE TEST QUESTIONS 8 Fax: (877) 228-3926 CANDIDATE INSTRUCTIONS FOR COMPUTER TESTS 10 www.provexam.com Office Hrs: 8 a.m. - 6 p.m. FL_CIB 2014.01.28 ©Prov, Inc. 2013 Page 1 of 11 Prof Florida Contractor Examinations: Candidate Information Bulletin Examination Categories • Garage Door Installer Contractor The following is an alphabetical listing of the tests • General Contractor administered by Prov for licensing in the State of Florida. • Glass &Glazing All tests are open book and are timed. When you apply • HARV Contractor for your test, you will be provided detailed information • Heating Contractor about each test you are required to take for licensure. • HVAC This information will describe the content of the test as Insulation Journeyman •well as provide information regarding study materials. • Interlocking Pavers Below is a list of available tests. • Irrigation Sprinkler • Journeyman AC(Limited) • AC Commercial • Journeyman Air Conditioning • Acoustical Ceilings • Journeyman Burglar Alarm • Aluminum Construction • Journeyman Electrician • Aluminum Construction & Limited Concrete • Journeyman Fire Alarm • Aluminum Siding • Journeyman Fire Sprinkler • Aluminum Structures&Specialties • Journeyman Gasfitter • Ammonia Refrigeration Contractor • Journeyman General Mechanical • Asphalt Sealing& Coating • Journeyman Heating • Boiler(Unlimited) • Journeyman Pipefitter • Building Contractor • Journeyman Plumber • Building Maintenance • Journeyman Plumbing with Gas • Burglar& Fire Alarm Electrical • Journeyman Pressure & Process Piping • Burglar Alarm Electrical • Journeyman Refrigeration • Business and Law • Journeyman Residential Electrical • Cabinet Installation & Millwork Contractor • Journeyman Residential Plumber • Carpentry • Journeyman Residential Plumber with Gas • Commercial Paving • Journeyman Room Air Conditioning • Commercial Swimming Pool • Journeyman Sheet Metal • Concrete Coatings • Journeyman Sign Electrician • Concrete Forming and Placing • Journeyman Warm Air Heating • Concrete Placing and Finishing • Lightning Protection • Concrete Slab Sawing& Core Drilling • Limited Insulation Contractor • Limited Painting • Demolition • Limited Roofing • Dredging • Low Pressure Boiler • Drywall • Low Voltage • Drywall & Lathing • Maintenance Electrician • Electrical Communication and Sound • Electrical Fire Alarm • Marine Construction • Masonry • Electrical Sign Contractor • Elevator Electrical • Master AC(Limited) • Excavation Contractor • Master AC(Unlimited) • Fencing • Master Electrician • Finish Carpentry • Master Gasfitter • Master Mechanical FL_CIB 2014.01.28 ©Prov, Inc. 2013 Page 2 of 11 Pro✓ Florida Contractor Examinations: Candidate Information Bulletin • Master Pipefitter • Unlimited Insulation • Master Plumber • Unlimited Painting • Master Plumber with Gas • Master Residential Electrical Exam Administration Method • Master Residential Plumber Prov provides its examinations through computer testing • Master Sheet Metal centers located throughout the State. Computer testing • Master Sign Electrician provides you access to daily testing and rapid score • Master TV Antenna processing. • Master Warm Air Heating Contractor • Mechanical Maintenance Computer-Based Testing • Metal Awning&Storm Shutter Contractor Prov has taken every effort to make its computer testing • Metal Decking&Siding system as easy to use as possible. No specific computer • Miscellaneous Metals Contractor experience or typing skills are needed to take the test. Candidates who take a computer- based test will be • Painting and Decorating given verbal and written instructions and will complete • Plastering& Lathing an interactive tutorial prior to testing. • Plumbing Maintenance • Pool Maintenance The written instructions for computerized tests are • Prestressed, Precast Concrete Erection included in this bulletin. Please refer to the CBT Contractor Candidate Notice for these instructions and a visual of • Refrigeration &Air Conditioning Contractor the screen layout. • Refrigeration (Limited) For an opportunity to preview Prov's computer-based • Refrigeration (Unlimited) testing system before arriving at the test center, • Reinforcing Steel Placing Contractor candidates can watch a demonstration video by visiting • Remodeling Contractor https://www.provexam.com/Movies/CBT2.swf. This • Residential AC short movie provides a basic demonstration of how to • Residential Appliance Electrical take a test on Prov's computer system. • Residential Contractor • Residential Swimming Pool Test Center Locations • Roof Deck Prov has established the following testing centers within • Roofing Unlimited Florida where candidates can take their tests. • Screen Enclosure NORTH FLORIDA LOCATIONS • Siding, Windows & Doors • Sign Contractor(Non-Electric) 1. Florida State College at Jacksonville, Kent • Solar Water Heating Contractor Campus • Structural Steel Student Success/Assessment& Certification, • Swimming Pool Maintenance Contractor 3939 Roosevelt Blvd., Bldg. A103 (Limited) Jacksonville, FL 32205 Phone: (904) 381-3705 • Swimming Pool Maintenance Unlimited 2. St.Johns River State College • Swimming Pool Piping 5001 St.Johns Avenue • Tile & Marble Palatka, Fl 32177 • Tile,Terrazzo& Marble Phone: (386) 312-4035 • Underground Utilities 3. Pensacola State College • Unit Masonry, Marble & Exterior Veneer 1000 College Blvd., Bldg. 6,Student Services Contractor Pensacola, FL 32504 Phone: (850)484-1656 FL_CIB 2014.01.28 ©Prov,Inc. 2013 Page 3 of 11 rroV' Florida Contractor Examinations: Candidate Information Bulletin NORTH CENTRAL FLORIDA LOCATIONS SOUTH FLORIDA LOCATIONS 1. Central Florida Community College 1. Edison State College 3800 S. Lecanto Hwy., Bldg. C4-109 8099 College Parkway Lecanto, FL 34461 Building P-207 Phone: (352)746-6721 x6168 Fort Myers, FL 33919 2. College of Central Florida Phone: (239)489-9237 Department of Student Services, 3001 SW 2. Florida Gulf Coast University College Rd., Bldg. 5, Rm. 205-D 10501 FGCU Blvd.South, McTarnaghan Hall, Ocala, FL 34474 Rm. 204 Phone: (352) 854-2327 x1564 Fort Myers, FL 33965 3. Prow, Inc Phone: (239)-590-7955 13614 Progress Blvd. 3. Palm Beach State College Alachua, FL 32615 1977 SW College Dr., CRA Bldg.,#115 Phone: (866) 720-7768 Belle Glade, FL 33430 4. Seminole State College of Florida Phone: (561) 868-3885 100 Weldon Blvd., Assessment and Testing 4. Palm Beach University Office (A-107) 3000 Saint Lucie Ave., Boca Tech Bldg., Rm. 126 Sanford, FL 32773 Boca Raton, FL 33431 Phone: (407) 708-4722 Phone: (561)868-3885 5. Palm Beach State University SOUTH CENTRAL FLORIDA LOCATIONS 3160 PGA Blvd., Burt Reynolds Student Services Center 1. Pasco-Hernando Community College Palm Beach Gardens, FL 33410 10230 Ridge Rd., B-221 Phone: (561)868-3885 New Port Richey, FL 34654 Phone: (727)816-3483 6. Palm Beach State University 2. Valencia College 4200 Congress Ave., CT Bldg.,#60 2411 Sand Lake Rd., Bldg. 100 Lake Worth, FL 33461 Orlando, FL 32809 Phone: (561) 868-3885 Phone: (407) 582-6777 7. Miami Dade College-Hialeah 1780 W.49 Street, Room 1225 3. South Shore Campus-Hillsborough Community Hialeah, FL 33012 College Phone: (305) 237-8791 551 24th St. NE, Bldg. STP4 8. Miami Dade College-Homestead Campus Ruskin, FL 33570 500 College Terrace, Room A114 Phone: (813) 253-7000 x5764 Homestead, FL 33030 4. University of South Florida Phone: (305) 237-5105 4202 East Fowler Ave.,SVC 2060 Tampa, FL 33620 9. Miami Dade College—Medical Phone: (813)974-4034 950 NW 20 Street, Room 1303 Miami, FL 33127 Phone: (305) 237-4458 10. Miami Dade College- West Campus 3800 NW 115 Avenue, Room 1260-1 Doral, FL 33178 Phone: (305) 237-8979 11. Miami Dade College- Wolfson 300 NE 2nd Avenue Miami, FL(305 237-3522 Phone: (305) 237-3522 FL_CIB 2014.01.28 ©Prov,Inc. 2013 Page 4 of 11 Pro✓ Florida Contractor Examinations: Candidate Information Bulletin 12. Broward College South Campus Exam Cost 7200 Pines Blvd., Bldg. 68, Rm. 213 Pembroke Pines, FL 33024 Acceptable Method of Payment Phone: (954) 201-8884 Candidates paying for their tests or any other services provided by Prov can use the following methods of Application & Scheduling Process payment: Applying to test • Money Orders • To be eligible for testing,you must first contact the local Cashier's Checks • jurisdiction you want to become licensed in and receive Certified Checks • approval for testing. Once you have been approved,the Credit Cards (American Express, Discover, local licensing jurisdiction will provide you testing Master Card,Visa) information which includes a letter telling you to call No personal or company checks will be accepted and all Prov to register and make payment for the test(s) you registrations that include personal or company checks have been approved to take, along with a voucher number you will need to provide to Prov when will be returned without processing. registering for your test. You will also be provided the What it costs to test list of books you are allowed to use when you take the test. Prov will provide you with a receipt for your The cost to take the tests for local licensing is$80.00 per payment. test. Scheduling your test Retesting Policy Once you register for a test you are eligible to schedule Failed examinations can be retaken according to local your examination with the local testing facility. You may licensing jurisdiction rules. Candidates cannot retake an contact your selected testing facility directly or may exam once they have passed that exam unless required contact Prov at 866.720.7768 and Prov staff will put you by their jurisdiction. Candidates must wait two days in direct contact with the scheduler at the test site of between examination attempts before rescheduling. your choice. When scheduling a testing appointment you will be asked for the voucher number provided in Results Reporting your letter from your jurisdiction and payment for your Upon completion of a test,if your local jurisdiction allows test. you to be provided a score, you will be given a score Please take note of your scheduling appointment with result while at the testing center.There is no charge for the local testing center so that you do not miss your the on-site scoring and tests will be scored within one appointment. If you happen to fail to appear for the minute. Candidates participating in this testing program testing event,you will forfeit your exam fee and will need can also access their scores at any time (24/7) online by to re-register with Prov before being eligible to take your going to our website at www.provexam.com. examination. If your local jurisdiction does not allow your score to be provided at this time, you will have to wait for your Rescheduling a Testing Appointment jurisdiction to notify you of your score. If it becomes necessary to reschedule your test, you will have to contact the test site for their retest policy. Because the testing process is a requirement for licensure with the cities/counties in the State of Florida, candidates automatically consent to permit Prov to share their test results with their local licensing Board. FL_CIB 2014.01.28 ©Prov,Inc. 2013 Page 5 of 11 Pro✓ Florida Contractor Examinations: Candidate Information Bulletin Reviews administration date and must be accompanied by a copy Reviews are intended to help candidates audit their of your original score letter. testing results by allowing them to see which questions Once a Hand Score is received, Prov Staff will process the were missed. request within seven(7)to ten (10)business days. During Candidates may request a review of their test after failing the Hand Score process a staff member will ensure that a test category two (2)times. To be eligible for a review, your answers were properly recorded and scored by candidates must score within 10% of the required comparing the captured answers to the test key. Upon jurisdictions passing score. The review for all tests is 1- completion of the Hand Score we will provide a letter by 1/2 hours in length. During the review candidates will be mail to report the outcome of the reassessment. able to view on the computer questions they missed and The cost of the hand score is$25.00. the answers chosen in response to those questions. The review will be conducted under the same testing conditions as the exam using the same test security rules. Test Day Rules and Procedures The cost of the review is $80.00 for each test reviewed. Check-in Deadline Candidates will request or schedule a review by Candidates should plan to arrive 15 to 20 minutes early contacting Prov directly. in order to check-in. If candidates do not arrive by the scheduled start time of their exam,CANDIDATES WILL BE Exam Challenge Process TURNED AWAY and will forfeit their test fees and will be If during a test or review, the candidates encounter a required to reschedule for a future testing date. question they think is inaccurate or otherwise incorrect, they are encouraged to make comments,which they can Proof of Identity do when testing, detailing why they feel the question is Upon arriving at the testing center, candidates will be in error. required to show government-issued, photo-bearing Prov staff will review each comment within weeks of identification. The photo bearing ID must be current and receipt by Prov and will make scoring adjustments should valid. Forms of valid photo bearing ID are a driver's any comment result in a change to a test question. To license, passport, or military ID. Candidates will also be verify the final status of comments submitted, required to sign a test center log. If candidates cannot candidates can check for a score change online through produce a valid government-issued photo ID, refuse to their candidate account. Any changes made to a grade participate in signing the test center log, they will be will be reflected on the score result within two weeks of dismissed from the testing center and forfeit all testing submitting the test comment. Detailed answers to fees for that testing session. questions or comments are not provided for security Prohibited Items purposes. No cameras, recorders, cell phones or other Hand Score Request communication devices are allowed in the testing room. Talking and smoking are not allowed in the testing room. Prov ensures the accuracy of our test results. Our computer system, Arkiv, is designed to identify and Approved Items report any potential error in data collected from a test session. 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Prov will require written NOT: documentation from a licensed physician or psychologist documenting the disability and further require a request • Share reference materials during testing. describing the requested remedy. Prov will then work • Highlight, underline, mark or write any kind of directly with the candidates to make the information in their reference materials during accommodations they will need in order to complete testing. their test. Visitor Policy No one other than the candidate will be allowed in the testing room. Non-testing visitors are NOT permitted to wait in the lobby while candidates test. FL_CIB 2014.01.28 ©Prov, Inc. 2013 Page 7 of 11 Pro✓ Florida Contractor Examinations: Candidate Information Bulletin Preparing for Your Exams has listed the reference book's ISBN and a website at which candidates can purchase the reference book. Studying for your Exam Most reference books can also be purchased through the following companies. The contractor licensing examinations that candidates will take are designed to test what qualified contractors • Prov, Inc.: 866-720-7768 should know as they begin operations in the construction • @ Home Prep, Inc.: 800-952-0910 field. The test questions used on the tests have been • AAA Construction School, Inc.: 904-722-9994 prepared by contractors and cover the wide range of • American Contractors Exam Services: 800-992- topics candidates would normally encounter as a 1910 contractor in their particular field. If candidates have • Builder's Book Depot: 800-284-3434 worked in construction for some period of time in a • International Code Council: 800-786-4452 variety of different settings,they likely have experienced • My Pearson Bookstore: 800-947-7700(Opt. 5) much of what will be found on their test. On the other • North American Contractors Assoc.: 336-540- hand, if the candidates'experience is limited (not only in 0149 years but in the variety of work performed) then it is likely they may want to spend time increasing their If candidates need assistance in ordering any study knowledge by studying areas in which they are less materials, they may contact Prov by phone at 866-720- familiar. For all candidates, the reality is that people 7768. forget those things they don't use, and over time a candidate's knowledge in some areas may have Reference Materials Available from Prov decreased. Candidates can purchase the following reference books directly from the Prov Bookstore. For these reference Prov recommends that candidates prepare for their tests materials candidates may place their orders by phone, by familiarizing themselves with the exam references online at www.provbookstore.com, or using the with emphasis on the subject areas listed in each test Bookstore Order form attached to this document. description. Candidates who are familiar with their reference materials will spend less time searching for • 2012 Study Guide for Structural Steel answers during the test. When preparing for the test, • Advanced Mechanical Study Guide remember that hand-written notes are not allowed in a • Basic Safety reference book used for testing. Candidates are • HVAC Basics for Contractors encouraged to prepare their test materials by • Intermediate Mechanical Study Guide highlighting text or placing permanent tabs on important • Florida Business and Law Study Guide for pages. Contractors • Masonry and Sitework for the Residential It is NOT mandatory that candidates purchase any study Contractor materials in preparation for their tests; however,all tests • Plumbing Basics for Contractors permit the use of authorized study materials and • Study Guide for Excavation Contractors candidates may be at a disadvantage if they do not bring • Study Guide for Insulation those materials with them to their testing session. At a • Study Guide for Residential Carpentry& Repair minimum Prov recommends that candidates have their • Study Guide for Siding& Finish Carpentry own code books related to their tests which may be • Study Guide for Utilities Contractors useful to candidates after their testing is complete. Purchasing Reference Materials and Study Sample Test Questions Guides The following are sample questions that reflect the You will be provided with a list of reference books when format and style of the questions found on tests. They you apply for your test. You can also go to our website are not intended to reflect the content of the exam you for this info. In addition to publisher information, Prov will take. FL_CIB 2014.01.28 ©Prov, Inc. 2013 Page 8 of 11 Pro✓ Florida Contractor Examinations: Candidate Information Bulletin a. 6" o.c. 1. Employers are required to notify employees of b. 7" o.c. changes in policies affecting all of the following c. 8" o.c. EXCEPT: d. 12" o.c. a. Pay schedules. b. Vacation allowance. 7. Which of the following types of joint c. Health benefits. reinforcement is NOT used to tie connecting d. Promotion opportunities. cavity walls and intersecting walls? a. Z-tie 2. The accounting method that recognizes income b. Box tie and expenses only when money is received or c. Hardware cloth paid is called: d. Ladder type joint reinforcement a. PCM Method. b. Accrual Method. 8. What is the recommended concrete cover over c. Cash Method. #6 steel reinforcing in areas exposed to the d. Cost-Comparison Method. weather? a. 3" 3. If 15 amp circuits were used, the NEC would b. 2" require a 2000 square foot house to have a c. 1.5" MINIMUM of how many branch circuits? d. 1" a. 2 b. 3 c. 4 Answers to Sample Questions d. 5 4. Equipment that is electrically connected to a 1. D- Promotion opportunities. telecommunications network is required to be 2. C-Cash Method. listed in accordance with section of the 3. C-4 NEC. 4. C-800.18 a. 110.16 5. A-ACCA Manual D. b. 240.6 6. B-7" o.c. c. 800.18 7. D- Ladder type joint reinforcement d. Chapter 9,Table 5(A) 8. B-2" 5. Duct systems installed in single family dwellings must be sized per a. ACCA Manual D. b. ACCA Manual J. c. SMACNA Manual R. d. SMACNA Manual N. 6. What is the recommended MAXIMUM spacing of nails when installing drywall on a ceiling? FL_CIB 2014.01.28 ©Prov, Inc. 2013 Page 9 of 11 Prol Candidate Instructions for Computer Tests Testing Rules: Please take a moment to read the testing rules below. If you have any questions or need clarification then please let your proctor know. Failure to follow these testing rules can have serious consequences. 1. Please be courteous by entering and leaving the testing room without disturbing others who may be testing. 2. Non-testing visitors are not permitted to wait in the lobby while candidates test. 3. Cell phones and other electronic devices are not allowed in the testing room under any circumstance. 4. Eating,drinking,or tobacco use in the testing center is not permitted. 5. You may use a simple, non-programmable calculator. 6. If your test is open book,only authorized reference materials are allowed in the test room and at your work space. 7. Authorized reference materials that do not conform to the Reference Material Rules posted in your candidate information bulletin are not permitted in the testing room and will be collected from you during the check-in process. 8. You may not write on your reference materials or test graphics at any time. Your proctor will provide you with scratch paper. 9. During your test keep your eyes on your own station and do not communicate with other testers. 10. You are only permitted to leave the testing room during the test if you need to use the restroom or in the case of an emergency. If you need to use the restroom, raise your hand and inform the proctor. You will need to turn in your scratch paper and all other testing materials before being dismissed. Your allotted test time will continue to countdown while you are away from the test and the lost time cannot be recovered. 11. At the end of your test, remain seated, raise your hand and wait for the proctor to start the check-out process with you. 12. All graphics and scratch paper must be returned to the proctor at the end of your testing session.Once all materials have been accounted for,you will be permitted to leave the testing center. Unethical behavior: Any individual caught giving or receiving assistance during or after the examination, or caught using unauthorized materials during the examination will be reported directly to the Board. Those caught in the act of cheating will be dismissed from the examination and their testing results will be frozen. Furthermore,the candidate will forfeit the examination fees paid. Finally, anyone caught with test questions in their possession,either during or following the examination will be prosecuted by Prov for theft of copyrighted testing materials. Test Navigation: On the back of this handout and prior to starting your exam,you will be presented with a tutorial instruction screen that tells you how to answer questions, navigate through the test, make comments, etc. Please review this page carefully to ensure that you are familiar with these functions. If you have any questions regarding these instructions, please notify your proctor. 1. Question Comments- During the assessment,you may find that you have a question or concern about a particular test question. The proctor cannot answer questions about test content at any time; however, you can send a comment to Prov's Test Development Department by clicking the'Make Comment' button. If you make a comment during the test, please leave a specific description. Staff will process your comments/questions within two weeks. You can refer to your candidate information bulletin for more information on how your comments are processed. 2. Technical Issues - If at any point during the exam you have a technical problem (e.g., computer freezes or shuts down,test will not proceed to next question,etc.) please notify your proctor immediately. Exam Results: If permitted by your jurisdiction,you will be provided with your testing results within a few minutes of completing your test; otherwise,you'll be notified of your testing results in writing by your jurisdiction. Please return these instructions to the proctor and let them know that you are ready to begin. • C C u r a - a) 0 C O a) .0 o c a) 0) u c to 3 o) v o) U) C U) Y in N O 7 45 U C115 (0 C L-) c C� �' ,n a) 0 c 0 v in o Q O 5 o- al o w J° of N a) u 3 C Y – C Lo o o Q C > C C N co o) d N u 0 ill c 0. as – E CI) 0 L m a E . cn 3 C 17 en t...1 N O aa) cu u) C Y o Tin 0.) C I ° CO ° 0 E naQ a) ›. O o o C 0 c) :J. O O = C Y O c CO _. O ca .0 U o Es o n q) ` y F- 0 4: E o 3 ai 3 aa) N `o I In QY c x �� vE OE 0 ,_ a) RS CD m .0 Z "0 pi Lo c4 N Z 2 c� > W o ca cn ul cn ca U) ca cn OT O c U) V V) fn V) In .0 N _0 a) d a) a) 4) CU Q) >- s_ 0- N 0_ Q. a. 0 a T d Q Y 0_ Fa rig_.1 T€i I a, L - �, _.__-_ �, a, pp N la ° 4 � n O co cc,18 to hI1c _ z 12 g Z i+ in (1) =eo cn JD +' C Cl) c _ Y O a • 0 -i a) v TS HJ ID ate ..+ _0 o u a�',. R - C co E v v .'•d ., ,r M ', e. ,..__ ` .— u o • d — on c L °_ X H C •C O ca— F I4 H = g C tn 1:3 ra C v i .p �°�' A i a O C 0 Ch N N 1 � F-I 0. 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For additional information regarding this publication contact: Prov, Inc., 13614 Progress Blvd, Alachua, FL 32615 Table of Contents Acoustical 1 Alarm Contractor I (Burglar, Fire) 2 Alarm Contractor II (Burglar LTD) 3 Aluminum/Screen Enclosure 4 Aluminum/Screen Enclosure/w/concrete 5 Building Contractor 6 Business and Law 7 Cabinet Installation Contractor 8 Carpentry 9 Class "A"Air Conditioning Contractor 10 Concrete Forming and Placing 11 Concrete Placing and Finishing 12 Demolition/Wrecking 13 Dredging 14 Drywall 15 Excavation 16 Fence Contractor 17 Garage Door Installer Contractor 18 General Contractor 20 Glass &Glazing 21 Hurricane Shutter/Awning 22 Insulation-All types 23 Insulation-Building 24 Irrigation/Sprinkler 25 Journeyman Air Conditioning 26 Journeyman Electrician 27 Journeyman Plumber 28 Marine, Seawalls &Docks 29 Masonry(Block, Brick&Stone) 30 Master Electrician 31 Master Plumber 32 Painting 33 Paving 34 Paving Block 35 Plaster/Stucco 36 Reinforced Steel 37 Residential Contractor 38 Roofing Unlimited 39 Sealing&Striping 40 Sheet Metal 41 Sign Contractor- Non-Electric 42 Sign Erection - Electrical 43 Solar Water Installation &Repair 44 Structural Steel Erection 45 Swimming Pool Class "A" 46 Swimming Pool Class "B" 47 Swimming Pool Class "C" 48 Tile &Marble 49 Tile, Terrazzo &Marble 50 Underground Utilities 51 Utility Electrical Contractor 52 INNIONINNOMIlemok Prol Acoustical Tests a candidate's knowledge of the installation,repair,alteration and extension of any acoustical or suspended acoustical ceiling. Number of Questions 30 Time allowed(hours) 1.5 Subject Area #Quest. Plan Reading&Estimating 8 Materials 7 Installation 10 Safety 5 References • Basic Safety,2009.ISBN:978-0-136-09875-1.NCCER MATS Testing,13614 Progress Blvd,Alachua,FL 32615.Available at www.provbookstore.com or http://nccer.pearsonconstructionbooks.com • Drywall Level 1, 2007. ISBN: 978-0-13-604512-0. Prentice Hall, P.O. Box 11071, Des Moines, IA 50336. Available at http://nccer.pearsonconstructionbooks.com. • Drywall Level 2, 2009. ISBN: 978-0-13-604480-2. Prentice Hall, P.O. Box 11071, Des Moines, IA 50336. Available at http://nccer.pearsonconstructionbooks.com. • Florida Building Code 2010-Building,2010.ISBN:Item#:5601L10.International Code Council,4051 West Flossmoor Road,Country Club Hills,IL 60478.Available at www.iccsafe.org. Collier County Testing Exam Descriptions 2014.05.05 Page 1 Prot/ Alarm Contractor I (Burglar, Fire) Tests a candidate's knowledge of the design,plan,installation,repair,alteration,and maintenance of intrusion detection,fire detection,and signaling systems. Number of Questions 50 Time allowed(hours) 2 Subject Area #Quest. General Electrical Knowledge 5 Fire Detection&Alarms 24 Power Supplies 5 Notification Appliances&Signaling Circuits 5 Grounding&Bonding 4 Raceways&Boxes 3 Conductors&Cables 3 Special Occupancies 1 References • American Electricians'Handbook, 15th Edition.ISBN:978-0-07-149462-5.McGraw Hill Glencoe Order Services,P.O.Box 545,Blacklick,OH 43004. • Low Voltage Wiring:Security/Fire-Alarm Systems, 2001.ISBN:978-0071376747.McGraw Hill Glencoe Order Services,P.O.Box 545,Blacklick, OH 43004.Available at www.amazon.com. • NFPA 70 - National Electrical Code, 2008. ISBN: 978-0877657903. National Fire Protection Association, 1 Batterymarch Park, Quincy, MA 021697471.Available at www.nfpa.org. • Understanding and Servicing Alarm Systems, 3rd Ed., 1999.ISBN:978-0750672061.Butterworth-Heinemann,225 Wildwood Ave.,Wobum,MA 01801.Available at www.amazon.com. Collier County Testing Exam Descriptions 2014.05.05 Page 2 Prol Alarm Contractor II (Burglar LTD) Tests a candidate's knowledge of the design,installation,maintenance and alteration of burglar alarm circuits and equipment. Number of Questions 50 Time allowed(hours) 2 Subject Area #Quest. General Electrical Knowledge 5 Installation 10 Power Supplies 5 Intrusion Detection 17 Notification Appliances 9 Supervisory Stations 4 References • American Electricians'Handbook, 15th Edition.ISBN:978-0-07-149462-5.McGraw Hill Glencoe Order Services,P.O.Box 545,Blacklick,OH 43004. • Low Voltage Wiring:Security/Fire-Alarm Systems, 2001.ISBN:978-0071376747.McGraw Hill Glencoe Order Services,P.O.Box 545,Blacklick, OH 43004.Available at www.amazon.com. • NFPA 70 - National Electrical Code, 2008. ISBN: 978-0877657903. National Fire Protection Association, 1 Batterymarch Park, Quincy, MA 021697471.Available at www.nfpa.org. • Understanding and Servicing Alarm Systems, 3rd Ed., 1999.ISBN:978-0750672061.Butterworth-Heinemann,225 Wildwood Ave.,Wobum,MA 01801.Available at www.amazon.com. Collier County Testing Exam Descriptions 2014.05.05 Page 3 Prol Aluminum /Screen Enclosure Tests a candidate's knowledge of the fabrication,installation,repair,alteration,and extension of aluminum structures,including screen rooms with solid or screen roofs,metal siding,soffits,gutters,and awnings. Number of Questions 50 Time allowed(hours) 2 Subject Area #Quest. Plan Reading&Estimating 10 Screen Enclosures 10 Screen Rooms 10 Carports&Patio Covers 7 Miscellaneous Aluminum Structures 7 Safety 6 References • AAF Guide to Aluminum Construction in High Wind Areas,2010.Aluminum Association of Florida,13165 McCrory Place,Suite 185,Orlando,FL 33432.Available at http://www.aaof.org/. • Basic Safety,2009.ISBN:978-0-136-09875-1.NCCER MATS Testing,13614 Progress Blvd,Alachua,FL 32615.Available at www.provbookstore.com or http://nccer.pearsonconstructionbooks.com • Florida Building Code 2010-Building,2010.ISBN:Item#:5601L10.International Code Council,4051 West Flossmoor Road,Country Club Hills,IL 60478.Available at www.iccsafe.org. Collier County Testing Exam Descriptions 2014.05.05 Page 4 Prol Aluminum/Screen Enclosure/w/concrete Tests a candidate's knowledge of the fabrication,installation,repair,alteration and extension of aluminum structures,including screen rooms with solid or screen roofs,metal siding,soffits,gutters,and awnings,with limited concrete work incidental to these structures for footings and slabs. Number of Questions 50 Time allowed(hours) 2 Subject Area #Quest. Plan Reading&Estimating 7 Concrete 7 Siding,Soffit&Fascia 8 Screen Enclosures 8 Screen Rooms,Carports&Patio Covers 8 Miscellaneous Aluminum Structures&Gutters 6 Safety 6 References • AAF Guide to Aluminum Construction in High Wind Areas,2010.Aluminum Association of Florida,13165 McCrory Place,Suite 185,Orlando,FL 33432.Available at http://www.aaof.org/. • Basic Safety,2009.ISBN:978-0-136-09875-1.NCCER MATS Testing,13614 Progress Blvd,Alachua,FL 32615.Available at www.provbookstore.com or http://nccer.pearsonconstructionbooks.com • Florida Building Code 2010-Building,2010.ISBN:Item#:5601L10.International Code Council,4051 West Flossmoor Road,Country Club Hills,IL 60478.Available at www.iccsafe.org. • Study Guide for Residential Carpentry and Repair, 2012.ISBN:978-1-256-26901-4.Pearson,501 Boylston Street,Suite 900,Boston,MA 02116. Available at www.provbookstore.com. Collier County Testing Exam Descriptions 2014.05.05 Page 5 Prol Building Contractor "Building Contractor" means a contractor whose services are limited to construction of commercial and single-dwelling or multiple-dwelling residential buildings,which commercial or residential buildings do not exceed three stories in height,and accessory use structures in connection therewith or a contractor whose service are limited to remodeling,repair,or improvement of any size building if the services do not affect the structural members of the building.As regulated under Florida Statute,a person who has passed a competency examination as a Building Contractor may perform these or related tasks or may supervise persons in his employ in the execution of these tasks. Number of Questions 70 Time allowed(hours) 3 Subject Area #Quest. Plan Reading&Estimating 10 Sitework 5 Concrete 1 1 Masonry 8 Structural Steel 4 Carpentry&Metal Framing 10 Roofing 4 Associated Trades 3 Interior Finishes 4 Exterior Finishes 4 Safety 7 References • 2012 Study Guide for Structural Steel, 2012.ISBN:978-1-269-08432-1.Pearson,501 Boylston Street,Suite 900,Boston,MA 02116.Available at v , www.provbookstore.com • Building Code Requirements for Masonry Structures,2008.ISBN: 1-929081-29-4.American Concrete Institute,38800 International Way,Country Club Dr,P.O.Box 9094,Farmington Hills,MI 48333.Available at http://www.concrete.org/. • Concrete Finishing Level Two, 1999. ISBN: 978-0-13-014860-5. Prentice Hall, P.O. Box 11071, Des Moines, IA 50336. Available at http://nccer.pearsonconstructionbooks.com. • Florida Building Code 2010-Building,2010.ISBN:Item#:5601L10.International Code Council,4051 West Flossmoor Road,Country Club Hills,IL 60478.Available at www.iccsafe.org. • Masonry Level Three, 2005. ISBN: 978-0-13-109169-6. Prentice Hall, P.O. Box 11071, Des Moines, IA 50336. Available at http://nccer.pearsonconstructionbooks.com. • Study Guide for Commercial Carpentry,2012.ISBN:978-1-256-53234-7.Pearson,501 Boylston Street,Suite 900,Boston,MA 02116.Available at www.provbookstore.com. Collier County Testing Exam Descriptions 2014.05.05 Page 6 Prof Business and Law Tests a candidate's knowledge of payroll taxes,workers'compensation,unemployment compensation,lien laws and other laws or subjects that will affect their daily operations as contractors. Number of Questions 50 Time allowed(hours) 2 Subject Area #Quest. Business Organization 2 Licensing 3 Lien laws 2 Tax Laws 5 Safety Reporting Regulations 3 Labor Laws 8 Contract Management 9 Project Management 6 Estimating&Bidding 4 Financial Management 5 Risk Management 3 References • Florida Business&Law Study Guide for Contractors,2012.Prov,13614 Progress Blvd.,Alachua,FL 32615.Available at www.provbookstore.com. Collier County Testing Exam Descriptions 2014.05.05 Page 7 Pro`/ Cabinet Installation Contractor A Cabinet Installation Contractor is any person who is qualified to manufacture,assemble,install,dismantle,maintain,adjust,alter,extend,and design, when not prohibited by law, cabinets and millwork. The scope of permitted work shall include,but not be limited to, kitchen cabinets, bathroom vanities,accessory cabinets,countertops,office furniture,and millwork items which have been manufactured for installation on job site locations. Number of Questions 50 Time allowed(hours) 2 Subject Area #Quest. Plan Reading&Estimating 9 Cabinet and Millwork Fabrication 9 Cabinet Installation 9 Millwork Installation 9 Cabinet&Millwork Finishing 8 Safety 6 References • Basic Safety,2009.ISBN:978-0-136-09875-1.NCCER MATS Testing,13614 Progress Blvd,Alachua,FL 32615.Available at www.provbookstore.com or htt p://nccer.pearsonconstructionbooks.com • Carpentry Level One, 2006. ISBN: 978-0-13-229268-9. Prentice Hall, P.O. Box 11071, Des Moines, IA 50336. Available at http://nccer.pearsonconstructionbooks.com. • Carpentry Level Two, 2007. ISBN: 978-0-13-614410-6. Prentice Hall, P.O. Box 11071, Des Moines, IA 50336. Available at http://nccer.pearsonconstructionbooks.com. • The New Wood Finishing Book,Revised Edition, 2010.ISBN: 1561582999.The Taunton Press,63 South Main St.,P.O.Box 5506,Newton,CT 06470.http://www.amazon.com/Wood-Finishing-Book-Revised-Edition/dp/1561582999 Collier County Testing Exam Descriptions 2014.05.05 Page 8 Prol Carpentry Tests a candidate's knowledge of light and heavy carpentry,rough framing,trusses, sheathing, metal framing,paneling, trim, cabinetry, doors, windows,stairs,and incidental hardware. Number of Questions 50 Time allowed(hours) 2 Subject Area #Quest. Plan Reading&Estimating 6 Floor Systems 4 Wall&Ceiling Framing 8 Roof Framing 8 Thermal&Moisture Protection 4 Exterior Finishing 4 Cold-Formed Steel Framing 5 Windows,Doors&Stairs 4 Interior Trim 2 Safety 5 References • Basic Safety,2009.ISBN:978-0-136-09875-1.NCCER MATS Testing,13614 Progress Blvd,Alachua,FL 32615.Available at www.provbookstore.com or http://nccer.pearsonconstructionbooks.com • Florida Building Code 2010-Building, 2010.ISBN:Item#:5601L10.International Code Council,4051 West Flossmoor Road,Country Club Hills,IL 60478.Available at www.iccsafe.org. • Study Guide for Residential Carpentry and Repair, 2012.ISBN:978-1-256-26901-4.Pearson,501 Boylston Street,Suite 900,Boston,MA 02116. Available at www.provbookstore.com. Collier County Testing Exam Descriptions 2014.05.05 Page 9 Prol Class "A" Air Conditioning Contractor Tests a candidate's knowledge of the design,installation,maintenance,repair,fabrication,alteration&extension of Ac/refrigeration,piping vessels, warm air heating,low&high pressure boilers,ventilation systems,duct systems,insulation&related appurtenances within a complete system unlimited in horsepower or tonnage. Number of Questions 100 Time allowed(hours) 4 Subject Area #Quest. Piping 18 Equipment 14 Maintenance 22 Plan Reading 7 Systems&Sizing 20 General Knowledge 19 References • Advanced Mechanical Study Guide, 2013. ISBN: 978-1-269-09518-1.Pearson, 501 Boylston Street, Suite 900,Boston,MA 02116. Available at www.provbookstore.com. • Florida Building Code 2010-Building,2010.ISBN:Item#:5601L10.International Code Council,4051 West