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CLB Agenda 10/19/2016 Co i Lier County COLLIER COUNTY CONTRACTORS' LICENSING BOARD AGENDA October 19, 2016 9:00 A.M. COLLIER COUNTY GOVERNMENT CENTER ADMINISTRATIVE BUILDING BOARD OF COUNTY COMMISSIONERS CHAMBERS ANY PERSON WHO DECIDES TO APPEAL A DECISION OF THIS BOARD WILL NEED A RECORD OF THE PROCEEDINGS PERTAINING THERETO, AND THEREFORE MAY NEED TO ENSURE THAT A VERBATIM RECORD OF THE PROCEEDINGS IS MADE, WHICH RECORD INCLUDES THAT TESTIMONY AND EVIDENCE UPON WHICH THE APPEAL IS TO BE BASED. I. ROLL CALL: II. ADDITIONS OR DELETIONS: III. APPROVAL OF AGENDA: IV. APPROVAL OF MINUTES: A. September21, 2016 V. PUBLIC COMMENTS: A. VI. DISCUSSION: A. VII. REPORTS: A. VIII. NEW BUSINESS: A. Orders Of The Board B. Noel Sinclair-Sinclair Electric, Inc.- Reinstatement of License C. Jim Kalvin-Jim Kalvin LLC- Reinstatement of License- Review of Credit D. Brian K. Slavin -B & K Tile and Marble, Inc. -Credit Report Review for Reinstatement E. Stacy Fults -Hector Mario Lawns LLC - Review Experience F. Manuel Orosa-Orosa Custom Renovations, Inc.- Review of Experience IX. OLD BUSINESS: A. X. PUBLIC HEARINGS: A. XI. NEXT MEETING DATE: WEDNESDAY, DECEMBER 21, 2016 COLLIER COUNTY GOVERNMENT CENTER ADMINISTRATIVE BUILDING THIRD FLOOR IN COMMISSIONER'S CHAMBERS 3299 E. TAMIAMI TRAIL NAPLES, FL 34112 September 21,2016 MINUTES OF THE COLLIER COUNTY CONTRACTORS' LICENSING BOARD MEETING September 21, 2016 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: Thomas Lykos Vice Chair: Richard Joslin Members: Elle Hunt Terry Jerulle Kyle Lantz Gary McNally Patrick White Excused: Michael Boyd Robert Meister ALSO PRESENT: Ian Jackson — Supervisor, Contractors' Licensing Office Kevin Noel1, Esq. —Assistant County Attorney James F. Morey, Esq. —Attorney for the Contractors' Licensing Board 1 September 21, 2016 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 said proceedings is made, which record includes the testimony and evidence upon which any Appeal is to be based. I. ROLL CALL: Chairman Thomas Lykos opened the meeting at 9:01 AM and read the procedures to be followed to appeal a decision of the Board. Roll call was taken; a quorum was established; seven (7)voting members were present. II. AGENDA—ADDITIONS OR DELETIONS: • Under Item IV—"Approval of Minutes:" o It was noted the minutes to be approved were from the August 17th meeting and not August 20th as identified in the Agenda. • Under Item VIII— "New Business:" o (C) Michael Paul Duke—Application to Qualify a Second Entity was withdrawn by the County and will be continued to a later date. • Under Item X, "Public Hearings:" o (A) Case #2016-04: Collier County Board of County Commissioners, Plaintiff, vs. Jimmy M. Dean, d/b/a"J. D. Design Construction, Inc.," Respondent, was withdrawn by the County and will be continued to a later date. III. APPROVAL OF AGENDA: Patrick White moved to approve the Agenda as amended. Terry Jerulle offered a Second in support of the motion. Carried unanimously, 7— 0. IV. APPROVAL OF MINUTES—AUGUST 17,2016: Gary McNally moved to approve the Minutes of the August 17, 2016 meeting as submitted. Patrick White offered a Second in support of the motion. Carried unanimously, 7—0. V. PUBLIC COMMENT: (None) VI. DISCUSSION: (None) VII. REPORTS: (None) 2 September 21,2016 VIII. NEW BUSINESS: A. Orders of the Board Patrick White 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. (Note: With reference to the following cases heard under Section VIII, the individuals who testified were first sworn by the Attorney for the Board.) B. David Linscott—Review of Credit (d/b/a "Schoolhouse Plumbing, Inc.") Ian Jackson stated the application was referred to the Board for review because it did not appear, on its face, to meet the requirements regarding financial responsibility under Section 22-184(B) due to issues with Mr. Linscott's credit report. Kyle Lantz questioned the Applicant: Q. You have a business in Maine? A. In Maine and New Hampshire—correct. Q. And that's "Schoolhouse Plumbing," the same as this? A. Right. Q. Is it the same corporation or a separate corporation? A. Same corporation. Patrick White questioned the Applicant: Q. So it's a"d/b/a" ("doing business as ...") or a ... A. It's a"Schedule S" corporation. Q. I understand the tax purpose—but it's a foreign, I guess, Domestic Corporation? A. No, it's a domestic—just a standard corporation. Q. Well, "foreign" in the sense to Florida? A. Correct. Q. Okay. A. Yes. I registered my corporation initially—it was set up in Maine years ago —it's already been registered in Florida. Q. Oka- just wanted to clarify. Kyle Lantz directed his question to Staff, asking if Mr. Linscott's business was an existing business, was the Board required to review the Applicant's personal credit or not because his business had been operating for"a while"? James Morey, Esq., Attorney to the Board, stated the Applicant's business was relatively new to this jurisdiction—"That's a yes ... yes, you can." Chairman Lykos stated if the Licensing Office Supervisor felt it was appropriate to bring an application to the Board's attention for review since there was a question on his part, it would be appropriate to bring it to the Board for our consideration. 