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Radio Road East MSTU Agenda 10/26/2015 ".6. Radio Road East M.S.T.U. Advisory Committee 3299 East Tamiami Trail Suite 103 Naples,FL 34112 MEETING AGENDA October 26, 2015 10:00AM LOCATION ADDRESS Sanctuary Club House 7906 Haven Drive The gate code is #0819 I. Call to Order II. Attendance III. Approval of Agenda IV. Old Business VII. New Business A. Committee Member B. Median Refurbishment Bids Ground Zero for Shell Area Amado Lawn for Asian Jasmine and Mimosa Replacement C. Next Meeting. D. Committee Comments E. Public Comments F. Adjournment NEXT MEETING November 12, 2015—2:00 PM Location to be determined MEETING AGENDA October 26,2015 @ 10:00AM LOCATION ADDRESS Sanctuary Club House 7906 Haven Drive The gate code is#0819 I. Call to Order II. Attendance Ill. Approval of Agenda IV. Old Business VII. New Business A. Committee Member B. Median Refurbishment Bids Ground Zero for Shell Area Amado Lawn for Asian Jasmine and Mimosa Replacement C. Next Meeting. D. Committee Comments E. Public Comments F. Adjournment NEXT MEETING November 12,2015—2:00 PM Location to be determined Under Florida 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. 2 GROUND ZERO LANDSCAPING • 4 Services Inc. Estimate 1907 Fairfax Circle Number: E269 Naples Fl. 34109 239-821-3472 Phone 239-597-7365 Fax Date: October 20,2015 Bill To: Ship To: Collier County County Commiss Att:Accounts Payable 3299 Tamiami Tr. E. Ste 700 Naples, Fl. 34112-5749 PO Number Terms Project Radio Rd East Date Description Hours Rate Amount Croton 3 gallon 144.00 20.00 2, 880.00, purple queen 1 gallon 154.00 13.00 2, 002.00 ; I ;I I i I Total $4,882.001 k ) { 8 888 8 88 e a ( I I % 888 a ! ! a | | f 3 § f 2 § , ° $ : ` / ! 2 - f 5.§ « 4 $ k e a q 88 ; a ) \\ e m , . a ^". a \ } \3 P. ) § 0 e 7 / N / • gr) ! e , 2 ! S k ) » z a\ & • 11.1' 74 ! 0 \ k � ) \_ �� k~ ) } t : _ _ ) Z ) _ }} _ t { 2 : ! $ }i7 �} 2f3 \\ \ - r \ � \ \ \ \ \ \ \ \ y _ , « ! ! > - ! ! ! ! ! ! : ! : 7 § § ) 013 } 2 •2- \ \ / \ i2 Clter County Administrative Services Department Procurement Services Division Attachment 2: Vendor's Check List IMPORTANT: THIS SHEET MUST BE SIGNED BY VENDOR. Please read carefully, sign in the spaces indicated and return with bid. Vendor should checkoff each of the following items as the necessary action is completed: 1. The Bid has been signed. 2. The Bid prices offered have been reviewed. 3. The price extensions and totals have been checked. 4. The payment terms have been indicated. 5. Any required drawings, descriptive literature, etc. have been included. 6. Any delivery information required is included. 7. If required, the amount of bid bond has been checked, and the bid bond or cashiers check has been included. 8. Addendum have been signed and included, if applicable. 9. Affidavit for Claiming Status as a Local Business, if applicable. 10. Immigration Affidavit and company's E-Verify profile page or memorandum of understanding. 11. Copies of licenses, equipment lists, subcontractors or any other information as noted in this ITB. 12. The mailing envelope must be addressed to: Procurement Director Collier County Government Purchasing Department 3327 Tamiami Trail E Naples FL 34112 The mailing envelope must be sealed and marked with: • Solicitation: 15-6531 Replanting Median — Radio Road East MSTU • Opening Date: October 14, 2015 13. The bid will be mailed or delivered in time to be received no later than the specified opening date and time. (Otherwise bid cannot be considered.) 14. If submitting a manual bid, include any addenda (initialed and dated noting understanding and receipt). If submitting bid electronically, bidder will need to download all related documents on www.colliergov.net/bid. The system will date and time stamp when the addendum files were downloaded ALL COURIER DELIVERED BIDS MUST HAVE THE BID NUMBER AND TITLE ON THE OUTSIDE OF THE COURIER PACKET. Amado Lawn Service LLC Company .c i.