Flossmoor Road,Country Club Hills,IL 60478.Available at www.iccsafe.org. • Florida Building Code 2010-Energy Conservation,2010.ISBN:Item#:5681L10.International Code Council,4051 West Flossmoor Road,Country Club Hills,IL 60478.Available at www.iccsafe.org. • Florida Building Code 2010-Fuel Gas,2010.ISBN:Item#:5661L10.International Code Council,4051 West Flossmoor Road,Country Club Hills,IL 60478.Available at www.iccsafe.org. • Florida Building Code 2010-Mechanical,2010.ISBN:Item#:5631L10.International Code Council,4051 West Flossmoor Road,Country Club Hills, IL 60478.Available at www.iccsafe.org. • HVAC Basics for Contractors,2nd Edition,2013.ISBN:978-1-269-23865-6.Pearson,501 Boylston Street,Suite 900,Boston,MA 02116.Available at www.provbookstore.com. • Intermediate Mechanical Study Guide, 2013.ISBN:978-1-269-09524-2.Pearson,501 Boylston Street,Suite 900,Boston,MA 02116.Available at www.provbookstore.com. • Manual N-Commercial Load Calculations, 2008.ISBN:978-1892765383.Air Conditioning Contractors of America,2800 Shirlington Road,Suite 300,Arlington,VA 22206.Available at http://www.acca.org. • Residential Load Calculations-Manual J.Air Conditioning Contractors of America,2800 Shirlington Road,Suite 300,Arlington,VA 22206. Collier County Testing Exam Descriptions 2014.05.05 Page 10 Prol Concrete Forming and Placing Tests a candidate's knowledge of the construction of commercial buildings, single- and multiple-unit residential dwellings, and accessory-use structures,all of which shall not exceed three stories in height.Does not include any electrical,mechanical,plumbing,or liquefied petroleum gas work. Number of Questions 50 Time allowed(hours) 2 Subject Area #Quest. Plan Reading&Estimating 6 Properties of Concrete 6 Preparation for Placement 5 Reinforcement 6 Formwork 5 Placement&Finishing 8 Specialized Installations&Finishes 3 Quality Control&Curing 6 Safety 5 References • Building Code Requirements for Structural Concrete, 2008. ISBN: 978-0870312-64-9. American Concrete Institute, 38800 International Way, Country Club Dr,P.O.Box 9094,Farmington Hills,MI 48333.Available at http://www.concrete.org/. • Concrete Finishing Level One, 1998. ISBN: 978-0-13-010246-1. Prentice Hall, P.O. Box 11071, Des Moines, IA 50336. Available at http://nccer.pearsonconstructionbooks.com. • Concrete Finishing Level Two, 1999. ISBN: 978-0-13-014860-5. Prentice Hall, P.O. Box 11071, Des Moines, IA 50336. Available at http://nccer.pearsonconstructionbooks.com. Collier County Testing Exam Descriptions 2014.05.05 Page 11 Prop/ Concrete Placing and Finishing Concrete Placing and Finishing Contractor means a contractor whose services are generally limited to pouring,placing and finishing concrete flatwork(floors, slabs on grade, sidewalks, etc.) including placement of edge forms, mesh reinforcement and plastic vapor barriers incidental thereto. Number of Questions 40 Time allowed(hours) 2 Subject Area #Quest. Plan Reading&Estimating 4 Properties of Concrete 6 Preparation for Placement 5 Reinforcement 3 Placement&Finishing 8 Specialized Installations&Finishes 4 Quality Control&Curing 6 Safety 4 References • Building Code Requirements for Structural Concrete, 2008. ISBN: 978-0870312-64-9. American Concrete Institute, 38800 International Way, Country Club Dr,P.O.Box 9094,Farmington Hills,MI 48333.Available at http://www.concrete.org/. • Concrete Finishing Level One, 1998. ISBN: 978-0-13-010246-1. Prentice Hall, P.O. Box 11071, Des Moines, IA 50336. Available at http://nccer.pearsonconstructionbooks.com. • Concrete Finishing Level Two, 1999. ISBN: 978-0-13-014860-5. Prentice Hall, P.O. Box 11071, Des Moines, IA 50336. Available at http://nccer.pearsonconstructionbooks.com. Collier County Testing Exam Descriptions 2014.05.05 Page 12 Prol Demolition/Wrecking Tests a candidate's knowledge of demolition of structural steel,structural concrete,masonry and structural wood framing.Emphasis on cranes and crane safety as well as explosives and explosive safety.Focuses on interpreting plans and understanding of how components of various structures are assembled.Covers single and multi-story buildings and structures of the types mentioned above. Number of Questions 50 Time allowed(hours) 2 Subject Area #Quest. Plan Reading&Interpretation 6 Structural Concrete 5 Structural Masonry 5 Structural Framing 4 Structural Steel 6 Blasting 6 Rigging and Cranes 8 Safety 10 References • Carpentry Level One, 2006. ISBN: 978-0-13-229268-9. Prentice Hall, P.O. Box 11071, Des Moines, IA 50336. Available at http://nccer.pearsonconstructionbooks.com. • Code of Federal Regulations,Title 29,Part 1926, 2012.ISBN: 9780160911576. Superintendent of Documents,P.O.Box 371954,Pittsburgh,PA 15250-7954.Available at http://bookstore.gpo.gov.Candidate printed versions permitted in testing room if exam is open book. • Florida Building Code 2010-Building,2010.ISBN:Item#:5601L10.International Code Council,4051 West Flossmoor Road,Country Club Hills,IL 60478.Available at www.iccsafe.org. • Ironworking Level One, 2011. ISBN: 978-0-13-213714-0. Prentice Hall, P.O. Box 11071, Des Moines, IA 50336. Available at http://nccer.pearsonconstructionbooks.com. • ISEE Blasters'Handbook. ISBN:978-1892396006.International Society of Explosives Engineers,30325 Bainbridge Road,Cleveland,OH 44139. Available at www.isee.org. • Masonry Level One, 2004. ISBN: 978-0-13-228718-0. Prentice Hall, P.O. Box 11071, Des Moines, IA 50336. Available at http://nccer.pearsoncon structionbooks.corn. • NFPA 241 Safeguarding Construction.Alteration and Demolition Operations. National Fire Protection Association,1 Batterymarch Park,Quincy, MA 021697471.Available at www.nfpa.org. Collier County Testing Exam Descriptions 2014.05.05 Page 13 Prol Dredging Tests a candidate's knowledge of mechanical and hydraulic dredging methods,equipment,sediment disposal and marine safety. Number of Questions 40 Time allowed(hours) 2 Subject Area #Quest. Dredging Principles&Practices 12 Dredging Equipment 12 Regulations 8 Safety 8 References • Code of Federal Regulations,Title 29,Part 1926, 2012.ISBN: 9780160911576. Superintendent of Documents,P.O.Box 371954,Pittsburgh,PA 15250-7954.Available at http://bookstore.gpo.gov.Candidate printed versions permitted in testing room if exam is open book. • Code of Federal Regulations.Title 33.Parts 1 - 124. Superintendent of Documents,P.O.Box 371954,Pittsburgh, PA 15250-7954. Available at www.ecfr.gov.Candidate printed versions permitted in testing room if exam is open book. • Code of Federal Regulations.Title 33.Parts 125-199. Superintendent of Documents,P.O.Box 371954,Pittsburgh,PA 15250-7954.Available at www.ecfr.gov.Candidate printed versions permitted in testing room if exam is open book. • Code of Federal Regulations,Title 33,Parts 200 to 499. Superintendent of Documents,P.O.Box 371954,Pittsburgh,PA 15250-7954.Available at www.ecfr.gov.Candidate printed versions permitted in testing room if exam is open book. • Fundamentals of Hydraulic Dredging. ISBN:9780784401477.American Society of Civil Engineers,P.O.Box 79404,Baltimore,MD 21279-04047. Available at www.asce.org. Collier County Testing Exam Descriptions 2014.05.05 Page 14 Prol Drywall Tests a candidate's knowledge of installation of gypsum drywall products to wood and metal studs, wood and steel joists, and metal runners, including the preparation of the surface over which the drywall product is to be applied,and the placement of metal studs,runners,and all necessary trim. Number of Questions 50 Time allowed(hours) 2 Subject Area #Quest. Plan Reading&Estimating 6 Construction Materials&Methods 6 Thermal&Moisture Protection 5 Drywall Installation 7 Drywall Finishing 8 Steel Framing 7 Exterior Cladding 3 Interior Specialties&Finishes 4 Safety 4 References • Basic Safety,2009.ISBN:978-0-136-09875-1.NCCER MATS Testing,13614 Progress Blvd,Alachua,FL 32615.Available at www.provbookstore.com or http://nccer.pearsonconstructionbooks.com • Drywall Level 1, 2007. ISBN: 978-0-13-604512-0. Prentice Hall, P.O. Box 11071, Des Moines, IA 50336. Available at http://nccer.pearsonconstructionbooks.com. • Drywall Level 2, 2009. ISBN: 978-0-13-604480-2. Prentice Hall, P.O. Box 11071, Des Moines, IA 50336. Available at http://nccer.pearsonconstructionbooks.com. • Florida Building Code 2010-Building,2010.ISBN:Item#:5601L10.International Code Council,4051 West Flossmoor Road,Country Club Hills,IL 60478.Available at www.iccsafe.org. Collier County Testing Exam Descriptions 2014.05.05 Page 15 Prol Excavation Tests a candidate's knowledge of the excavation or removal of materials such as rock,gravel and sand to construct or excavate canals,lakes,levees, including the clearing of land of surface debris;and vegetation,the grubbing of roots,the removal of debris;and leveling of related surfaces. Number of Questions 50 Time allowed(hours) 2 Subject Area #Quest. Plan Reading&Estimating 10 General Knowledge 6 Survey&Layout 5 Clearing&Grubbing 4 Excavating 7 Dewatering 3 Grading 8 Safety 7 References • Basic Safety,2009.ISBN:978-0-136-09875-1.NCCER MATS Testing,13614 Progress Blvd,Alachua,FL 32615.Available at www.provbookstore.com or http://nccer.pearsonconstructionbooks.com • Study Guide for Excavation Contractors,2012.ISBN:978-1-256-25997-8.Pearson,501 Boylston Street,Suite 900,Boston,MA 02116.Available at www.provbookstore.com. Collier County Testing Exam Descriptions 2014.05.05 Page 16 Prol Fence Contractor Tests a candidate's knowledge of fencing installation. Number of Questions 50 Time allowed(hours) 2 Subject Area #Quest. Plan Reading&Estimating 5 Layout&General Math 5 Wood Fencing 10 Masonry Fencing 10 Metal&Chain Link Fencing 10 Safety 10 References • Basic Safety,2009.ISBN:978-0-136-09875-1.NCCER MATS Testing,13614 Progress Blvd,Alachua,FL 32615.Available at www.provbookstore.com or http://nccer.pearsonconstructionbooks.com • Fences and Retaining Walls, 1990. ISBN: 0-934041-53-9. Craftsman Book Company, 6058 Corte Del Cedro, Carlsbad, CA 92009. Available at www.craftsman-book.com. • Florida Building Code 2010-Building,2010.ISBN:Item#:5601L10.International Code Council,4051 West Flossmoor Road,Country Club Hills,IL 60478.Available at www.iccsafe.org. Collier County Testing Exam Descriptions 2014.05.05 Page 17 Prol Garage Door Installer Contractor A Garage door installer is a person or firm qualified and certified to install,maintain,repair,alter or extend residential or commercial garage doors, including all hardware and operating devices. One-hundred-twenty-volt electrical installation required for the door operating devices may be included in the contract for work but must be subcontracted to a certified or registered electrical contractor. Number of Questions 50 Time allowed(hours) 2 Subject Area #Quest. Garage Door Service,Repair&Maintenance 9 Garage Doors Installation 18 Garage Doors,Materials&Hardware 17 Safety 6 References • Basic Safety,2009.ISBN:978-0-136-09875-1.NCCER MATS Testing,13614 Progress Blvd,Alachua,FL 32615.Available at www.provbookstore.com or http://nccer.pearsonconstructionbooks.com • Florida Building Code 2010-Building,2010.ISBN:Item#:5601L10.International Code Council,4051 West Flossmoor Road,Country Club Hills,IL 60478.Available at www.iccsafe.org. • TDS 151-General Code Inspection Guidelines for Garage Doors. Door and Access Systems Manufacturers Association International,1300 Sumner Avenue,Cleveland,OH 44115-7333.Available at http://www.dasma.com/PubTechData.asP.Candidate printed versions allowed if exam is open book. • TDS 156-Standard Wood Header and Jamb Detail Guidelines. Door and Access Systems Manufacturers Association International, 1300 Sumner Avenue,Cleveland,OH 44115-7333.Available at http://www.dasma.com/PubTechData.asP.Candidate printed versions allowed if exam is open book • TDS 157-Garage Doors and Foam Plastic.Door and Access Systems Manufacturers Association International,1300 Sumner Avenue,Cleveland,OH 44115-7333.Available at http://www.dasma.com/PubTechData.asP.Candidate printed versions allowed if exam is open book • TDS 158-Glazing in Garage Doors.Door and Access Systems Manufacturers Association International,1300 Sumner Avenue,Cleveland,OH 44115- 7333.Available at http://www.dasma.com/PubTechData.asP.Candidate printed versions allowed if exam is open book • TDS 160-Sectional Garage Door Terminology.Door and Access Systems Manufacturers Association International,1300 Sumner Avenue,Cleveland, OH 44115-7333.Available at http://www.dasma.com/PubTechData.asP.Candidate printed versions allowed if exam is open book • TDS 161-Connecting Garage Door Jambs to Building Framing. Door and Access Systems Manufacturers Association International,1300 Sumner Avenue,Cleveland,OH 44115-7333.Available at http://www.dasma.com/PubTechData.asp.Candidate printed versions allowed if exam is open book • TDS 162-Wood Door Finishing Guidelines. Door and Access Systems Manufacturers Association International, 1300 Sumner Avenue,Cleveland, OH 44115-7333.Available at http://www.dasma.com/PubTechData.asp.Candidate printed versions allowed if exam is open book • TDS 163-Garage Door R-Value. Door and Access Systems Manufacturers Association International, 1300 Sumner Avenue,Cleveland,OH 44115- 7333.Available at http://www.dasma.com/PubTechData.asp.Candidate printed versions allowed if exam is open book • TDS 164-Drywall Surfaces and the Mounting of Garage Door Hardware.Door and Access Systems Manufacturers Association International,1300 Sumner Avenue,Cleveland,OH 44115-7333.Available at http://www.dasma.com/PubTechData.asp.Candidate printed versions allowed if exam is open book • TDS 165-Garage Door Manual Operation.Door and Access Systems Manufacturers Association International,1300 Sumner Avenue,Cleveland,OH 44115-7333.Available at http://www.dasma.com/PubTechData.asp.Candidate printed versions allowed if exam is open book • TDS 166-Guidelines for Connecting a Drawbar Operator to a Sectional Garage Door. Door and Access Systems Manufacturers Association International, 1300 Sumner Avenue, Cleveland, OH 44115-7333. Available at http://www.dasma.com/PubTechData.asp. Candidate printed versions allowed if exam is open book • TDS 167-Sectional Garage Door&Electric Operator Checklist for Home Inspectors and Consumers. Door and Access Systems Manufacturers Association International, 1300 Sumner Avenue,Cleveland,OH 44115-7333.Available at http://www.dasma.com/PubTechData.asP.Candidate printed versions allowed if exam is open book Collier County Testing Exam Descriptions 2014.05.05 Page 18 Prol • TDS 172-Garage Door Labels.Door and Access Systems Manufacturers Association International,1300 Sumner Avenue,Cleveland,OH 44115-7333. Available at http://www.dasma.com/PubTechData.asp.Candidate printed versions allowed if exam is open book • TDS 179-Wood Garage Door Inspection and Maintenance Guidelines. Door and Access Systems Manufacturers Association International, 1300 Sumner Avenue,Cleveland,OH 44115-7333.Available at http://www.dasma.com/PubTechData.asp.Candidate printed versions allowed if exam is open book • TDS 181 - General Code Inspection Guidelines For Wind Load Rated Garage Doors. Door and Access Systems Manufacturers Association International, 1300 Sumner Avenue, Cleveland, OH 44115-7333. Available at http://www.dasma.com/PubTechData.asp. Candidate printed versions allowed if exam is open book • TDS 182-Teclmical Considerations for Dock Doors. Door and Access Systems Manufacturers Association International, 1300 Sumner Avenue, Cleveland,OH 44115-7333.Available at htt p://www.dasma.com/PubTechData.asp.Candidate printed versions allowed if exam is open book • TDS 260-Common Rolling Steel Door Installation Problems. Door and Access Systems Manufacturers Association International, 1300 Sumner Avenue,Cleveland,OH 44115-7333.Available at http://www.dasma.com/PubTechData.asp.Candidate printed versions allowed if exam is open book • TDS 270-Recommended Rolling Door Maintenance Practices for Building Maintenance Supervisors. Door and Access Systems Manufacturers Association International, 1300 Sumner Avenue,Cleveland,OH 44115-7333.Available at http://www.dasma.com/PubTechData.asp.Candidate printed versions allowed if exam is open book • Collier County Testing Exam Descriptions 2014.05.05 Page 19 Prol General Contractor Tests a candidate's knowledge of the construction,repair,alteration,remodeling,addition to,subtraction from,improvement,and demolition of any building or structure including related improvements to real estate excluding electrical,mechanical,plumbing, and liquefied petroleum gas work related thereto. Number of Questions 80 Time allowed(hours) 3 Subject Area #Quest. Plan Reading&Estimating 10 Sitework 5 Concrete 12 Masonry 8 Structural Steel 10 Carpentry&Metal Framing 12 Roofing 4 Associated Trades 2 Interior Finishes 5 Exterior Finishes 5 Safety 7 References • 2012 Study Guide for Structural Steel, 2012.ISBN:978-1-269-08432-1.Pearson,501 Boylston Street,Suite 900,Boston,MA 02116.Available at www.provbookstore.com • Building Code Reauirements for Masonry Structures, 2008.ISBN: 1-929081-29-4.American Concrete Institute,38800 International Way,Country Club Dr,P.O.Box 9094,Farmington Hills,MI 48333.Available at http://www.concrete.org/. • Carpentry Level One, 2006. ISBN: 978-0-13-229268-9. Prentice Hall, P.O. Box 11071, Des Moines, IA 50336. Available at http://nccer.pearsonconstructionbooks.com. • Concrete Finishing Level Two, 1999. ISBN: 978-0-13-014860-5. Prentice Hall, P.O. Box 11071, Des Moines, IA 50336. Available at http://nccer.pearsonconstructionbooks.com. • Florida Building Code 2010-Building,2010.ISBN:Item#:5601L10.International Code Council,4051 West Flossmoor Road,Country Club Hills,IL 60478.Available at www.iccsafe.org. • Masonry Level Three, 2005. ISBN: 978-0-13-109169-6. Prentice Hall, P.O. Box 11071, Des Moines, IA 50336. Available at http://nccer.pearsonconstructionbooks.com. • Study Guide for Commercial Carpentry, 2012.ISBN:978-1-256-53234-7.Pearson,501 Boylston Street,Suite 900,Boston,MA 02116.Available at www.provbookstore.com. Collier County Testing Exam Descriptions 2014.05.05 Page 20 Prol Glass & Glazing Those who are qualified to select,cut,assemble,and install all makes and kinds of glass and glasswork and execute the glazing of frames,panels, sash and door and holding metal frames,ornamental decoration,mirrors,tub and shower enclosures. Number of Questions 50 Time allowed(hours) 2 Subject Area #Quest. Plan Reading&Estimating 5 Glass&Glazing 12 Plastic&Glazing 4 Sealants 10 Curtain Walls 6 Structural Glazing Systems 4 Bath Enclosures&Mirrors 4 Safety 5 References • Basic Safety,2009.ISBN:978-0-136-09875-1.NCCER MATS Testing,13614 Progress Blvd,Alachua,FL 32615.Available at www.provbookstore.com or http://nccer.pearsonconstructionbooks.com • Florida Building Code 2010-Building, 2010.ISBN:Item#:5601L10.International Code Council,4051 West Flossmoor Road,Country Club Hills,IL 60478.Available at www.iccsafe.org. • GANA Glazing Manual,50th Anniversary Edition.Glass Association of North America,800 SW Jackson Street,STE.1500,Ste.A,Topeka,KS 66612- 1200.Available at www.glasswebsite.com. • GANA Sealant Manual,2008.Glass Association of North America,800 SW Jackson Street,STE.1500,Ste.A,Topeka,KS 66612-1200.Available at www.glasswebsite.com. Collier County Testing Exam Descriptions 2014.05.05 Page 21 Prol Hurricane Shutter/Awning Metal Awning and Storm Shutter Contractor is qualified and certified to fabricate,erect and install awnings or canopies of metal including other materials,incidental thereto,in or on buildings or other structures,and which may be,in whole or part,supported from a building wall erected and provided by others, or may be self-supporting, and including footings or slabs on grade in connection therewith. Such contractor shall have a qualifying agent with experience and skill gained by at least one(1)year's practical work in this field and who has passed a designated examination. Number of Questions 50 Time allowed(hours) 2 Subject Area #Quest. Plan Reading&Estimating 6 Concrete and Reinforcement 6 Metal Storm Panel Shutters 6 Wood Storm Shutters 5 Installation&Anchorage 16 Building and Municipal Codes 7 Safety 4 References • Basic Safety,2009.ISBN:978-0-136-09875-1.NCCER MATS Testing,13614 Progress Blvd,Alachua,FL 32615.Available at www.provbookstore.com or http://nccer.pearsonconstructionbooks.com • Carpentry Level One, 2006. ISBN: 978-0-13-229268-9. Prentice Hall, P.O. Box 11071, Des Moines, IA 50336. Available at http://nccer.pearsonconstructionbooks.com. • Florida Building Code 2010-Building,2010.ISBN:Item#:5601L10.International Code Council,4051 West Flossmoor Road,Country Club Hills,IL 60478.Available at www.iccsafe.org. • Hurricane Shutter Designs.APA-The Engineered Wood Association,7011 S.19th ST,Tacoma,WA 98466.Available at www.apawood.org Candidate printed versions allowed if exam is open book. Collier County Testing Exam Descriptions 2014.05.05 Page 22 Prol Insulation-All types Tests a candidate's knowledge of insulation installation,repair,maintenance and extension to control the gain or loss of heat from all sources in buildings, rooms, pipes, vessels, ducts, process equipment, refrigerated rooms, and boxes. This includes installation, repair, maintenance, and extension of acoustical insulation. Number of Questions 50 Time allowed(hours) 3 Subject Area #Quest. Plan Reading&Estimating 5 Theory 5 Insulation Materials&Accessories 12 Insulation Installation 13 Systems Insulation 10 Safety 5 References • Florida Building Code 2010-Building, 2010.ISBN:Item#:5601L10.International Code Council,4051 West Flossmoor Road,Country Club Hills,IL 60478.Available at www.iccsafe.org. • Florida Building Code 2010-Energy Conservation, 2010.ISBN:Item#:5681L10.International Code Council,4051 West Flossmoor Road,Country Club Hills,IL 60478.Available at www.iccsafe.org. • Insulating Level Three, 1999. ISBN: 978-0-13-909458-3. Prentice Hall, P.O. Box 11071, Des Moines, IA 50336. Available at http://nccer.pearsonconstructionbooks.com. • Insulating Level Two, 1999. ISBN: 978-0-13-909417-0. Prentice Hall, P.O. Box 11071, Des Moines, IA 50336. Available at http://nccer.pearsonconstructionbooks.com. • Study Guide for Insulation. Pearson,501 Boylston Street,Suite 900,Boston,MA 02116.Available at www.provbookstore.com. Collier County Testing Exam Descriptions 2014.05.05 Page 23 Prod' Insulation-Building Tests a candidate's knowledge of insulation installation,maintenance,repair,alteration,and extension to prevent loss or gain of heat from rooms or buildings.This includes installation,repair,maintenance,and extension of acoustical insulation. Number of Questions 50 Time allowed(hours) 2 Subject Area #Quest. Plan Reading&Estimating 9 Theory 5 Insulation Materials&Accessories 15 Insulation Installation 12 Safety 9 References • Florida Building Code 2010-Building,2010.ISBN:Item#:5601L10.International Code Council,4051 West Flossmoor Road,Country Club Hills,IL 60478.Available at www.iccsafe.org. • Florida Building Code 2010-Energy Conservation,2010.ISBN:Item#:5681L10.International Code Council,4051 West Flossmoor Road,Country Club Hills,IL 60478.Available at www.iccsafe.org. • Study Guide for Insulation.Pearson,501 Boylston Street,Suite 900,Boston,MA 02116.Available at www.provbookstore.com. Collier County Testing Exam Descriptions 2014.05.05 Page 24 Prol Irrigation/Sprinkler Install,repair,maintain,alter or extend all piping and sprinkler heads for the irrigation of lawns including incidental connections to a water pump (but not direct connection to potable water lines). Number of Questions 50 Time allowed(hours) 2 Subject Area #Quest. Plan Reading&Estimating 6 Planning&Layout 8 Materials 6 Controls 6 Installation 10 Cross Contamination&Backflow Prevention 5 Reclaimed Water 4 Safety 5 References • Basic Safety,2009.ISBN:978-0-136-09875-1.NCCER MATS Testing,13614 Progress Blvd,Alachua,FL 32615.Available at www.provbookstore.com or http://nccer.pearsonconstructionbooks.com • Florida Administrative Code,Ch.62-610.Reuse of, 2012.State of Florida,2600 Blair Stone Road M.S.3500,Tallahassee,FL 32399.Available at www.dep.state.fl.us/legal/Rules/mainrulelist.htm.Candidate printed versions permitted in testing room if exam is open book. • Florida Building Code 2010-Plumbing, 2010.ISBN:Item#:5621L10.International Code Council,4051 West Flossmoor Road,Country Club Hills, IL 60478.Available at www.iccsafe.org. • Turf Irrigation Manual - The Complete Guide to La, 5th Ed., 1994. Weathermatic, P.O. Box 180205, Dallas, TX 75218-0205. Available at www.amazon.com. Collier County Testing Exam Descriptions 2014.05.05 Page 25 Prol Journeyman Air Conditioning Qualified to install,maintain,repair,alter,fabricate or extend air conditioning,refrigeration systems,piping vessels,warm air heating,low pressure boilers,ventilation systems,duct systems,insulation,and related appurtenances within a complete system unlimited in horsepower or tonnage. Number of Questions 100 Time allowed(hours) 3 Subject Area #Quest. General Knowledge 22 Piping 10 Systems&Sizing 24 Equipment 11 Maintenance 28 Plan Reading 5 References • Advanced Mechanical Study Guide, 2013. ISBN: 978-1-269-09518-1.Pearson, 501 Boylston Street, Suite 900,Boston,MA 02116. Available at www.provbookstore.com. • Florida Building Code 2010-Building,2010.ISBN:Item#:5601L10.International Code Council,4051 West Flossmoor Road,Country Club Hills,IL 60478.Available at www.iccsafe.org. • Florida Building Code 2010-Mechanical,2010.ISBN:Item#:5631L10.International Code Council,4051 West Flossmoor Road,Country Club Hills, IL 60478.Available at www.iccsafe.org. • HVAC Basics for Contractors.2nd Edition, 2013.ISBN:978-1-269-23865-6.Pearson,501 Boylston Street,Suite 900,Boston,MA 02116.Available at www.provbookstore.com. • Intermediate Mechanical Study Guide, 2013.ISBN:978-1-269-09524-2.Pearson,501 Boylston Street,Suite 900,Boston,MA 02116.Available at www.provbookstore.com. Collier County Testing Exam Descriptions 2014.05.05 Page 26 Prot/ Journeyman Electrician A Journeyman Electrician is qualified and tested to perform work in the electrical trades while employed by a Master Electrician. Number of Questions 70 Time allowed(hours) 3 Subject Area #Quest. General Electrical Theory&Principles 9 Plan Reading 4 Wiring&Protection 14 Wiring Methods&Materials 22 Motors&Controls 3 Equipment for General Use 6 Special Occupancies 2 Special Equipment 3 Special Conditions 3 Communication Systems 4 References • American Electricians'Handbook, 15th Edition.ISBN:978-0-07-149462-5.McGraw Hill Glencoe Order Services,P.O.Box 545,Blacklick,01443004. • NFPA 70 - National Electrical Code, 2008. ISBN: 978-0877657903. National Fire Protection Association, 1 Batterymarch Park, Quincy, MA 021697471.Available at www.nfpa.org. Collier County Testing Exam Descriptions 2014.05.05 Page 27 Prol Journeyman Plumber Perform work under the supervision and in the employ of a state certified plumber or a locally licensed master plumber. Number of Questions 80 Time allowed(hours) 3 Subject Area #Quest. Drain,Waste&Vent Systems 14 Fixtures&Fittings 6 General Knowledge 10 Isometrics&Plan Reading 10 Plumbing Math 5 Storm&Roof Drainage 8 Water Heaters 8 Water Supply and Distribution 12 Safety 7 References • Florida Building Code 2010-Plumbing,2010.ISBN:Item#:5621L10.International Code Council,4051 West Flossmoor Road,Country Club Hills, IL 60478.Available at www.iccsafe.org. • Plumbine Basics for Contractors, 2nd Edition, 2012. ISBN: 978-1-269-24887-7. Pearson, 501 Boylston Street, Suite 900, Boston, MA 02116. Available at www.provbookstore.com.(Replaces 978-1-269-11622-0,either copy is permitted) Collier County Testing Exam Descriptions 2014.05.05 Page 28 Prol Marine, Seawalls & Docks Tests a candidate's knowledge of the construction of seawalls,bulkheads,docks,piers,wharfs,piles,and other marine structures. Number of Questions 75 Time allowed(hours) 3 Subject Area #Quest. Plan Reading&Estimating 6 Sitework 10 Concrete and Reinforcement 10 Piles 10 Carpentry 10 Safety 9 Florida Building Code application to Marine10 Structures Structures 10 References • Code of Federal Regulations,Title 29,Part 1926, 2012.ISBN: 9780160911576. Superintendent of Documents,P.O.Box 371954,Pittsburgh,PA 15250-7954.Available at http://bookstore.gpo.gov.Candidate printed versions permitted in testing room if exam is open book. • DESIGN OF COASTAL REVETMENTS,SEAWALLS,AND BULKHEADS, 1995.US Army Corps of Engineers,Washington,DC.Available at http://www.dtic.mil/cgi-bin/GetTRDoc?AD=ADA402873.Candidate printed versions permitted in testing room if exam is open book. • FLDOT Structures Detailing Manual, 2013, 2013. State of Florida, 2600 Blair Stone Road M.S. 3500, Tallahassee, FL 32399. http://www.dot.state.fl.us/structures/StructuresManual/CurrentRelease/Vo12_SDM.pdf Candidate printed versions allowed if exam is open book. • Florida Building Code 2010-Building,2010.ISBN:Item#:5601L10.International Code Council,4051 West Flossmoor Road,Country Club Hills,IL 60478.Available at www.iccsafe.org. • Fundamentals of Hydraulic Dredging. ISBN:9780784401477.American Society of Civil Engineers,P.O.Box 79404,Baltimore,MD 21279-04047. Available at www.asce.org. • Pile Design and Construction Practice, 5th.ISBN:978-0415385824.Taylor and Francis,270 Madison Avenue,New York,NY 10016.Available at www.taylorandfrancis.com. • Standard Specifications for Road and Bridge Construction, 2013. State of Florida, 2600 Blair Stone Road M.S. 3500, Tallahassee, FL 32399. Available at www.dot.state.fl.us.Candidate printed versions allowed if exam is open book. • Study Guide for General Engineering,2nd Edition, 2012.ISBN:978-1-269-23864-9.Pearson,501 Boylston Street,Suite 900,Boston,MA 02116. Available at www.provbookstore.com. • The Dock Manual:Designing/Building/Maintaining, 1999.ISBN:978-1-58017-098-7.Storey Publishing,210 MASS MoCA Way,North Adams,MA 01247. Collier County Testing Exam Descriptions 2014.05.05 Page 29 Prot/ Masonry (Block, Brick & Stone) Tests a candidate's knowledge of the selection,cutting,and laying of brick, stone,and masonry products.This includes structural glass brick or block,insulated concrete units,and the placement of reinforcing steel,including concrete forming and placing incorporated into the masonry work. Number of Questions 50 Time allowed(hours) 2 Subject Area #Quest. Plan Reading&Estimating 8 Masonry Units 8 Mortar 8 Reinforcement 7 Masonry Installation 12 Safety 7 References • Building Code Requirements for Masonry Structures, 2008.ISBN: 1-929081-29-4.American Concrete Institute,38800 International Way,Country Club Dr,P.O.Box 9094,Farmington Hills,MI 48333.Available at http://www.concrete.org/. • Florida Building Code 2010-Building,2010.ISBN:Item#:5601L10.International Code Council,4051 West Flossmoor Road,Country Club Hills,IL 60478.Available at www.iccsafe.org. • Study Guide for Masonry Contractors, 2012.ISBN:978-1-256-26128-5.Pearson,501 Boylston Street,Suite 900,Boston,MA 02116.Available at www.provbookstore.com. Collier County Testing Exam Descriptions 2014.05.05 Page 30 Prol Master Electrician Those who have the knowledge and skill,to install,repair,alter,add to or change any electrical wires,fixtures,appliances,apparatus,raceways, conduit or any part thereof;which generates,transmits,transforms or utilizes electrical energy in any form for light,heat,power or communications, all in compliance with applicable plans,specifications,codes,laws and regulations. Number of Questions 75 Time allowed(hours) 3 Subject Area #Quest. General Electrical Knowledge 12 Communication Systems 3 Equipment for General Use 6 Motors&Controls 4 Plan Reading 4 Special Conditions 4 Special Equipment 3 Special Occupancies 2 Wiring&Protection 17 Wiring Methods&Materials 20 References • American Electricians'Handbook, 15th Edition.ISBN:978-0-07-149462-5.McGraw Hill Glencoe Order Services,P.O.Box 545,Blacklick,OH 43004. • NFPA 70 - National Electrical Code, 2008. ISBN: 978-0877657903. National Fire Protection Association, 1 Batterymarch Park, Quincy, MA 021697471.Available at www.nfpa.org. Collier County Testing Exam Descriptions 2014.05.05 Page 31 Prol Master Plumber Those who have the knowledge and skill to install,maintain,repair,alter or extend plumbing,sanitary drainage or storm drainage facilities,venting systems,public and private water supply systems, septic tanks, drainage and supply wells, swimming pool piping; irrigation systems; or solar heating water systems and all appurtenances,apparatus,or equipment used in connection therewith,including boilers and pressure process piping and including the installation of water and storm and sewer lines,water and sewer plants and substations. Number of Questions 100 Time allowed(hours) 3 Subject Area #Quest. Drain,Waste&Vent Systems 18 Fixtures&Fittings 8 General Knowledge 12 Isometrics&Plan Reading 13 Plumbing Math 10 Storm&Roof Drainage 8 Water Heaters 10 Water Supply and Distribution 14 Safety 7 References • Florida Buildine Code 2010-Plumbing, 2010.ISBN:Item#:5621L10.International Code Council,4051 West Flossmoor Road,Country Club Hills, IL 60478.Available at www.iccsafe.org. • Plumbing Basics for Contractors, 2nd Edition, 2012. ISBN: 978-1-269-24887-7. Pearson, 501 Boylston Street, Suite 900, Boston, MA 02116. Available at www.provbookstore.com.