3 September 21, 2016 Kyle Lantz: I wasn't asking if we should look at his credit—I was asking if we should separate the business from the personal because I know there was—that we've done in the past—a distinction where for existing businesses, we looked at the business credit report but not the personal. I don't know where the "line" is drawn. That's all I want clarified. Attorney Morey: That's an excellent point. I think the crux of it is the referral from the Licensing Supervisor—if he had concerns and referred it because of something on the face of the application, it is up to the Board to review it. Charman Lykos: I think the Ordinance says that if a business has been in existence for longer than one year and has an established credit report, then the Board would not need to refer to the personal credit. While the applicant has been in business for several years, it has not been in Collier County, Patrick White: And not in the State of Florida. That's the point of making the distinction about it being, effectively, a"foreign" corporation. I think the gist of it is that for jurisdictional purposes, for the Department of State, and for the County itself, what we have is a circumstance where it is a continuing business for federal tax purposes—but from the State's perspective, it is a business that has only been in existence since it was registered here as a foreign, domestic corporation. And for the Board's purposes, it's fair to say that it is only for the duration it has existed in Florida. Vice Chairman Joslin: If another company or another corporation comes into Collier County from any other state, they have to follow the same process? Patrick White: They have a choice. They can create a"new" corporation—distinct and different from the prior one -- but that's more of a federal tax consequence determination or a business judgment. For the purposes of how we look at them, I would say regardless of how long they have been in business somewhere else, their Florida experience is relevant. The time frame of that business experience is relevant and if it's under the [one year] threshold. To me, it's almost as if it is "new"—it's a whole new market—a whole new set of customers—a whole new culture almost, in many instances, of how you conduct business. To me, it's consistent with how we see contractors—with a very close scrutiny. Chairman Lykos: Thank you, Mr. White, for your analysis. I would also say if the Licensing Supervisor thinks it is appropriate to bring an application before the Board, then we can review it and make a determination. Kyle Lantz: I wasn't asking if we should review the Applicant's information—I was asking if we should review only the business or if we should look at business and personal. That was my only question. Patrick White: Both. Patrick White questioned the Applicant: Q. When I added up all of the outstanding balances from what appears to be largely credit card debt, and the payment history on all of the accounts, I came up with approximately $11,000 in total debt. I don't view that as a substantial amount overall—your other business report indicates you are doing $160,000 in the business. Why have some of these bills been around since 2008 ... 2012? What is your plan to address those outstanding balances? A. I guess the balances on those credit cards have been somewhat outstanding for a couple of reasons. First of all, from a business standpoint, if you look at the 4 September 21, 2016 packet, the credit from my business is excellent. Unfortunately, on the personal side—what we are talking about now—I've made some basic business errors that, unfortunately, a lot of us are guilty of. A lot of it has to do with cash flow. And because of some poor billing practices, and a few business practices such as not getting down payments and being overly generous with customers, I got behind on my bills. I was making minimum payments, which was probably the worst case scenario, and I was stretching out those payments because of the lack of cash flow. Since then once I became aware of these particular issues, and honestly, my credit—on the personal side—it was "out of sight, out of mind." I was not taking out lines of credit—my fault—I take full responsibility for that because I did not follow up on all my credit information. I let things slide. At this point in time, I've made some major changes in my business as far as my billing practices, my down payments, doing a budget, and also looking into getting rid of some properties in Maine. I own several properties there. In the very short term, one of my properties will be selling—it's on the market—and whatever balances I have will be paid in full. Q. Have you contacted any one of these creditors ...? A. All of them—every one of them. And actually, my vehicle loan is current and two of the credit cards are now current since this packet was given to you. Q. Can you identify which those are—we've got Capital One ... A. The American Express is current. Q. There's an AmEx on here but ... A. Yes—that's current. Q. ... on Page Two ... it