- - / President Si re & Title 10/14/2015 Date #15-6531 23 ITB Template_04152015 Collier County Administrative Services Department Procurement Services Division Attachment 3: Vendor Submittal - Bid Response Form FROM: Amado Lawn Service LLC Board of County Commissioners Collier County Government Center Naples, Florida 34112 RE: Solicitation: 15-6431 Replanting Median — Radio Road East MSTU Dear Commissioners: The undersigned, as Vendor, hereby declares that the specifications have been fully examined and the Vendor is fully informed in regard to all conditions pertaining to the work to be performed for as per the scope of work. The Vendor further declares that the only persons, company or parties interested in this Bid or the Contract to be entered into as principals are named herein; that this Bid is made without connection with any other person, company or companies submitting a Bid; and it is all respects fair and in good faith, without collusion or fraud. The Vendor proposes and agrees if this bid is accepted, to comply with the requirements in full and in accordance with the terms, conditions and specifications denoted herein. The Vendor agrees to provide the following: * * * SEE FOLLOWING PAGES * * * Any discounts or terms must be shown on the Bid Response Form. Such discounts, if any, will be considered and computed in the tabulation of the bids. In no instance should terms for less than fifteen (15) days payment be offered. Prompt Payment Terms: 2 % 15 Days; Net 30 Days Bid Response Form is electronic. Please input your prices online. ❑ Bid Response is as follows: Note: If you choose to bid manually, please submit an ORIGINAL and ONE COPY of your bid response pages. The undersigned do agree that should this Bid be accepted, to execute a formal contract, if required, and present the formal contract to the County Procurement Director for approval within fifteen (15) days after being notified of an award. #15-6531 24 ITB Template_04152015 IN WITNESS WHEREOF, WE have hereunto subscribed our names on this 14 day of October , 2015 in the County of Collier in the State of Florida Firm's Complete Legal Name Amado Lawn Service LLC Address 3048 50th St. SW City, State, Zip Naples, FL, 34116 Florida Certificate of Authority L14000029747 Document Number Federal Tax Identification 47-2766393 Number CCR#or CAGE Code 079866622 Telephone Number 773-413-0795 FAX Number Signature/Title President Type Name of Signature Jonathan Rodriguez Date 10/14/20 Additional Contact Information Send Payments To: (REQUIRED ONLY if different from above) Firm's Complete Legal Name Address City, State, Zip Contact Name Telephone Number FAX Number Email Address #15-6531 25 ITB Template_04152015 Coier County Administrative Services Department Procurement Semites Division Attachment 4: Vendor Submittal—Local Vendor Preference Affidavit Solicitation: 15-6431 Replanting Median— Radio Road East MSTU(Check Appropriate Boxes Below) State of Florida(Select County if Vendor is described as a Local Business [KCollier County 0 Lee County Vendor affirms that it is a local business as defined by the Purchasing Policy of the Collier County Board of County Commissioners and the Regulations Thereto. As defined in Section XI of the Collier County Purchasing Policy: Local business means the vendor has a current Business Tax Receipt issued by the Collier County Tax Collector for at least one year prior to bid or proposal submission to do business within Collier County, and that identifies the business with a permanent physical business address located within the limits of Collier County from which the vendor's staff operates and performs business in an area zoned for the conduct of such business. A Post Office Box or a facility that receives mail, or a non-permanent structure such as a construction trailer, storage shed,or other non-permanent structure shall not be used for the purpose of establishing said physical address. In addition to the foregoing,a vendor shall not be considered a"local business"unless it contributes to the economic development and well-being of Collier County in a verifiable and measurable way.This may include, but not be limited to,the retention and expansion of employment opportunities, support and increase to the County's tax base, and residency of employees and principals of the business