(Replaces 978-1-269-11622-0,either copy is permitted) Collier County Testing Exam Descriptions 2014.05.05 Page 32 Prol Painting Use paint spraying equipment and hand tools to apply paint to interior and exterior surfaces; includes painting concrete, sealing river rock, sandblasting and general coating except roof applications. Number of Questions 50 Time allowed(hours) 3 Subject Area #Quest. Safety 6 Substrates&Preparation 12 Materials 10 Application 12 Job Planning&Estimating 5 Equipment 5 References • Painting Level One, 1997. ISBN: 978-0-13-771239-7. Prentice Hall, P.O. Box 11071, Des Moines, IA 50336. Available at http://nccer.pearsonconstructionbooks.com. • Painting Level Two, 1997. ISBN: 978-0-13-771296-0. Prentice Hall, P.O. Box 11071, Des Moines, IA 50336. Available at http://nccer.pearsonconstructionbooks.com. Collier County Testing Exam Descriptions 2014.05.05 Page 33 Prol Paving Tests a candidate's knowledge of the construction of roads,airport runways and aprons,parking lots,sidewalks,curbs and gutters,property line walls,patios and driveways,storm drainage facilities,and the performance of related excavating and grading. Number of Questions 50 Time allowed(hours) 3 Subject Area #Quest. Plans&Specifications 3 Survey&Layout 3 Earthwork,Compaction&Stabilization 5 Asphalt Paving Procedures 7 Asphalt Properties and General Uses 7 Use&Application of Asphalt Emulsions 7 Asphalt Preservation&Maintenance 7 Concrete and Reinforcement 8 Safety 3 References • Hiahwav/Heavv Construction. ISBN: 978-0-13-061611-1. Prentice Hall, P.O. Box 11071, Des Moines, IA 50336. Available at http://nccer.pearsonconstructionbooks.com. • MS-16 Asphalt in Pavement.Preservation&Maintenance,4th edition,2009.ISBN:978-1-934154-58-8.The Asphalt Institute,2696 Research Park Drive,Lexington,KY 40511-8480.Available at www.asphaltinstitute.org. • MS-19 Basic Asphalt Emulsion Manual, 4th edition.ISBN:978-1-934154-56-4.The Asphalt Institute,2696 Research Park Drive,Lexington,KY 40511-8480.Available at www.asphaltinstitute.org. • Standard Specifications for Road and Bridge Construction. State of Florida,2600 Blair Stone Road M.S.3500,Tallahassee,FL 32399.Available at www.dot.state.fl.us.Candidate printed versions allowed if exam is open book. Collier County Testing Exam Descriptions 2014.05.05 Page 34 Prol Paving Block Tests a candidate's knowledge of interlocking paver units including material selection,site preparation,subbases,bases,installation methods and concrete work related to the paver system. Number of Questions 50 Time allowed(hours) 2 Subject Area #Quest. Plan Reading&Estimating 8 Soil Characteristics&Compaction 6 Base Materials,Bedding&Edge Restraints 7 Paving Materials 7 Paver Installation 16 Safety 6 References • Basic Safety,2009.ISBN:978-0-136-09875-1.NCCER MATS Testing,13614 Progress Blvd,Alachua,FL 32615.Available at www.provbookstore.com or http://nccer.pearsonconstructionbooks.com • ICPI Concrete Paver Installer Course Manual,7th Edition, 2000.Interlocking Concrete Pavement Institute, 13921 Park Center Road,Suite 270, Herndon,VA 20171.Available at www.icpi.org. Collier County Testing Exam Descriptions 2014.05.05 Page 35 Prol Plaster/Stucco A Plaster/Stucco contractor coats surfaces with a mixture of sand,gypsum plaster,quick-lime or hydrated lime and water,or sand and cement and water, or a combination of such other materials that create a permanent coating, including coatings for the purpose of soundproofing and fireproofing.These coatings are applied with a plasterer's trowel or sprayed over any surface which offers a mechanical means for the support of such coating,and will adhere by suction.This contractor also installs lath(including metal studs)or any other material prepared or manufactured to provide a base or bond for such coating.Also applies and affixes wood and metal lath,or any other material prepared or manufactured to provide key or suction bases for the support of plaster coatings.This classification includes the channel work and metal studs for the support of metal or any other lathing material and for solid plaster partitions. Number of Questions 50 Time allowed(hours) 3 Subject Area #Quest. Plan Reading&Estimating 5 Framing 10 Lathing 10 Materials 10 Application&Finishing 10 Safety 5 References • ASTM C1007-11a Standard Specification for Installation of Load Bearing(Transverse and Axial)Steel Studs and Related Accessories, 2011. American Society for Testing and Materials, 100 Barr Harbor Drive, P.O. Box C700, West Conshohocken, PA 19428-2959. Available at http://www.astm.org/.Candidate printed versions allowed if exam is open book. • ASTM C1063-12a-Standard Specification for Installation. American Society for Testing and Materials, 100 Barr Harbor Drive,P.O.Box C700, West Conshohocken,PA 19428-2959.Available at http://www.astm.org/.Candidate printed versions allowed if exam is open book. • ASTM C926-12a-Standard Specification for Application of Portland Cement Based Plaster.American Society for Testing and Materials,100 Barr Harbor Drive,P.O.Box C700,West Conshohocken,PA 19428-2959.Available at http://www.astm.org/.Candidate printed versions allowed if exam is open book. • Basic Safety,2009.ISBN:978-0-136-09875-1.NCCER MATS Testing,13614 Progress Blvd,Alachua,FL 32615.Available at www.provbookstore.com or http://nccer.pearsonconstructionbooks.com • Florida Building Code 2010-Building,2010.ISBN:Item#:5601L10.International Code Council,4051 West Flossmoor Road,Country Club Hills,IL 60478.Available at www.iccsafe.org. • Gypsum Construction Handbook, 2009. ISBN: 978-0876292587. United States Gypsum Company, 550 West Adams Street, Chicago, IL 60661. Available at www.amazon.com • Introduction to Construction Math, 2009. ISBN: 978-0-13-609877-5. Prentice Hall, P.O. Box 11071, Des Moines, IA 50336. Available at http://nccer.pearsonconstructionbooks.com. Collier County Testing Exam Descriptions 2014.05.05 Page 36 Prol Reinforced Steel Reinforcing Steel Contractor is a contractor qualified and certified to fabricate,place,tie and weld steel reinforcing bars(rods)that are or may be used to reinforce concrete buildings or structures. Number of Questions 50 Time allowed(hours) 3 Subject Area #Quest. Plan Reading&Estimating 6 Reinforcement Placement 14 Reinforcement Connections i 2 Reinforcement Cutting&Bending 5 Rigging Equipment&Practices 5 Safety 8 References • Building Code Requirements for Structural Concrete, 2008. ISBN: 978-0870312-64-9. American Concrete Institute, 38800 International Way, Country Club Dr,P.O.Box 9094,Farmington Hills,MI 48333.Available at http://www.concrete.org/. • Florida Building Code 2010-Building,2010.ISBN:Item#:5601L10.International Code Council,4051 West Flossmoor Road,Country Club Hills,IL 60478.Available at www.iccsafe.org. • Reinforcing Ironwork Level One. Prentice Hall,P.O.Box 11071,Des Moines,IA 50336. Collier County Testing Exam Descriptions 2014.05.05 Page 37 Prol Residential Contractor Residential Contractor means a contractor whose services are limited to construction, remodeling,repair, or improvement of one-family, two- family,or three-family residences not exceeding two(2)habitable stories above no more than one uninhabitable story and accessory use structure in connection therewith.As regulated under Florida Statute,a person who has passed a competency examination as a Residential Contractor may perform these or related tasks or may supervise persons in his employ in the execution of these tasks. Number of Questions 60 Time allowed(hours) 3 Subject Area #Quest. Plan Reading 6 Sitework&Foundations 5 Concrete and Reinforcement 8 Masonry 8 Carpentry 1 0 Roofing 4 Interior Finishes 5 Exterior Finishes 5 Associated Trades 4 Safety 5 References • Basic Safety,2009.ISBN:978-0-136-09875-1.NCCER MATS Testing,13614 Progress Blvd,Alachua,FL 32615.Available at www.provbookstore.com or http://nccer.pearsonconstructionbooks.com • Florida Building Code 2010-Residential,2010.ISBN:Item#:5610L10.International Code Council,4051 West Flossmoor Road,Country Club Hills, IL 60478.Available at www.iccsafe.org. • Masonry and Sitework for the Residential Contractor,2011.ISBN:978-1-269-08192-4.Pearson,501 Boylston Street,Suite 900,Boston,MA 02116. Available at www.provbookstore.com. • Study Guide for Residential Carpentry and Repair, 2012.ISBN:978-1-256-26901-4.Pearson,501 Boylston Street,Suite 900,Boston,MA 02116. Available at www.provbookstore.com. Collier County Testing Exam Descriptions 2014.05.05 Page 38 Prol Roofing Unlimited Tests a candidate's knowledge of the installation,repair,and replacement of roof coverings,including roof deck insulation,roof coating,painting, covering,use of sheet metal products incidental to roofing work or other related material,and installation of nonstructural decking and siding. Number of Questions 50 Time allowed(hours) 2 Subject Area #Quest. Plan Reading&Estimating 8 Deck&Underlayment 6 Flashing 5 High Slope Roofing 15 Low Slope Roofing 9 Safety 7 References • Code of Federal Regulations.Title 29.Part 1926, 2012.ISBN: 9780160911576. Superintendent of Documents,P.O.Box 371954,Pittsburgh,PA 15250-7954.Available at http://bookstore.gpo.gov.Candidate printed versions permitted in testing room if exam is open book. • Florida Building Code 2010-Building,2010.ISBN:Item#:5601L10.International Code Council,4051 West Flossmoor Road,Country Club Hills,IL 60478.Available at www.iccsafe.org. • NRCA Roofing Manual-Architectural Metal Flashing,2010.National Roofing Contractors Association,10255 W.Higgins Rd.,#600,Rosemont,IL 60018.Available at www.nrca.net.As with all references,any newer or older edition is an acceptable substitute. • NRCA Roofing Manual-Membrane Roof Systems, 2011.National Roofing Contractors Association, 10255 W.Higgins Rd.,#600,Rosemont,IL 60018.Available at www.nrca.net. • NRCA Roofing Manual-Metal Panel and SPF Roof Sys, 2012.National Roofing Contractors Association,10255 W.Higgins Rd.,#600,Rosemont, IL 60018.Available at www.nrca.net. • NRCA roofing Manual-Steep-slope Roof Systems, 2009.National Roofing Contractors Association, 10255 W.Higgins Rd.,#600,Rosemont,IL 60018.Available at www.nrca.net.As with all references,any newer or older edition is an acceptable substitute. III Collier County Testing Exam Descriptions 2014.05.05 Page 39 Prol Sealing & Striping An engineering contractor who has a qualifying agent with the experience and skill gained by not less than one(1)year as a general superintendent for an engineering contractor and/or the education equivalent thereto,or a combination thereof,and qualified and certified to seal driveways and parking lots only;if cracks,holes or any repair is needed,it must be done by a certified paving contractor. Number of Questions 50 Time allowed(hours) 2 Subject Area #Quest. Asphalt Principles&Properties 4 Use&Application of Asphalt Emulsions 18 Asphalt Surface Treatments 18 Asphalt Preservation&Maintenance 5 Safety 5 References • Basic Safety,2009.ISBN:978-0-136-09875-1.NCCER MATS Testing,13614 Progress Blvd,Alachua,FL 32615.Available at www.provbookstore.com or http://nccer.pearsonconstructionbooks.com • ES-12 Asphalt Surface Treatments, 1988. The Asphalt Institute, 2696 Research Park Drive, Lexington, KY 40511-8480. Available at www.asphaltinstitute.org. • MS-16 Asphalt in Pavement,Preservation&Maintenance,4th edition,2009.ISBN:978-1-934154-58-8.The Asphalt Institute,2696 Research Park Drive,Lexington,KY 40511-8480.Available at www.asphaltinstitute.org. • MS-19 Basic Asphalt Emulsion Manual, 4th edition. ISBN:978-1-934154-56-4.The Asphalt Institute,2696 Research Park Drive,Lexington,KY 40511-8480.Available at www.asphaltinstitute.org. Collier County Testing Exam Descriptions 2014.05.05 Page 40 Prol Sheet Metal Sheet Metal Contractor is a specialty mechanical contractor qualified and certified to manufacture, assemble, cast, cut, shape, stamp, forge, fabricate,weld,repair,recondition,adjust and install sheet and rolled metal of any kind or combination and all other materials used in lieu thereof, and including all air-veyor systems and air handling systems regardless of materials used including all equipment and all reinforcements in connection therewith. Number of Questions 75 Time allowed(hours) 3 Subject Area #Quest. Plan Reading,Estimating&Math 8 Code&General Knowledge 13 Layout&Fabrication 12 Installation 10 Air Properties&Distribution 8 Air Distribution Accessories 8 Chimneys,Flues&Exhaust 6 Architectural Sheet Metal 4 Safety 6 References • Florida Building Code 2010-Mechanical,2010.ISBN:Item#:5631L10.International Code Council,4051 West Flossmoor Road,Country Club Hills, IL 60478.Available at www.iccsafe.org. • Sheet Metal Level Four. Prentice Hall,P.O.Box 11071,Des Moines,IA 50336.Available at http://nccer.pearsonconstructionbooks.com. • Sheet Metal Level One. ISBN: 978-0-13-604482-6. Prentice Hall, P.O. Box 11071, Des Moines, IA 50336. Available at http://nccer.pearsonconstructionbooks.com. • Sheet Metal Level Three, 2003. ISBN: 978-0-13-609962-8. Prentice Hall, P.O. Box 11071, Des Moines, IA 50336. Available at http://nccer.pearsonconstructionbooks.com. • Sheet Metal Level Two, 2008. ISBN: 978-0-13-604484-0. Prentice Hall, P.O. Box 11071, Des Moines, IA 50336. Available at http://nccer.pearsonconstructionbooks.com. Collier County Testing Exam Descriptions 2014.05.05 Page 41 Prol Sign Contractor - Non-Electric Tests a candidate's knowledge of installation,repair,and modification of non-electrical signs. Number of Questions 50 Time allowed(hours) 2 Subject Area #Quest. Plan Reading 5 Concrete and Reinforcement 9 Wood 6 Structural Steel 8 Welding 7 Non-Electric Sign 8 Safety 7 References • Carpentry Level One, 2006. ISBN: 978-0-13-229268-9. Prentice Hall, P.O. Box 11071, Des Moines, IA 50336. Available at http://nccer.pearsonconstructionbooks.com. • Carpentry Level Three, 2007. ISBN: 978-0-13-228600-8. Prentice Hall, P.O. Box 11071, Des Moines, IA 50336. Available at http://nccer.pearsonconstructionbooks.com. • Florida Building Code 2010-Building, 2010.ISBN:Item#:5601L10.International Code Council,4051 West Flossmoor Road,Country Club Hills,IL 60478.Available at www.iccsafe.org. • Ironworking Level One, 2011. ISBN: 978-0-13-213714-0. Prentice Hall, P.O. Box 11071, Des Moines, IA 50336. Available at http://nccer.pearsonconstructionbooks.com. Collier County Testing Exam Descriptions 2014.05.05 Page 42 Prol Sign Erection - Electrical Tests a candidate's knowledge of the design,plan,installation,repair,alteration,and maintenance of electric conductors,raceways,and equipment associated with electric signs.The branch circuit supplying power to the sign shall originate from an existing disconnect or power outlet. Number of Questions 40 Time allowed(hours) 2 Subject Area #Quest. Electrical Signs&Outline Lighting 16 General Electrical Knowledge 6 Grounding&Bonding 4 Motors&Controls 3 Transformers 3 Wiring&Protection 4 Wiring Methods&Materials 4 References • American Electricians'Handbook, 15th Edition.ISBN:978-0-07-149462-5.McGraw Hill Glencoe Order Services,P.O.Box 545,Blacklick,OH 43004. • NFPA 70 - National Electrical Code, 2008. ISBN: 978-0877657903. National Fire Protection Association, 1 Batterymarch Park, Quincy,MA 021697471.Available at www.nfpa.org. Collier County Testing Exam Descriptions 2014.05.05 Page 43 !'rov' Solar Water Installation & Repair Tests a candidate's knowledge of the installation, alteration, repair, and replacement of any solar heating system including swimming pool applications. Includes collectors, storage and expansion tanks, heat exchangers, piping, valves, pumps, sensors, and low voltage controls that connect to existing plumbing and electrical circuits. Number of Questions 50 Time allowed(hours) 2 Subject Area #Quest. Plan Reading&Estimating 5 Florida Building Code application to Solar Heating 5 Solar Concepts 6 Solar Water Heating Systems 6 Solar Water Heating System Installation 6 Solar Water Heating System Troubleshooting 6 Swimming Pool Heating Systems 6 Materials 5 Safety 5 References • Florida Building Code 2010-Energy Conservation,2010.ISBN:Item#:5681L10.International Code Council,4051 West Flossmoor Road,Country Club Hills,IL 60478.Available at www.iccsafe.org. • Florida Building Code 2010-Mechanical,2010.ISBN:Item#:5631L10.International Code Council,4051 West Flossmoor Road,Country Club Hills, IL 60478.Available at www.iccsafe.org. • Plumbing Basics for Contractors, 2nd Edition, 2012. ISBN: 978-1-269-24887-7. Pearson, 501 Boylston Street, Suite 900, Boston, MA 02116. Available at www.provbookstore.com.(Replaces 978-1-269-11622-0,either copy is permitted) • Solar Water and Pool Heating Manual.ISBN:FSEC-IN-24.University of Central Florida-UCF FL Solar Energy Center,1679 Clearlake Road,Cocoa, FL 32922-5703.www.fsec.ucf.edu Collier County Testing Exam Descriptions 2014.05.05 Page 44 Prol Structural Steel Erection A Structural Steel Erection Contractor is a contractor qualified and certified to erect structural steel shapes and plates including such minor field fabrication as may be necessary, of any profile, perimeter or cross-section, that are or may be used as structural members for buildings and structures, including steel joists, steel decking and siding, and communication towers, and including riveting, welding and rigging only in connection therewith. Number of Questions 50 Time allowed(hours) 2 Subject Area #Quest. Plan Reading&Estimating 5 Structural Steel 10 Welding&Cutting 6 Structural Steel-Bolting 4 Metal Decking 6 Metal Buildings 3 Metal Joists&Trusses 5 Rigging and Cranes 6 Safety 5 References • Florida Building Code 2010-Building,2010.ISBN:Item#:5601L10.International Code Council,4051 West Flossmoor Road,Country Club Hills,IL 60478.Available at www.iccsafe.org. • Ironworking Level One, 2011. ISBN: 978-0-13-213714-0. Prentice Hall, P.O. Box 11071, Des Moines, IA 50336. Available at http://nccer.pearsonconstructionbooks.com. • Ironworking Level Three, 2012. ISBN: 978-0-13-257785-4. Prentice Hall, P.O. Box 11071, Des Moines, IA 50336. Available at http://nccer.pearsonconstructionbooks.com. • Ironworldne Level Two, 2011. ISBN: 978-0-13-257822-6. Prentice Hall, P.O. Box 11071, Des Moines, IA 50336. Available at http://nccer.pearsonconstructionbooks.com. Collier County Testing Exam Descriptions 2014.05.05 Page 45 Prol Swimming Pool Class "A" Shall include the construction,repair,water treatment,and servicing of any swimming pool or hot tub or spa,whether public or private or otherwise, regardless of use. The scope of such work includes layout, excavation, operation of construction pumps for dewatering purposes, steelwork, installation of light niches,construction of floors,guniting, fiber glassing, installation of tile and coping, installation of all perimeter and filter piping,installation of all filter equipment and chemical feeders of any type,plastering of the interior,construction of decks(slabs incidental to the pool),construction of equipment rooms or housing for pool equipment,and installation of package pool heaters.(However,the scope of work of such Contractor shall not include direct connections to a sanitary sewer or to potable water lines.) Such Contractors may contract for screen enclosures if a sublicensed specialist performs such work,and contracted with pool work. Number of Questions 50 Time allowed(hours) 2 Subject Area #Quest. Plan Reading&Estimating 4 Site Preparation,Excavation and Backfilling 5 Pool Shell Construction 14 Interior Surface Preparation and Finishing 10 Tile,Coping and Trimwork 4 Accessory Work 3 Care and Operation 6 Safety 4 References • Basic Safety,2009.ISBN:978-0-136-09875-1.NCCER MATS Testing,13614 Progress Blvd,Alachua,FL 32615.Available at www.provbookstore.com or http://nccer.pearsonconstructionbooks.com • Florida Building Code 2010-Building,2010.ISBN:Item#:5601L10.International Code Council,4051 West Flossmoor Road,Country Club Hills,IL 60478.Available at www.iccsafe.org. • Swimming Pools:Design and Construction,Fourth Edition.ISBN:978-0419235903.Taylor and Francis,270 Madison Avenue,New York,NY 10016. Available at www.amazon.com. Collier County Testing Exam Descriptions 2014.05.05 Page 46 Prol Swimming Pool Class "B" Tests a candidate's knowledge of the construction, service, and repair of residential swimming pools. Does not include direct connections to a } sanitary sewer system nor to potable water lines,nor the grounding and bonding of metal surfaces,nor the making of any electrical connections. Number of Questions 50 Time allowed(hours) 2 Subject Area #Quest. • Plan Reading&Estimating 5 Site Preparation,Excavation and Backfilling 5 Pool Shell Construction 14 Interior Surface Preparation and Finishing 6 Tile,Coping and Trimwork 5 Accessory Work 5 Care and Operation 6 Safety 4 References • Basic Safety,2009.ISBN:978-0-136-09875-1.NCCER MATS Testing,13614 Progress Blvd,Alachua,FL 32615.Available at www.provbookstore.com or http://nccer.pearsonconstructionbooks.corn • Builder's Guide to Swimming Pool Construction,2005.ISBN:978-1889892504.Builder's Book,Inc.,8001 Canoga Avenue,Canoga Park,CA 91304. Available at www.amazon.com. • Florida Building Code 2010-Residential,2010.ISBN:Item#:5610L10.International Code Council,4051 West Flossmoor Road,Country Club Hills, IL 60478.Available at www.iccsafe.org. Collier County Testing Exam Descriptions 2014.05.05 Page 47 Prol Swimming Pool Class "C" Is a contractor qualified and certified to do the work of a swimming pool maintenance contractor(limited)and is covered by the same definition except that the swimming pool maintenance contractor(unlimited)shall be able to carry on all such work in connection with both private and public pools. Number of Questions 75 Time allowed(hours) 3 Subject Area #Quest. Calculations 9 Circulation 10 Disinfection 10 Filtration 14 Management 7 Repairs 5 Safety 10 Testing 10 References • Florida Administrative Code.Ch.64E-9,Public Swinuning Pools&Bathing Places, 2009. State of Florida,2600 Blair Stone Road M.S. 3500, Tallahassee,FL 32399.available at www.doh.state.fl.us/.../water/.../64E-9_FAC_DRAFT_REV7_No_STRIKE_PDF Candidate printed versions allowed if exam is open book • Florida Building Code 2010-Building,2010.ISBN:Item#:5601L10.International Code Council,4051 West Flossmoor Road,Country Club Hills,IL 60478.Available at www.iccsafe.org. • Florida Building Code 2010-Residential,2010.ISBN:Item#:5610L10.International Code Council,4051 West Flossmoor Road,Country Club Hills, IL 60478.Available at www.iccsafe.org. • Pool&Spa Operator Handbook, 2012.National Swimming Pool Foundation,4775 Granby Circle,Colorado Springs,CO 80919.www.nspf.org Collier County Testing Exam Descriptions 2014.05.05 Page 48 Prol Tile & Marble Tests a candidate's knowledge of the installation,repair,and replacement of roof coverings,including roof deck insulation,roof coating,painting, covering,use of sheet metal products incidental to roofing work or other related material,and installation of nonstructural decking and siding of nonstructural decking and siding. Number of Questions 50 Time allowed(hours) 2 Subject Area #Quest. Plan Reading&Estimating 6 Substrates 11 Materials 6 Layout&Planning 6 Ceramic Tile Installation 11 Marble&Stone Installation 5 Safety 5 References • American National Standards Specifications for the Installation of Ceramic Tile,Version 2011.1.ISBN:ANSI A108,A118,A136.1:2011.American National Standards Institute,1430 Broadway,New York,NY 10018.Available at www.webstore.ansi.org/. • Basic Safety,2009.ISBN:978-0-136-09875-1.NCCER MATS Testing,13614 Progress Blvd,Alachua,FL 32615.Available at www.provbookstore.com or http://nccer.pearsonconstructionbooks.com • Setting Tile, 1995.The Taunton Press,63 South Main St.,P.O.Box 5506,Newton,CT 06470.Available at www.taunton.com. • TCNA Handbook for Ceramic,Glass,and Stone Tile Installation.Tile Council of North America,100 Clemson Research Blvd.,Anderson,SC 29625. Available at www.tcnatile.com. • Tile Your World.ISBN:0-9742754-3-3.Mistflower Press,6717 Mistflower Lane,Katy,TX 77449.Available at mistflowerpress.com/index.html. Collier County Testing Exam Descriptions 2014.05.05 Page 49 Prol Tile, Terrazzo & Marble Tile,Terrazzo, and Marble Contractors are those who are qualified to prepare the base,including backing material set,repair and refinish,tile, terrazzo and marble,and to install laminate or non-nailable wood flooring. Number of Questions 50 Time allowed(hours) 2 Subject Area #Quest. Plan Reading&Estimating 6 Substrates 10 Materials 6 Layout&Planning 6 Ceramic Tile Installation 8 Marble Installation 4 Terrazzo 5 Safety 5 References • American National Standards Specifications for the Installation of Ceramic Tile,Version 2011.1.ISBN:ANSI A108,A118,A136.1:2011.American National Standards Institute,1430 Broadway,New York,NY 10018.Available at www.webstore.ansi.org/. • Basic Safety,2009.ISBN:978-0-136-09875-1.NCCER MATS Testing,13614 Progress Blvd,Alachua,FL 32615.Available at www.provbookstore.com or http://nccer.pearsonconstructionbooks.com • Setting Tile, 1995 copyright.Taunton Press,63 South Main Street,P.O.Box 5506,Newtown,CT 06470-5506.Available at www.taunton.com. • TCNA Handbook for Ceramic,Glass,and Stone Tile Installation.Tile Council of North America,100 Clemson Research Blvd.,Anderson,SC 29625. Available at www.tcnatile.com. • Terrazzo Specifications and Design Guide, 1999.National Terrazzo and Mosaic Association,110 East Market St.,Leesburg,VA 20176.Available at www.ntma.com/specifications.php.Candidate printed versions allowed if exam is open book • Tile Your World. ISBN:0-9742754-3-3.Mistflower Press,6717 Mistflower Lane,Katy,TX 77449.Available at mistflowerpress.com/index.html. Collier County Testing Exam Descriptions 2014.05.05 Page 50 Prol Underground Utilities Tests a candidate's knowledge of the installation,maintenance,repair,alteration,and extension of underground utilities. Number of Questions 50 Time allowed(hours) 2 Subject Area #Quest. Plan Reading&Estimating Survey&Layout 4 Sitework 15 Underground Piping Materials&Fittings 7 Underground Pipe Assembly&Installation 8 Safety 10 References • Basic Safety,2009.ISBN:978-0-136-09875-1.NCCER MATS Testing,13614 Progress Blvd,Alachua,FL 32615.Available at www.provbookstore.com or http://nccer.pearsonconstructionbooks.com • Installation Guide for Ductile Iron Pipe, 2007. Ductile Iron Research Association, 245 Riverchase Pkwy East, Ste. 0, Birmingham, AL 35244. Available at http://www.dipra.org/publications/ • Study Guide for Utilities Contractors, 2012.ISBN:978-1-256-26130-8.Pearson,501 Boylston Street, Suite 900,Boston,MA 02116.Available at www.provbookstore.com. Collier County Testing Exam Descriptions 2014.05.05 Page 51 Prol Utility Electrical Contractor A Utility Electrical Contractor is qualified and certified to install,repair,alter,add to or change any electrical wires,apparatus,raceways,conduit, or any part thereof, on underground or overhead electric utilities transmission and distribution lines or distribution systems including such distribution work within power plants and sub-stations.The scope of work in this classification shall be limited to the work directly involved in performing contract work for the construction of electric utility distribution systems and shall include any excavation and paving work incidental thereto. Number of Questions 50 Time allowed(hours) 3 Subject Area #Quest. Plan Reading&Estimating 6 Earthwork 8 Road&Bridge Specifications 5 Survey&Layout 5 Underground Pipe Assembly&Installation 7 Concrete Forming,Reinforcement&Placing 7 Electrical 12 References • American Electrician's Handbook, 14th Ed.,2002.ISBN:9780071798808.McGraw Hill Glencoe Order Services,P.O.Box 545,Blacklick,OH 43004. http://www.mhprofessional.com • Code of Federal Regulations.Title 29,Part 1926, 2012.ISBN: 9780160911576. Superintendent of Documents,P.O.Box 371954,Pittsburgh,PA 15250-7954.Available at http://bookstore.gpo.gov.Candidate printed versions permitted in testing room if exam is open book. • Standard Specifications for Road and Bridge Construction. State of Florida,2600 Blair Stone Road M.S.3500,Tallahassee,FL 32399.Available at www.dot.state.fl.us.Candidate printed versions allowed if exam is open book. • Study Guide for General Engineering,2nd Edition, 2012.ISBN:978-1-269-23864-9.Pearson,501 Boylston Street,Suite 900,Boston,MA 02116. Available at www.provbookstore.com. • Study Guide for Utilities Contractors, 2012.ISBN:978-1-256-26130-8.Pearson,501 Boylston Street,Suite 900,Boston,MA 02116.Available at www.provbookstore.com. Collier County Testing Exam Descriptions 2014.05.05 Page 52 1 April 23, 2014 Seth B. Hollander 1239 Nottingham Drive Naples, FL 34109 RE: Violation of Board Order Dear Mr. Hollander, You have been added to the agenda for the Collier County Contractor Licensing Board meeting on Wednesday, May 21, 2014, for violating the Board Order to pay Administrative cost within 90 days. The meeting is held at 9:00am at the W. Harmon Turner Building (Bldg. F, Admin. Bldg.), 3299 Tamiami Trl. E., Naples, FL in the Commissioner's Meeting Room on the 3rd floor_ If you have any questions or concerns, please call (239) 252-2431. Sincerely, Consuela Thomas Administrative Supervisor Licensing/Operations 2800 North Horseshoe Drive Naples, FL 34104 U S .Postal; ervice CERTIFIED MAIL RECEIPT (Domest c Mail Only,No insurance Coverage Provided) _n Postage $ FU Certified Fee Postmark rri Return Receipt Fee Here (Endorsement Required) 1=1 Restricted Delivery Fee O (Endorsement Required) Total Postage&Fees $ rU f7l Sent To CZI Seth B. Hollander ,-q Street,Apt.No.; 0 or PO Box No. 1239 Nottingham Drive U City,State,ZIP+4 Naples, FL 34109 r` . PS-FormS800,Jantery2001 = 'See Reversefor astrnotiens•: 1. t SENDER:COMPLETE THIS SECTION , COMPLETE THIS SECTION ON DELIVERY • Complete items 1,2,and 3.Also complete' „ , A' mature 2i'item 4 if Restricted Delivery is desired. •/"��'"�f ❑Agent • Print your name and address on the reverse ❑Addresser so that we can return the card to you. B. ,gceived by(Printed Name) C. Dat: • D-: e ' • Attach this card to the back of the mailpiece, or on the front if space permits. D. Is delivery address different from item 1? • Yes 1. Article Addressed to: If YES,enter delivery address below: ❑ No . Seth B. Hollander 1239 Nottingham Drive '; Naples, FL 34109 3. Service Type XCertified Mail ❑ Express Mail ❑ Registered ❑Return Receipt for Merchandise ❑ Insured Mail ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2. Article Number (Transfer from service label) , 7001 0320 0003 2444 2639 PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-154 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ) BOARD OF COUNTY COMMISSIONERS ) COLLIER COUNTY, FLORIDA ) Petitioner, ) ) CASE NO. 2014-02 vs. ) SETH B. HOLLANDER d/b/a HOLLANDER ) CONSTRUCTION, INC. Respondent. ) FINAL ORDER ON MOTION FOR REHEARING THIS CAUSE came on for public hearing before the Board on March 19, 2014, pursuant to the provisions of Code of Laws and Ordinances of Collier County, Florida Section 22-204, in accordance with the written request for rehearing submitted by Seth B. Hollander d/b/a Hollander Construction, Inc. ("Respondent"). The written request from the Respondent being proper in form and all necessary notices having been issued to the Respondent as required by the Code of Laws and Ordinances of Collier County. The Board having heard testimony under oath and heard arguments with respect to all appropriate and relevant matters as provided in Code of Laws and Ordinances of Collier County, Florida Section 22-204, the Board finds as follows: 1 323787.1 3/25/2014 ORDER OF THE BOARD The Board hereby denies the Respondent's Motion for Rehearing. DONE AND ORDERED by a Vote of 8 for and 0 against, a unanimous vote of the Board, this 19 day of March, 2014, at Collier County, Florida. CONTRACTOR'S LICENSING BOARD C•• LIER COUNT , FLORIDA :y: Thomas Lykos Vice Chairman I HEREBY CERTIFY that a true and correct copy of the above and foregoing Order of the Board has been furnished to the Respondent, and Michael Ossorio, Licensing Compliance Supervisor, 2800 No• -o' - •oe Drive, Naples, FL 34103 on this?1'day of March, 2014. Secretary/Contractors' Licensing Board 2 323787.1 3/25/2014 CONTRACTORS LICENSING BOARD COLLIER COUNTY, FLORIDA BOARD OF COUNTY COMMISSIONERS ) COLLIER COUNTY, FLORIDA ) Petitioner, ) Case No: 2014-02 vs. ) License No. 201300000579 Seth B. Hollander ) d/b/a Hollander Construction Company, ) Inc., ) Respondent(s) ) ORDER THIS CAUSE came on for public hearing before the Contractors' Licensing Board (hereafter Board) on January 15, 2014, for consideration of the Administrative Complaint filed against Seth B. Hollander dba Hollander Construction Company, Inc, the "Respondent". Service of the Complaint was made in accordance with Section 22- 202 of the Code of Laws and Ordinances of Collier County, Florida. The Board made a finding of fact that the service conformed with the requirements of the Code of Laws and Ordinances of Collier County, Florida. The Board having at said hearing heard testimony under oath, received evidence, and heard arguments respective to all appropriate matters, thereupon issues its Findings of Fact, Conclusions of Law, and Order of the Board as follows: Page 1 of 7 319774.1 1/30/2014 FINDINGS OF FACT 1. That Seth B. Hollander is the holder of record of Collier County License Number 201300000579. 2. That the Board of County Commissioners of Collier County, Florida, is the complainant in this matter. 3. That the Board has jurisdiction of the person of the Respondent and that Seth B. Hollander was present at the public hearing and was not represented by counsel at the hearing on January 15, 2014. 4. All notices required by the Code of Laws and Ordinances of Collier County, Florida, have been properly issued, hand delivered and delivered by certified mail in accordance with Section 22-202 of the Code of Laws and Ordinances of Collier County, Florida. 5. The evidence presented and testimony given established that the Respondent acted in a manner that is in violation of the Code of Laws and Ordinances of Collier County, Florida, as follows: failed to provide worker's compensation insurance (Code of Laws and Ordinances of Collier County, Florida, Section 22-201(6)), and is the one who committed the act. 6. That the Contractors' Licensing Supervisor and Staff presented sworn testimony, and the administrative complaint and exhibits thereto were admitted into evidence. The Respondent was afforded an opportunity to present sworn testimony, exhibits, and to cross examine the Contractors' Licensing Supervisor and witness. The Board was Page 2 of 7 319774.1 1/30/2014 afforded an opportunity to ask questions of the Respondent and witness. The Board determined that the allegations of fact as set forth in the Administrative Complaint, as to the violation of Code of Laws and Ordinances of Collier County, Florida, Section 22- 201(6) are true and therefore such facts are hereby found to be supported by the evidence presented at the hearing. CONCLUSIONS OF LAW 1. The Conclusions of Law alleged and set forth in the Administrative Complaint as were supported by the clear and convincing evidence presented at the hearing on January 15, 2014, and said conclusions of law are hereby approved, adopted, and incorporated herein, to wit, the Respondent violated Code of Laws and Ordinances of Collier County, Florida, Section 22-201(6) in the performance of his contracting business in Collier County by acting in violation of the section set out above with particularity. 2. Collier County has jurisdiction over this contractor. 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 Code of Laws and Ordinances of Collier County, Florida, by a vote of 7 in favor and 0 opposed, a unamimous vote of the Board members present, the Respondent has been found in violation as set out above. Page 3 of 7 319774.1 1/30/2014 Further, it is hereby ORDERED, by a vote of 7 in favor and 0 opposed, a unamimous vote of the Board members present, that the following disciplinary sanction(s) and related order are hereby imposed upon the Respondent as holder of Contractor's License Number 201300000579: 1 . The Respondents license is suspended for a period of twenty-one (21) months to run concurrent with the previously imposed probationary period. 2. Respondent is ordered to pay a fine in the amount of five thousand dollars ($5,000.00) on or before December 31, 2014. 3. Respondent is ordered to pay $525.00 in administrative and investigative costs to the County within 90 days. 4. Respondent is to receive a public reprimand. The Respondent, any other party, the chairman of the Contractors' Licensing Board, the Contractors' Licensing Board as a body, or the assistant county attorney who tried the case may request a rehearing of any decision of the Contractors' Licensing Board. A request for rehearing shall be in writing and shall be filed with staff and a copy thereof should be delivered to all other parties within twenty (20) days from the date of mailing or other method of delivery to the Respondent(s) of the Board's written decision. A request for rehearing must be based only on the ground that the decision was contrary to the evidence or that the hearing involved an error on a ruling of law that was fundamental to the decision of the Board. The written request for rehearing must specify the precise reasons therefore. The decision of the Board that is the subject of the Page 4 of 7 319774.1 1/30/2014 rehearing request will remain in effect throughout the rehearing procedure unless the Board orders otherwise. The Board will make a determination as to whether or not to rehear the matter and its decision shall be made at a public meeting, which will be reduced to writing and mailed to the interested parties within 21 days after the determination is made. If the Contractors' Licensing Board determines it will grant a rehearing, it may: a. Schedule a hearing where the parties will be given the opportunity of presenting evidence or argument limited by the Board to the specific reasons for which the rehearing was granted; or b. Modify or reverse its prior decision, without receiving further evidence, providing that the change is based on a finding that the prior decision of the Board resulted from a ruling on a question of law that the Board had been informed by its counsel was an erroneous ruling and which ruling could affect the substantive decision. The parties are further notified that upon the timely filing of a Notice of Appeal within thirty (30) days you may have the decision of the Board reviewed pursuant to the procedure set out herein. The Respondent may appeal a decision of the Board to the Collier County Circuit Court. Such an appeal shall not be a hearing de novo but shall be limited to appellate review of the record created before the Board. Any appeal shall be filed with the Circuit Court and served on the parties within thirty (30) days of the mailing of the decision of the Board under the Code of Laws and Ordinances of Collier County, Florida, Section 22-202(g)(9). If there has been a re-hearing request granted, the appeal shall be filed with the Circuit Court and served on the parties within thirty (30) Page 5 of 7 319774.1 1/30/2014 days of the mailing of the re-hearing decision under Code of Laws and Ordinances of Collier County, Florida, Section 22-205. In the event that the Respondent elects to appeal, a verbatim record and transcript of the proceedings will be necessary. It shall be the sole responsibility of said party to ensure that a record is made from which a transcript may be prepared which includes the testimony upon which an appeal may be taken. Neither Collier County nor the Board has any responsibility to provide a verbatim record transcript of the proceedings. In accordance with Section 489.131(7) (c) and (d), Florida Statutes, the disciplined contractor, the complainant, or the Department of Business and Professional Regulation may challenge the Board's recommended penalty to the State Construction Industry Licensing Board. Such challenge must be filed within sixty (60) days of the issuance of the recommended penalty to the State Construction Industry Licensing Board in Tallahassee, Florida. If challenged, there is a presumptive finding of probable cause and the case may proceed before the State Board without the need for a probable cause hearing. Failure of the disciplined contractor, the complainant, or the Department of Business and Professional Regulation to challenge the Board's recommended penalty within the time period set forth herein will constitute a waiver of the right to a hearing before the State Construction Industry Licensing Board and be deemed as an admission of the violation such that the penalty recommended will become a final order Page 6 of 7 319774.1 1/30/2014 according to the procedures developed by State Board rule without further State Board action. Pursuant to Section 120.59, Florida Statutes, the parties are hereby notified that they may thereafter appeal the Final Order of the State Board by filing one copy of a Notice of Appeal with the Clerk of the Department of Business and Professional Regulation, Northwood Centre, 1940 Monroe Street, Tallahassee, Florida 32399-0792, and by filing the filing fee and one copy of the Notice of Appeal with the appropriate District Court of Appeal within thirty (30) days of the effective date of said State Board Order. ORDERED by the Contractors' Licensing Board effective the 15th day of nuary, 2014. ',) el) 1 Patrick White, Chairman Contractors' Licensing Board I HEREBY CERTIFY that a true and correct copy of the above and foregoing Findings of Fact, Conclusions of Law, and Order of the Board has been furnished to the Respondent; and Mr. Michael Ossorio, Licensing Compliance Supervisor, 2800 North Horseshoe Drive, Naples, FL 34103, on this ! day of-.1-a- .ry, 2014. Secretary/Contractors' Licensing Board Page 7of7 319774.1 1/30/2014 G0 s;LLI4�• • ;Q4,, Collier Count y Government Growth Management Division Contact: Connie Deane Operations & Regulatory Management Department Community Liaison 2800 N. Horseshoe Drive 239-252-8192 or 8365 Naples, FL 34104 colliergov.net twitter.com/CollierP10 facebook.com/CollierGov voutube.com/CollierGov March 21, 2014 FOR IMMEDIATE RELEASE Contractor License Suspended The Collier County Contractors Licensing Board (CLB) has taken disciplinary action against a local contractor. The CLB has suspended the contractor license of Seth B. Hollander, doing business as Hollander Construction Company, Inc. (Collier County License LCC20120002910) of 1239 Nottingham Drive, Naples, Fla. In addition to the license suspension, the CLB also fined Mr. Hollander $5,000 and administrative cost for performing work at 12823 Valewood without workers' compensation coverage (as required pursuant to Florida State Statute 440.10(1)(a) constituted a violation of Collier County Ordinance 90- 105, as amended, Section 22.201(6) ). The CLB also ordered the issuance of a public reprimand by the Collier County Contractors' Licensing Supervisor. "The Contractors' Licensing Board publicly reprimands Mr. Hollander for these violations, and will continue to vigorously enforce local ordinances that protect consumers against unlawful contractors," said CLB Chairman Patrick G. White. "The CLB order in this case sends a loud and clear message that we expect contractors working in our community to understand and strictly follow our local laws and ordinances that protect consumers and law abiding contractors . Consumers should be proactive and ensure that the contractor they hire is properly licensed and insured" White added. "Consumers should take great care when hiring a contractor," said Michael Ossorio, supervisor of the Contractor Licensing Office. "We recommend calling our office at 252-2431 to check the credentials of a contractor and to find out if there are any current or past complaints against the contractor. We also encourage consumers to ask for references and check them before making a hiring decision," said Ossorio. The CLB is made up of nine members comprised of local contractors and consumers appointed by the Board of County Commissioners, Naples City Council and Marco Island City Council. The CLB is authorized to review and resolve complaints against contractors by taking disciplinary action including sanctions, fines, suspensions or revocations of a contractor's license. For more information contact Michael Ossorio at 252-5706. ### January 15, 2014 MINUTES OF THE MEETING OF THE COLLIER COUNTY CONTRACTORS' LICENSING BOARD January 15, 2014 Naples, Florida LET IT BE REMEMBERED, that the Collier County Contractors' Licensing Board, having conducted business herein, met on this date at 9:00 AM in REGULAR SESSION in Administrative Building "F," 3rd Floor, Collier County Government Complex, Naples, Florida, with the following Members present: Chairman: Richard Joslin Vice Chair: Patrick White Members: Michael Boyd Ronald Donino Terry Jerulle Kyle Lantz Thomas Lykos Gary McNally Robert Meister ALSO PRESENT: Michael Ossorio — Supervisor, Contractors' Licensing Office Kevin Noell, Esq. — Assistant County Attorney James F. Morey, Esq. — Attorney for the Contractors' Licensing Board Reggie Smith — Licensing Compliance Officer Thomas Keegan — Licensing Compliance Officer 1 January 15, 2014 Any person who decides to appeal a decision of this Board will need a record of the proceedings and may need to ensure that a verbatim record of the proceedings is made, which record includes the testimony and evidence upon which the Appeal is to be based. I. ROLL CALL: Chairman Richard Joslin called the meeting to order at 9:06 AM and read the procedures to be followed to appeal a decision. Roll call was taken and a quorum was established. Nine voting members were present. H. AGENDA—ADDITIONS, DELETIONS, OR CHANGES: Addition: • Under Item VI, "New Business" o A. Election of Chair and Vice Chair 2014 Term III. APPROVAL OF AGENDA: Corrections: • Vice Chairman White noted the order of New Business" and "Old Business" had been reversed on the Agenda. • The correct date of the next meeting is February 19, 2014 Vice Chairman Patrick White moved to approve the Agenda as amended. Terry Jerulle offered a Second in support of the motion. Carried unanimously, 9— 0. IV. APPROVAL OF MINUTES—NOVEMBER 20, 2013: Gary McNally moved to approve the Minutes of the November 20, 2013 meeting as submitted. Thomas Lykos offered a Second in support of the motion. Carried unanimously, 9— 0. V. DISCUSSION (None) VI. NEW BUSINESS: A. Election of Chair and Vice Chair—2014 Term The Floor was opened to nominations for the Office of Chairman. Terry Jerulle nominated Patrick White to serve as Chairman. Robert Meister offered a Second in support of the nomination. There were no other nominations. Patrick White accepted the nomination. Motion carried, 8— "Yes"/1 — "Abstention." Mr. White abstained from voting. 