was current as of May, so that's a non-factor. It's primarily the ones that ... A. Home Depot is current and the truck line—I'm not sure which it is under here ... Chairman Lykos questioned the Applicant: Q. If I may, why don't we do this: Why don't we go to the bottom of the first page of your credit report, and if Mr. Linscott could give us a quite summary as we go through the delinquent items—instead of having to jump around trying to find the line items on his report. Do you understand my request? A. Yes. Walmart— Q. That's the second item—let's start with the first item ... the Capital One credit card. A. Capital One: I have contacted them and that is not current yet. When asked if he had a payment plan in place with Capital One, David Linscott replied-he-had been told to "do the best you can to bring_it current." It was noted the credit report stated the account had been closed. Mr. Linscott responded while he could no longer use the credit card, he was still making payments on the outstanding balance. He stated he was not aware that the balance had been discharged by the creditor. A. Walmart—it's the exact same situation as Capital One. The third one is, I think, Lowe's and that is also the same situation. Q. So you don't have a specific plan with those three vendors at this point? 5 September 21, 2016 A. At this point, I have contacted them but they did not provide me with any specific information or payment plan. The next one—I am unfamiliar with to be honest with you—we are in the process of going through three different credit reports trying to justify what's on them and the one on the top of the second page, I am not familiar with. It was noted the account number was the same as the previous item for Capital One and it could be a duplicate report. A. The next one is Barclay Bank that is current. DiTech is one month behind but I've paid several months to bring it fairly close to being current. The next one— Conventional Real—I have no idea of what that is. All the rest are current. Vice Chairman Joslin questioned the Applicant: Q. You had previously said because you didn't get your bills out correctly and didn't take deposits—which this is what got you into this situation? A. Well, in part. I have to take full responsibility for this—I'm in business for myself and I have a lot of responsibility ... taking people's money and doing work for them. There's no excuse other than just poor practices—it's as simple as that. There was also another extenuating circumstance where, last year, I lost approximately twenty thousand dollars on two particular jobs back in Maine which was, obviously, a major hit. And on the advice of my attorney, going after than money was going to cost me as much as I was owed. The bottom line was I licked my wounds and moved on. Q. You now say that since you bill correctly and take down payments, it will alleviate some of the problems of handling your business. I'm just wondering if that is your real intention. A. Oh, absolutely. Patrick White questioned the Applicant: Q. Do you know what the equity is in the property that you have for sale? A. I own the property outright, and it's on the market for $250,000. Q. So you are saying your equity is one-quarter million dollars? A. Yes. Plus I own a second home with approximately $200,000 equity in it. Chairman Lykos commended the Applicant for his cover letter which displayed an in-depth knowledge of the financial management of his company. It was good to see someone who understands what caused the problems that he had and who thought through-an actionplanto overcome those challenges. Patrick White questioned the Applicant: Q. Do you have any sense of a time frame—based on how long the property for sale in Maine has been on the market—what a projection may be to get it under contract and closed? A. The real estate market is a dicey thing but it's been on the market approximately one month and we have had five showing and probably two legitimate individuals looking at the property. I do not have yet but I am assuming that, by winter, it will be gone. 6 • September 21,2016 Kyle Lantz questioned the Applicant: Q. Are you going to keep your business in Maine going? Are you going to be part- time here and part-time in Maine? A. When I spend time in Maine during the summer, I will probably continue doing working there as well. But I have made a commitment to the State of Florida. We live here full-time and I want to finish my career here and retire here. Q. And your business in the past—is it one or two employees ... or larger? A. It's just myself. Q. This is going to be your main place, but you will be gone during the summers theoretically? A. Possibly. I will be here at a minimum of ten to eleven months a year. Chairman Lykos asked Staff if the County had a recommendation. Ian Jackson: In the past, we have issued probationary licenses with a review by the Board after six months. I would not be opposed to recommending a six-month review after issuing a probationary license. Terry Jerulle: I think six months is a long time. In my option, Mr. Linscott should come back with a business plan after he has contacted the