within Collier County.Vendors shall affirm in writing their compliance with the foregoing at the time of submitting their bid or proposal to be eligible for consideration as a"local business"under this section.A vendor who misrepresents the Local Preference status of its firm in a proposal or bid submitted to the County will lose the privilege to claim Local Preference status for a period of up to one year under this section. Vendor must complete the following information: Year Business Established in QCollier County or 0 Lee County: 2014 Number of Employees(Including Owner(s)or Corporate Officers): 5 Number of Employees Living in IM Collier County or 0 Lee(Including Owner(s)or Corporate Officers): 5 If requested by the County, vendor will be required to provide documentation substantiating the information given in this affidavit. Failure to do so will result in vendor's submission being deemed not applicable. Vendor Name: Amado Lawn Service LLC Date: 10/14/2015 Address in Collier or Lee County: 3048 50th St. SW , Naples, FL, 34116 Signature: Title: President ST FLORIDA [COLLIER COUNTY 0 LEE COUNTY Sworn to and Subscribed Before Me, a Notary Public,for the above State and County, on this 14 Day of October ,2015 . Notary Public lC •b{A.q j;•0/O My Commission Expires: 5ikcAk 6 ;MyComm.Expires: 9,2015 (AFFIX OFFICIAL SEAL) • FF 1 #15-6531 P6 ITB Template_04152015 V�/1[/p"�f.;Q1. 4.Qfvv..o. ct ,er Comity Administrative Services Department Procurement Services Division Attachment 5:Vendor Submittal—Immigration Affidavit Solicitation: 15-6431 Replanting Median—Radio Road East MSTU This Affidavit is required and should be signed, notarized by an authorized principal of the firm and submitted with formal Invitations to Bid(ITB's)and Request for Proposals(RFP) submittals. Further,Vendors/Bidders are required to enroll in the E-Verify program, and provide acceptable evidence of their enrollment, at the time of the submission of the vendor's/bidder's proposal. Acceptable evidence consists of a copy of the properly completed E-Verify Company Profile page or a copy of the fully executed E-Verify Memorandum of Understanding for the company. Failure to include this Affidavit and acceptable evidence of enrollment in the E-Verify program, may deem the Vendor/ Bidder's proposal as non-responsive. Collier County will not intentionally award County contracts to any vendor who knowingly employs unauthorized alien workers, constituting a violation of the employment provision contained in 8 U.S.C. Section 1324 a(e) Section 274A(e)of the Immigration and Nationality Act("INA"). Collier County may consider the employment by any vendor of unauthorized aliens a violation of Section 274A(e)of the INA. Such Violation by the recipient of the Employment Provisions contained in Section 274A(e)of the INA shall be grounds for unilateral termination of the contract by Collier County. Vendor attests that they are fully compliant with all applicable immigration laws(specifically to the 1986 Immigration Act and subsequent Amendment(s))and agrees to comply with the provisions of the Memorandum of Understanding with E- Verify and to provide proof of enrollment in The Employment Eligibility Verification System (E-Verify), operated by the Department of Homeland Security in partnership with the Social Security Administration at the time of submission of the Vendor's/Bidder's proposal. Company Name Amado Lawn Service LLC Print Name Jonathan Rodriguez Title President -IP- • 10/14/2015 Signature / Date State of Florida county of Collier + The foregoing instrument was signed and acknowledged �bb�efore me this 14 day of 0 C-4 0 (WC( ,20 13,by o'AC4j hUV1 7-0Ctrt guCn ,e2who has produced i� ,2-43%- 'L1 O'. -O as identification. (Print or Type Name) (Type of Identification and Number) Notary Public Signature 6;1/47 a 817:47:744 1,41Pn c_14.;o � otTACj\O Printed Name of Notary Public My Comm.Expire: I SkNeAtMay 19,201a FF Notary Commission Number/Expiration 121690 i' The signee of this Affidavit guarantees, as evidenced by the at...4)A01141ed herein,the truth and accuracy of this affidavit to interrogatories hereinafter made. aF • #15-6531 27 ITB Template_04152015 Collier County Administrative Services Department Procurement Services Division Attachment 6: Vendor Substitute W—9 Request for Taxpayer Identification Number and Certification In accordance with the Internal Revenue Service regulations, Collier County is required to collect the following information for tax reporting purposes from individuals and companies who do business with the County (including social security numbers if used by the individual or company for tax reporting purposes). Florida Statute 119.071(5) require that the county notify you in writing of the reason for collecting this information, which will be used for no other purpose than herein stated. Please complete all information that applies to your business and return with your quote or proposal. 1. General Information (provide all information) Taxpayer Name Amado Lawn Service LLC (as shown on income tax return) Business Name (if different from taxpayer name) Address 3048 50th St. SW City Naples State Florida Zip 34116 Telephone 773-413-0795 FAX Email sales@amadotrees.com304 Order Information Remit/Payment Information Address 3048 50th St. SW Address 3048 50th St. SW city Naples State FL Zip 34116 City Naples State FL Zip34116 FAX FAX Email sales@amadotrees.com Email sales@amadotrees.com 2. Company Status(check only one) Individual/Sole Proprietor Corporation Partnership Tax Exempt(Federal income tax-exempt entity d Limited Liability Company under Internal Revenue Service guidelines IRC 501 (c)3) C Enter the tax classification (D=Disregarded Entity, C=Corporation, P=Partnership) 3. Taxpayer Identification Number(for tax reporting purposes only) Federal Tax Identification Number(TIN) 47-2766393 (Vendors who do not have a TIN,will be required to provide a social security number prior to an award of the contract.) 4. Sign and Date Form Certification: Under penalties of perjury, I certify that the information shown on this form is correct to my knowledge. Signature Date 10/14/2015 Title President Phone Number 773-413-0795 #15-6531 28 ITB Template_04152015 Collier County Administrative Services Department Procurement Services Division Attachment 7: Vendor Submittal - Insurance and Bonding Requirements Insurance/Bond Type Required Limits 1. ® Worker's Statutory Limits of Florida Statutes, Chapter 440 and all Federal Government Compensation Statutory Limits and Requirements 2. ® Employer's Liability $500,000 single limit per occurrence 3. ® Commercial General Bodily Injury and Property Damage Liability(Occurrence Form) patterned after the current $500,000 single limit per occurrence, $2,000,000 aggregate for Bodily Injury ISO form Liability and Property Damage Liability. This shall include Premises and Operations; Independent Contractors; Products and Completed Operations and Contractual Liability. 4. ® Indemnification To the maximum extent permitted by Florida law, the ContractorNendor/Consultant shall indemnify and hold harmless Collier County, its officers and employees from any and all liabilities, damages, losses and costs, including, but not limited to, reasonable attorneys'fees and paralegals'fees, to the extent caused by the negligence, recklessness, or intentionally wrongful conduct of the ContractorNendor/Consultant or anyone employed or utilized by the ContractorNendor/Consultant in the performance of this Agreement. 4. ®Automobile Liability $ 500,000 Each Occurrence; Bodily Injury & Property Damage, Owned/Non-owned/Hired;Automobile Included 5. ❑ Other insurance as ❑ Watercraft $ Per Occurrence noted: ❑ United States Longshoreman's and Harborworker's Act coverage shall be maintained where applicable to the completion of the work. $ Per Occurrence [' Maritime Coverage (Jones Act)shall be maintained where applicable to the completion of the work. $ Per Occurrence ❑ Aircraft Liability coverage shall be carried in limits of not less than $5,000,000 each occurrence if applicable to the completion of the Services under this Agreement. $ Per Occurrence ❑ Pollution $ Per Occurrence ❑ Professional Liability $ per claim and in the aggregate • $1,000,000 per claim and in the aggregate • $2,000,000 per claim and in the aggregate ❑ Project Professional Liability $ Per Occurrence ❑ Valuable Papers Insurance $ Per Occurrence #15-6531 29 ITB Template_04152015 6. ❑ Bid bond Shall be submitted with proposal response in the form of certified funds, cashiers' check or an irrevocable letter of credit, a cash bond posted with the County Clerk, or proposal bond in a sum equal to 5% of the cost proposal.All checks shall be made payable to the Collier County Board of County Commissioners on a bank or trust company located in the State of Florida and insured by the Federal Deposit Insurance Corporation. 