2 January 15,2014 Chairman White thanked Mr. Joslin for his many years of service to the Board. Chairman White opened the Floor to nominations for the Office of Vice Chair. • Terry Jerulle nominated Thomas Lykos to serve as Vice Chair. • Thomas Lykos nominated Terry Jerulle to serve as Vice Chair. Kyle Lantz offered a second in support of the nominations. There were no other nominations. Vote to elect Thomas Lykos: 6— "Yes"/2— "Opposed"/1 — "Abstention." Mr. Lykos abstained from voting. The Floor was closed. VII. OLD BUSINESS A. Orders of the Board Thomas Lykos moved to approve authorizing the Chairman to sign the Orders of the Board. Gary McNally offered a Second in support of the motion. Carried unanimously, 9— 0. (Note: With reference to the cases heard under Section VII, the individuals who testified were first sworn in by the Attorney for the Board.) B. Victor Treissa—Six-Month Credit Review (d/b/a Kitchen Installations of SWFL, LLC) Victor Triessa stated: • He was able to stop the Bankruptcy proceedings and sold his home. • He confirmed the closing date was January 6, 2014. • Sale of home will increase his Credit Report score by approximately 40 points. • Although the Current Credit Report did not reflect sale of property, his score was still higher than the past Credit Report reviewed by the Board. Michael Ossorio stated: • Mr. Triessa has appeared before the Board on two occasions • Have not received any complaints • The Business Credit Report is in order • Business has been open for 12 months • Recommendation: terminate probation—Business Credit Report meets the MuniCode criteria Terry Jerulle asked Mr. Triessa how he would handle the remaining debt. Victor Triessa replied the medical bills would be paid in a lump sum since the hospital would not accept installments. 3 January 15,2014 Richard Joslin moved to approve accepting the Credit Report and terminating the probation. Ronald Donino offered a Second in support of the motion. Carried unanimously, 9— 0. C. Nathan Hinz— Six-Month Credit Review (d/b/a Nathan Contracting Services, LLC) It was noted Mr. Hinz was not present. Michael Ossorio stated Mr. Hinz had been notified of the Hearing. He further stated Mr. Hinz was on probation. He no longer conducts business in Collier County. Mr. Hinz is in violation of the Board's Order to submit a current Credit Report. Recommendation: Suspend the license. Vice Chairman Thomas Lykos moved to approve suspending the license of Nathan Hinz. Second by Terry Jerulle. Carried unanimously, 9— 0. D. Mico Ugrica, Jr. —Review of Verification of Construction Experience (d/b/a Zen Group, LLC) Mico "Mike" Ugrica and his wife, Alexandra, were sworn in. Michael Ossorio stated Mr. Ugrica took and passed the Building Contractor exam and the Business Procedures test, but there were questions concerning his experience. He further stated Mr. Ugrica applied for a Building Contractors license which requires 48 months' experience. James F. Morey, Esq., Counsel to the Contractors' Licensing Board, cited from Section 22-184, "Standards for the Issuance or Denial of a Certificate of Competency," as follows: (b) "Referral of application to Contractor's Licensing Board for decision. If it does not appear on the face of the application that the applicant has complied with the requirements of this Article so as to be eligible for a Certificate of Competency, then the Contractors' Licensing Supervisor shall refer the application to the Contractors' Licensing Board for a decision regarding approval or denial of application." Mr. Morey listed the criteria necessary to assess the experience of an Applicant: • Affidavits from former employers indicating the years of service; • Copies of Certificates of Competency from other jurisdictions; • Affidavits of Building Supervisors from other jurisdictions; • Affidavits from a Union organization; • Affidavits from any other source within a particular Trade. 4 January 15,2014 The purpose is to gather information to substantiate the relevant experience. He further cited from Section 22-162, "Definitions and Contractor Qualifications," as follows: "Building Contractor requires 48 months experience with a passing grade on an approved test and a Business and Law test and means a contractor whose services are limited to construction of commercial buildings and single-dwelling or multiple-dwelling residential buildings, which commercial or residential buildings do not exceed three stories in height, and accessory use structures in connection therewith or a contractor whose services are limited to remodeling, repair, or improvement of any size building if the services do not affect the structural members of the building." Michael Ossorio stated a Commercial Building Contractor must show that he/she has done commercial work up to three stories but there are no height restrictions if working on a condominium doing non-structural work. Kyle Lantz noted the Applicant was required to provide four years of experience and asked if all four years was limited to commercial work. Michael Ossorio stated he would review a resume to determine if the Applicant had supervisory (foreman) experience of at least one year's duration. He further stated residential experience is also reviewed but a Commercial Building Contractor must prove that he/she has worked on commercial jobsites. Chairman White asked the Applicant if he could add anything further since Staff has determined the materials submitted did not adequately substantiate the required type of experience. Mico Ugrica stated: • He and his family moved to Collier County from Canada last year; • He has been a Contractor for the past 15 years • He contacted a few former clients in Canada who sent letters and photographs of the work that he had performed on three and four-story buildings • He stated multi-family buildings are considered to be "commercial" construction in Canada (Note: The original documents were provided to the Board to review by the Applicant during the course of the Hearing.) Michael Ossorio cited from Section 22-184, "Standards for the Issuance or Denial of a Certificate of Competency," as follows: (c) "When an application is referred to the Contractors' Licensing Board, the Board shall take testimony from the Applicant and shall consider 5 January 15,2014 other relevant evidence regarding whether the application meets the requirements of this division. Upon the evidence presented by the applicant and the contractor licensing supervisor, the Contractors' Licensing Board shall determine whether the applicant is qualified or unqualified for the trade in which application has been made. Findings of Fact and Conclusions of Law regarding the approval or denial of the application shall be made by the Contractors' Licensing Board. The Board may consider the applicant's relevant recent experience in the specific trade and, based upon such experience, may waive testing requirements if convinced that the applicant is qualified by experience whereby such competency testing would be superfluous (1) If the Contractors' Licensing Board determines that an applicant is qualified for a particular type of Certificate of Competency, a competency card shall be issued by the Contractor Licensing Supervisor or his/her designee." Mr. Ossorio contacted the Toronto, Canada, and spoke with the Licensing Manager. In Toronto, if an applicant wishes to do work, he/she sits with the Building Marshall who asks a series of questions. If the applicant meets the criteria,he/she will be issued a license. Mr. Ossorio was informed that Mr. Ugrica had been licensed in Toronto for a period of one year. The Building Official in Toronto confirmed that a either a homeowner or a Contractor could pull an Owner/Builder Permit. Chairman White asked Mr. Ugrica to explain what else he had done in the past nine years in addition to the one year in Toronto. Mr. Ugrica responded that the majority of homes he worked on were "flipped." He pulled pennits as an"owner" because it was his property. He stated the jobs from his clients varied from small renovations (adding an addition) to complete rebuilds where the original structure was demolished and rebuilt. He further stated he also did restorations of historic properties. He explained when he worked for a client,the homeowner or designer or architect would pull the permit and present him with approved plans for which he would provide a quote. If the quote was accepted,the job would proceed. Chairman White asked the Applicant to describe his experience from 2003 to 2013. Mr. Ugrica stated: • 2003 —he built a detached garage for a bungalow as an owner/builder • 2004—he worked on a complete rebuild of a single-family home o There were water problems which necessitated waterproofing the exterior of the basement o Replaced rotten bench footers o Remodeled the kitchen and bathrooms 6 January 15, 2014 • 2005 - A complete addition(foundation to third floor) was built onto a Victorian-style home in Toronto and dormer work was also completed • 2006/2007—began working on several four-story commercials buildings in downtown Toronto It was noted the documentation submitted covered the period from 2010 to 2012. Alexandra Ugrica stated the family emigrated from Canada in 2012 and the process took over a year. She explained her husband was not allowed to work while applying for a Visa. Chairman White requested information for the period from 2008 through 2012. Kyle Lantz stated that, after reviewing the documentation presented, while he was convinced the Applicant was qualified as a Residential Contractor, he did not see enough "commercial" experience. Mrs. Ugrica explained one of the clients was a Convention Center which was commercial. Terry Jerulle asked if"time was of the essence" concerning the Visa Application. Mrs. Ugrica replied that her husband was subject to stringent guidelines and, as a Contractor, he is required to employ U.S. citizens. They are required to file taxes but have no income to report. Mr. Jerulle suggested they return with copies of building permits, a resume, a timeline, and letters from an architect and/or structural engineer to satisfy the requirements. It was noted the Applicant's documentation included a letter from an engineering inspector confirming that the work done by Mr. Ugrica had passed inspection. Mico Ugrica stated it was very difficult to obtain copies of building permits due to the strict privacy laws in Canada. It took 60 days to obtain a copy of one permit where he was the owner/builder. Richard Joslin stated the permit was pulled by Mr. Ugrica as an owner/builder but not as the Building Contractor; it did not prove that he did the renovations himself. Alexandra Ugrica explained the process: • Anyone may pull a permit—it is not limited to an owner/architect/Contractor; o with a letter of authorization, she could pull a permit for her neighbor • Work is approved by an inspector once it has been completed • An Inspector does not verify who completed the work—only that it had been done correctly and has met Code • Her husband preferred that either his clients or their architects or designers pulled the building permit • Even if permits for the commercial work could be obtain, Mr. Ugrica's name would not be listed on the document 7 January 15,2014 • Canadian law changed in 2011 and required a licensed architect submit drawings for approval. The Architect's license would be noted on the permit. Thomas Lykos explained that Collier County requires a licensed Contractor to pull a permit for a commercial job, unlike a residential construction where an owner-builder is allowed to obtain a permit. To obtain a Building Contractor's license, the Applicant must be familiar with the process because he will be responsible to pull the permits for his projects. The Contractor's name and his license number will appear on a permit. Chairman White explained the issue was to demonstrate relevant commercial construction experience. He stated there was more than adequate proof of Mr. Ugrica's residential construction experience. He asked for an explanation of any commercial-type construction projects that were completed during the required 48-month period of time. Mica Ugrica outlined additional commercial experience: • From 2010 to 2011 —the Convention Center project took 18 months • Address: 858 Davenport— 10 units—took 2 years—structural underpinning repairs—the property backed onto a ravine and was over 100 years old • 2006: 333 Harvard—built three 820-foot units—three-stories high which took 7 to 8-months to complete—the new units were additions to an existing building—each unit contained 3-bedrooms and 2-bathrooms (high end) Description of work completed: • Excavated from below the frost line and poured the foundation • Reinforced everything • 12-inch concrete block to above grade • First floor unit had a radiant hot-water flooring system • Because the building was located in a residential area, the new construction was required to mirror the historic style of construction(double-brick) and comply with Code • Building had a flat roof with metal coping Mico Ugrica stated as the General Contractor for the job, his responsibilities including: • hiring sub-contractors ("sub-Trades"), i.e., excavators, masons, Master electricians • supervising foundation pours and pushed wheelbarrows when necessary; • supervising installation of all windows/doors/balconies; • supervising installation of HVAC system for each unit (natural gas); • supervising installation of plumbing and electrical; • he did the accounting (client paid him and he paid the subs); • maintained contact with the client; • dealt with the Building Inspector when needed; 8 January 15,2014 • adhered to stringent Fire Code requirements — scheduled when wiring would be roughed-in, speaker systems throughout the units, pole stations, etc. (Fire Department's policy is to deal directly with building owners at inspection) • scheduled installation of insulation—spray and"pink"—dry walled, taped, plastered— • scheduled installation of finishes and trims, i.e., hardwood flooring (3/4-inch maple), marble in baths (countertops/floors) He stated he owned a small company and he was always on-site because he handled only one job at a time. His list of clients is small but they were all repeat customers. Gary McNally asked the Applicant to explain his formal training and educational background. Mico Ugrica stated his father was a builder and he grew up on construction sites; he began helping his father when he was seven years old. He further stated, "I don't know anything else." He did not have any "formal" education; his training was hands-on. Additional discussion ensued. Kyle Lantz stated he was more confident that the Applicant was qualified. Michael Ossorio stated he would not offer a recommendation. Terry Jerulle suggested that he, if it he was not required to obtain a Building Contractor's license for immigration purposes, Mr. Ugrica could apply for a Residential Contractor's License which could be issued immediately. Michael Ossorio confirmed if the Applicant could provide a list of residential construction job, the Board could issue a license. Mr. Ugrica could later re-apply for a Building Contractor's License when his documentation was complete. Chairman White explained if the Board issued a Building Contractor's license, it would be restricted to "residential only"until the Applicant was able to amend the original application and provide the additional documentation, i.e., sworn Affidavits demonstrating the degree of commercial experience, etc. Mr. Ossorio explained it would be simpler to issue a Residential Contractor's license which could be registered with the State. If he chose to upgrade it, he would re-apply to the Board, provide the documentation, and a Building Contractor's license could be issued which would also be registered with the State. He further explained there is a distinction between the two licenses and Mr. Ugrica should register accordingly to avoid confusion concerning his qualifications. Vice Chairman Lykos noted the Applicant used the correct terminology and based on the Applicant's vocabulary and description of the work performed, it sounded as if he had the proper experience. He stated he had enough confidence in the Applicant to approve issuing a license. Chairman White and Robert Meister agreed. Kyle Lantz moved to approve Mica Ugrica's application for a license as a Building Contractor. 9 January 15,2014 Discussion: Terry Jerulle stated part of the responsibilities of an Applicant is to provide documentation and data. The application was not complete because the correct data was not provided to prove that he had the commercial experience. He further stated he would only approve issuing a license as a Residential Contractor. Chairman White noted the standard allows the Board to hear testimony, under oath, as well as written documentation. He asked Mr. Ossorio if the Board could issue a license with a probationary period of six months. Michael Ossorio stated the Board has never issued a new license with probation. He was not sure how the State would react—it could delay the registration by weeks. Chairman White called for a vote on the motion made by Mr. Lantz to approve Mica Ugrica's application for a Building Contractor's license. Motion carried, 8— "Yes"/1 — "Opposed." Mr. Jerulle was opposed. E. Paul Bolcavage—Review of Credit Report (d/b/a Starfish Electric & Home Services, LLC) Paul Bolcavage stated his debts were personal caused by the downturn in the economy. Michael Ossorio stated because his business credit was less than 12 months, the personal credit must be considered. He further stated Mr. Bolcavage met the criteria as an Electrical Contractor. Kyle Lantz asked what score was required. Michael Ossorio stated he has been in contact with the Department of Business- Professional Relations. His target score is 660. The applicant has been licensed in Miami-Dade. He has been licensed for years in Pennsylvania. The Applicant's score is 626. Vice Chairman Lykos moved to approve Paul Bolcavage's application for a license as an Electrical Contractor. Kyle Lantz offered a Second in support of the motion. Carried unanimously, 9—1. BREAK: 10:20 AM RECONVENED: 10:31 AM VIII. PUBLIC HEARING: (Note: Regarding case heard under Section VIII, the individuals who testified were first sworn in by the Attorney for the Board.) 10 January 15,2014 A. Case#2014-01: BCC vs. Mario Rodriguez, d/b/a "K.C. Tiles & Marble, Inc." Chairman White briefly outlined the order of the proceedings to be followed: • Open the Public Hearing; • Swear the witnesses; • Accept any evidence from the parties; • The County will present its "Opening Statement;" • The Respondent will present his/her"Opening Statement;" • The County will present its "Case in Chief;" • The Respondent will present his/her defense; • The County may offer any rebuttal; • Each Party may present a "Closing Statement," • The Public Hearing will conclude. • The Board will close the Public Hearing and begin deliberations. • The Board's Attorney will give a"Charge" to the Board, similar to the Charge given to a Jury, setting out the parameters on which the decision will be based. • During deliberations, the Board can request additional information and clarification from the parties. • The Board will decide two different issues: o First, whether the Respondent is guilty of the offense as charged in the Administrative Complaint. o A vote will be taken on the issue. o Second, if the Respondent is found guilty, the Board will decide the sanctions to be imposed. • The Board's Attorney will advise the Board concerning the sanctions which may be imposed and the factors to be considered. • The Board will discuss the sanctions and vote. • The Chair will orally report the decision of the Board. • The Final Order will include the complete details as required under State laws and procedures. Reggie Smith, Licensing Compliance Officer, requested to enter into evidence the packet of information previously provided to the Board Members. Richard Joslin moved to open the Public Hearing in Case No. 2014-01: The Board of County Commissioners vs. Mario Rodriguez, d/b/a "K. C. Tiles & Marble, Inc.," License No.: 19105 (Tile and Marble Contractor) and License No. 21273 (Masonry Contractor), and to enter the information packet into evidence as County's Exhibit "1." Vice Chairman Thomas Lykos offered a Second in support of the motion. Carried unanimously, 9— 0. It was noted the Respondent, Mario Rodriguez, did not offer any documents to be admitted into evidence. 11 January 15,2014 Reggie Smith presented the County's "Opening Statement:" • The County is prepared to show that Mario Rodriguez violated Ordinance #90-105, as amended, Section 22-201(2) as follows: "Contracting to do any work outside the scope of his/her competency as listed on his/her competency card and as defined in the Ordinance or as restricted by the Contractors'Licensing Board." Address: 1365 47th Avenue NE, Naples, Florida • The County is also prepared to show that Mario Rodriguez violated Ordinance #90-105, as amended, Section 22-201(6) as follows: "Disregards or violates, in the performance of his/her contracting business in the County, any of the building, safety, health insurance, or Workers' Compensation laws of the State or Ordinances of the County" by failing to secure and maintain Workers' Compensation insurance for his employees working at 1365 47th Avenue NE, Naples, Florida. Respondent, Mario Rodriguez,presented his "Opening Statement:" • There was an on-going legal case. • The Corporation and Mr. Trujillo, President, are fighting the charge of a of Workers' Compensation violation in Court. • It is our position that Robert Wiley was not our employee and it was not our jobsite. • We disagree with the findings of the Workers' Compensation Board investigation. • He was not sure whether the case would be heard in Court or during an Administrative Hearing. Chairman White asked the Respondent if he had anything to add concerning the Scope of Work issue. The Respondent stated he was not aware that pouring and forming concrete was out of the scope of work of his license. I-Ie has a Masonry Contractor's license and thought pouring concrete was allowed under his license. He further stated he was not contesting the violation concerning Scope of Work. County's "Case in Chief:" • On June 27, 2013, Reggie Smith received a phone call concerning an accidental death of a worker at a construction site at 1365 47th Avenue NE in Naples. • The new home construction was being built by Ash-Ann Homes, Inc., qualified by Ariel Gonzalez, Certified General Contractor, License Number#GCG-1510731. • A lightning strike occurred at the jobsite approximately 1:00 PM on June 26, 2013. • During the site visit, he obtained information from Ariel Gonzalez, Mario Rodriguez, and Workers' Compensation Investigator Jack Gumph for the State of Florida. 12 January 15,2014 • The deceased and an injured employee appeared to be working for K. C. Tiles & Marble, Inc., which was qualified by Mario Rodriguez. • K. C. Tiles & Marble, Inc. had been hired to perform concrete forming and placing. • K. C. Tiles & Marble, Inc. held a Masonry Contractor license and a Tile and Marble Contractor license through Collier County. • At the jobsite, he observed and photographed equipment in place for concrete forming and placing. • Mr. Smith informed Investigator Gumph that the case would be reviewed by the Contractors' Licensing Office Supervisor, Michael Ossorio, for two violations, i.e, working outside the scope of a license and Workers' Compensation insurance violation. Ariel Gonzalez was called as a Witness for the County. Reggie Smith questioned Mr. Gonzalez: Q. Are you a State-certified General Contractor and holder of License Number #GCG-1510731, licensed since 2006? A. Yes. Q. Are you the Qualifier for Ash-Ann Homes, Inc.? A. Yes. Q. Are you familiar with the newly constructed home located at 1365 47th Avenue NE in Naples, Florida, built by Ash-Ann Homes, Inc.? A. Yes. Q. (Reference: Exhibit E-32) Is this the home construction site located at 1365 47th Avenue,NE? A. Yes. Q. Did you hire K. C. Tiles & Marble, Inc. to perform concrete forming and placing at this jobsite? A. Yes? Q. Whom did you contract with to arrange the concrete work? What person did you actually make a contract with to perform the concrete work? A. Filmon Cendejas. Q. Were you aware that K. C. Tiles & Marble, Inc. did not have the required licensing to perform this work? A. No. O. If you had known that K. C. Tiles & Marble, Inc. was not licensed to perform the concrete work, would you have hired them? A. No. Thank you very much. Chairman White asked the Respondent if he had any questions for the witness and the response was, "No." Jack Gumph, Senior Compliance Investigator—Division of Workers' Compensation for the State of Florida was called as a Witness for the County. 13 January 15, 2014 Reggie Smith questioned Mr. Gumph: Q. How many years have you held this title? A. Four years. Q. Did you or do you have an active Workers' Compensation investigation concerning the address of 1365 47th Avenue NE, Naples, Florida? A. Yes, I do. As the Board does have the information in its packet, as Mr. Rodriguez has stated, there are two forthcoming cases with the State. The first is the Division of Workers' Compensation civil action and there is a subsequent criminal action in the Twentieth Judicial District. Chairman White: "Those are both circuit court proceedings? A. (Gumph) The first is a civil action with the State of Florida Division of Worker's Compensation in Tallahassee. Chairman White: "That's an agency action, then? Administrative?" A. (Gumph) Yes, sir. The second is ... Chairman White: "A criminal which, of course, is ..." Reggie Smith resumed questioning Mr. Gumph: Q. Who does your investigation concern? A. The investigation concerns K. C. Tiles and Marble, Inc. O. (Reference: Exhibits E-39 through E-69) Is this the State's Workers' Compensation Investigation Report#13-172-D7 that you and your co-worker, Investigator Aysia Snodgrass, compiled and submitted for review? A. It is. O. Can you please advise the Board of your investigation and findings? A. I am aware the Board has a copy of the State's investigative file and narrative. It is quite exhaustive. The information contained was that, on June 27, 2013, I was contacted by my office to go to the address in Golden Gate Estates to assist Investigator Snodgrass with the investigation. I did go to the location. During the course of the investigation, I spoke to certain individuals at the job site which is in your narrative. Based on information provided at interviews, this case was provided to the Legal Division of the State of Florida Division of Workers' Compensation in Tallahassee which subsequently recommended the issuance of a "Stop Work" Order to K. C. Tiles and Marble, Inc. for the violation of failure to obtain Workers' Compensation insurance. Chairman White informed Mr. Rodriguez that he would have an opportunity to cross-examine the Witness. Reggie Smith resumed questioning Mr. Gumph: Q. While you were on site on June 27th, I met you and you had interviewed specific persons. Can you tell me who you interviewed? 14 January 15, 2014 A. The interviews on site were conducted with Mario Rodriguez, Filemon Cendejas who was the Project Manager/Supervisor for K. C. Tiles, Jose Cruz who was an employee of K. C. Tiles & Marble who was on site, Arturo Vallejo who was an employee of K. C. Tiles & Marble who was on site, Ariel Gonzalez who was the General Contractor for Ash-Ann Homes who was on site. Q. In reference to your interview with Filemon Cendejas, can you tell the Board what questions you asked Filemon Cendejas and his answers pertaining to the employment of Jose Cruz and Robert Wiley? A. Specifically, to the question of Jose Cruz, that Jose Cruz had submitted an application at one point to K. C. Tiles and was turned down. He was provided a second application, filled it out, and provided it to Filemon Cendejas who inadvertently failed to take it to the office. Then the incident happened with the lightning strike, at which time he [Filemon Cendejas] subsequently submitted it to the office. As to Mr. Wiley, Filemon Cendejas stated to me that Mr. Wiley showed up on the jobsite on the previous Monday. He was told to go to the office of K. C. Tiles & Marble to fill out an application. Cendejas left the jobsite and went to another jobsite. When he came back, Mr. Wiley was working and he assumed Mr. Wiley had gone to the office, filled out the application, and was given the "okay" to come back. Mr. Wiley worked for the rest of that Monday, Tuesday, and Wednesday until the lightning strike caused his death. Q. At any point in time, were you made aware of any filings for Workers' Compensation insurance made for either Mr. Wiley or Mr. Cruz? A. Yes, I subsequently gained knowledge that, on the date of the lightning strike, Filemon Cendejas went to the office of K. C. Tiles & Marble and provide the completed application. Subsequently on that date, the application was submitted to the PEO/Leasing Company for Mr. Cruz. Q. Just to be clear—that was after the accident occurred? A. That was after the accident—correct. Q. Can you explain what is known as a"time stamp?" A. When an application is provided to a PEO/Leasing Company, it is usually done either by email or by fax. I require them to provide the time-stamps as to when this occurs. Q. And was there time stamp information with this application? A. There was a time stamp with this application. It was somewhere around 5:00 or 5:30 that afternoon which was the day after the incident with the lightning strike. Thank you, Mr. Gumph. Chairman White asked the Respondent if he had any questions to ask Mr. Gumph. The Respondent had none. 15 January 15,2014 Vice Chairman Lykos: "Mr. Gumph, to the best of your recollection, was there an existing umbrella-type Workers' Comp policy or were all the employees of K. C. Tiles and Marble insured through a PEO? A. All were insured through a PEO. The County's "Case in Chief"was concluded. Chairman White asked Mr. Rodriguez to present his defense. Mario Rodriguez stated: • As I stated, Robert Wiley was not our employee at the time and that was not our jobsite. • Mr. Cendejas brought Mr. Wiley there without our knowledge. • He was very aware of our ... how we use staff leasing ... that everybody is supposed to apply and be approved by the staff leasing before they are put to work. • I think ... he didn't follow procedures because maybe he had other intentions and we're trying to prove that in Court now. Chairman White questioned the Respondent: Q. You are trying to prove that in the civil action and in the criminal case? A. I believe so, yes. Q. When you say `court,' I believe the only thing I understand that is technically in court is the criminal matter. A. I'm sorry, yes. Q. And there's the civil action with the State agency. A. Yes, in both. Yes. Q. Is there anything else that you have relative to the defense of the Workers' Comp action? A. We did have Workers' Comp coverage through the staff leasing company at the time. We were trying to do the right thing. But it was never submitted ... the application was never submitted ... Mr. Wiley never came in to fill out an application. We didn't even know about Mr. Wiley until after the accident. Q. It's your standard and practice to require employees to fill out an application that is then submitted to staff leasing. Is there also a requirement that the form, once it is completed, is then brought back and turned in to the foreman/supervisor/ project manager? Is that your custom and practice? A. It could be ... or directly to the office. Either way, it needs to be submitted to the staff leasing and approved by them. Richard Joslin questioned the Respondent: Q. What kind of document verification do you have when you hire an employee that you are going to send to staff leasing that the man, if he shows up at a job, and you want him to go and fill out the paperwork? Who handles making sure that this happens? Is that your supervisor who is supposed to do that? Or do you put that responsibility upon the person who wants to work? 16 January 15,2014 A. Both, actually. Mr. Wiley was supposed to come in and fill out the application and it was supposed to be approved before starting to work. Chairman White questioned the Respondent: Q. You have indicated that you do not believe that Mr. Wiley was an employee. What about with respect to Mr. Cruz? A. Well, with Mr. Cruz—it was ongoing because he submitted the application once and it was declined—was something wrong with the date on it. And then he filled it [out] a second time ... where Mr. Cendejas said that he had the application and he was going to bring it back to the office but he never did or, I mean, ... or he did after the incident. Q. So you had the completed application from Mr. Cruz—Mr. Cendejas did—but had not turned it in to staff leasing prior to that? A. Yes, he said he forgot it in his truck. Terry Jerulle questioned the Respondent: Q. Just so I understand. Mr. Wiley and Mr. Cruz were on the job site that day ... A. Yes. Q. ... pouring the concrete beams? A. Forming them, yes. O. Forming the concrete beams for K. C. Tiles & Marble? A. Well, we weren't even aware of that jobsite at that time. Until after the accident, we weren't aware of that jobsite. Q. I thought you admitted earlier that ... A. I admitted that we did form and pour concrete at Ash-Ann Homes' other job site at 18th Street. And we did pay a fine for that. Because I wasn't aware that it was not covered under my Masonry license. Q. So you are contending that you had workers on a job site that you were not aware of? A. Exactly, yes. Q And those workers were performing work—forming a tie-beam outside your license? A. Yes. Q. And you are the Qualifier of the company? A. I am. Vice Chairman Lykos questioned the Respondent: Q. Can you tell me, to the best of your recollection, how many days Mr. Wiley and Mr. Cruz were actually working on that jobsite before the accident? A. I think it was—in the statement, it was three days that there were there—since Monday. Monday through Wednesday of that week. Q. The accident occurred on a Wednesday? A. On a Wednesday, yes. Q. Do you acknowledge that Filemon Cendejas was your employee? A. Yes. 17 January 15,2014 Q. And it is your testimony today that Mr. Cendejas was responsible for hiring employees for your company? A. Not completely, not without full authorization and not without getting going through the application process and being approved by the staff leasing company. He was aware of that procedure. Q. So your testimony is that Mr. Cendejas was your employee ... A. Yes. Q. ... and that he had some level of involvement in hiring new employees ... A. Yes. Q. ... but that process extended beyond his job description? A. Correct, yes. Chairman White noted the distinction was important because of the narrative on Exhibit E-42 provided by Mr. Gumph of the Workers' Compensation agency. It stated that Mr. Rodriguez said Filemon Candejas ran the masonry jobs and had the authority to hire and fire employees on behalf of K. C. Tiles and Marble, Inc. Mr. Rodriguez made the distinction that Mr. Candejas had the authority as long as he complied with their policy and procedures to ensure that an application was filed, approved, and Workers' Compensation insurance existed for that person as an employee. Q. Is that correct? A. Yes, it is, sir. Kyle Lantz questioned the Respondent: Q. You are saying you didn't know you had a job at this address? A. Right. Q. Including the block work or just the tiling? A. None of it. We didn't know about that jobsite. Chairman White: "His statement in regards to ... Will his admission for the Scope of Work count on a house at 1 8th Street ... where the Workers' Compensation issues are on a house that's on 47th Avenue." Kyle Lantz resumed questioning the Respondent: Q. You have admitted that you have done block work and tiling work? A. Yes. Q. How do you bill? Do you get money upfront? Do you get draws after the block before you begin the tiling? Do you just wait until the job is complete? How do you do that'? A. It could change. Usually, an estimate upfront and payment when the job is complete. O. An estimate? So you give them an estimate upfront and you don't get a dime until the job is complete? 18 January 15,2014 A. Yes .... or ... or sometimes,partially. I'm not completely sure. Q. Okay. So the other job that you did ... that you admitted doing ... how did you bill for that? Did you get a block draw and then a tiling draw or an upfront draw or you got a final payment'? A. I can't recall those details. I don't remember. Q. And for this particular job, you never received any payment? A. No. Chairman White: "The one on 47th Avenue?" Respondent: "Right." Vice Chairman Lykos questioned the Respondent: O. Did your company sign a contract with Ash-Ann Homes? Did your company have a written contract with Ash-Ann Homes for that project? For the project in question where the accident occurred. (47th Avenue) A. No, we don't. Q. You didn't have a contract for that project? A. No. Terry Jerulle questioned the Respondent: Q. Was Mr. Cruz paid that week by K. C. Tiles and Marble, Inc.? A. I'm not sure. I can't recall. I'd have to find out. Q. How about Mr. Cendejas—was he paid? A. That week? I'm not sure of the details, either. Q. You are the Qualifier of the company? A. Yes, I am. Q. And you're responsible for those aspects of the company? A. Not on a daily basis. But I keep track of, you know, I stay informed. Q. But you don't know if those two people have been paid by K. C. Tiles and Marble for those dates —Monday, Tuesday, and Wednesday? A. Well, no, because we didn't know about that jobsite. We weren't aware of it. Q. I didn't ask if K. C. Tiles & Marble was paid—I asked if K. C. Tiles & Marble paid its employees that week. Chairman White asked if the two men were paid; did their pay include work for the house on 47th Avenue or if it was only for work that may have been performed on 18th Street for that week. A. I don't have those details. Kyle Lantz: "This job now has—I will assume—it's not stalled and the tie-beam has been poured and people have moved on? Am I correct?" Michael Ossorio: "The homeowner flew in from California and fired Ash-Ann Homes, Inc. He obtained an owner/builder permit and proceeded with the job." 19 January 15,2014 Kyle Lantz questioned the Respondent: Q. The blocks that were installed on the site and the rebar that was installed on the site—who paid for that? A. I don't know. Q. Can you say if it was K. C. Tiles & Marble? A. No, I know it wasn't. Q. So you did not pay for the block? You didn't pay for the rebar? A. No. O. Typically when you do those jobs, do you supply materials or just the labor? A. It could be either way. The Masonry division that we were doing with Mr. Cendejas was fairly new. It had only been two or three months, I believe. So we didn't have a long, established procedure yet. We were starting to do some work but ... you know .... O. So the other job you did—did you pay for the materials or just labor? A. I don't recall. I don't recall exactly on that. Q. Do you know much about your business? A. I do ... but ... Richard Joslin questioned the Respondent: Q. Was there a contract for the job on 18th Street? Did you have a contract for that job to do that work? A. There was an estimate accepted ... an estimate on that one, yes. Q. And it included the same basic things that you were performing at 18th ,.. and you don't know what was performed at 47th ... they were doing the same work? A. Yes. Q. But you had a contract for that job? A. Yes. Chairman White asked Mr. Rodriguez if he had any concluding comments on his defense and the response was, "No." Reggie Smith questioned the Respondent: Q. How long as Filemon Cendejas been working for K. C. Tiles and Marble? A. A few months, I can't recall exactly the ... it's only been a few months. I don't remember the date exactly ... Q. Maybe about the timeframe of April, 2013? A. It could be. Q. The incident took place in late June. Mr. Cendejas' payroll ... Is he paid on a weekly basis as a field supervisor or is he paid by piece work as per job? A. No, he's paid a salary. It's been according to the work flow. I don't believe it's been regular pay. We are trying to get the Masonry division going. We didn't have a steady work flow to be doing regular, weekly pay. Q. Would you estimate that he is working on a weekly basis and getting paid on a weekly or bi-weekly basis for his supervisory application? 20 January 15,2014 A. I'm not sure of the details. I just want to clarify something—I don't know some of these details because I haven't been there every day. My father is getting elderly and his health has gone down. For the past year, I have been working on the east coast, taking care of my parents and trying to help him with his business. So I have left those daily details to Mr. Trujillo. That's why I haven't been here every day, so I don't know all the little details. Another thing I want to mention is we're going to be moving, actually some time in the summer—because of the family health situation—to the east coast. It was my intention anyway to cancel these two licenses this year since I'm not directly involved with what's going on every day. That's the reason why I don't know all the details. Kyle Lantz questioned the Respondent: Q. Your project manager—Filemon Candejas—he started working in April and this incident happened in June. And you're saying you don't know how you got the job or if he was doing it as a side job or what the deal was? You just don't know about it? A. Right. O. Is he—is he still employed by you? A. No. Q. When was his termination? A. Right after the incident. Richard Joslin questioned the Respondent: Q. Who actually hired him? A. Mr. Trujillo. O. The owner of K. C. Tiles & Marble, Inc.? A. Yes. Michael Ossorio: "We have no more questions for Mr. Rodriguez." The Respondent's Defense was concluded. Ariel Gonzalez, Witness for the County, was recalled to testify. He was reminded that he was still under oath. Kyle Lantz questioned the Witness: Q. You hired K. C. Tiles & Marble, Inc. to do block work and tie-beam at a previous job. Correct? A. Yes. Q. How did you pay them? A. I paid—full pay. Just one pay at the end of the job. Q. At the end of the job? A. Yes. 21 January 15, 2014 Q. Did they supply the materials and labor or just the labor? A. Just the labor. Q. And that was the same deal on this particular job—you were hiring them just for the labor? A. Yes. Chairman White: "So on both 18th Street and 47th Avenue—it was the same Arrangement—they provided the labor and you provided the materials, and they were paid at the end? A. Yes, correct. Kyle Lantz resumed questioning the Witness: Q. Who was it that you dealt with at K. C. Tiles & Marble, Inc.? A. Filemon Cendejas. Q. For everything? So for the first job, you handled the contract ... A. Okay. The clients—both are families—the 18th and the 47th. The family is a friend of mine. And when I talked to Filemon the first time, before I started the first job, I asked him about his company. I have known Filemon for about two or three years. He said he worked for K. C. Tiles & Marble. I talked to the office for K. C. Tiles & Marble before the first job and then we agreed about the prices—just for square feet—for the labor only. Vice Chairman Lykos questioned the Witness: Q. Do you have a written, executed contract with K. C. Tiles & Marble for the home at 1365 47th Avenue? A. No. I just do a verbal agreement. Q. So you don't have any written agreements on that house or ... what about the house on 18th Street? A. In writing? Q. Right. A. No, no, I don't have in writing. Chairman White: "What about the house on 18th Street? Do you have a written contract for the house on 18th Street?" A. Yes. Did you say—writing? Q. Yes. A. No, no, we don't have nothing in writing. Not on the first and not on the second one. Both are verbal. Terry Jerulle questioned the Witness: Q. On the house on 18th Street—was that started and completed first? A. Yes. Q. Can you just help me understand —you had foundation footings? A. Yes. Foundation, blocks, and footings. Q. And K. C. Tiles and Marble did all of that? A. All of that. 22 January 15, 2014 Q. When they poured the foundation, did you pay them for it? A. No. Q. When they poured the slab, did you play them for the slab? A. No. Q. And they did the block work? A. Yes. Q. Did you pay them for the block work? A. No. Q. They did the tie-beams? A. Yes. O. And did you pay them? A. All together. Q. You paid all of it at once? A. All together at once. Q. So, the house on 47th Avenue. A. Can I tell you something? Q. Yes, sir. A. When we finished the house on 18th Street, they sent to me invoices and on the invoices it said, "Any questions or anything in regard to the job,just contact our office to Filemon Cendejas." That's why I talked to Filemon Cendejas. O. Okay. So when the house on 47th Avenue came available and you wanted to hire a subcontractor to do the work, you contacted Filemon? A. Yes. I said is it was the same price we talked about the first time, he said yes, and we started again. O. They formed and poured the foundation? A. Yes. Q. They poured the slab? A. Yes. O. They installed the block? A. Yes. O. And they were forming the tie-beams when the accident happened? A. Yes. Q. And you were going to pay .... A. When they finished pouring the concrete, they sent me an invoice. Q. And you were going to pay K. C. Tiles and Marble? You were not going to pay Filemon Cendejas? A. I didn't pay to anybody. Q. Because he doesn't have a license? A. (nodded affirmatively) Vice Chairman Lykos questioned the Witness: Q. In your dealings, in your contractual relationship with K. C. Tiles & Marble, at any point did you ask K. C. Tiles & Marble for verification of their licenses? A. Yes. But, true, I never received the paperwork. Q. So you asked for license documentation but never received it? A. No. 23 January 15, 2014 Q. Did you ask for copies of their Workers' Comp .... A. Yes, for everything. I asked for everything. Q. Did you receive copies of their Workers' Comp policy? A. No. No. I didn't have the papers on me. That's why Workers' Comp audited my company. And I paid. Q. Did your company have a Workers' Compensation insurance policy? A. No. Q. Are the owners exempt? A. I am the owner and exempt. I don't contract any workers. Q. How long as your company been in business? A. 2006. Q. And do you have an annual audit from Workers' Comp? A. No. Q. Because you don't have Workers' Comp? A. Because I don't have any workers. Terry Jerulle questioned the Witness: Q. You did not have a written contract with K. C. Tiles & Marble on the house on 18`'' Street, but you had an oral—or implied—contract? A verbal contract? A. A verbal contract, yes. Q. And it was your understand that you still had the same verbal contract—or implied contract—for the house on 47`1' Avenue? A. Yes. Kyle Lantz: "It's very late on this ... but after all this discussion, but I have had a relationship with Filemon Cendejas and K. C. Tiles & Marble. It was probably four years ago. I just wanted to disclose it. I didn't "put 2 + 2 together"because it was one little, tiny job that I did." Chairman White: "They are not the Respondent. But, thank you for the disclosure. You don't have, today, any fiduciary interest in the outcome?" Kyle Lantz: "None at all. But I had hired Filemon Candejas through K. C. Tiles & Marble three or four years ago. I didn't recognize the name until I looked it up on my cell phone—but I just wanted to disclose it. I never met any of these people before." Chairman White asked James Morey, Counsel to the Board, to outline the criteria concerning "conflict of interest." Attorney Morey explained: • "Form 8-B" is required by the County to be completed • It is to be used by anyone serving on a municipal board who must abstain from voting on a measure which inures to (i.e., benefits) his/her special, private gain (or loss) ... if you had a financial interest or an ongoing relationship. For example, if someone were to lose his/her license, it could impact your business. • In Mr. Lantz's situation, the contact was in the distant past and it was relatively minor. 24 January 15, 2014 Mr. Morey concluding by stating it would not be necessary for Mr. Lantz to file a"Form 8-B." Vice Chairman Lykos questioned the Witness: Q. Is it your understanding that Filemon Cendejas was a representative of K. C. Tiles & Marble, Inc.? A. Yes. O. Is it also your understanding that you were to negotiate and work directly with Mr. Cendejas in your relationship with K. C. Tiles & Marble, Inc.? A. Yes. Q. Is it also true that you received paperwork from the office of K. C. Tiles & Marble referring you to Mr. Cendejas with regard to your relationship with K. C. Tiles & Marble? A. Correct. Q. Is it also your testimony, sir, that in your relationship with K. C. Tiles & Marble, that you would negotiate with Mr. Cendejas, that you would have a verbal agreement with Mr. Cendejas which contracted you and K. C. Tiles & Marble. and at the end of the work, you would then pay for the work that was completed? A. Yes. Chairman White verifying there were no additional questions or witnesses to be heard. Michael Boyd asked if K. C. Tiles & Marble, Inc. had renewed its licenses with the County. Michael Ossorio responded that K. C. Tiles & Marble and the Qualifier, Mario Rodriguez, were in suspended status because the license had not been renewed. But Mr. Rodriguez could renew his license if he so chose. Vice Chairman Lykos verified the license would be considered "suspended" until the end of 2014. Mr. Rodriguez could renew his license at any point during the next 11 months. Mario Rodriguez stated he did not intend to renew either license because he will be moving. He did not cancel his licenses due to the current legal proceedings. Richard Joslin moved to approve closing the Public Hearing. Vice Chairman Lykos offered a Second in support of the motion. Carried unanimously, 9— 0. Chairman White asked the Board's Attorney to present the Charge. Attorney Morey outlined the Charge to the Board: • The Board shall ascertain in its deliberations that fundamental fairness and due process were accorded to the Respondent. • That, pursuant to Section 22-203(g) (5) of the Codified Ordinance, the formal Rules of Evidence set out in Florida Statutes shall not apply. • The Board shall consider solely the evidence presented at the Hearing in its deliberation of the matter. 25 January 15,2014 • The Board shall exclude from its deliberations irrelevant, immaterial, and cumulative testimony. • The Board shall admit and consider all other evidence of a type commonly relied upon by reasonably prudent persons in the conduct of their affairs, whether or not such evidence would be admissible in a Court of Law. • Hearsay evidence may be used to explain or supplement any other evidence but hearsay, by itself, is not be sufficient to support a Finding unless such hearsay would be admissible over objection in a civil action in Court. • The Standard of Proof in actions where a Respondent may lose his/her privileges to practice his/her profession is that the evidence presented by the Complainant must prove the Complainant's case in a clear and convincing manner. • The Burden of Proof on the Complainant is a larger burden than the "Preponderance of Evidence" standard set in civil cases. • The Standard of Evidence is to be weighed solely as to the charges set out in the Complaint. • The only charges the Board may decide upon are the ones to which the Respondent has had an opportunity to prepare a defense. • The damages awarded by the Board must be directly related to the charges. • The decisions made by the Board shall be stated orally at the Hearing and are effective upon being read, unless the Board orders otherwise. • The Respondent, if found guilty, has certain appeal rights to the Contractors' Licensing Board, the Courts, and the State's Construction Industry Licensing Board ("CILB"), if applicable. • The Board shall vote upon the evidence presented in all areas and if the Respondent is found in violation, shall adopt the Administrative Complaint. • The Board shall also make Findings of Fact and Conclusions of Law in support of the charges set out in the Complaint. Chairman White opened the floor to discussion. Chairman White stated: • Regarding Count I of the Administrative Complaint pertaining to contracting outside the Scope of Work, it seemed clear based both on the evidence and the admission of the Respondent, that a finding of guilty would be appropriate. • Regarding Count II, disregarding or violating the laws of the State pertaining to Workers' Compensation insurance. The Respondent stated as his defense that there was no contract, there were no employees. The County's case and the witness indicated that the pattern and practice of how business was conducted for K. C. Tiles and Marble allowed oral or verbal arrangements, payments were subsequently made at the completion of jobs. Barring the tragic accident, that is what would have happened for the residence at 47th Avenue. 26 January 15,2014 Richard Joslin agreed there was a verbal, implied contract for both jobs. There was no written contract but the men were on the jobsite. Someone knew those men were on the job and hired them. Mr. Gonzalez stated he paid K. C. Tiles & Marble for the first job (18th Street). Discussion ensued concerning whether or not the Board had jurisdiction to enter a judgment in lieu of the pending action in Criminal Court and the Administrative proceeding with the State's Worker's Compensation division. Attorney Morey confirmed the Board could make a determination based on the evidence presented and the testimony heard by the members. Vice Chairman Lykos moved to approve finding the Respondent guilty as to Count I of the County's Administrative Complaint. Richard Joslin offered a Second in support of the motion. Carried unanimously, 9 -0. Vice Chairman Lykos moved to approve finding the Respondent guilty as to Count II of the County's Administrative Complaint. Kyle Lantz offered a Second in support of the motion. Carried unanimously, 9-0. Attorney Morey noted the Board found the Respondent to be guilty and the Respondent is a Collier County licensed Contractor. He holds two licenses: Tile and Marble Contractor (License#19105) and Masonry Contractor (License#21273.) He stated if the Respondent is the holder of Collier County Certificate of Competency and has been found to be guilty, the Contractors' Licensing Board may, but is not required to, impose any of the following Sanctions, either alone or in combination: (1) Revocation of a Collier County (or City) Certificate of Competency, (2) Suspension of a Collier County (or City) Certificate of Competency, (3) Denial of the issuance or renewal of a Collier County (or City) Certificate of Competency, (4) Imposition of a period of probation, not to exceed two years in length, during which time the Contractor's contracting activity shall be under the supervision of the Collier County Contractors' Licensing Board, (5) Imposition of a fine not to exceed $5,000, (6) Issuance of a public reprimand, (7) Requirement for re-examination or participation in a duly-accredited program of continuing education directly related to the Contractor's contracting activity, (8) Recovery of reasonable investigative costs incurred by the County for the prosecution of the violation, and (9) Denial of the issuance of Collier County or City building permits or requiring the issuance of such permits with specific conditions. 27 January 15,2014 Attorney Morey further advised the Board that, when imposing any of the possible Disciplinary Sanctions on a Contractor, the Contractors' Licensing Board may consider all the evidence presented during the Public Hearing as well as: (1) The gravity of the violation; (2) The impact of the violation on Public Health/Safety or Welfare; (3) Any actions taken by the violator to correct the violation(s); (4) Any previous violations committed by the violator, and (5) Any other evidence presented at the Hearing by the parties relevant to the Sanction which is appropriate for the case, given the nature of the violation(s) or the violator. Michael Ossorio stated the County had spent several weeks on the case and incurred administrative costs of$1,000. per Count for a total of$2,000. Recommendations: • Revocation of Mr. Rodriguez' Certificates of Competency (Tile and Marble; Masonry) • A fine of$5,000 per Count • Public Reprimand Richard Joslin moved to approve imposing the following Sanctions with regard to Mario Rodriguez, d/b/a K. C. Tiles and Marble,Inc.: • Payment of a fine in the amount of$10,000; • Payment of the Administrative Costs incurred by the County in the amount of$2,000; • Revocation of Mr. Rodriguez's Tile/Marble Contractor's License #19105 and his Masonry Contractor's License #21273; and • Issuance of a Public Reprimand. Vice Chairman Lykos offered a Second in support of the motion. Carried unanimously, 9— 0. Chairman White outlined the Findings of Fact: • The Respondent, Mario Rodriguez, is the holder of record of two Collier County Certificates of Competency: #19105 (Tile/Marble Contractor) and #21273 (Masonry Contractor) • The Board of County Commissioners, Collier County, Florida, Contractors' Licensing Board is the Petitioner (Complainant) in this matter. • The Board has jurisdiction of the person of the Respondent. • Respondent, Mario Rodriguez, was present at the Public Hearing and was not represented by Counsel at the Hearing held on January 15, 2014. • All notices required by Collier County Ordinance 90-105, as amended, had been properly issued and were personally delivered. • Based on the evidence presented, the Respondent acted in a manner that is in violation of Collier County Ordinances and is the one who committed the act. 28 January 15, 2014 • The allegations of fact as set forth in Administrative Complaint as to: o Count 1, under Section 22-201(2) of Ordinance#90-105, as amended: "Contracting to do any work outside the scope of his/her competency as listed on his/her Competency Card and as defined in this Article or restricted by the Contractors' Licensing Board" and o Count Ii, under Section 22-201(6) of Ordinance#90-105, as amended: "Disregards or violates, in the performance of his/her contracting business in the County, any of the building, safety, health, insurance, or Workers' Compensation laws of the State or Ordinances of this County, " were found to be supported by the evidence presented at the Hearing. Conclusions of Law: • The Conclusions of Law alleged and set forth in the Administrative Complaint as to Count I and Count II were approved, adopted and incorporated herein, to wit: The Respondent violated Section 22-201(2) of Collier County Ordinance 90-105, as amended,regarding Scope of Work, and Section 22-201(6) regarding the Workers' Compensation violation. 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 in Collier County Ordinance 90-105, as amended, by a vote of nine (9) in favor and none (0) in opposition, a majority vote of the Board members present, the Respondent has been found in violations as set out above. • Further, it is hereby ordered by a vote of nine (9) in favor, and none (0) in opposition, a majority vote of the Board members present, that the following disciplinary Sanctions are hereby imposed upon Mario Rodriguez, the holder of Collier County Certificates of Competency #19105 (Tile/Marble Contractor) and #21273 (Masonry Contractor), to wit: o Payment of a fine in the total amount of$10,000; o Reimbursement of the Administrative Costs incurred by the County in the total amount of$2,000; o Revocation of Mr. Rodriguez's Tile/Marble Contractor's License #19105 and his Masonry Contractor's License #21273; and o Issuance of a Public Reprimand. Chairman White noted the case was closed. Chairman White advised the Respondent if he chose to appeal the Board's decision, he must obtain a verbatim record of the proceedings. (Terry Jerulle and Ronald Donino left @ 11:44 AM). (Quorum was maintained— 7 voting members) 29 January 15,2014 BREAK: 11:45 AM RECONVENED: 11:55 AM B. Case#2014-02: BCC vs. Seth B. Hollander, d/b/a "Hollander Construction Company, Inc." Chairman White noted Mr. Hollander had been present during the previous Hearing and heard the recitation of how the proceeding was to be conducted. He asked the County to place its information packet into evidence. Richard Joslin moved to open the Public Hearing in Case No. 2014-02: The Board of County Commissioners vs. Seth B. Hollander, d/b/a "Hollander Construction Company, Inc.," License #201300000579, and to enter the information packet into evidence as County's Exhibit "1." Vice Chairman Thomas Lykos offered a Second in support of the motion. Carried unanimously, 7— 0. Thomas Keegan, Licensing Compliance Officer, presented the County's "Opening Statement:" • The Respondent is Seth B. Hollander, d/b/a"Hollender Construction Company, Inc.," a suspended Excavation Contractor, Suspended License #210300000579. • Mr. Hollander was cited for violating Collier County Ordinance 90-105, as amended, Section 22-201(6): "Disregards or violates, in the performance of his/her contracting business in the County, any of the building, safety, health, insurance, or Workers' Compensation laws of the State or Ordinances of this County, " • On Friday, December 20, 2013, a complaint was received from Palermo Pavers, Inc., regarding the installation of pavers at 12823 Valewood by Hollender Construction Company. • A site inspection was conducted and the excavation of a driveway was observed. • Two individuals identified themselves as Wayne Boswell and Hugh Campbell and stated they were employed by Hollender Construction Company, Inc. They began working for the company on Monday, December 16, 2013. • When asked, the men stated they had not completed any employment applications for the company. • Research conducted indicated the Workers' Compensation insurance policy for Hollender Construction had been cancelled on October 5, 2013. • Seth Hollander was contacted; he stated the two men were employed by Hollender Construction and that he had insurance coverage for them. He was advised that the Workers' Compensation policy had been cancelled, and was requested to come to the jobsite. 30 January 15, 2014 • The homeowner was contacted; he verified that he hired The Construction Managers, Certified General Contractors. John Varsames was the Qualifer. • Mr. Varsames was contacted; he stated he subcontracted the excavation portion of the project to Hollender Construction. Mr. Varsames was advised that the subcontractor did not have Workers' Compensation coverage for his employees. • Jack Gumph, Senior Compliance Investigator—Division of Workers' Compensation, came to the jobsite and confirmed that Policy#10652685 had been cancelled for non-payment of the insurance premium. • Mr. Hollender arrived at the jobsite. He was advised he could no longer continue to work on the project due to the lack of Workers' Compensation coverage for his two employees. He was requested to meet Investigator Keegan at the Contractors' Licensing Office at a later time. • John Varsames and the homeowner were advised of the situation. • Mr. Hollender admitted that he knew the Workers Compensation policy had been cancelled and was served a Notice of Hearing to appear before the Contractors' Licensing Board on January 15, 2014 for violating the probation ordered by the Board on October 16, 2013. • Mr. Hollander's license as an Excavation Contractor was suspended by Michael Ossorio, Contractors' Licensing Office Supervisor. Seth Hollender presented his "Opening Statement:" • He admitted the County's complaint for failure to obtain Workers' Compensation coverage was true. • He claimed it was an administrative oversight on his part and as soon as he was aware of the cancellation in late November, he began the process to reinstate the policy. • He was audited by the State and it took approximately 2 '/2 to obtain the results before the policy could be reinstated. • The Workers' Compensation policy was reinstated through Florida Citrus, Business and Industries Fund on Monday, December 23`d. Thomas Keegan added Mr. Hollander was issued a"Stop Work" Order by the State of Florida on December 20, 2013 for failure to obtain Workers' Compensation coverage. The "Stop Work" Order remained active and had not been cleared. Chairman White clarified that prior to being notified of the alleged violation, the Respondent had begun the process correct the situation and reinstate the Workers' Compensation policy. Seth Hollender: "Yes, sir." He confirmed the State-issued "Stop Work" Order was still active based on the insurance audit. Vice Chairman Lykos questioned the Respondent: Q. You claim that ... When did you become aware that your policy had been cancelled? 31 January 15, 2014 A. The end of November. Q. How were you notified? A. My insurance agent. Q. That appears to be more than thirty days after the policy was actually cancelled. The policy was cancelled on October 5, 2013 due to non-payment of premium. A. That's correct. Q. Were you aware that you hadn't paid the premium? A. It was an oversight on my part. Q. So, you didn't pay the premium --- you didn't know you hadn't paid the premium. So you didn't know that you policy had terminated on October 5th because you didn't know you hadn't paid the premium? A. That is correct. Q. And then you were finally notified at the end of November by your insurance agent that your policy was cancelled. A. That it may not have been cancelled but I needed to contact them immediately in order to either continue the policy or pay them what was still owed on the back payments to keep the policy active or to then go through the proceedings to re- instate the policy. Q. Let me restate my question. When did you become aware that your policy had been cancelled? A. It was the end of November—early December. Within the first few days of December. Q. According to the testimony provided to Mr. Keegan on site, the two employees— Mr. Boswell and Mr. Campbell—were both hired and started working for you on or about December 16th? A. That's correct. O. You hired two new employees and put them on a job site, knowing that your policy had been cancelled? A. That was in the process of being reinstated. Q. It's a"yes" or"no" question, sir. A. Yes, sir. Q. Thank you. Richard Joslin questioned the Respondent: Q. Do you have an idea, sir, why Mr. Lykos asked his questions? Why, if you knew your policy was cancelled in November, did you put two new employees on the job in December? You just stated in your testimony that you knew your policy was cancelled. A. I did. Q. You began the process of putting it back together again but ... A. That's correct. Q. ... knowing that it wasn't, you still chose to put two men on the job. A. I did. Q. Okay. A. I don't have any excuses. 32 January 15,2014 Q. No excuse ... no answer. A. There isn't an excuse. Chairman White asked if the County had incurred any Administrative costs. Michael Ossorio replied the total amount was $525.00. It was noted if there was a finding of a violation and a decision to impose Sanctions, reimbursement of the costs would be included in the Board's Order. Vice Chairman Lykos moved to close the Public Hearing. Michael Boyd offered a Second in support of the motion. Carried unanimously, 7— 0. Chairman White called for discussion on a finding of a violation. (No discussion.) Vice Chairman Lykos moved to approve finding the Respondent guilty as to Count I of the County's Administrative Complaint. Gary McNally offered a Second in support of the motion. Carried unanimously, 7— 0. Attorney Morey reminded the Board of the existing Order which had been issued in October, 2013 which placed Mr. Hollender on probation. Attorney Morey noted the Board found the Respondent, Seth Hollander,to be guilty and he is a Collier County licensed Excavation Contractor, License #20130000057. He stated the Board may revisit the terms and conditions of the existing Order as well as impose any of the following Sanctions, either alone or in combination: (1) Revocation of a Collier County (or City) Certificate of Competency, (2) Suspension of a Collier County (or City) Certificate of Competency, (3) Denial of the issuance or renewal of a Collier County(or City) Certificate of Competency, (4) Imposition of a period of probation, not to exceed two years in length, during which time, the Contractor's contracting activity shall be under the supervision of the Collier County Contractors' Licensing Board, (5) Imposition of a fine not to exceed $5,000, (6) Issuance of a public reprimand, (7) Requirement for re-examination or participation in a duly-accredited program of continuing education directly related to the Contractor's contracting activity, (8) Denial of the issuance of Collier County or City building permits or requiring the issuance of such permits with specific conditions, and (9) Recovery of reasonable investigative costs incurred by the County for the prosecution of the violation. 33 January 15,2014 Attorney Morey further advised that, when imposing any of the possible Disciplinary Sanctions on a Contractor, the Contractors' Licensing Board may consider all the evidence presented during the Public Hearing as well as: • The gravity of the violation; • The impact of the violation on Public Health/Safety or Welfare; • Any actions taken by the violator to correct the violation; • Any previous violations committed by the violator, and • Any other evidence presented at the Hearing by the parties relevant to the Sanction(s) which is appropriate for the case, given the nature of the violation or the violator. Michael Ossorio noted Seth Hollender's license was suspended pursuant to the previous Order of the Board, issued on October 16, 2013. Mr. Hollender was ordered to pay a fine in the amount of$500/per month for the previous violation (total fine: $2,500). He has continued to make the installment payments and fulfill his obligations. Mr. Ossorio further stated the Stated Construction Industry Licensing Board ("CILB") will be notified of the proceedings and the Board's decision. He stressed notification to the State was important to prevent any Respondent from applying to become a State-Certified Contractor even though his/her license had been suspended locally. Recommendations: (1) Suspension/revocation of Mr. Hollander's Certificate of Competency for a period of one year; and (2) Mr. Hollender must continue to pay the previously imposed fine in the amount of$500 per month as well as any other fees and fines; It was noted the State's Workers' Compensation Division may assess a penalty because Mr. Hollender allowed his employees to work while the insurance coverage had lapsed. Mr. Hollender will be required to pay an additional premium for the reinstated policy. Vice Chairman Lykos: • By allowing the Workers' Compensation policy to lapse, Mr. Hollender put his employees and the property owner at risk; • It is the Contractor's responsibility to ensure that his/her employees are protected at all times; • Suggested imposing a second fine in the full amount of$5,000; • Agreed the revocation period should be one year. Chairman White asked the Board's Counsel if a revocation could be imposed with a time limit. He asked if it would be possible for the Board to state it would not entertain an application from Mr. Hollender for at least one year. 34 January 15,2014 Attorney Morey stated the Board had the authority to impose a reasonable condition on any Sanction. • "If it's revoked, it's revoked. The Board can certainly send a clear message concerning its expectations." Vice Chairman Lykos noted if the Board "suspended" Mr. Hollender's license, it would have the intended effect, i.e., he would have to re-apply to the Board at a future date and the suspension would be noted "on the record" for one year. But if the license was "revoked," it would be gone and Mr. Hollender could go to another jurisdiction and apply for a new license. Michael Ossorio confirmed after a period of one year, Mr. Hollender could choose to petition the Board for reinstatement of his license. If he did not,the license would become null and void. He further stated if the license is suspended for one year, Mr. Hollender must pay all imposed fines and penalties before he could submit a full application to the Board for a Hearing on the suspension. Chairman White noted: • Mr. Hollender is currently under a 24-month probation; • His permit-pulling privileges have been suspended; • He must continue to make the payments of the fines imposed under the prior Order of the Board; • He is to take and pass the Business Procedures Exam within six months of the issuance of the prior Order; and • If he violates any of the terms of the prior Order, he must appear before the Board at a Hearing. Michael Ossorio clarified Mr. Hollender does not have an active license and cannot work. He explained even if the State rescinded the "Stop Work" Order because the Workers' Compensation coverage was reinstated, Mr. Hollender still could not accept any jobs. He further stated if the Board chose to suspend his license, the suspension could run concurrently with the previous Order, i.e.,two years from October 16, 2013. Robert Meister asked what would happen if Mr. Hollender were "caught" working during the next year with a suspended license. Michael Ossorio stated he would be fined $1,000 for a first offense; $2,000 for a second offense, and if there were a third offense, the County Attorney's Office could pursue criminal charges. Attorney Morey stated Mr. Hollender could not work as a Contractor or subcontractor but he could work as an employee of a licensed, qualified company. Seth Hollender asked if he would be prevents from having someone else qualify his business. 