7. ❑ Performance and For projects in excess of$200,000, bonds shall be submitted with the Payment Bonds executed contract by Proposers receiving award, and written for 100%of the Contract award amount, the cost borne by the Proposer receiving an award. The Performance and Payment Bonds shall be underwritten by a surety authorized to do business in the State of Florida and otherwise acceptable to Owner; provided, however, the surety shall be rated as"A-"or better as to general policy holders rating and Class V or higher rating as to financial size category and the amount required shall not exceed 5% of the reported policy holders'surplus, all as reported in the most current Best Key Rating Guide, published by A.M. Best Company, Inc. of 75 Fulton Street, New York, New York 10038. 8. ® Vendor shall ensure that all subcontractors comply with the same insurance requirements that he is required to meet. The same Vendor shall provide County with certificates of insurance meeting the required insurance provisions. 9. ® Collier County must be named as "ADDITIONAL INSURED" on the Insurance Certificate for Commercial General Liability where required. 10. ® The Certificate Holder shall be named as Collier County Board of County Commissioners, OR, Board of County Commissioners in Collier County, OR Collier County Government, OR Collier County (or Collier MPO). The Certificates of Insurance must state the Contract Number, or Project Number, or specific Project description, or must read: For any and all work performed on behalf of Collier County. 11. ® Thirty (30) Days Cancellation Notice required. Ljb 10/2/2015 Vendor's Insurance Statement We understand the insurance requirements of these specifications and that the evidence of insurability may be required within five (5) days of the award of this solicitation. Name of Firm Amado Law Service LLC Date 10/14/2015 Vendor Signature Print Name Jonathan Rodriguez Insurance Agency Gulf Coast Insurance LLC Agent Name Albert Doria Jr Telephone Number 239-403-3940 12. ® Vendor shall ensure that all subcontractors comply with the same insurance requirements that he is required to meet. The same Vendor shall provide County with certificates of insurance meeting the required insurance provisions. #15-6531 30 ITB Template_04152015 13. ® Collier County must be named as "ADDITIONAL INSURED" on the Insurance Certificate for Commercial General Liability where required. 14. ® The Certificate Holder shall be named as Collier County Board of County Commissioners, OR, Board of County Commissioners in Collier County, OR Collier County Government, OR Collier County (or Collier MPO). The Certificates of Insurance must state the Contract Number, or Project Number, or specific Project description, or must read: For any and all work performed on behalf of Collier County. 15. ® Thirty (30) Days Cancellation Notice required. Vendor's Insurance Statement We understand the insurance requirements of these specifications and that the evidence of insurability may be required within five (5) days of the award of this solicitation. Name of Firm Amado Lawn Service Date 10/14/2015 Vendor Signature Print Name Jonathan Rodriguez Insurance Agency Gulf Coast Insurance LLC Agent Name Albert Doria Jr Telephone Number 239403-3940 #15-6531 31 ITB Template_04152015 __T COLLIER COUNTY BUSINESS TAX BUSINESS TAX NUMBER: 141762' COLLIER COUNTY TAX COLLECTOR-2800 N.HORSESHOE DRIVE-NAPLES FLORIDA 34104-(239)252-2477 VISIT OUR WEBSITE AT:www.colliertax.com THIS RECEIPT EXPIRES SEPTEMBER 30, 2016 _ UtSFA LURE TO DO SO IS CONTRARY Y AT PLACE OF BUSINESS FOT O LOCALPUBLIC SPECTION ts LAWS.LOCATION:3048 50TH ST SW .trGALFORM ZONED: HOME OCCUPATION �+y ,� LLC i�. - THIS TAX IS NON-REFUNDABLE - BUSINESS PHONE: 773-413-0795 dr"'" i AMADO LAWN SERVICE LLC COUNTY LIC:2015 0320 t - t RODRIGUEZ GOMEZ,JONATHAN 1 3048 50TH ST SW --,-,:-gam NAPLES FL 34116-0000 t r'` ` 07 tt, NUMBER OF EMPLOYEES: 1-5 EMPLOYEES '"'w 410,100."'4* CLASSIFICATION:TREE SERVICE&STUMP GRINDING 1 f"t,, , , DATE 09/22/2015 CLASSIFICATION CODE: 03702801 NO FERTILIZING AMOUNT 22.00 This document is a business tax only.This is not certification that licensee is qualified. RECEIPT 3606.40 It does not permit the licensee to violate any existing regulatory zoning laws of the state,county or cities Tt nor does it exempt the licensee from any other taxes or permits that may be required by law. "moi COLLIER COUNTY BUSINESS TAX BUSINESS TAX NUMBER: 141763 1 COWER COUNTY TAX COLLECTOR-2800 N.HORSESHOE DRIVE-NAPLES FLORIDA 34104-(239)252-2477 VISIT OUR WEBSITE AT:www.colliertax.com THIS RECEIPT EXPIRES SEPTEMBER 30, 2016 DISPLAY AT PLACE OF BUSINESS FOR PUBLIC INSPECTION LOCATION:3048 50TH ST SW " F (Li/ FAILURE TO DO SO IS CONTRARY TO LOCAL LAWS. ZONED: HOME OCCUPATION ` +f y ,,., - THIS TAX IS NON-REFUNDABLE - BUSINESS PHONE: 773-413-0795 * LLC. . AMADO LAWN SERVICE LLC COUNTY LIC:2015-0320 iG RODRIGUEZ GOMEZ,JONATHAN t P * s a 3048 50TH ST SW 1,: -4 , -=` .' f NAPLES FL 34116-0000 t k.7,- a lk e ti 'r ,,. [[ � NUMBER OF EMPLOYEES: 1-10 EMPLOYEES ` "'` ., CLASSIFICATION:LANDSCAPING RESTRICTED CONTRACTOR DATE 09/22/2015 CLASSIFICATION CODE: 02102601 NO FERTILIZING 0 '"-1- AMOUNT 36.00 This document is a business tax only.This is not certification that licensee is qualified. RECEIPT 3607.40 It does not permit the licensee to violate any existing regulatory zoning laws of the state,county or cities nor does it exempt the licensee from any other taxes or permits that may be required by law. , COLLIER COUNTY CERTIFICATE OF COMPETENCY CERTIFICATION INFORMATION LCC20150000320 Certification Information Date: September 22, 2015 Collier County Board of County Commissioners DBA: AMADO LAWN SERVICE LLC ADDRESS: 3048 50TH ST SW NAPLES, FL 34116 PHONE: 7734130795 CELL: FAX: LICENSEE NBR: QUALIFIER: Rodriguez Gomez,Jonathan Van LCG20150000320 TYPE LANDSCAPING RESTRICTED CONTR. CLASS CODE. 4235 ISSUANCE NBR 201500000218 INSURANCE. ORIG 'SSD: EXPIRATION: February 02,2015 September 30,2016 General Liability January 21, 2016 Worker's Comp Exemption January 14,2017 NOTE: it is the Qualifier's responsibility to keep all b1siness,slic using and irequiinsurrements ctrent and to provide up to date copies for Collier county es. erates and any change of address information. Collier County * City of Marco * City of Naples Contractor Licensing LANDSCAPING RESTRICTED CONTR. Cert Nur: Exp: Status: LCC23150008320 09/30/2016 Active AMAD; LAWN SERVICE LLC Rodriguez Go':ez, onathan Vast 3048 SO'H S' SW NAPL'S, `L 34116 !II Sign? : E_ver...F' y Company ID Number: 886568 Approved by: Employer Amado lawn service LLC Name (Please Type or Print) Title Jonathan Rodriguez Gomez Signature Date Electronically Signed 06/15/2015 Department of Homeland Security—Verification Division Name (Please Type or Print) Title Signature Date Page 13 of 17 E-Verify MOU for Employers I Revision Date 06/01/13 ,,,„. EVenly s x Company ID Number: 886568 Information Required for the E-Verify Program Information relating to your Company: Amado lawn service LLC Company Name 3048 50th St.SW Naples, FL 34116 Company Facility Address Company Alternate Address County or Parish COLLIER Employer Identification Number 472766393 North American Industry 811 Classification Systems Code Parent Company Number of Employees 1 to 4 Number of Sites Verified for Page 14 of 17 E-Verify MOU for Employers I Revision Date 06/01/13 �L secr G� E_verify Company ID Number: 886568 Are you verifying for more than 1 site? If yes, please provide the number of sites verified for in each State: FLORIDA 1 site(s) Page 15 of 17 E-Verify MOU for Employers I Revision Date 06/01/13 EVenly Company ID Number: 886568 Information relating to the Program Administrator(s) for your Company on policy questions or operational problems: Name Jonathan V Rodriquez Gomez Phone Number (773)413-0795 Fax Number Email Address salesna amadotrees.com Page 16 of 17 E-Verify MOU for Employers I Revision Date 06/01/13 ! � *.