35 January 15, 2014 Michael Ossorio replied he could own a business but could not serve as the Qualifier of that business. The Qualifier would submit an application and appear before the Board for a full review. Chairman White stated, prior to making a decision, he tests whether the violation was inadvertent or intentional. In the prior case, the intention may have been inadvertent. In the current case before the Board, he is considering a severe fine. Vice Chairman Lykos moved to approve imposing the following disciplinary Sanctions: • Imposing a fine of$5,000 to be paid in full by December 31, 2014; • Suspending his license for a period of 21 months, ending on October 16, 2015; • Requiring reimbursement to the County for Administrative costs incurred in the amount of$525; • Continuation of the previous Order requiring payments to be made for three more months. Chairman White restated the Mr. Lykos'motion: • To suspend the Respondent's license until the end of the probationary period 1 under the prior Order, i.e., October 16, 2015; I • Imposing a fine of$5,000 to be paid by December 31, 2014; ! • Payment of the Administrative Costs incurred by the County in the amount of$525 within 90 days of the issuance of the Board's Order. • > If reimbursement to the County is not made within the 90-day period, the Respondent must appear before the Board at a Hearing; • Issuance of a public reprimand. Michael Ossorio clarified if the Respondent complies with the terms of both Orders and all fees/fines are paid in full by January 1, 2015, Mr. Hollender may petition the Board for a Hearing on his suspension any time after October 16, 2015. Vice Chairman Lykos suggested that if Mr. Hollender chooses to petition the Board, that he present a complete plan detailing how he intends to manage his business in compliance with the Collier County's Ordinances. Chairman White asked the Respondent if he understood the Board's discussions and decision. Seth Hollender replied he fully understood. Chairman White offered a Second in support of the motion and called for a vote. Motion carried, 6— "Yes"/1 — "No." Richard Joslin was opposed. Chairman White outlined the Board's Order: • This Cause came on for Public Hearing before the Contractors' Licensing Board on January 15, 2014 for consideration of the Administrative 36 January 15,2014 Complaint in Case #2014-02 filed against the Respondent, Seth B. Hollander, d/b/a"Hollander Construction Company, Inc."the holder of record of Collier County Certificate of Competency Number 201300000579. • Service of the Complaint was consistent with the requirements of Collier County's Code of Laws and Ordinances. • The Board heard testimony under oath, received evidence, and heard arguments respective to all appropriate matters, and issued the following Findings of Facts and Conclusions of Law. Findings of Fact: • The Respondent, Seth B. Hollender, is the holder of record of Collier County Certificate of Competency: #201300000579 (Excavation Contractor). • The Board of County Commissioners, Collier County, Florida, Contractors' Licensing Board is the Petitioner (Complainant) in this matter. • The Board has jurisdiction of the person of the Respondent. • Respondent, Seth B. Hollender, was present at the Public Hearing and was not represented by Counsel at the Hearing held on January 15, 2014. • All Notices required by Collier County Ordinance 90-105, as amended, had been properly issued and were personally delivered. • Based on the evidence presented, 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 Administrative Complaint as to: o Count 1, under Section 22-201(6) of Ordinance#90-105, as amended: "Disregards or violates, in the performance of his/her contracting business in the County, any oldie building, safety, health, insurance, or Workers' Compensation laws of the State or Ordinances of this County, " was found to be supported by the evidence presented at the Hearing in a clear and convincing manner. Conclusions of Law: • The Conclusions of Law alleged and set forth in the Administrative Complaint as to Count I were approved, adopted and incorporated herein, to wit: The Respondent violated the aforementioned Section of the County Code in the performance of his contracting business by action in violation of that Section, as set forth in the Complaint. 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 in Collier County Ordinance 90-105, as amended, by a vote of seven (7) in favor and none (0) in opposition, a majority vote of the Board members present, the Respondent has been found in violation as set out above. 37 January 15,2014 • Further, it is hereby ordered by a vote of six (6) in favor, and one (1) in opposition, a majority vote of the Board members present, that the following disciplinary Sanctions are hereby imposed upon the Respondent, Seth B. Hollender, to wit: o Suspension of the Respondent's license until the end of the Probationary period in the prior Order, i.e., October 16, 2015; o Imposition of a fine of$5,000 to be paid the end of Calendar Year 2014; o Payment of the Administrative Costs incurred by the County in the amount of$525 within 90 days of the issuance of the Board's Order. o If reimbursement to the County is not made within the 90-day period, the Respondent must appear before the Board at a Hearing; o Issuance of a public reprimand. Chairman White noted the case was closed. IX. REPORTS: • Michael Ossorio noted a new Citation process, effective January 1, 2014, will impose the following fines: o First Offense: $1,000 o Second Offense: $2,000 o Referred to the State's Attorney's Office • Several Citations have been written (1st Offense) • One Citation (2"d Offense) was issued and the $2,000 fine was paid • Feedback from Investigators in the field has been positive • If an application for a license is made within 45 days of the Citation, the fee will be reduced to $300 X. MEMBER COMMENTS: (None) XI. NEXT MEETING DATE: Wednesday, February 19, 2014 BCC Chambers, 3`d Floor Administrative Building "F," Government Complex, 3301 E. Tamiami Trail,Naples, FL There being no further business for the good of the County, the meeting was adjourned by the order of the Chairman at 12:50 PM. 38 January 15,2014 COLLIER COUNTY CONTRACTORS LICENSING BOARD Patrick White, Chairman The Minutes were approved by the Chairman on , 2014, "as submitted" [ ] OR "as amended" [ ]. 39 BEFORE THE COLLIER COUNTY CONTRACTORS' LICENSING BOARD BOARD OF COUNTY COMMISSIONERS, COLLIER COUNTY, FLORIDA, CONTRACTORS' LICENSING BOARD Petitioner, V. Case Number: 2014-07 David Caamano License Number: CGC 061647 D/B/A—D. Caamano Construction, Inc. Respondent. / ADMINISTRATIVE COMPLAINT Collier County (County) files the Administrative Complaint against David Caamano ( Respondent), a State of Florida licensed General Contractor( license#CGC 061647), and states the following facts and allegations in support of the cited violations below: 1. The Respondent is currently licensed by the State of Florida as a General Contractor with License number CGC 061647. 2. Under the provisions of Florida Statute 489.113(4)(b) the Collier County Contractors' Licensing Board is authorized to impose penalties against State Certified Contractors for willfully violating Building Codes. 3. Under the provisions of Collier County Ordinance 90-105, as amended, Section 22-201.1,the following actions by a holder of a Certified General Contractor License shall constitute misconduct and grounds for discipline pursuant to Section 22-202 of Collier County Ordinance 90-105, as amended. a. On April 16th, 2014, a Preliminary complaint was made against D. Caamano Construction, Inc. by John Guehlstorf for not pulling a building permit for the windows that were installed which were installed on or about August 10th, 2013. b. On November 25, 2013 "Misconduct Case" CEMIS20130017630 was opened addressing the unpermitted window installation at 283 Albi Road #3, violating the 2010 Florida Building Code Section 105.1. Said "Code Violation Case" was settled by the Respondent abating the violations by obtaining permits and receiving certificates of completion for all unpermitted installation at location. Case was closed December 3, 2013. c. On November 25, 2013 "Code Violation Case" CECV20130017692 was opened addressing the unpermitted window installation at 355 Palm Drive, #1, violating the 2010 Florida Building Code Section 105.1. Said "Code Violation Case" was settled by the Respondent abating the violation by obtaining permits and receiving certificates of completion for all unpermitted installation at location. Case was closed January 14, 2014. d. Thereafter, pursuant to Collier County Ordinance 90-105, as amended, Section 22- 202(b) and Section 22-202(c), the case was investigated and found sufficient cause to file formal charges. 4. Collier County brings the following charge in this formal complaint against the Respondent. COUNT I 5. Collier County Ordinance 90-105, as amended, Section 22-201.1(2) states "Willfully violating the applicable building codes or laws of the State, City or Collier County". WHEREFORE, the Petitioner asserts the above facts and charges are grounds for disciplinary action under Section 22-201 of Collier County Ordinance 90-105, as amended, and WHEREFORE, in consideration of the foregoing, the Petitioner respectfully requests the Collier County Contractors' Licensing Board to find the Respondent guilty of the violations charged. Dated: )17/ Signed: % f` >r_ �,� Collier County Contractors' Licensing Supervisor or Designee C.L.B. Case #2014-07 David Caamano D/B/A D. Caamano Construction, Inc. Case Summary 4/22/14 - Received a preliminary case, concerning David Caamano /D. Caamano Construction, Inc. (239-825-0035). D. Caamano Construction, Inc., installed windows in condo unit at 283 Albi Rd., #1, there was no permit for the window replacement applied for at 283 Albi Road, Unit 1. Homeowner is John Guehlstorf, he thought a permit had been pulled. Two phone calls were made to Mr. Caamano, no response. Spoke to the homeowner regarding the work that was done, Mrs. Guehlstorf signed a Notice of Commencement of August 12th, 2010, and a total of $5,903.26 was paid in full to D. Caamano Construction, Inc., on August 13th, 2010, Check#5344. Mr. Guehlstorf's homeowners association are having the all windows replaced and he is going to have to pay twice for the permitting process which he believed that the permit had been pulled already but was not. Several calls were placed to D. Caamano Construction, Inc. and to Mr. Caamano's cell between April 22nd, 2014 and May 2, 2014. Mailed out Notice of Hearing paperwork (E7—E8) to D. Caamano Construction, Inc., and to Mr. Caamano's home address on April 30th, 2014, letting him know that we require him to be present at the CLB Meeting. Case is being prepared for the May 21St, 2014 CLB meeting. C.L. B. CASE #2014-07 David Caamano- D/B/A/ D. Caamano Construction, Inc. Table of Contents El through E3 - Formal Complaint E4- Florida Department of Business and Professional Regulation Licensee Details E5 & E6 - Florida Dept. of State/Division of Corporations Detail by Entity Name E7 & E8 - Notice of Hearing E9 & E10—U.S. Postal Service Certified Mail Receipt/USPS Tracking for Certified Mail Receipt Ell through E13 —2013 Case, CEMIS20130017630 E14 through E16—2013 Case, CECV20130017692 E17— [18—2014 Case, CECV20140007889 E19 through E23 Photos from 2014 Case, CECV20140007889 E24 through E31 Preliminary Complaint Form from 2014 Case, CECV20140007889 E32 through E41 Collier County Ordinance 90-105, as amended, Section 22-201.1(2) "Willfully violating the applicable building codes or laws of the State, City or Collier County. Contractors' Licensing Board 2800 North Horseshoe Dr. Naples, Fl. 34104 Complaint Number- 2014-05 Complainant: Any person who believes that a Contractor holding a State Certification or Certificate of competency has violated Collier County Ordinance 90-105, as amended, may submit a sworn 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: May 2, 2014 Against: D. Caamano Construction, Inc. Contractor's Name: David Caamano Phone: 239-825-0035 Business Name: D. Caamano Construction, Inc. License Number if known: CGC 061647 Collier County Competency number: 26476 Contractor's Business Address: 27126 Elaine Drive, Bonita Springs, FL. 34135 Filed By: 1 Name: Collier County License Compliance Officer, Karen Clements Address: 2800 N. Horseshoe Drive, Naples, FL. 34104 Business Phone: 239-252-2450 Address where work done: 283 Albi Road, Unit 1, City: Naples County: Collier Date of contract: August 25, 2010 Date job started: On or about August 13, 2010 Date job completed or new home occupied: On or about August 13, 2010 Were there plans and specifications? Not Applicable Is there a written contract?Yes. If yes, amount of Contract: $5,903.26 Has Contractor been paid in full? Yes. If not, what amount? Was a Building Permit obtained? No. Building Permit number if known: None. Have you communicated by letter with the licensee?Yes. Date: April 22, 2014. Do you have a reply? No. Please attach to this form all copies of the purchase agreement, building contract, home improvement contract, copies of receipts and/or cancelled 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): 22-201.1(2)—Willfully violating the applicable building codes or laws of the state, city or Collier 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 November 25, 2013, a "Misconduct Case" CEMIS20130017630 was opened addressing the unpermitted window replacement installation at 283 Albi Road, #3, violating the 2010 Florida Building Code Section 105.1. Said "Code Violation Case" was settled by the Respondent abating the violations by obtaining permits and receiving certificates of completion for all unpermitted installation at location. Case was closed December 3, 2013. On November 25, 2013, a "Code Violation Case" CECV20130017692 was opened addressing the unpermitted window replacement installation at 355 Palm Drive,#1, violating the 2010 Florida Building Code Section 105.1. Said "Code Violation Case" was settled by the Respondent abating the violation by obtaining permits and receiving certificates of completion for all unpermitted installation at location. Case was closed January 14, 2014. On April 22, 2014, a "Code Violation Case" CECV20140007889 was opened addressing the unpermitted window replacement installation at 283 Albi Road, Unit 1, biolating the 2010 Florida Building Code Section 1051.1. (Complainant's signature) State of: Florida County of: Collier Sworn to (or affirmed) and subscribed betore me this 0Li1 day of , 2014, by (',1 L-V` C, \,P (signature of person making statement). 2�1pRY f,N, SAMANTHA LYNN ROE e ), (signature Notary ) MY COMMISSION#EE 875239 Lk� r si nature of Nota Public) * �� , * EXPIRES;February 17,2017 "rFO�F�ow�� 8�ade�thnu Budget Nat y Sorbs Print, type or stamp commissioned name of Notary Public: P-rsonally k .wn or produced identification DBPR - CAAMANO, DAVID; Doing Business As: D CAAMANO CONSTRUCTION I... Page 1 of 1 9:2033 AM 5/5/2014 Licensee Details Licensee Information Name: CAAMANO, DAVID (Primary Name) D CAAMANO CONSTRUCTION INC (DBA Name) Main Address: 21662 INDIAN BAYOU DR. FORT MYERS BEACH Florida 33931 County: LEE License Mailing: LicenseLocation: 21662 INDIAN BAYOU DR. FORT MYERS BEACH FL 33931 County: LEE License Information License Type: Certified General Contractor Rank: Cert General License Number: CGC061647 Status: Current,Active Licensure Date: 08/03/2000 Expires: 08/31/2014 Special Qualifications Qualification Effective Construction Business 02/20/2004 View Related license information View License Corpplaint 1940 North Monroe Street,Tallahassee FL 32399 :: Email.: Customer Contact Center :: Customer Contact Center: 850.487.1305(,`"t The State of Florida is an AA/ELO employer.Copyright 2007-2010 State of Florida. Privacy Statement Under Florida leer,email addresses are public records.If you do not want your email address released in response to a public-records request,do not send electronic mail to this entity. Instead;contact Ure office by phone or by traditional mail.If you have any questions,please contact 850.487 1395.*Pursuant to Section 455.275(1),Florida Statutes,effective October 1,2012,licensees licensed under Chapter 155,1.5,must provide the Department with an email address if they have one.The emails provided may he used for official communication with the licensee. However email addresses are public record. If you do not wish to supply a personal address,please provide the Department with an email address which can be made available to the public. Please see our Chapter 455 page to determine if you are affected by this change. https://www.myfloridalicense.com/LicenseDetail.asp?SID=&id=2CF3D62BD602627029B... 5/5/2014 Detail by Entity Name Page 1 of 2 b- -"S j. ' e Address/Phone List Detail byE Dttty Name Florida Profit Corporation D. CAAMANO CONSTRUCTION, INC. Filing Information Document Number P01000059159 FEI/EIN Number 593724810 Date Filed 06/13/2001 State FL Status ACTIVE Last Event REINSTATEMENT Event Date Filed 10/27/2008 Event Effective Date NONE Principal Address 21662 INDIAN BAYOU DRIVE FORT MYERS BEACH, FL 33931 Changed: 04/10/2012 Mailing Address 21662 INDIAN BAYOU DRIVE FORT MYERS BEACH, FL 33931 Changed: 04/10/2012 Registered Agent Name & Address CAAMANO, DAVID 21662 INDIAN BAYOU DRIVE FORT MYERS BEACH, FL 33931 Address Changed: 04/10/2012 Officer/Director Detail Name &Address Title D CAAMANO, DAVID 21662 INDIAN BAYOU DRIVE FORT MYERS BEACH, FL 33931 Annual Reports http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail/EntityName/domp-p... 5/5/2014_ Detail by Entity Name Page 2 of 2 Report Year Filed Date 2012 04/10/2012 2013 04/30/2013 2014 04/30/2014 Document Images 04/30/2014 --ANNUAL REPORT View image in PDF format 04/30/2013 --ANNUAL REPORT View image in PDF format 04/10/2012 --ANNUAL REPORT View image in PDF format 04/28/2011 --ANNUAL REPORT View image in PDF format 09/08/2010 -- ANNUAL REPORT View image in PDF format 05/01/2009 --ANNUAL REPORT View image in PDF format 10/27/2008 -- REINSTATEMENT View image in PDF format 09/06/2007 --ANNUAL REPORT View image in PDF format 05/15/2006 -- ANNUAL REPORT View image in PDF format 08/04/2005 --ANNUAL REPORT View image in PDF format 05/03/2004 --ANNUAL REPORT View image in PDF format 10/06/2003 -- REINSTATEMENT View image in PDF format 11/20/2002 -- Name Change View image in PDF format 03/28/2002 -- ANNUAL REPORT View image in PDF format 06/13/2001 -- Domestic Profit View image in PDF format co;:,yrIgrts ,a,, F w;asr ep tmer t EG http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail/EntityName/domp-p... 5/5/2014 Collier County Growth Management Division/Planning and Regulation Operations Department/Licensing Section CERTIFIED MAIL# 7007 2560 0001 1485 5551 RETURN RECEIPT REQUESTED Date:April 22,2014 Mr.David Caamano 27126 Elaine Drive Bonita Springs, FL. 34135 RE: Complaint filed against you by Mr. John Guehlstorf Dear Mr.Caamano: A complaint has been filed against you by the above referenced individuals. A hearing of this complaint will be held by the Contractors' Licensing Board on May 2151, 2014,at 9:00 AM in the Board of County Commissioner's Room, Third Floor, Administration Building at(W. Harmon Turner Building)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)22-201.1 (2) of Code of Laws and Ordinances of Collier County, Florida, the range of disciplinary sanctions which may be imposed are front an oral reprimand to a suspension or revocation of your Collier County Certificate#26476 and/or suspension or revocation of your permit privileges against your state license #CGC061647. Sincere] , Karen Clements Licensing Compliance Officer Phone#239-252-2450 Collier County Growth Management Division/Planning and Regulation Operations Department/Licensing Section CERTIFIED MAIL# 7007 2560 0001 1485 5537 RETURN RECEIPT REQUESTED Date: April 22,2014_ Mr. David Caamano C/O D. Caamano Construction 21662 Indian Bayou Drive Ft. Myers,FL. 33931. RE: Complaint filed against you by Mr. John Guehlstorf Dear Mr.Caamano: A complaint has been filed against you by the above referenced individuals. A hearing of this complaint will be held by the Contractors' Licensing Board on May 215`,2014,at 9:00 AM in the Board of County Commissioner's Room,Third Floor, Administration Building at(W. Harmon Turner Building)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)22-201.1 (2) of Code of Laws and Ordinances of Collier County, Florida, the range of disciplinary sanctions which may be imposed are from an oral reprimand to a suspension or revocation of your Collier County Certificate#26476 and/or suspension or revocation of your permit privileges against your state license #CGC061647. Sincerely, ren Clements licensing Compliance Officer Phone#239-252-2450 E8 .osta1ServIic'xn Page 1 of 1 T JED MA1LM ECEIPT Pa stia*taiioniy,WoInsurance coiierageProvider�l very fnformetion V risit•ourwrebslteatWww:uspemxne r pg i ° i`',n p � '' Registers Sign In Postage $ Certified Fee re USPS co 'or Track Packages S. Postmark n Receipt Fee Here gent Required) Send Mn,: Pdnnaye Your Mail S'nep Business SeVUtiocs Delivery Fee ;eel Required) Customer Service> stage&Fees Have questions?Were here to help. , , tvrd Ccz2rrtcz12‘) LNo.: :No. 7I (! r cce ✓{� ZIP+4 Fl 311 13 S 800,. ugust2006, See leverseiOrJnstrnctiofS� Product & Tracking Information Available Actions Postal Product: Features: Certified Mail'" USPS Text Tracking'^` DATE&TIME STATUS OF ITEM (,LOCATION Email Updates Notice Lett(No April 25,2014, Authorized BONITA SPRINGS,FL 34135 10:47 ant Recipient Available) VJe a'tenipted to deliver S . :tern a 10:47 or c...r:ril 2; 2014 in BONITA SPRINGS Il:4:fe and a mice was left because an authorized:e : iani was nor.ovailai;ie.You was arrange redo rene by v.>'lop ht: :lion=a_usps. , J'edeL.v., ,Or ce,I ry S..:)-ASK-USPS; ar may pick tip the Tient at the Post Office indicated on the nodce.I Iris item S unclaimed after 15 days then it•tv ii be recur;red,`the sender.Inferm;tior it available.IS UpdatOd p'',,'fc.r y h r:i..lout th,d-y.Please c:-.;.!.rats i•: +r April 25,2014.12'.44 Processed through FORT MYERS,FL 33913 am USPS Sort Facility April 24,2014,10'03 Depart USPS Sort FORT MYERS,FL 33913 pm Facility April 24,2014,9:21 Processed through FORT MYERS,FL 33913 pm USPS Sort Facility Track Another Package What's your tracking(or receipt)number? ,.. Track It LEGAL ON USPS.COM ON ABOUT.USPS.COM OTHER USPS SITES Ffivaa,Pulley Go,e.icne^t.Seco:es, f;ecut USP'S Berne; Cosiness Cusiomer Calev,ay Terns of Use; Buy Stumps&Shop, Ne,sisr.;orn, Postal Insceaors Lois, Print e>ebel with Pcsta..',t OSPS Sauce Alerts, Inspector General Ns FEAR Act EEO Data t Cus.c•pe Si=nv^ce. Fnrrs P F tcraP,ons F.>itel ricsiver,ng Solutions.to the ,ast'4!Ie, Not, ira.T o..l'ai Mcsecn, ..�p�/� ,r-�ry�/ Site Inde>., � usps.i`l/tV1 Ccc y ]:.�J<0 4 11i Ai.N i'".5 rese^ten C * I4 sr . 'osTewvlce' Page 1 of 2 E T F1E 3.11�1�4IL 3ECEIPT Do►tifeslic ail only;No insurance Coverage Provided) °Tory'1e11very information visit urwebsiteatwww.usos: to Rey;, rrs;g,,,,, Postage $ .:ecrch LISPS con.Of Tr3r;k SLUR Certified Fee Postmark Send Mad Manage Sour Mal Shop F.?usiness Sclutions Return Receipt Fee Here (Endorsement Required) Restricted Delivery Fee (Endorsement Required) Customer Service> Have questions?Were here to help. Total Postage&Fees $ Sent To /) S?c�Y! _Cc n tai,-cf�.Qz_ Street,Apt.No.; _ , f /1 t+ a or PO Box No. �Zl(F� y2l' �lt1d Ui_"__r_Vt City,State,ZIP+4 ff , erc F PSform' 800,P►ugust2006 , S.ee.'Renerseforinstructfons 'roduct & Tracking Information Available Actions Postal Product: Features: Certified Mail'" USPS Text Trackingn' DATE&TIME,` STATUS OF ITEM :LOCATION Email Updates Notice Left(No April 25,2014,3:41 Authorized FORT MYERS pm Recipient BEACH,FL 33931 Available) We attempted to deiver your item at 3 41 pm.on April 25 :2014 in FORT MYERS BEA;H I.33931 and a notice was left oecnse r uthorzed recipient was not av ilanie.You may anar,e r-dehvely by visiting FTp,'Iwww u l,', 'C'v t dE f ary Cr ceiling,dOS ASK USG s o••may pi k up;h;:tern at he Post Office indicated on the nc ice.',this ItL:r is uncl ■med afte'15 days t cr:i,.-lI Lie r cr:e:to the sender Information if anai■eblc is updatea pr:indca;:,t r ,gher t the d,y 1 r_,Sr ::,_l-again April 26,2014,0:33 Out for Delivery FORT MYERS am BEACH,FL 33931 April 25,2014.8:23 Sorting Complete FUN I MYERS • am BEACH,FL 33931 April 25,2014,6:51 Arrival at Unit FORT MYERS am BEACH,FL 33931 April 25,2014,2:02 Processed through FORT MYERS,FL 33913 am USPS Sort Facility April 24,2014,10.03 Depart USPS Son FORT MYERS,FL 33913 pm Facility April 24,2014,7:48 Processed through FORT MYERS,FL 33913 pm USPS Sort Facility Track Another Package What's your tracking(or receipt)number? Track It LEGAL ON USPS.COM ON ABOUT.USPS.COM OTHER USPS SITES Privacy Policy; i;,.��rnro=ot Services Cnout i!4?;i r erne> -- -. F:._a_ c s C.ustomc,atatz,vpy> Te.ms c'Usc' Buy Stamps&Shop or,,r000, .,a:al Inspcclo s FOI!,; I rni -m wic;=ostage: �. „:;ce Fderts, Inspector'ener,l, -EAR.Pet EEO Data, Cost c]Secpcs, o csa c S P_.b!sat o. ;, Postal Explorer> El() Colhergonnet Report i i : Code Case Details Date: 5/2/2014 11:14:07 AM Case t‘JarnbE r cemis20130017630 Case Number: GEMIS20130017630 Status: Closed Case Type: Misconduct Date C Time Entered: 11/25/2013 12:04:03 PM Priority: Normal Entered By: webAnonymousUser Inspector: clements_k Case Disposition: Case Pending Jurisdiction: Contractor's Licensing Origin: Public Portal Detail Description: D. Caamano Construction replaced windows in our condo in January, 2012. He represented to us that he had the required building permit. We needed evidence of the permit for our condominium association and began asking for it in June of 2013. At first the contractor said it would take him a couple of weeks to "dig it up". He has stalled and stalled. Finally, he admitted that he never applied for a permit and he filed the necessary paperwork to comply. This permit was tacked on to another remodel job we had in process. Permit number is PRBD2013092205202. He has dropped the ball on that numerous times. It appears that all that is needed now is for him to request inspection and pay the fees. He will not return our phone calls so we can get this completed. Location Comments: We have a condo in the Glades at 283 Albi Rd. #3. We are on the first floor of the building. The windows currently on the condo are at issue in this complaint. Complainant Stephen or Frances Kieselhorst E. it Business Management& Budget Office 1 Code Case Details Execution Date 5/2/2014 11:14:07 AM Desc Assigned Required Completed Outcome Comments Addressing Review webAnonymo 11/25/2013 11/26/2013 Complete usUser Preliminary Investigation clements_k 11/26/2013 11/26/2013 Needs 11/26/13-Checked permit Investigatio #PRBD20130922052,This was for interior n bathroom renovation and interior remodel. There are revisions on the permit, One revision is for Impact Window,called Tim Stick, he had been out and finaled out the remodel, he did not remember seeing another final on the permit, he suggeted I talk to Mike in Plan Review,talked to Mike,who went and pulled the plans,the revision is ready and waiting, it is for all the windows, cost is $335.00 to pick up and then the Contractor D. Caamano needs to call in inspection.Talked to David Caamano this morning, he said he does not the the money to pick up the revision, but is waiting to get the money soon. Mr. Caamano also said there are more out there in this area that are not permitted. Called homeowner Frances Kieselhorst(239- 417-1936), and let them know that the revision has gone through and is waiting for contractor to pick up,they said the Contractor is having difficulties and they are not sure he will pick it up.Will talk to MGO Monday morning and then call the homeowner back. (this is a condo). Initial Inspection ArthurFord 11/26/2013 11/26/2013 Incomplete 11/26/13, case forwarded VIA e-mail to Contractor Licensing T. Keegan for investigation, r/c 10 days.AF-56 Enter Settlement Details clements_k 12/3/2013 12/3/2013 Complete 12/2/13-David Caamano picked up the permit and is calling for inspecitons.Case closed. Generate Closure Documentation clements_k 12/3/2013 12/3/2013 Complete Investigation clements_k 12/3/2013 12/3/2013 Settled 12/2/13-Talked to MGO this morning,he said to get copy of contract from homeowner and take picture of the windows that D. Caamano Construction installed. I met with Mrs. Kieselhorst, she gave me a copy of the contract(estimate)$9,730.40,for the windows installed, she told me that the two bathroom windows were supposed to be double hung windows but are only single and she agreed to that so that Mr. Caamano would not have to change them.Took pictures of the windows installed. Called Mr. Caamano to come in to talk to MGO and myself and to sign. E12- Business Management 8: Budget Office 2 Code Case Details Execution Date 5/2/2014 11:14:07 AM Desc Assigned Required Completed Outcome Comments Cont. Investigation clements_k 12/3/2013 12/3/2013 Complete 12/3/13- id Ca mano came it t ihMGO mY Y yesterday he paid for the revision and picked up the permit for the windows. I called David this morning and he said he had already scheduled the fire inspection and that he would follow up with the other inspections and close out the permit. Case closed. Violation Description Status Entered Corrected Amount Comments Title Reason Result Compliance Fine/Day Condition E d3 3 Business Management& Budget Office; ; ov c epo t Title: Code Case Details Date: 5/2/2014 11:15:20 AM Case Number: cecv20130017692 Case Number: CECV20130017692 Status: Closed Case Type: Code Violation Date &Time Entered: 11/25/2013 6:27:00 PM Priority: Normal Entered By webAnonymousUser Inspector: clements_k Case Disposition: Abated by Contractor Jurisdiction: Contractor's Licensing Origin: Public Portal Detail Description: Contractor never pulled permit for High impact resistant windows from PGT industries for Kitchen, 1 bedroom and 2 bathrooms. Charging us 495.00 for Permit fees and drawings..We live in the Glades C.C. He never pulled the permit and now we are having the Glades putting in sliders in the back and can't get re-imbursed for the front until they have the permit...We have been touch with 2 other families that he did the same thing too. contractor name is: D. CAAMANO CONSTRUCTION. INC We were unaware till Glades CC sent us a letter stating they had no permit on file and therefore cannot be reimbursed for our front windows of$5,837.60 so we could apply the money it will cost for the back sliders. Location Comments: Complaint against: D. CAAMANO cONSTRUCTION INC. 27126 Elaine Dr..Bonita Springs, Fl 34135 our name is : Karen Fedorcek Glades Country Club 355 Palm Dr. #1 Naplels, fl 34112 Complainant FEDORCEK, KAREN J KATHLEEN JOYCE KRULL E1 Business Management& Budget Office 1 Code Case Details Execution Date 5/2/2014 11:15:20 AM Desc Assigned Required Completed Outcome Comments Preliminary Investigation clementsk 11/26/2013 11/26/2013 Needs 11/26/13-Check for permit at this address Investigatio 355 Palm Drive#1, no permits for D. n Caamano Construction for the windows which were replaced June 2011. Talked to Sister of Karen Fedorcek(239-775-1294),they thought a permit had been pulled,they were charged from D. Caamano for the permit, never provided the permit for them.They are now trying to get reimbursed for the windows from the homeowners association because they are replacing windows and sliders, they never replaced the slider and would like to have the money to offset the slider cost, but they need the permit for the windows. Gave her my card and said I would get back in touch with them on Monday. Cont. Investigation elements k 12/4/2013 12/4/2013 Complete 12/4/13-Went out to location and got copy of contract(estimate)from homeowner,took pictures of four windows that were installed. D. Caamano came in and talked with MGO and myself, he knows he needs to get this permitted and closed out. He agreed to do this within 30 days. Cont. Investigation clements_k 12/12/2013 12/12/2013 Complete 12/12/13-David Caamano came in yesterday to pull permit. The permitting department had wrong unit#on permit and I had to go to addressing and to Permitting, it had been corrected to say unit#1 not 4. Called David and told him about it and thanked him for pulling the permit. PRBD20131230607. Not Applicable clements_k 12/12/2013 12/12/2013 Void or Added in Error Not Applicable clements_k 12/12/2013 12/12/2013 Void or Added in Error Cont. Investigation clements_k 12/23/2013 12/23/2013 Complete 12/23/13-Permit applied for by D. Caamano Construction,still going thru plan review PRBD20131230607.Called Homeowner to let her know that the permit is still going thru review,will keep her informed. Cont. Investigation clements_k 1/7/2014 1/7/2014 Complete 1/7/14-Talked to David Caamano, he will be in tomorrow to pick up permit for 355 Palm Drive#1. Cont. Investigation clements_k 1/14/2014 1/14/2014 Complete 1/14/14-Permit Issued,case closed. Enter Settlement Details clementsk 1/14/2014 1/14/2014 Complete 1/14/14 permit issued. Generate Closure Documentation clements_k 1/14/2014 1/14/2014 Complete X15 Business Management& Budget Office 2 Code Case Details Execution Date 5/2/2014 11:15:20 AM Desc Assigned Required Completed Outcome Comments Investigation clementsk 1/14/2014 1/14/2014 Settled 12/2/13-Spoke with MGO this morning regarding D. Caamano and the windows replaced and not permit pulled for this unit. MGO asked me to obtain a copy of the contract and pictures. Met with homeowner and got copy of Contract(estimate) $5,867.03,to replace four windows. Kitchen, two bathrooms and a bedroom.Took pictures of the windows. Violation Description Status Entered Corrected Amount Comments Title Reason Result Compliance Fine/Day Condition E. I CP Business Management & Budget Office 3 Report T'f(e. Code Case Details Date: 5/2/2014 1:18:22 PM Case Number: ceov20140007889 Case Number: CECV20140007888 Status: Preliminary Review Case Type: Code Violation Date & Time Entered: 4C22/2014 8:10:30 AM Priority: Normal Entered By: c|emonta_k Inspector: clements_k Case Disposition: Case Pending Jurisdiction: Contractor's Licensing Origin: Complaint Detail Description: Complaint received 4/21/14 from MGO. Contractor failed to submit permit for work done on windows. Location Comments: 283 Albi Road #1, Naples, FL. 34112 - Complainant John Guehlstorf Violator DAVID CAAMANO 5-17 Business Management& Budget Office 1 Code Case Details Execution Date 5/2/2014 1:18:22 PM Desc Assigned Required Completed Outcome Comments Preliminary Investigation clementsk 4/22/2014 4/22/2014 Needs 4/21/14-Received complaint from MGO Investigatio regarding D.Caamano Construction,they did n not pull permit for window replacement in 2010 for 283 Albi Road#1 Naples, FL. 34112. Homeowner is John Guehlstorf. I called Mr. Caamano twice yesterday on his cell and home phone. No response. Cont. Investigation clements_k 5/1/2014 5/1/2014 Complete 4/30/14-Never heard back from D. Caamano Construction, no return calls.We sent out paperwork to advise him of the board hearing on May 21,2014.Taking case before the board. Cont. Investigation clementsk 5/1/2014 5/1/2014 Complete 5/1/14-Tried to call D. Caamano, no answer, left message again. No return call. Cont. Investigation clements_k 5/2/2014 5/2/2014 Complete 5/2/14-Called David Caamano again and explained that we have another address that no permits were pulled for at 283 Albi, unit 1 and to please call me so we can get this taken care of for the homeowner. No return call. 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F "�i+ :r� 4 r'1 ku ., `al's y, a i. il, -, 1 a iiiiy�+ ,r_4r K ^+ 1 CO ler County Growth Management Division a �3 Planning & Regulation PRELIMINARY COMPLAINT FORM CompIainant's Name: v a i� -e tti(5+-01-f- Date: Address: 20 3 A-(191 C.ek i City: iv zp sc State: Zip: 3 4 I i 2 Home Phone: 414- 3 c 3 9 1(o Business Phone: 4-1 7 - 75 3 1 COMPLAINT INFORMATION: Company Name: 12° 1a?611La4-0 C'N‘54"1' en License Number: C C'-- 04 (6+7 Contractor or Person in Charge: (If known) C. 3• Ca v vyt 3 N o Address: Phone: 2 3 g - 9 2 S- 003.5- Date of Contract: B/T s /zo i COMPLAINT DETAILS: (Attach additional sheets as necessary) /! Co-vt+v"?ci-o-r- -{-r) c a 144.4j- F e r2/Wty r rie>hivL ((A tev1 C0,0-14-y. Co-y,n c31PdI 's Cer-`d hiki, Cou)ri CevN-Ove dwe {-Lpi cc. k k.o r,c &e !w'-Pael- --lla`f \A e re 16s6( le (a c 6r2-t- 44 L(M- -✓-a ck" w \ ` b Ca e (Ovt (6w� tu?N� 1S att -( 1,1 )1ce � whit d o-wSr fve it Include copies of all appropriate documents: Contracts, checks, liens,permits, etc... 1 &t. Signature: � ` ` 7 - tC �i( �114 O L --: joo . 1-u ►Jt r "r 14- I ow 641444. 2- Growth Management Division•Planning&Regulation•2800 North Horseshoe Drive•Naples,Florida 34104.239-252.2400•www.colliergov.net E2- D. Caamano Construction Inc. General Contractor,Remodeling and Total Renovations ,M) David Caamano President 27124Elaine nom_ _3413 Phone: 239 825-0035 Bonita Springs,FL 5 raa:239 495-8029 Licensed and Insured CGC-061647 caamanobuilders @msn_com E 2 6 Permit No. Tax Folio No. 3.51-f- g 6 9 2 000 7 NOTICE OF COMMENCEMENT State of FLORIDA County of COLLIER The undersigned hereby gives notice that improvement will be made to certain real property,and in accordance with Chapter 713,Florida Statutes, the following information is provided in this Notice of Commencement. . 1.Description of Property:(legal description of the property,and street address if available) 2�>Al b: f2,C k�.. (ci»t-a,,,Ar.e.0 2. General description of improvement: 1%1ise-t oL � r [eblic<< r-r'^-C.-l-' -- , 3. Owner Information: a. Name and address: . b. Interest in property: . c. Name and address of fee simple titleholder(if other than Owner): 4.a. Contractor:(name and address) (�}' ��Ci,Y_,.-Z C.-.c �L,ts. . c'1C- Of; E'(4,,.1e �ti-P-x,..-.1;II, `e-- 1 b. Contractor's phone number: -:),_3. -- .r-;1 3---- Cc-=?s----- . 5. Surety a. Name and Address: A' '1i b. Phone number: — . c. Amount of bond: 6a. Lender:(name and address) /2'2/4 . b. Lender's phone number. . 7a. Persons within the State of Florida Designated by Owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7.,Florida Statutes: (name and address) b. Phone numbers of designated persons: • 8a. In addition to himself or herself,Owner designates of to receive a copy of Lienor's Notice as provided in Section 713.13(1)(b)Florida Statutes. b. Phone number of person or entity designated by owner: 9. Expiration date of notice of commencement(the expiration date is 1 year from the date of recording unless a different date is specified) . WARNING TO OWNER: ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER T13,PART I,SECTION 713.13,FLORIDAS1A'1UTLS,AND CAN - RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT MUST BE RE' •RDED AND POSTED ON THE JOS SITE BEFORE THE FIRST INSPECTION.IF YOU INTEND TO OBTAIN FINANCING,CONSULT. WI OUR LENDER OR AN TTOR BEFORE C -NCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. X C �r'1R��C_,�& 5- . ' 4) (Signature of Owner or Owner's Authorized Officer/Director armor nager) (Signatory's Tit;e/Office) t Th, ki going instryr9ent wa ecknp�/led for m is .1 day of �.( ) `"l 1 / .(year),by 1�-1 ilk_ lq _l')U�-' I CT-( of person)as (' {' 7-JL�� 1 (type of authority....e-g. officer.trustee,attorney In fact)for Z�Z I?I if�t� -' -(name of party on behalf of whom instrument was executed). 1, DWIGHT E BROCK,CLERK OF CIRCUIT COURT . _ill.e,11/A. tGL-,- tit tz iv'-t a. (Signature of Deputy Clerk) (Signature of Notary Publi -State of Fl e)r-? yi:C'ry .,) (Printed name of Deputy Clerk) (Print.Type,cr Stamp Commissioned Name of Notary Public) Personally Known OR Produced Identification Type of Identification Produced . Verification pursuant to Secton 92.525,Florida Statutes, Under penalties of perjury,I declare that I have read the foregoing and that the facts stated in it are true to the best of my knowledge and belief. (Signature of Natural Persor.Signing Above) Rev.7/2007 r A AaL(2e6 E2. A x Y itt� s E i GLADES' ours rte;CLUB' October 21, 2010 Mr. & Mrs. John Guehlstorf 283 Albi-1 Naples, FL 34112 Re: Replace all windows Dear Owners, We have received and reviewed your application and contractor's information and found same in order. At the October 21, 2010 meeting of the Glades Board of Directors, your application was approved. At this time you may proceed with this job. Please note; it is your responsibility to make sure your contractor pulls all the necessary permits for the job. The enclosed Authorization form must be displayed in your front window while the work is being completed. Sincerely, Nancy Pavl iin, Presiders President Cc:Section Director Owner's file 174 Teryl Road • Naples, Florida 34112 • (239) 774-6899 • Fax (239) 774-2002 2.7 www.gladescountryclub.com • w•k.Ma:.s. .r,aM-° .kl w+.-✓:..hm +EUT ,.:,.b ssd� -..x. .-...»n e...... u.�- • ..�..�.sa .. ..^._t D. Caamano Construction, Inc. Invoice 27126 Elaine Drive Bonita Springs, FL 34135 Date Invoice# 8/25/2010 568 Bill To VI NI John Guehlstorf 283 Albi Rd. #1 Naples FL 33117 P.O. No. Terms Project paid Description Total % Amount Provide new window for master bedroom. PGT white 100.00% 1,208.94 aluminum, high impact hurricane window,HR710 series, grey tint, 5/16 laminated glass. With bug screen. Same style window as existing. Provide new windows (2) for guest bedroom. PGT white 100.00% 1,645.04 aluminum,high impact hurricane window,HR710 series, grey tint, 5/16 laminated glass. With bug screen. Same style window as existing. Labor and Misc materials to install guest bedroom window 59.05% 445.40 Provide new window for guest bathroom. PGT white 100.00% 333.67 aluminum,high impact hurricane window,HR710 series, obscured glass, 5/16 laminated glass. With bug screen. Same style window as existing. Provide new window for kitchen. PGT white aluminum, high 100.00% 822.52 impact hurricane window,HR710 series, grey tint, 5/16 laminated glass. With bug screen. Same style window as existing. Provide new window for the dinning room. PGT white 100.00% 822.52 aluminum,high impact hurricane window,HR710 series, grey tint, 5/16 laminated glass. With bug screen. Same style window as existing. upon acceptance, Please sign and return to our office for scheduling. Total Payments/Credits Balance Due Page 1 2.7 D. Caamano Construction, Inc. Invoice 27126 Elaine Drive Bonita Springs, FL 34135 Date Invoice# 8/25/2010 568 Bill To John Guehlstorf 283 Albi Rd. #1 Naples FL 33117 P.O. No. Terms Project paid Description Total % Amount Provide new window for master bath. PGT white aluminum, 100.00% 333.67 high impact hurricane window,HR710 series, obscured glass, 5/16 laminated glass. With bug screen. Same style window as existing. Permit fees 100.00% 291.50 Payment schedule: Cost for windows and permit fees as a deposit$5,903.26 remaining balance due upon completion. upon acceptance, Please sign and return to our office for scheduling. Total $5,903.26 Payments/Credits $-5,903.26 Balance Due $0.00 Page 2 E30 .- . ............ ■ ,. :.= 1 i , i i i ''''':.:'''''■.:.7:''''''' ::' ■ .. .'- '.• ' '.. ..,'.■ . BOX. 5344 STORE YOUR DUPLICATE ...., .. 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' — -, ....., •-■'-.•' .7.*•‘1.'13-1147 :'."*,-..,`fi.r.....%•tv.-`-"I-.,.0 4'. -.. ..,-,V,./,,e.,:!-)it!:;,',,Z.VT4,,, %..;:::-.7,=-4;,k. ..f:••,.t-.La',.7.,`.>- •'1 • '- .• . ...-. , .: S.. • .--' .: 2 L. .' •\. . - I\'' . -I. 1 ., •- - ' . _ _ th copy t•er •,-;f;;!,:':;:1;,-.:..-,',:':::.-;''':,-..„'',"'"ii:iii.'i;'':,:i't1:47:;.-ir:::'=:":--4-"fi---- - added secutitY'Y°ur nam e and a ount num do not aPP.`"---on is - / E3j-- NOT NEGOTIABL5. cc Municode Pagc 1 of 10 N i , ee Ca .. iy, Florida, Code oK Ordinances >> PART CODE€ 3 ]7 Chapter 22 BLIRD.NL.:"S AND BUILDING R GUL AS' Or a >> rRTI e m V. - _U§L. .Zi TRADES >> DIVISION 4 , STANDARDS OF CONDUCT AND DISCIPLINE >> DIVISION 3. STANDARDS OF CONDUCT AND DISCIPLINE 2i Sec 22-201. Misconduct---Col!iei_County/city certificate of competency- Sec. 22-201.1 Misconduct—State certified contractors. Sec. 22-202. Disciplinary proceedings. Sec. 22-203. Disci•linar. sanctions. Sec. 22-204. Rehearing. Sec. 22-205. Appellate-type review. Secs. 22-206-22-225. Reserved_ Sec. 22-201. Misconduct—Collier County/city certificate of competency. The following actions by a holder of a Collier County/City Certificate of Competency shall constitute misconduct and grounds for discipline pursuant to section 22-202: (1) Knowingly combining or conspiring with an unlicensed contractor by allowing one's Certificate of Competency to be used by an unlicensed contractor with intent to evade the provisions of this Ordinance. When a licensed contractor acts as the qualifying agent for any firm without first making application under this Ordinance to represent said firm, such act shall constitute prima facie evidence of intent to evade the provisions of this Ordinance. When a certificate holder allows his certificate to be used by one or more companies without having any active participation in the operations, management, and control of such companies, such act constitutes prima facie evidence of an intent to evade the provisions of this Ordinance. Active participation requires job site supervision, knowledge of and participation in the business operations of the company(s), including all contractual matters. a. If any individual qualifying any business organization ceases to be affiliated with such business organization, he shall so inform the Board. In addition if such individual is the only certified individual affiliated with the business organization, the business organization shall notify the Board of the individual's termination and shall have no more than sixty (60) days from the date of termination of the individual's affiliation with the business organization in which to affiliate with another person certified under the provisions of this article. In any event, the business organization shall not enter into any new contracts and may not engage in any new contracting until such time as a qualifying agent is employed. (2) Contracting to do any work outside of the scope of his/her competency as listed on his/her competency card and as defined in this Ordinance or as restricted by the Contractors' Licensing Board. (3) Abandoning a construction project in which he/she is engaged or under contract as a contractor. A project may be presumed abandoned if the contractor terminates the F32 https://library.municode.com/print.aspx?h=&clientlD=1 0578&HTMRequest=https%3a%2f... 5/6/2014 Municode Page 2 of 10 project without just cause, or fails to notify the owner in writing of termination of the contract and basis for same, or fails to perform work for ninety (90) consecutive days without just cause and no said notice to the owner. (4) Diverting funds or property received for the execution of a specific contract project or operation or diverting funds earmarked for a specified purpose to any other use whatsoever. (5) Departing from or disregarding in any material respect the plans or specifications of a construction job without the consent of the owner or his duly authorized representative. (6) Disregards or violates, in the performance of his contracting business in Collier County, any of the building, safety, health, insurance or Workers' Compensation laws of the State of Florida or ordinances of this County. (7) Falsifying or misrepresenting any material fact in his application and supporting papers for the purpose of obtaining a Certificate of Competency under this Ordinance. (8) Committing mismanagement or misconduct in the practice of contracting that causes financial harm to a customer. Financial mismanagement or misconduct includes, but is not limited to, any of the following: a. The contractor fails to fulfill his/her contractual obligations to a customer because of inability, refusal or neglect to pay all creditors for material furnished or work or services performed in the operation of the business for which he/she is licensed, under any of the following circumstances: 1. Valid liens have been recorded against the property of a contractor's customer for supplies or services ordered by the contractor for the customer's job; the contractor has received funds from the customer to pay for the supplies or services; and the contractor has not had the liens removed from the property, by payment or by bond, within 30 days after the date of such liens; 2. The contractor has abandoned a customer's job and the percentage of completion is less than the percentage of the total contract price paid to the contractor as of the time of abandonment, unless the contractor is entitled to retain such funds under the terms of the contract or refunds the excess funds within 30 days after the date the job is abandoned; 3. 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. b. The contractor's job been completed, and it is shown that the customer has incurred financial harm by having to seek a variance or other administrative remedy because of actions by the contractor. (9) Performing any act which assists a person or entity in engaging in the prohibited unlicensed practice of contracting, if the licensed contractor knows or should have known that the person or entity was unlicensed. (10) Failing to promptly correct faulty workmanship or promptly replace faulty materials installed contrary to the provisions of the construction contract. Faulty workmanship means work that is not commenced, not continued, or not completed in accordance E33 hips://library.municode.com/print.aspx?h=&client1D=10578&NTMRequest—https°o3a%2f... 5/6/2014 Municodc PdOC 3 of 10 with all specifications of the applicable written agreement. Faulty workmanship includes any material flaw(s) in the quality and/or quantity of the unfinished or finished work product, including any item that does not function properly as a part of the entire project. If there is no written agreement provision regarding the specific faulty workmanship issue, faulty workmanship exists if the work, process, product or part thereof does not meet generally accepted standards in Collier County in relation to the entire project. Faulty workmanship does not include matters of esthetics unless the esthetically related item clearly violates a written contract specification directly related thereto. (11) Failure to maintain at all times, with an insurance company authorized to do business in the State of Florida, the limits of liability and other categories of insurance as required by this Ordinance. (12) Failing to claim or refusing to accept certified mail directed to the contractor by the Contractors' Licensing Board, or its designee. (13) Failing to maintain a current mailing address. (14) Failing to appear in person or through a duly authorized representative at any scheduled hearing on a complaint filed against the contractor. (15) Being convicted or found guilty, regardless of adjudication, of a crime in Collier County which directly relates to the practice of contracting or the ability to practice contracting. (16) Allowing another to take a qualifying examination on the applicant's behalf. (1 7) Engaging in contracting business in Collier County or the City when prohibited from doing so by the Contractors' Licensing Board of Collier County (18) Proceeding on any job without obtaining applicable permits or inspections from the City building and zoning division or the county building review and permitting department. (19) Failing in any material respect to comply with the provisions of this Ordinance as a contractor or as a qualifying agent for a business entity engaging In contracting. (20) Signing a statement with respect to a project or contract falsely indicating that the work is bonded; falsely indicating that payment has been made for subcontracted work, labor, or materials which results in a financial loss to the owner, purchaser, or contractor; or falsely indicating that Workers' Compensation and public liability insurance are provided. (21) Failure of a qualifying agent for a firm/legal business entity to comply with the requirements set forth in F.S. §§ 489.119 and 489.1195. (22) Falsifying or misrepresenting any material fact to another person with the intent or for the purpose of engaging in the contracting business, providing materials or services, or soliciting business for an employer, as a contractor, or as an employee, regardless of any financial consideration. (23) Failing or refusing to provide proof of public liability and property damage insurance coverage and workers compensation insurance coverage. (24) Misconduct in the practice of contracting (see section 22-201.1, below). 0 No 90405. y , (.., No 92-61. l 77 34 (Na. No 97-68. § 1 0 25-g7. Ord No l( .. 2 6-8-99, Ofd Ak.. 2002(2/ §. 4 I 4. r. n( i:i. 2006-46 4if. S ` '+ 4 I 24, 10-10 F=1' Sec. 22-201.1 Misconduct—State certified contractors. The following actions by state certified contractors shall constitute misconduct and grounds for discipline pursuant to section 22-202 of this article. E3 5' , haps://library.municode.com/printaspx?h=&clientlD-10578M ITMRequcst=https%3 a%2f... 5/6/2014 Municode Page 4 of 10 (1) Failing or refusing to provide proof of public liability and property damage insurance coverage and workers compensation insurance coverage as required by Florida Statutes. (2) Willfully violating the applicable building codes or laws of the state, city or Collier County. (3) If the CLB finds through its public hearing process that the contractor was found by another county or municipality within the past 12 months, to have committed fraud or a willful building code violation and the CLB finds that such fraud or other willful violation would have been fraud or a willful violation if committed in Collier County or within the respective city. (4) Fraud. r\.? -.? � � u:, Ord. No $9-45 Q v.2---4 2 3, 6-8-99. .. d No. 2 \§ e4 . ^,�..... 5 O,C,. No O..- 7 f Sec. 22x202. Disciplinary proceedings. (a) There are three categories of violations: (i) Violations of F.S. § 489.127(1), and/or Section 1.1 of this Ordinance (§ 22-101), as amended; (ii) Violations of F.S. § 489.132(1); and (iii) other violations within the jurisdiction of the Contractor's Licensing Board. (1) Florida Statutes § 489.127(1), is incorporated herein. (Lack of required license, certificate, or registration). The following are designated to enforce F.S. § 489.127(1): Collier County Building Official, all License Compliance Officers, the Chief Building Inspector, Chief Electrical Inspector, Chief Plumbing/Mechanical Inspector, and/or other inspectors authorized from time-to-time by the Building Official. Procedures specified in this Ordinance shall apply except to the extent, if any, that F.S. § 489.127 or F.S. § 489.132, may require different procedure(s). The penalties for each uncontested violation of F.S. § 489.127(1) and/or F.S. § 489.132(1), are one thousand ($1,000.00) dollars for the first uncontested violation and two thousand ($2,000.00) dollars for the second uncontested violation by the same individual or entity. In the event of a third uncontested violation, the Contracting Licensing Supervisor shall refer the matter to the State Attorney's Office for filing of charges. Notwithstanding the above-referenced penalties, in the event a first uncontested violation is the result of the violator engaging in the business or acting in the capacity of a contractor of advertising himself or herself or a business organization as available to engage in the business or act in the capacity of a contractor without being duly registered or certified, the penalty shall be abated from $1,000.00 to $300.00 if the violator submits a completed application in accordance with Section 2.1 and 2.2 of this Ordinance (§ 22-182) within forty-five (45) days of the date of issuance of the Citation for the violation. Penalties for contested violations of F.S. § 489.127(1), are as now or hereafter specified in F.S. § 489.127. Penalties for contested violations of F.S. § 489.132(1), are as now or hereafter specified in F.S. § 489.132. The Citation form attached hereto as exhibit "A" is approved, which form may be amended from time-to- time by Resolution of the Board of County Commissioners. (2) Violations. The Contractor Licensing Supervisor, or his designee, may initiate disciplinary proceedings against a licensed contractor for violations of this Ordinance by filing a sworn complaint with the Clerk to the Collier County Board of County Commissioners or may issue a Notice of Non Compliance when (i) it is reasonable for Staff to assume that the violator, at the time of violation, was not aware of the provision that was violated or it can be assumed that it was not clear to the violator 535 https://library.municode.com/print.aspx?h=&clientID-10578&HTMRequest=htips%3a%2f... 5/6/2014 Municode Page 5 of 10 how to comply with the violated provisions; and (ii) that violation has not then resulted in economic harm or physical harm to any person.. (3) Failure of Non-State Certified Individual to Promptly Pay Penalty to County. The Collier County Building Department should not issue any permit or any other required authorization to any Collier County Certified individual who then has an obligation to pay a penalty to the County imposed with finality under this Ordinance for any violation of this Ordinance (including a citation that is not contested) and that individual has not paid that penalty in full by the applicable deadline date, plus reimbursement of the County's costs, such as recording fees and court costs. An appeal of uncontested citations stays all such withholdings. (4) Failure of Non-State Certified Individual to Meet Permit Conditions. The County's Building Department may withhold issuance of any further permit(s) or any other authorization(s) to any individual who, or entity that, has not then complied with any condition of all County-issued permit(s) issued to that individual or entity, including every follow-up inspection or any other act then capable of being complied with, although late in time. (5) Withholding Permit Pulling Privileges of State Certified Contractor. Before the CLB may withhold any permit pulling privilege(s) of a State Certified Contractor, the CLB, after public hearing, must find that the Contractor violated a provision of Section 4.2 (§ 22-201.1) of this Ordinance. (b) Any person who believes that a contractor holding a Certificate of Competency has violated this Ordinance may submit a sworn 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 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. (c) Upon the submission of a sworn complaint, the Contractor Licensing Supervisor, or his/her designee, shall conduct a preliminary investigation and determine whether the complaint submitted warrants the filing of formal charges. If charges are warranted, the Contractor Licensing Supervisor, or his/her designee, shall file the complaint with the Clerk to the Collier County Board of County Commissioners and shall send, by certified mail, return receipt requested, a letter to the licensed contractor at his local address, or if applicable the local agent's address, as shown by the records of the Contractors' Licensing Board, enclosing a copy of the complaint and indicating: (1) The name of the complainant; (2) The date(s) of the commission of the alleged offense(s); (3) The section(s) of this Ordinance alleged to have been violated; (4) The range of disciplinary sanctions which may be imposed upon any contractor, pursuant to this Ordinance by the Contractors' Licensing Board in the event said Board finds a violation of this Ordinance to have occurred; (5) The date, time and place at which the contractor shall appear before the Contractor's Licensing Board for a hearing regarding the complaint. The date scheduled shall not be sooner than twenty (20) days from the mailing date of the certified letter. (d) The notice of hearing required by this Section may, in the alternative, be accomplished by hand delivery of said notice to the contractor by the Contractor Licensing Supervisor, or his/her designee, or by leaving said notice at the contractor's business or usual place of residence with some person of his/her family over 15 years of age and informing such person of the contents of the notice. 3CG https://library.municode.com/print.aspx?h &clicntID=10578&HTMRequesthttps%3a%2f... 5/6/2014 Municode Page 6 of 10 (e) As an alternative to providing notice as set forth above, at the option of the Contractor Licensing Supervisor, notice may be furnished to the contractor by publication as follows: (1) Such notice shall be published once during each week for four (4) consecutive weeks (four publications being sufficient) in a newspaper of general circulation in Collier County. The newspaper shall meet such requirements as are prescribed under F.S. ch. 50, for legal and official advertisements; (2) Proof of publication shall be made as provided in F.S. §§ 50.041 and 50.051. Notice by publication may run concurrently with, or may follow an attempt or attempts to provide notice by hand delivery or by mail as required by this Section. (f) Although not required to prove that notice was provided, evidence that an attempt has been made to hand deliver or mail notice as provided in this Section, together with proof of publication as provided in subsection (e) of this section, shall be sufficient to show that the notice of hearing requirements of this Section have been met, without regard to whether or not the alleged violator actually received such notice. (g) Conduct of hearing. A hearing shall be held concerning the complaint and it shall be open to the public. (1) The proceedings at the hearing shall be recorded and may be transcribed at the expense of the party requesting the transcript. Any party may have a court reporter present at the hearing at his/her own expense. Neither Collier County nor the Contractors' Licensing Board shall be responsible for any failure of recording equipment during the conduct of the hearing. (2) Each case before the Contractors' Licensing Board shall be presented by the County Attorney, an Assistant County Attorney, or by a member of the County staff. Regarding matters under the jurisdiction of the Contractor's Licensing Board, the Building Official is authorized to issue subpoenas to the greatest extent then allowed by law, including F.S. § 162.08. (3) Assuming proper notice of the hearing has been provided to the contractor, or was not received notwithstanding attempts to notify the contractor, as provided for in subsection 22-202(c), a hearing may proceed in the absence of the contractor. Evidence regarding "notice" shall be received prior to receiving evidence on the merits of the case. (4) The Contractors' Licensing Board shall proceed to hear the cases on the agenda for that day. All testimony shall be under oath and shall be recorded. The Contractors' Licensing Board shall hear testimony from the Contractor Licensing Supervisor, or his/her designee, from the contractor alleged to be in violation of this Ordinance, and from such other witnesses as may be called by the respective parties. (5) Formal rules of evidence shall not apply, but fundamental fairness and due process shall be observed and shall govern the proceedings. Irrelevant, immaterial or cumulative evidence shall be excluded; but all other evidence of a type commonly relied upon by reasonably prudent persons in the conduct of their affairs shall be admissible, whether or not such evidence would be admissible in a trial in the courts of the State of Florida. Hearsay evidence may be used for the purpose of supplementing or explaining any evidence but shall not be sufficient, by itself, to support a finding unless such hearsay would be admissible over objection in civil actions in court. The rules of privilege shall be effective to the same extent that they are now or hereafter may be recognized in civil actions. (6) Any member of the Contractors' Licensing Board may question any witness before the Board. Each party to the proceedings shall have the right to call and examine ""� E3l https://library.municode.com/print.aspx?h==&clientID=10578&HTMRequest https%3a%2f.., 5/6/2014 Municode Page 7 of 10 witnesses; to introduce exhibits; to cross-examine witnesses; to impeach any witness regardless of which party called the witness to testify and to rebut any evidence presented against the party. (7) The chairperson or, in his/her absence, the vice chairperson, shall have all powers necessary to conduct the proceedings at the hearing in a full, fair and impartial manner and to preserve order and decorum. (8) At the conclusion of the hearing, the Contractors' Licensing Board shall issue findings of fact based on evidence of record and conclusions of law; impose disciplinary sanctions, if warranted; and shall issue whatever order is necessary and proper to dispose of the complaint in accordance with this Ordinance and Florida law. Said findings of fact, conclusions of law, disciplinary sanctions, if any, and any related order shall constitute the decision of the Contractors' Licensing Board on the case heard before the Board. (9) The decision of the Contractors' Licensing Board shall be stated orally at the hearing and shall be reduced to writing and mailed to the parties within 30 days after the hearing. The findings of fact and conclusions of law, disciplinary sanctions, if any, and any related order shall be made by motion approved by a majority of the members of the Contractors' Licensing Board who are present and voting. The decision of the Board shall be effective upon being stated orally at the hearing, unless the Board orders otherwise. The decision of the Board shall be filed with the Clerk to the Collier County Board of County Commissioners promptly after said decision is reduced to writing. (10) Should the Contractors' Licensing Board be unable to issue a decision immediately following any hearing because of questions of law or other matters of such nature that a decision cannot be immediately made, the Board may withhold issuing its decision until a subsequent meeting. In such case, further discussion of the pending matter and all deliberations relating thereto by members of the Contractors' Licensing Board shall take place only at a public meeting of the Board. The Board shall thereafter issue its decision pursuant to subsections (8) and (9) of this section. Co{ '. No. 90_105 §§4 2.1 r 4.2 4 O1d. No. 92-61, ti 4 Ord. No. .:94-34. § Ord No. 97..63, < 1. '10-28-97, t„t.- No .:3-4 $ 11 6,8-59. Old. Ni. 02-2” 5 1(4.3.1, s. 3) 5-14-02: Ord No 06-4S, 5 r,4.3 2): ad. No 2013- 67 5 Sec. -203. Disciplinary sanctions. (a) Holders of Collier County or city certificates of competency. If, after hearing, the contractors' licensing board finds that there has been misconduct by a contractor, within the meaning of section 22-201, said board may, but shall not be required to, impose any of the following enumerated sanctions, alone or in combination: (1) Revocation of a Collier County or city certificate of competency; (2) Suspension of a Collier County or city certificate of competency; (3) Denial of the issuance or renewal of a Collier County or city certificate of competency; (4) A period of probation of reasonable length, not to exceed two years, during which the contractor's contracting activities shall be under the supervision of the contractors' licensing board; and/or participation in a duly accredited program of continuing education directly related to the contractor's contracting activities. Any period of probation or continuing education program ordered by the contractors' licensing board may be revoked for cause by said board at a hearing noticed to consider said purpose. The contents of said notice shall be substantially as provided for in section 53B https://library.municode.com/print.aspx?h=&clicntlf)=10578&HTMRequest—https%3a%2f... 5/6/2014 Municode Page 8 of 10 22-202. Service of said notice shall be as provided in section 22-202. Evidence that either of these methods of service have been utilized shall be sufficient to show that the notice of hearing requirements of this section have been met, without regard to whether or not the alleged violator actually received notice; (5) Restitution; (6) A fine not to exceed $10,000.00; (7) A public reprimand; (8) Reexamination requirement; or (9) Denial of the issuance of Collier County or city building permits or requiring the issuance of permits with specific conditions; (10) Reasonable investigative and legal costs for the prosecution of the violation. (b) (1) Holders of State of Florida Certificates of Competency. If, after hearing, the Contractors' Licensing Board finds that there has been misconduct by a State certified contractor, within the meaning of section 22-201, said Board may deny the issuance of Collier County/City building permits or require the issuance of permits with specific conditions. (2) Notification of and information concerning such permit denial shall be submitted to the Florida Department of Business and Professional Regulation within 15 days after the Contractors' Licensing Board decides to deny the permit. (c) When imposing any disciplinary sanction on a contractor or a person holding a Certificate of Competency or a state certified contractor who has been found to have violated this Ordinance, the Contractors' Licensing Board shall consider all the evidence presented at the hearing as well as: (1) The gravity of the violation; (2) The impact of the violation on the public health, welfare or safety; (3) Any actions taken by the violator to correct the violation; (4) Any previous violations committed by the violator; (5) Any other evidence presented at the hearing by the parties relevant as to the sanction which is appropriate for the case given the nature of the violation and the violator. (d) Any disciplinary sanctions imposed by the Contractors' Licensing Board shall be effective upon being stated orally at the hearing unless the Board orders otherwise, all in accordance with subsection 22-402(g)(9). (e) In addition to any action the Contractors' Licensing Board may take against the individual's or business organization's local license, and any fine the Contractors' Licensing Board may impose, the Contractors' Licensing Board shall issue a recommended penalty for the State Construction Industry Licensing Board or if the action involves an electrical contractor or an alarm contractor, the State Electrical Contractors' Licensing Board action. This recommended penalty may include a recommendation for no further action, or a recommendation for suspension, revocation, or restriction of the registration, or a fine to be levied by the Construction Industry Licensing Board or Electrical Contractors' Licensing Board, or a combination thereof. The Contractors' Licensing Board body shall inform the disciplined contractor and the complainant of the local license penalty imposed, the penalty recommended, his rights to appeal, and the consequences should he decide not to appeal. The Contractors' Licensing Board shall, upon having reached adjudication immediately inform the Construction Industry Licensing Board or Electrical Contractors' Licensing Board of its action and the recommended board penalty. (f) E39 _ _ https://library.municode.com/print.aspx?h—&clientI D=10578&HTMRequest—https%3a%2f... 5/6/2014 Municode Page 9 of 10 Fines and all other monetary penalties may be collected and disposed as authorized by and subject to F.S. ch. 489. Should any monetary penalty imposed by the Board not be paid within the time specified by the Board's Order, the Board may request from the Board of County Commissioners authority to that appropriate legal action to collect the penalty. t,.. Fv,, ..a 135 §`?.. 5. Ord Is § 518. 9,534, § ,. Ord No 90-45. ,j 4.3 W 83.5.6 (5-8-99 O'<a. t\ 2()02--. 1 59-4 3 5 6). 4 o3 Ord No. ,l . 5.5.1(0, 10-10-06) Sec. 22-204. Rehearing. Each respondent found to be in violation of this article, any other party, the chairman of the CLB, the CLB as a body, or the assistant county attorney who tried the case may request a rehearing of any decision of the CLB. A request for rehearing shall be in writing and shall he filed with staff and a copy thereof should be delivered to all other parties within 20 days from the date of mailing or other method of delivery to the respondent(s) of the board's written decision under this article. A request for rehearing shall be based only on the ground that fundamental error occurred which resulted in a failure of due process, the decision was contrary to the evidence, or that the hearing involved an error on a ruling of law and/or fact which was fundamental to the decision of the CLB. The written request for rehearing shall specify the precise issue(s) on which the request for rehearing is based. The decision of the CLB which is the subject of the rehearing request shall remain in effect throughout the rehearing procedure unless the county's licensing supervisor or the CLB orders otherwise. If any person with standing claims that fundamental error has occurred and such error is capable of being corrected, a request for a rehearing by the CLB must be filed with county staff. The CLB must issue its final order on rehearing before any request for any type of appellate review can be filed with any court. (1) If the contractors' licensing board determines it will grant a rehearing, it shall: a. Conduct a hearing where the parties will be given the opportunity of presenting evidence and/or argument which may be limited by the board to the specific issues for which the rehearing was granted. b. Affirm, modify or reverse its prior decision, with or without receiving further evidence, providing that the change(s) is/are based on a finding that the prior decision of the board resulted from fundamental error or a ruling on a question of law or of fact which the board has been informed by its counsel was fundamental error or an erroneous ruling and that further board action is required to correct such error(s). .'. No 50.105 Ord No 59-4'] , J.1-5 1.2. 6-J 9. Sec. 22-205. Appellate-type review. (a) Each disciplinary action of the CLB is quasi-judicial. Each person or entity found to be in violation of this Ordinance may appeal a decision of the Contractors' Licensing Board to the Collier County Circuit Court as authorized by subsection F.S. § 489.127(5)(k), in conformity with Florida Rules of Appellate Procedure, and subject to mandatory prerequisite rehearing under section 5.1, above, if the error is correctable. Such an appeal shall not be a hearing de novo but shall be limited to appellate review of the record created before the CLB in accord with Florida Rules of Appellate Procedure. Any appeal shall be filed with the Circuit Court and be served on the parties within thirty (30) days of the rendition of the effective Final Order of the Board. If there has been a re-hearing request, the appeal shall be filed with the Circuit Court and be served on the parties within thirty (30) days of the rendition of the Board's decision on re-hearing. / E LIO https://library.municode.com/print.aspx?h=&clientID=10578&HiMRequest=hops%3a%2f... 5/6/2014 Municode Page 10 of 10 (b) In the event the person or entity found to be in violation of this article should elect to appeal, a verbatim record and transcript relevant to the case shall be as required by Florida Rules of Appellate Procedure. It shall be the sole responsibility of the person or entity seeking such review to ensure that a record is made from which a transcript may be prepared which includes the testimony upon which an appeal may be taken. Neither Collier County, nor the CLB shall have any responsibility to provide a verbatim record transcript of the proceedings. (c) Subpoenas. Any party or the attorney for a party to a proceeding before the CLB may acquire from staff free subpoenas for witnesses and/or for production of tangible evidence. but not for any deposition. Rule 1.410 of Florida Rules of Civil Procedure apply thereto. As used in Rule 1.410, "court" shall mean "the CLB" and "clerk" shall mean "county staff". Each subpoena must be issued by the party or by an attorney for that party. N. n L Ost S: 5b V ,. Ni)_ c V I Secs. 22-200-22-225. Reserved. FOOTNOTE(S): State Law tE:if°.'ianC.e-°- �.= 459 489 53:,'_i aC_. hops://library.municode.com/print.aspa?h=&clientlD=10578&HTMRequest=https%3a%2f... 5/6/2014 BEFORE THE COLLIER COUNTY CONTRACTORS' LICENSING BOARD BOARD OF COUNTY COMMISSIONERS, COLLIER COUNTY, FLORIDA, CONTRACTORS' LICENSING BOARD Petitioner, V. Case Number: 2014-08 License Number: 27223 Samuelito Greenwood D/B/A—Greenwood, Inc. Respondent. ADMINISTRATIVE COMPLAINT Collier County (County)files the Administrative Complaint against Samuelito Greenwood ( Respondent), a Collier County licensed Painting Contractor(license#27223), and states the following facts and allegations in support of the cited violation below: 1. The Respondent is currently licensed by Collier County as a Painting Contractor with License number 27223. 