\ q \ qU »%; % ! \ ° # \ � /a ./- �% k #tk C. o 0M CD B.Ic„, mZe = ° $I § � 3ft = kko ; \ k el \ $%s � \ °I * S � �E 2 - » t $ W: �o \ ! m } . £ � } 2 ' £ t $ % a k & 2 % # \ i $ a 0 R £ & a) 0 C co CN • a) E_ , ... , a , .‘ * p O0> - C C M d 0 L N O - 0 0 CD o Cs1 Tp CSI a) O O T ct O Am. CO CU L i 0 O d c LT o w I. E c 0O LL 111•1111111 • 4.0 QM N - C E E o O Oi G = c U 0 Ncc v J U a) o 'i ++. L 0 f/) JL o 0Ce CI 0 O _ V 7 •E o .o t alli C CtS Ts c3) rn r v o T Z_ M CU mr 4,7._ LI 0 sillim Qa) i m p 0. 0O > T IL) = ca a• C N } CO m x w 2 t 1 E( I i Teresa L. Cannon From: Sillery, Tessie Sent: Friday, October 23, 2015 4:58 PM To: Sillery, Tessie; ' (faustore@aol.com)'; johnsod2@collier.k12.fl.us'; 'schapin43@aol.com'; Minutes and Records Cc: Arnold, Michelle; Sells, Harry; Christenbury, Daniel Subject: RE: Read Ahead - Radio Road East MSTU- Monday 10-26-2015 @ 10:00am @ Sanctuary Club House Attachments: Application Johnson RREMSTU 102315.pdf Please find attached, Mr.Johnson's application for the Agenda Item VII—A. From: SilleryTessie Sent: Friday, October 23, 2015 4:55 PM To: SilleryTessie; ' (faustore@aol.com)'; 'johnsod2@collier.k12.fl.us'; 'schapin43@aol.com'; 'Minutes and Records' Cc: ArnoldMichelle; SotoCaroline; 'dayna@urbangreenstudio.com'; ChristenburyDaniel; 'David Durrell'; SellsHarry; 'Robert Kindelan'; rmccort@commlandmaint.net; 'dayna@urbangreenstudio.com'; 'wwarren09@gmail.com'; Smartlass2@aol.com Subject: RE: Read Ahead - Radio Road East MSTU- Monday 10-26-2015 © 10:00am @ Sanctuary Club House Dear Radio Road East MSTU Committee Members; Please find below the Agenda for the upcoming Radio Road East MSTU meeting on: Monday 10-26-2015 @ 10:00 A.M. Radio Road East M.S.T.U. Advisory Committee 3299 East Tamiami Trail Suite 103 Naples,FL 34112 1 Advisory Board Application Form Collier County Government 3299 Tamiami Trail East, Suite 800 Naples, FL 34112 (239) 252-8400 Application was received on: 10/23/2015 11:57:26 AM. Name: [Dale Johnson Home Phone: 2393770333 Home Address: 8148 Piedmont Drive City: Naples Zip Code: 34104 Phone Numbers Business: 2393770333 E-Mail Address: Johnsod2@collierschools.com [Board or Committee: Radio Road East of Santa Barbara MTSU Advisory Committee Category: Not indicated Place of Employment: Collier County Public School [How long have you lived in Collier County: 10-15 How many months out of the year do you reside in Collier County: I am a year-round resident Have you been convicted or found guilty of a criminal offense (any level felony or first degree misdemeanor only)?No Not Indicated Do you or your employer do business with the County?No Not Indicated NOTE: All advisory board members must update their profile and notify the Board of County Commissioners in the event that their relationship changes relating to memberships of organizations that may benefit them in the outcome of advisory board recommendations or they enter into contracts with the County. Would you and/or any organizations with which mu are affiliated benefit from decisions or recommendations made by this advisory board? N Not Indicated Are you a registered voter in Collier County? Yes Do you currently hold an elected office? No Do you now serve, or have you ever served on a Collier County board or committee?Yes Radio Road East of Santa Barbara MSTU Please list your community activities and positions held: I have served on the MSTU for six years. Education: B.S. Geography and Economics, Frostburg State University, Frostburg, MD M.S. Urban Education, Morgan State University, Baltimore, MD Advanced Certificate in Education, Johns Hopkins University, Baltimore, MD Experience/Background Worked as administrator and teacher in Baltimore City Public Schools for 32 prior to coming to Collier. I have worked for the past 11 years as Career and Technical Education Supervisor for Collier County Public Schools.