2. Under the provisions of Collier County Ordinance 90-105, as amended,Section 22-201,the following actions by a holder of a Collier County/city Certificate of Competency shall constitute misconduct and grounds for discipline pursuant to Section 22-202. a. Ordinance 90-105, as amended, Section 22-201(6)—"Disregards or violates, in the performance of his contracting business in the county, any of the building, safety, health, insurance or workers' compensation laws of the state or ordinances of this county." Mr. Greenwood, by continuing to contract during his active State of Florida Stop Work Order, violated Florida Statute 440.107. b. Thereafter, pursuant to Collier County Ordinance 90-105, as amended,Section 22-202 (b) and Section 22-202 (c),the complaint was investigated and found sufficient cause to file formal charges. 3. Collier County brings the following charge in this formal complaint against the Respondent. COUNT I 4. Collier County Ordinance 90-105, as amended,Section 22-201 (6). "Disregards or violates, in the performance of his contracting business in the county, any of the building, safety, health, insurance or workers' compensation laws of the state or ordinances of this county." WHEREFORE, the Petitioner asserts the above facts and charges are grounds for disciplinary action under Section 22-201 of Collier County Ordinance 90-105, as amended, and WHEREFORE, in consideration of the foregoing,the Petitioner respectfully requests the Collier County Contractors' Licensing Board to find the Respondent guilty of the violations charged. Dated: 05 May, 2014 Signed: Collier County Contractors' Licensing Supervisor or Designee Contractors' Licensing Board Case # 2014-08 Samuelito Greenwood — D/B/A— Greenwood, Inc. Case Summary On 07 April, 2014, I, Reggie Smith, did investigate an anonymous complaint at the address of 164 Balfour Dr, Marco Island, FL; for the complaint of employee Workers' Compensation violation. Upon my arrival, I interviewed the homeowners and confirmed they had hired Samuelito Greenwood of Greenwood, Inc., to paint the exterior of their home for compensation. The homeowners stated they received Mr. Greenwood's business information through a friend's referral. At that time the painting contract was paid in full and the work completed. Information concerning Mr. Greenwood's employees working at this location became known, which required additional insurance coverage information. I contacted State of Florida, Department of Financial Services, Division of Workers' Compensation, Investigator Jack Gumph, via phone to obtain insurance coverage information. The result of Mr. Gumph's research revealed an active State of Florida, Stop Work Order#07-132-D7, issued to Mr. Greenwood on 03 May, 2007. The issued Order ceased all business operations in the State of Florida for Mr. Greenwood until he adhered to the terms and conditions of the Penalty Assessment. On 27 April, 2011, the Division of Workers' Compensation reinstated Stop Work Order#07-132-D7 for default of the Payment Agreement Schedule and ordered the unpaid balance of the penalty immediately due. Mr. Greenwood was then contacted by myself and scheduled to meet in the Contractors' Licensing office. Prior to the meeting, I reviewed the case with Contractors' Licensing Supervisor, Michael Ossorio, who advised a first offense citation issuance is required to be served and advised Mr. Greenwood should contact the State of Florida, Workers' Compensation Division. During my meeting with Mr. Greenwood, CEMIS20140006875, citation 8782, was issued and signed for; Mr. Greenwood accepted his copy along with payment and request for hearing information. Mr. Greenwood advised he will pay the citation and contact the State of Florida to obtain information concerning his Stop Work Order. Mr. Greenwood was advised he cannot contract until he complies with the State; he stated he understood and asked if he could be a payroll employee of a licensed contractor. I replied "yes". On, 24 April, 2014, I received yet another complaint that Mr. Greenwood has contracted a painting job at the address of 361 Gumbo Limbo Ln, Marco Island, Fl. I initially contacted the Division of Workers' Compensation Department and reviewed the complaint with Investigator Aysia Snodgrass who advised she would site visit the jobsite with me. Upon arrival to the new construction home site, we first contacted the homebuilder, Ross Tackett of Ross Tackett Custom Homes, Inc., who advised Mr. Greenwood has contracted with him to paint the entire home, interior and exterior. Investigator Snodgrass began her investigation at that time while I observed. Mr. Tackett stated Mr. Greenwood was not currently on the jobsite; however two of Greenwood, Inc. employees were currently working on the site. Investigator Snodgrass spoke with the two men to confirm they were payroll employees of Greenwood, Inc. Ultimately, Investigator Snodgrass was able to meet with Mr. Greenwood on site upon his return and issued him an amended copy of Stop Work Order#07-132-D7, to include additional penalty fines. I was not present at the time of issuance. On, 25 April, 2014, I received an emailed copy of Mr. Greenwood's contract proposal to Ross Tackett Custom Homes, Inc. I called and met with Mr. Greenwood to review the new violation. As per, Michael Ossorio, I served a Notice of Hearing to Mr. Greenwood for the 21 May, 2014, Contractors' Licensing Board Hearing. He signed and accepted a copy for his records. On 28 April, 2014, I received an emailed copy of the State of Florida Stop Work Order served to Mr. Greenwood. In review, Samuelito Greenwood has been actively contracting for business while under a State of Florida Stop Work Order. Mr. Greenwood claimed to not be aware of the Stop Work Order during our meeting on 07 April, 2014. Confirmation was made by Investigator Jack Gumph that Mr. Greenwood did contact him on 07 April, 2014 and was advised of the current status of his Stop Work Order conditions. Just weeks after these activities, Mr. Greenwood, again contracted for business while knowing an active Stop Work Order has been issued to him, re-instated to him, and verbally confirmed to him by the State of Florida. Contractors' Licensing Board Case # 2014-08 Samuelito Greenwood — D/B/A Greenwood, Inc. Table of Contents El through E3 - Formal Complaint E4 through E6-Contractors' Licensing CEMIS20140008134 Code Case Details E7 through E8—Contractor Certificate Details, CD Plus E9 through Ell—Certificate Detail Report, City View E12 through E13—Division of Corporations, Greenwood, Inc. E14 - Notice of Hearing E15—Ordinance 90-105 as amended, Section 22-201 (6) and Ordinance 06-46, as amended,Section 4.1.6 E16—Collier County Business Tax Receipt#031042, Greenwood, Inc. E17— Florida Department of Financial Services, Employer Detail Page E18 through E19-State of Florida, Division of Workers' Compensation, Stop-Work Order#07-132-D7 E20 through E23—Greenwood, Inc. painting proposal E24 through E25 Contractors' Licensing CEMIS20140006875 Code Case Details Contractors' Licensing Board 2800 North Horseshoe Dr. Naples, FL 34104 Complaint Number-2014-08 Complainant: Any person who believes that a Contractor holding a State Certification or Certificate of competency has violated Collier County Ordinance 90-105, as amended, may submit a sworn 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: 24 April, 2014 Against: Contractor's Name: Samuelito Greenwood Phone: 239-595-5677 Business Name: Greenwood, Inc. License Number if known: 27223 Collier County Competency number: 27223 Contractor's Business Address: 6090 English Oaks Ln, Naples, FL Filed By: Name: Collier County Contractors' Licensing/ Reggie Smith Address: 2800 N. Horseshoe Dr., Naples, FL 34104 Business Phone: 239-252-2432 Address where work done: 361 Gumbo Limbo Ln City: Marco Island County: Collier 611 Date of contract: On or before 24 April, 2014 Date job started: On or before 24 April, 2014 Date job completed: Not completed Were there plans and specifications? No Is there a written contract? Written invoice Has Contractor been paid in full? No Was a Building Permit obtained? No Was a Building Permit required? No Building Permit number if known: N/A Have you communicated by letter with the licensee?Yes Date: 25 April, 2014, Hand Delivery service of the Notice of Hearing Please attach to this form all copies of the purchase agreement, building contract, home improvement contract, copies of receipts and/or cancelled 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): 1. Ordinance 90-105, as amended, Section 22-201(6)—"Disregards or violates, in the performance of his contracting business in the county, any of the building, safety, health, insurance or workers' compensation laws of the state 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: 2. Ordinance 90-105, as amended, Section 22-201(6)—"Disregards or violates, in the performance of his contracting business in the county, any of the building, safety, health, insurance or workers' compensation laws of the state or ordinances of this county." Mr. Greenwood, by continuing to contract during his active State of Florida Stop Work Order,violated Florida Statute 440.10(a). Reggie Smith Collier County Contractors' Licensing State of: Florida County of: Collier Sworn to (or affirmed an ubscribed before me this ',�,' day of '--,- l , 2014, by ,s, V (signaP u se of person making statement). SAMANTHA LYNN R " ,`,� ` ,\,' � t ��`,, (signature of Notary Public) °� is MY COMMISSION#EE875 c / x -t" �� '-:''AL')- EXPIRES:February 17,2017 Print,ty-pe-GLstamp commissioned name of Notary Public: �'�7FOFF,,oe`°� Bonded;hroBudo.tr�r,,,.,/, , . Personally known or produced identification 6 3 ci `� Tgo i e = Report Title: Code Case Details Date: 5/5/2014 1:38:33 PM Case Number: CEMIS20140008134 Case Number: CEMIS20140008134 Status: Preliminary Review Case Type: Misconduct Date&Time Entered: 4/24/2014 3:48:25 PM Priority: Normal Entered By: ReggieSmith Inspector: ReggieSmith Case Disposition: Hearing Jurisdiction: City of Marco Origin: Anonymous Complaint Detail Description: VIOLATION OF STATE OF FLORIDA WORKERS COMPENSATION STOP WORK ORDER BY GREENWOOD, INC., GREENWOOD, SAMUELITO Location Comments: 361 GUMBO LIMBO LN MARCO ISLAND Property 50038480008 Contractor GREENWOOD, SAMUELITO 6 4 Business Management&Budget Office 1 Code Case Details Execution Date 5/5/2014 1:38:33 PM Desc Assigned Required Completed Outcome Comments Preliminary Investigation ReggieSmith 4/24/2014 4/24/2014 Needs 04-24-14 RECEIVED ANONYMOUS CASE Investigatio COMPLAINT FOR SAMUELITO n GREENWOOD CONTRACTING A PAINTING JOB AT 361 GUMBO LIMBO LN, MARCO ISLAND,A NEW CONSTRUCTION HOME. PRIOR VIOLATIONS INCLUDE A COLLIER COUNTY CITATION ISSUANCE ON 04-07- 14 TO MR. GREENWOOD FOR CONTRACTING DURING AN ACTIVE STATE OF FLORIDA STOP WORK ORDER, FIRST ISSUED ON 05-03-2007 AND RE- ISSUED AFTER NON-PAYMENT ON 04-27- 2011,COLLIER COUNTY LICENSING CASE CEMIS20140006875. I SITE VISITED WITH STATE OF FLORIDA,WORKERS COMPENSATION INVESTIGATOR,AYSIA SNODGRASS. UPON ARRIVAL WE SPOKE TO THE HOMEBUILDER, ROSS TACKETT OF ROSS TACKETT CUSTOME HOMES, INC., CRC057723,WHO ADVISED/CONFIRMED HE HAD HIRED GREENWOOD, INC.AS A PAINTING SUBCONTRACTOR IN THE AMOUNT OF APPROXIMATELY$21,000.00. HE STATED HE WAS NOT AWARE OF ANY VIOLATIONS MR. GREENWOOD CURRENTLY HAD, ONLY THAT HE HAS A VALID PAINTING LICENSE AND PROVIDED AN INSURANCE CERTIFICATE FOR PROOF OF COVERAGE. MR.TACKETT ADVISED MR. GREENWOOD WAS NOT CURRENTLY ON SITE; HOWEVER DISCOVERED TWO OF MR. GREENWOOD'S EMPLOYEES WERE ON SITE WORKING. INV.AYSIA SNODGRASS BASICALLY RAN HER INVESTIGATION FOR GREENWOOD, INC.AND PRIOR TO LEAVING SHE ISSUED A ADDITIONAL STOP WORK ORDER PERSONALLY TO MR. GREENWOOD UPON HIS RETURN. I REQUESTED INV.SNODGRASS' INVESTIGATION INFORMATION FOR LATER USE. CASE REVIEW WITH M. OSSORIO,WHO ADVISED MR. GREENWOOD'S LICENSE IS REQUIRED TO BE REVIEWED BY THE COLLIER COUNTY CONTRACTORS'LICENSING BOARD ON 05-21-14. M.OSSORIO ADVISED ME TO ISSUE A NOTICE OF HEARING TO MR. GREENWOOD. RS 5 2 Business Management& Budget Office Code Case Details Execution Date 5/5/2014 1:38:33 PM Desc Assigned Required Completed Outcome Comments Cont. Investigation ReggieSmith 4/25/2014 4/25/2014 Complete 04-25-14 CALLED AND INVITED MR. GREENWOOD INTO THE OFFICE TO SIGN FOR AND RECEIVE A COPY OF A NOTICE OF HEARING FOR THE HEARING DATE OF: 21 MAY, 2014. A MEETING WAS HELD AND HE SIGNED FOR AND ACCEPTED A COPY OF THE NOH. RS Attach Picture(s) ReggieSmith 4/25/2014 4/25/2014 Complete ATTACHED SCANNED JOB PROPOSAL AND INSURANCE CERTIFICATES. ATTACHED SCANNED 04-24-14 STATE OF FLORIDA STOP WORK ORDER. ATTACHED SCANNED NOTICE OF HEARING. RS Cont. Investigation ReggieSmith 5/5/2014 5/5/2014 Complete 05-05-14 PREPARED CASE FOR CLB. RS Investigation ReggieSmith 5/22/2014 Pending Violation Description Status Entered Corrected Amount Comments Worker's Compensation Violation Open 4/25/2014 $0 Title Reason Result Compliance Fine/Day Condition 66 3 Business Management&Budget Office 'ertificate Detail Report DPR2305 - Certificate Detail Report CERT NBR QUALIFIER NAME DBA STATUS 27223 SAMUELITO (SAMUEL) GREENWOOD GREENWOOD INC. INACTIVE DETAIL CLASS CODE CLASS DESC STATE NBR 4270 PAINTING CONTR. S ORIG ISSD DATE STATE EXP DATE 4/29/2005 RENEWAL DATE COUNTY COMP CARD COUNTY EXP DATE EXPIRE DATE 9/30/2012 OTH OL NBR COUNTY OL EXEMPT N CNCL DATE COUNTY OL NBR COUNTY OL EXP DATE OTH OL EXP DATE 031042 9/30/2012 REINSTATE DATE 2/23/2011 DBA PHONE FAX (239) 595-5677 (239) 592-1456 MAILING ADDRESS PHYSICAL ADDRESS 172 WICKLIFFE DR. 172 WICKLIFFE DR. NAPLES FL 34110- NAPLES FL 34110- LIABILITY INSURANCE COMPANY EXP DATE AUTO BUYERS INSURANCE AGENCY 4/28/2012 PHONE EFFECTIVE DATE (239) 598-2004 4/28/2011 POLICY NUMBER CNCL DATE CLM01001299A INSURANCE LIMITS 2, 000, 000 WORKERS COMPENSATION INSURANCE WC EXEMPT Y COMPANY EXP DATE PRIME GROUP INS. SERVICES 12/20/2010 PHONE EFFECTIVE DATE (813) 890-0415 12/20/2008 el flollier County Board of County Commissioners Printed on 5/5/2014 11:29:57AM DPR2305 - Certificate Detail Report POLICY CNCL DATE GWIC301001355 109 BOND INSURANCE COMPANY EXP DATE PHONE EFFECTIVE DATE POLICY CNCL DATE INSURANCE LIMITS LAST UPDATE DATE LAST UPDATE USER PREV UPDATE DATE PREV UPDATE USER 9/21/2011 CLEMENTS K 4/29/2011 GREENBERG J 16' la "ollier County Board of County Commissioners Printed on 5/5/2014 11:29:57AM View Master Project View All Activities for this Licensee. Add new person or business to Address Book Licensee Information f i New Licensee (current project) [ New Licensee (no project) 1 Licensee Number I 1C27223 Status lAi..ctive W• i Name/Description iGreenwood,. Inc Start Date I - Type il Contractor ' I End Date Inspector LI Submitted On jurisdiction Collier County Department 'Operations 111 Activity Description All rertificaties from CDPlusl '25339, l)7223 ' . S[ig g es t Ala ifin a A d dre S5 Add this Mailing Address as a Location I Add Contact Number ' - - - -- - Street Mailing Address 1PO Box 111695 -1-i, e Contact Number I Ed. _ _ __ __ . _ . Primary (239) 595-5677 Address Line -7 16090 Englirh Oaks LN Neale- FL 34119 _ , _, __, , .-_,, Cell (239) 595-5677 .• .-- Address Line 3 ( ) - CityiStatelp IN d - FL ' Ple i - 'j-----7----------- H134108 Country l United States El Email Show More Fields Hide or Clear Fields . Home Based Business Li Sub-certificate Required n Contractor Attributes A — - Contractor Type Business H DOE - - Drivers License Number I Sponsorship Appliction Date I - Workers Compensation i" - Business Tax Re_ceipt? Ye,-. l 1 Expiration Date. i Location Add Related Parcels and Addresses H Add a Location i To link a location to this Licensee,enter location information below. CityView will suggest possible matches as you type: • . . De-sriction i Type I Properbi Alert Prirrari?I Display? Contacts I Add a Contact j To link a contact to this licensee, enter contact information below. CityView will suagest possible matches as you tiyipe: ISAMLIELITO (SAMUEL) GREENWOOD, Address:172 WICKLIFFE DRIVE, Phone:(239) 595-5677 Go Link Type Description I End Date Prima rig Display? Qualifier SAMUELITO(SAMUEL) GREENWOOD,Address:172 WICKLIFFE i Fl 1,.., .,.._ 1 ., ...„ Applicant Greenwood,Inc,AddressiP0 Box 111595,Phone:(239)595-56 ■Y.1 Se, i Licensee Inforination Licensee Number IC27223 1 - Description I Type I Property Alert I Name Greenwood, Inc 1 Type I Contractor . _ . i Status 1 Active View Master Project View All Activities forthis Licensee Add a new person or business to Address Book Classifications . A 1 Generate Defaults 11 Add a Classification 1 To add a classification to this Licensee, enter text below. CityView will suggest possible matches as you ibvpe.1 . , 1PAINTING CONTR. Link 1-,f 'a Date Entered I State-5 Status Date _ PAINTING CONTR.. 06/0312011 Active 1 Show More Fields ' I Hide or Clear Fields 1 Unique Identifier159172, Contractor Licensing A Renewable?1711 License CategoiylLocal -Specialty 1...1 License Issuances r I Attach Driver License photo j[ Add Issuance I Link I Type Status I Date Issued I.ssuanoe Number Expiration Date ..... PAINTING CONTR.. Active 10/16/2013 27223 09/30/2014 Comments A. -7- , — 1 Show More Fields [ Hide or Clear Fields Renewable?FiTil Unique Identifier 159172 6 to 'Licensee Information Licensee Number C27223 I Description I Type I Prcperi Alert Name 'Greenwood, Inc 1 Type I Contractor Status Active T _ View Master Project View All Activities for this. Licensee Add a new person or business to Address Book Insurance Add Insurance] Link I Prod Type Policy Number Effective Date Expiration Date j Limit AUTO BUYEPSIINISURANCE General Liability GL-42551-00 O9/07/2013 09/07/2014 100000 I,. Alliance Insurance Solutions Workers Compensatio WCF EO00001000 03 02/01,/2013 n2/01/2015 100n000 I Address Address line 2 Citv/Statet`2ip Show More Fields I, Hide or Clear Fields 1 Expiration Processed Producer Phone Number 1239-5OIO-2O04 6111 Detail by Entity Name Page 1 of 2 Detail by Entity Name Florida Profit Corporation GREENWOOD INC. Filing Information Document Number F03000101762 FEI/EIN Number 900108913 Date Filed 09/16/2003 State FL Status ACTIVE Effective Date 10/01/2003 Last Event ARTICLES OF CORRECTION/NAME CHANGE Event Date Filed 10/30/2003 Event Effective Date NONE Principal Address 4921 Hickory Wood Dr NAPLES, FL 34119 Changed: 04/29/2014 Mailing Address 4921 Hickory Wood Dr NAPLES, FL 34119 Changed: 04/29/2014 Registered Agent Name &Address GREENWOOD, SAMUEL 4921 Hickory Wood Dr NAPLES, FL 34119 Name Changed: 04/21/2011 Address Changed: 04/29/2014 Officer/Director Detail Name & Address Title P GREENWOOD, SAMUEL ' � Poo� 2o[2 Detail �� 4921 Hickory Wood Dr NAPLES, FL 34119 Annual Reports Report Year Filed Date 2012 04/30/2012 2013 04/29/2013 2014 04/29%2014 Document Images O4/29/2U14 —ANNUAL REPORT View image in PDF format O4/29/2O13 — ANNUAL REPORT View image in PDF format 04/302U12 — ANNUAL REPORT View image in PDF format 04/21/2011 --ANNUAL REPORT View image in PDF format 04/29/2010 -- ANNUAL REPORT View image in PDF format 04/26/2009 --ANNUAL REPORT View image in PDF format O4/18/2008 —ANNUAL REPORT View image in PDF format 06/02/2007 --ANNUAL REPORT View image in PDF format 04/30/2007 -- ANNUAL REPORT View image in PDF format 04/26/2006 -- ANNUAL REPORT View image in PDF format 04/20/2005 --ANNUAL REPORT View image in PDF format U4/28/2OO4 — ANNUAL REPORT View image in PDF format 10/30/2003 --Article of Correction/NC View image in PDF format 09/17/2003 -- Domestic Profit | View image in PDF format ov°*chtm and c^=cvpmx�, State"rr/°,/do'o=p�x.ne"tuState ® . .ity Growth Management Division Planning Regulation Operations Department Licensing Section / , -=�� S�il�` Hand Delivery: Date: Date: ;j / Date: 25 April,2014 Subject: CEMIS20140008134, 04-24-14, 361 Gumbo Limbo Ln.,Marco Island,FL 34145 Samuelito Greenwood 6090 English Oaks Ln Naples,FL 34119 Greenwood, Inc. (239) 595-5677 Collier County Contractors' Licensing#27223 Dear Mr. Greenwood: A complaint has been filed against you by the above referenced agency/department. A hearing of this complaint will be held by the Contractors' Licensing Board on 21 May, 2014 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)4.1.6 of Ordinance#2006-46, "Disregards or violates, in the performance of his contracting business in Collier County, any of the building, safety,health,insurance or Workers' Compensation laws of the State of Florida or ordinances of this County.",the range of disciplinary sanctions which may be imposed are from an oral reprimand to a suspension or revocation of your Collier County Certificate#27223. Sincerely, Reggie Smith 1. --' Licensing Compliance Officer (239)252-2432 8114 Ordinance 90— 105, as amended, Section 22-201 (6) Disregards or violates, in the performance of his contracting business in the county, any of the building, safety, health, insurance or workers' compensation laws of the state or ordinance of this county. Ordinance 06—46, as amended, Section 4.1.6 Disregards or violates, in the performance of his contracting business in Collier County, any of the building, safety, health, insurance or Workers' Compensation laws of the State of Florida or ordinances of this County. 1 Details Page 1 of 1 Collier County Tax Collector 2800 N. Horseshoe Drive Naples,FL 34104 Collier County Business Tax Receipt Tax Year Info: 2013 F�rev Record Next Record BUSINESS INFORMATION OWNER INFORMATION License A 031042 Name 1: GREENWOOD, SAMUEL Name: GREENWOOD, INC Name 2: DBA: Address 1: 6090 ENGLISH OAKS LN Location: 6090 ENGLISH OAKS LN Address 2: zoned: HOME OCCUPATION City, State, Zip: NAPLES, FL 34119 Mail 1: PO BOX 111695 Phone: 595-5677 Mail 2: City, State, NAPLES , FL 34108 Zip: Phone: 595-5677 Open Dater 10-15-03 Code: 021016011 Description: CONTRACTOR Changed Date: 11-01-12 PAINTING State Lic: Class:'CONTRACTOR Paid Date: 10-16-13 Closed Date: 00-00-00 County Lic: 27223 I Category: EMPLOYEES 1 1 COLLIER CTY I Amount Due: 0.00 City Lic: I Preq: COMP CARD 1 ** License is: Paid ** ** License is: Open ** d I 1 New Search j Next Record k�rev E�ec c�rd Back To List 1 2005 Tax 200E fax 2007 Tax 2008 Tax 2009 Tax 2010 Tax 2011 Tax 2012 Tax Information Information Information Information Information Information Information Information Proof of Coverage Page 1 of 1 ._._................. .. . r max*"- ', JEFF ATWATER, CHIEF FINANCIAL OFFICER ;-: FLORIDA DEPARTMENT OF FINANCIAL SERVICES WC Home WC Databases Ct0 Home Employer Detail Page Carrier Location information I Return to Search Page Employer Information Employer Name Employer Type N`:rA1CS Code I GREENWOOD INC I CORPORATION I 238320 I Coverage History t Governing Effective Cancellation 12 Effective Carrier C7b�ioe Policy Number Wrap Locations Class Coda* Date at 12;05 A. 5. U0 View GUARANTEE GVJIC301001355109 NO 05474 Dec 20 2009 May 21 2010 INSURANCE CO Locations View GUARANTEE GVJGC100003490105 NO 05474 Dec 20 2008 Dec 20 2009 INSURANCE CO Locations View 05474 Dec 20 2007 Dec 20 2008 AEOUICAP INSURANCE WC07072065 NO COMPANY Locations View SOUTHERN EAGLE /3100272582 NO 05474 Jan 1 2007 Jan 1 2008 INSURANCE COMPANY Locations 'Represents the Governing Class Code associated with the Named insured on the policy, as reported by the Insurance Carrier,and is not validated as correct. Exemption Listings Exemption Holder Name 'MICHELE GREENWOOD 'SAMUEL GREENWOOD I Owner Election Listings No Owner Election of Coverage Listings 1 Employer Name History, Employer Name Name Type Change Date (GREENWOOD INC Legal Current GREENWOOD INC. I Also Known As I N/A I Return to Search Page STATE OF FLORIDA, DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION EMPLOYER NAME: Greenwood Inc. STOP WORK ORDER#: 07-132-D7 ORDER ASSESSING PENALTY#: FEIN: 900108913 EMPLOYER ADDRESS: 6090 ENGLISH OAKS LIN CITY: Naples STATE: FL ZIP: 34119 ORDER ASSESSING PENALTY FOR WORKING IN VIOLATION OF REINSTATED STOP-WORK ORDER 1. On 05/03/2007, the Division of Workers' Compensation (hereinafter"Division")issued a Stop-Work Order and Order of Penalty Assessment to Greenwood Inc. (hereinafter"Employer"). 2. On 06/13/2007, the Division issued an Amended Order of Penalty Assessment assessing a penalty of$85=s=l It against Employer. 3. Employer and the Division entered into a Payment Agreement Schedule for Periodic Payment of Penalty on 10/09/2007. 4. The Division issued an Order of Conditional Release from Stop-Work Order to Employer on 10/09/2007. 5. Employer has not adhered to the terms and conditions of the Payment Agreement Schedule for Periodic Payment of Penalty. 6. On 04/27/2011,the Division issued an Order Reinstating Stop-Work Order against Employer for default of its obligations under the Payment Agreement Schedule for Periodic Payment of Penalty. The Order Reinstating Stop-Work Order requires Employer to immediately cease all business operations in the State of Florida for which the Employer is not in compliance and orders that the unpaid balance of the penalty is immediately due. 7. On 04/24/2014,the Division observed the Employer conducting business operations,which constitutes a violation of section 440.107(7)(c), Florida Statutes. 8. The Division has determined that the Employer has conducted business operations in the State of Florida for 1 days, in violation of section 440.107(7)(c), Florida Statutes, commencing from the date of the issuance of the Order Reinstating Stop- Work Order. Pursuant to Rule 69L-6.025, Florida Administrative Code, and section 440.107(7)(c), Florida Statutes, it is hereby ordered that a penalty in the amount of$ 1000.00 is assessed against Employer as detailed in the attached penalty worksheet,which is incorporated by reference. Lien Notice Pursuant to section 440.107(11),F.S.,the department may initiate lien proceedings to collect any penalty due that has not been paid. In addition,the Department may refer any unpaid penalty that is due to a collection agency for the initiation of proceedings to collect the unpaid penalty. PLEASE SEE THE NOTICE OF RIGHTS ON THE REVERSE SIDE OF THIS DOCUMENT CERTIFICATE OF SERVICE Pursuant to section 440.107(4), F.S., print name and title of server) served a true copy of this Order Assessing Penalty For Working in Violation of Reinstated Stop-Work Order: By hand delivery: Date: 04/24/2014 Time: 3:30pm Server: A.Snodgrass ❑ By certified mail: Date: • Time: Article: Rev 6/14/2010 ea Rev.Notice of Rights 6/30/2010 NOTICE OF RIGHTS You have a right to administrative review of this action by the Department under sections 120.569 and 120.57, Florida Statutes. To obtain review, you must file a written petition requesting review. If you dispute a material fact contained in this action, you are entitled to a hearing under Sections 120.569 and 120.57(1), Florida Statutes, at which you may be represented by counsel, present evidence and argument on the issue(s), examine witnesses, submit a proposed recommended order, and file exceptions to the recommended order of the Administrative Law Judge. If you do not dispute a material fact contained in this action, you are entitled to a hearing under section 120.57(2), Florida Statutes, at which you may be represented by counsel, present documentary evidence, and present a written statement in opposition to this action. A petition for a hearing under sections 120.569 and 120.57, Florida Statutes, must conform to Rule 28-106.2015, Florida Administrative Code. To petition for a hearing, you must send in either a completed Election of Proceedings form (attached) with any required attachments or a petition requesting a hearing, which contains a) the name, address, and telephone number, and facsimile number (if any) of the petitioner; b) the name, address, and telephone number, and facsimile number of the attorney or qualified representative of the petitioner (if any) upon whom service of pleadings and other papers shall be made; c) a statement requesting an administrative hearing identifying those material facts that are in dispute. If there are none, the petition must so indicate; d) a statement of when the petitioner received notice of the agency action; and e) a statement including the file number to the agency action. If there are no facts in dispute, the petition must so indicate. You must file the petition for hearing so that it is received by the Department within twenty-one (21) days of your receipt of this agency action. The petition must be filed with Julie Jones, DFS Agency Clerk, Department of Financial Services, 612 Larson Building, 200 East Gaines Street, Tallahassee, Florida 32399-0390. FAILURE TO FILE A PETITION WITHIN THE TWENTY-ONE (21) DAYS CONSTITUTES A WAIVER OF YOUR RIGHT TO ADMINISTRATIVE REVIEW OF THE AGENCY ACTION. Mediation under section 120.573, Florida Statutes, is not available. ISSUING AGENCY NAME AND ADDRESS Division of Workers' Compensation, Bureau of Compliance: 2295 Victoria Ave Ste 284 Ft. Myers, FL Attn: _Aysia Snodgrass , Telephone: 239-461-4077 Rev.6/14/2010 Rev.Notice of Rights 6/30/2010 PROPOSAL Samuel Greenwood 4921 Hickory wood Dr Naples, FL 34119 C: (239) 595-5677 F: (239) 596-5826 geenvvoodpainting@earthlink.net February 24, 2014 Attn:Ross Tackett JOB/LOCATION LAIRS:Maria Bachich Marco Island FL We hereby submit specifications and estimates for EXTERIOR Prime,and paint all hardy walls,and,lanai ceiling,caulk all windows and necessary area,entry ceiling,fascia,soffit,copula,front entry porch,columns,trim,band caulk all 45 an gull on hardy On coat of pruner one coat of satin.finish super paint Interior Prime and paint,all walls,ceilings,in bath rooms, living room, bed rooms,foyer,in side copula,garage kitchen ,hall way,dining room,doors and frame,closet,garage walls and ceilings,caulk all windows,sand, putty,caulk base hard, trim, S 15,8A50.00 ' Option to caulk all hardy board $2,200.00 t. - � J Crown molding $1.95 Lr Paint garage floor two part epoxy $2.80.SF All work to he completed in a workmanlike manner according to standard practices.Any altercation or deviations from the plans bid or specifications,involving extra coast will he executed only upon written orders and will become an extra charge over or delays beyond our control Pcryrnenl for work to ho made as follows:50%Down 50%on_/na! WE PROPOSE hereby to furnish lab-or&,and equipment rental-complete in accordance with the above specific ions. Respectfully submitted by_ '— i e ,I 4 E CERTIFICATE F LIABILITY INSURANCE DATE_{AA1nDlYYYYj 3/1117014 1 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certi ficate holder in lieu of such endorsement(s). GON?:ACT FF^ r.CFI- Alliance Insurance Solutions, LLC. ID:(DirectHR) twlnE_ tde Gonzalez �_ 18 10 PHONE 407-998-4249 ,tvcr l <107-738-7933 1855 West State Road 434 E-MAIL No.Ex l; E M Longwood, FL 32730 ADDRESS ve.00nzaleza ioausa.com iNSURERs}AFFORCiNG coVERAGE ! NAIO NSL1RERA SUNZ Insurance Company ._ 34762 — i:stir sD INSURER a i Aspen Re-London-Best Rating"A" DDirect HR SeNices, Inc. INSURER c Catlrn S_ndicate-Lloyds Best Rating A' P Box 1367 Holmes Beach FL 34218 INSURER D: Brit syndicate-Lloyds-Best Rating A' INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 19:475669 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE-FOR THE POLICY PERIOD IIII;ICATED NOTWITHSTANDING ANY REOUIREI ENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR 1401 PERTAIN, THE INSURANCE AFFORDED By THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TEEMS, EXCLUSIONS AND.CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS —__._. __._.. ;ADOL SUBR —1--°OL7CY EFF POLICY EXP IrJ-,U TYPE OF It75URANCE InJC❑ innlp POLICY P Jty EEP. tR-13,1wDPm'OI -rts t,IDf1lYYY'f1� LIMITS 1 : I RENCE r�lPJI J EACH OCCURRENCE 8 COMMERCIAL GENERAL LIABILITY �____.._. I "?Sr, O RENTED '"11,1ti(e 7.L:L I OCCUR ` PREMISES Es to a,urt-ncel ``'� _..- _... � i.4ED E,XP(Any on=_person) i 5_-_.----- PERSONAL 3HDV INJURY I S C2iIL AGGREGATE L11T APPLIES PER: i I GENERAL: -CR O + �S — — I I I PRODUCT, COL,P,OP ALA, $ I C;,-DER" I S I ; COMBINED SINGLE c L'+:MIT s I AUTOMOBILE LIA BULLY I (E.a G Il _ .--_-- 30DILY INJURY(Per person; S — ALL :SCHEDULED U.ED BODILY .INJURY(Per occrden I 1 S CT i FCr 15=D i I PROPERTY DAMAGE I S -- { I HI ED AUTO0 TOE ye-a_cdeen _ S I I E w -I O OCCURRENCE S I UMBRELLA LlA3 -OCCUR j i _—_ _ — E ESS LI"8 I :C I1,5-ki,-DE: "f I AGGREGATE ' EC RET SIT I "JIIS I t 15 A I WORKERS COMPENSATION IWCPE0060010902 2/1/2014 I2/112015 I ,f. ST?T'JTE; 0TH 1 ND EMPLOYERS'LIABILITY ( I I r — 1,000.060 Y 7 N j E.L H ACCIDENT S ,9 F+' hnR°?RTNER._CUT!\%E 4 -I I --0 JFF:.E_R tl_hnB'_R EXCLUDED? € N.1'N 1 P. t 1,000,000 °_.L.DISEASE-EA ENPLOy E;s 1{Mandztcry m NH) � � � I - I oe=_aAe under E DIS_AtiE-EDUCY LIMIT i S 1,068,666 I.iESCRIPTION OF OPERATIONS below B poi-kers Compensation 'This is for informational purposes IC .Excess Coverage .. i and nothing shall create any right i I I I under such reinsurance. oFSCRIFTION OF OPERATIONS!LOCATIONS 1 VEHICLES (ACORD 101,AdditionzI Remarks Scheduia,may be attached if more space is required} Cov=_raope provided for alt teased employees but not subcontractors of: Coastal Staffing Service,Inc. while on assignment with Greenwood Inc. Location Effective: 5/21/2013 CERTIFICATE HOLDER CANCELLATION 174 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Ross Tackett Custom Homes THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 511 Sand Hill Court ACCORDANCE WITH THE POLICY PROVISIONS. Marco Island FL 34148 AUTHORIZED REPRESENTATIVE iif l a f I Glen J Distefano -- O 193$-20'i4 ACORD CORPORATION. All rights resery ACORD 25¢2I3141010 The ACORD name and logo are registered marks of ACORD g2 WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13 (Ed. 4-84) WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our tight against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.) This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Schedule In Favor of: Foss Tackett Custom Homes 511 Sand Hill Court Marco Island FL 34145 Client/Project: Client Name: Coastal Staffing Project: For work performed for the certificate holder while at .lob location: 361 Gumbo Limbo Lane Marco Island, FL 34145 Painting of exterior and interior of residence. This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated. (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective Policy No. Endorsement No. Insured WCPE00000109 02 Premium Direct HR Services, Inc. SUNZ Insurance Company Countersigned by Date Issued: 3111/2014 WC 00 03 13 red, a-241 1383 National Council or Compeiissticn Insurance. WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC€00 03 01 3/11/2014 (Ed.4-84) ALTERNATE EMPLOYER ENDORSEMENT This endorsement applies only with respect to bodily injury to your employees while in the course of special or temporary employment by the alternate employer in the state named in the Schedule. Pad One(Workers Compensation Insurance)and Pad Two(Employers Liability Insurance)will apply as though the alternate employer is insured. Under Part One(Workers Compensation Insurance)we will reimburse the alternate employer for the benefits required by the workers cdmpensation Saw if we are not permitted to pay the benefits directly to the persons entitled to them. The insurance afforded by this endorsement is not intended to satisfy the alternate employer's duty to secure its obligations under the workers compensation law.We ayili not file evidence of this insurance on behalf of the alternate employer with any government agency. We will not ask any other insurer of the alternate employer to share with us a loss covered by this endorsement. Premium will be charged for your employees while in the course of special or temporary employment by the alternate employer. The policy may be canceled according to its terms without sending notice to the alternate employer. Part Four(Your Duties If injury Occurs)applies to you and the alternate employer The alternate employer will recognize our right to defend under Pads One and Two and our right to inspect under Pad Six. Schedule State of Special or Alternate Employer Address Temporary Employment Greenwood Inc. 511 Sand Hill Court Client Name.. Coastal Staffing Attn: Sam Greenwood Marco Island FL 34145 Project:For work performed for the certificate holder while at Job location: 361 Gumbo Limbo Lane Marco Island, FL 34145 Painting of exterior and interior of residence. This endorsement changes the policy to aihich it is attached and is effective on the date issued unless otherwise stated_ (The information below is required only when this endorsement is issued subsequent to preparation of the policy.) Endorsement Effective Policy No. Endorsement No, Insured WCPE00000109 02 Premium Direct HR Services, inc. Insurance Company Countersigned by SUNZ Insurance Company VICnous01 ::4 4-S4 Notional council on Compensation Insurance. .o'l/cx Report F -e' Code Case Details Case Number: CEK8|S2O14OOO6875 Date: 5�K2O14T�58�38A� Case Number: CEN\|S20140008875 Status:� C|osed Case Type: Misconduct Date & Time Entered: 4/7/2014 3:29:43 PM Priority: Normal Entered By: ReggieSmith inspector: Reggie Smith CasaDiaposidcn:paid Jurisdiction: City of Marco Origin: Anonymous Complaint Detail Description: WORKERS COMPENSATION VIOLATION, GREENWOOD, SAMUELITO, CITATION 8782, $1000.00 LocudonCorcmants: 164 BALFOUR DR MARCO ISLAND | \ | | | | Vlo|ator|Graenwood. Sumue|ho dZo 1.1 � 1 Bus:ness Management & Budget Office Code Case Details Execution Date 5/9/2014 7:56:39 AM Desc Assigned Required Completed Outcome Comments Preliminary Investigation ReggieSmith 4/7/2014 4/7/2014 Citation 04-07-14 RECEIVED CASE COMPLAINT Required AND SITE VISITED. NO ACTIVITY DURING MY SITE VISIT. SPOKE TO HOMEOWNER, MRS. MEURGUE, LISA,WHO ADVISED ME TO CALL HER SPOUSE, MR. DENIS MEURGUE,250-9059. CALLED AND SPOKE TO DENIS,WHO ADVISED HE HIRED GREENWOOD, INC.TO PAINT THE EXTERIOR OF HIS HOME FOR COMPENSATION. CALLED MR. GREENWOOD AND REQUESTED TO MEET AT 3:00 PM IN THE OFFICE TO SPEAK TO MICHAEL OSSORIO. 3:00 PM MEETING WITH M. OSSORIO AND S. GREENWOOD. M. OSSORIO ADVISED AN ACTIVE WORKERS COMPENSATION STOP WORK ORDER(SWO) IN EFFECT BY THE STATE OF FLORIDA,AND BY CONTRACTING PAINTING HE WAS VIOLATING THE ORDINANCE. M. OSSORIO ADVISED MR. GREENWOOD TO STOP CONTRACTING UNTIL HE COMPLETES HIS OBLIGATION TO THE STATE OF FL AND THE SWO IS LIFTED. ISSUED CITATION 8782; MR. GREENWOOD SIGNED AND ACCEPTED HIS COPY AND PAYMENT INFORMATION. MR. GREENWOOD STATED HE UNDERSTOOD AND WOULD CONTACT THE STATE OF FLORIDA FOR DETAILS OF HIS SWO. RS Issue Citation (Licensing) ReggieSmith 4/7/2014 4/7/2014 Complete ISSUED CITATION 8782;MR. GREENWOOD SIGNED AND ACCEPTED HIS COPY AND PAYMENT INFORMATION. RS Attach Picture(s) ReggieSmith 4/7/2014 4/8/2014 Complete ATTACHED SCANNED CITATION. RS Citation Paid/Contested JenniferBlanc 4/21/2014 4/16/2014 Payment o Received Violation Description Status Entered Corrected Amount Comments Worker's Compensation Violation Open 4/7/2014 $0 Title Reason Result Compliance Fine/Day Condition 5 Business Management ex Budget Office 2