remaining creditors that he hasn't contacted and provide a payment plan. Terry Jerulle questioned the Applicant: Q. Do you have a contract with your clients? A. Yes. Q. You give your clients a piece of paper that they sign? A. Correct. Q. And in that contract, do you have terms and conditions? A. Correct. Q. Do you have in the terms and conditions of the contract where if your clients don't pay you, they are responsible for your attorneys' fees? A. That's true. Q. Good. Do you have that in your contract? A. We do. Q. Because it doesn't seem as if you had it in your contracts in Maine—because if your attorney is telling you it would cost you $20,000 to go after$20,000 —those fees should be charged to the client. A. Typically in these situations when we get into financial difficulties with large amounts of money like that,suddenly the money ran out on the job. And when the money runs out on the job, yes, we can bring them to court. But if there are no assets to take or put a lien on ... Q. That's all part of a business plan that I'm thinking of—that you should have, right? A. Correct. Q. You bill for a deposit, and then you do work, and bill for that work. A. Correct. Q. And if you get behind the client,then you have a right to stop that work. A. Correct. Q. You don't continue to do work and not get paid. That's how you get into trouble. 7 September 21,2016 A. And I was guilty of that. To be honest with you, I wanted to do the right thing for the customer and give him the benefit of the doubt which, ultimately, I paid for. Patrick White: Q. You heard me use the word, "culture,"before about marketplaces and business. Clearly there is a philosophy, I think, that this Board has—it's not written down anywhere—and what it sounds like, what you're doing already with regard to credit card payments, down payments, and well-drafted and signed contracts— so from my perspective, while I don't know that a business plan is going to help me, I think your testimony is that with the large dollar amounts that are outstanding, you have made contact. The plan is to make the payments and your commitment is to make them. Based on the fact that you believe in the next three months perhaps that property in Maine will sell and you will have sufficient assets to be able to pay these off, I would be in favor of seconding the motion for six months if the motion maker would agree to three. Chairman Lykos stated before anyone of the Board started to negotiate duration, he questioned what it was that Mr. White wanted the Applicant to achieve because that goal would play into a time frame that the Board determined would be appropriate for that to get done. Patrick White moved to approve granting the Applicant a probationary license for three months. The Applicant is to appear before the Board at the end of the probationary period and provide updated business and personal credit reports. He will also provide proof of payment of the outstanding balances or documentation of payment plans agreed to by each creditor. Kyle Lantz offered a Second in support and suggested amending the motion to include that if the outstanding balances have been paid in full and the Applicant provides proof of payment to the Licensing Supervisor, it will not be necessary for the Applicant to appear before the Board. It was noted the proof of payment could include copies of cancelled checks or letters from the creditors since there is a lag between when information is reported to a credit bureau and the credit report is updated. It was acknowledged if Staff is satisfied with the documentation produced by the Applicant, he would not be required to appear before the Board and a full license could be issued administratively. Patrick White accepted Kyle Lantz's amendment to the motion. David Linscott stated he understood the motion and what he was required to accomplish during the next three months. Chairman Lykos called for a vote on the amended motion. Carried unanimously, 7—0. 8 September 21,2016 C. Michael Paul Duke—Application to Qualify a Second Entity (Current Qualifier for: "Performance Turf LLC.") (Note: This item was withdrawn from the Agenda by the County and will be continued to another date.) D. Juan C. Docampo—Review of Credit (d/b/a "Patron Home Services") Ian Jackson stated the application was referred to the Board due to issues with the credit report—it did not meet the requirements for financial responsibility and his FICO score was below the threshold noted in the Florida Administrative Code of 660. Juan Docampo: • Admitted there were several delinquencies on his credit report; • He became a single father in 2011 as the result of an"ugly divorce"—he and his wife separated in 2009 and were divorce in 2013. During the separation, his wife ran up the credit cards, incurred a car loan, and caused their home to go foreclosure due to non-payment of the mortgage. • He stated even though his ex-wife caused the delinquencies, he took responsibility and paid the debts. "Since 2011, everything has been current. I am trying to legitimatize myself with this County so I can make money and raise my kids here." Patrick White questioned the Applicant: Q. After looking at the past dues and balance amounts owed, I don't come up with much more than $3,300. A. Correct. Q. Have you contacted one or more of these creditors? Have they given you an idea of what their expectations are? Have you sought to provide them with a payment plan? A. Honestly, currently, I have not. bike I said,these are really my ex-wife's delinquencies even though they are under my name. I am willing to do that but, in the meantime, my cash flow hasn't been enough to cover that since I'm a single Dad raising two girls—it only goes so far—and if I call and try to make an arrangement and I don't come through, I think I look worse than continuing to make_my_current credit better and allowing my delinquencies to kind of just flow back, if you can understand that. Q. I think I understand it—what I think I hear you saying is you are not making payments. A. Currently, on the delinquent items, I am not. Vice Chairman Joslin questioned the Applicant: Q. On any of them? A. No, sir. Q. Do you currently have custody of the children? 9 September 21,2016 A. Ido. Chairman Lykos questioned the Applicant: Q. Are you working now? A. I am. Q. And are you working for somebody else or what are you doing? A. I am working part-time for Jenny Custom Cabinets. Patrick White: Q. Is it your intention to continue the part-time job if you were to obtain a license? A. My intention is to—I've had the corporation since I moved to Collier County and my intention is to build my own business. I have a pretty good set of clientele and I think I'm known enough around town where I can keep my current job but start to flow over into my own business. As I said, I want to legitimatize myself as my own business and carry on and hopefully grow so I can have more to pay off these bills and to raise my kids—to give them everything that we need. Chairman Lykos: Q. On your application, Mr. Docampo, you list the officers and managing members of your firm and it lists Orlando Docampo and Iris Docampo. A. Yes—that's my father and my step-mother. When asked if his parents would be paid, Juan Docampo replied his step-mother would not be paid but his would be paid. He said he father is retired but willing to help him out. Kyle Lantz: Q. You've shown a Workers' Comp exemption just for you. So how would your father get paid? A. He would get paid for any time when he helps me out. As of right now, it's just me. Q. So how would you pay him? Would you have a Workers' Comp policy for him? A. Of course. Once he starts working—or once we get this thing going—I'm going to get his Workers' Comp exemption as well since he's a managing officer, he also qualifies. Q. On the front page of the application, you have the specialty trade as "cabinet installation," and it seems like it has been mixed throughout the application— sometimes it looks like you are going for a cabinet installers' license and sometimes it looks like you'regoing for a cabinet installer and painters' license? A. Correct. I have a trade exam on October 1St for painting and decorating. My history goes back in the mid-2000s; I've done a lot of painting. I can paint cabinetry—I've painted houses and everything else. I worked for"84 Lumber" and I oversaw a lot of the work that was done there. I was responsible for quality control and things of that nature. I installed sales. So I know a lot about what goes into a job and how to get it done correctly. I have experience in painting and that's why I'm trying to flow it that way—so I can do the cabinetry installs, the trim installs and actually finish them off completely, rather than selling a trim install and saying, "Well, now you have to find yourself a painter." to September 21,2016 Q. So, you're applying for the cabinetry license now and as soon as you pass the exam, your intention is to ... A. Correct. Q. ... apply for the painting license. You have had your experience verified by a few people. You said you work right now for Jenny Custom Cabinets? A. Correct. Q. They were one person who verified your experience. What about the others? One was a drywall guy and a plumber. So, how does that work? A. Okay—the drywall guy was a friend of mine when I first moved here and I've done a lot of follow-up work for him. Unfortunately, it was on the side but he knows the kind of work that I've done. And I've gone behind him when he does patch work or plastering and I've done the kind of work to finish it off—texture patching and after that, priming and painting. So he knows the kind of work that I do in that nature—and hanging "crown" [molding] as well. The plumber is actually a personal friend of mine and I've done work for him personally. Bill McFarlane of Shamrock and that's the only extent, really. Q. You did work for his business? A. No, for him personally. I've just done things for him—not getting paid. His son is my neighbor and I've become really good friends with that family and I've done work for him. He can vouch for the quality of work that I've done in his personal home. I've done work—not for pay—but just as a friend. Q. How long have you worked for Jenny Custom Cabinets? A. From 2013 to current. Q. At Jenny, they said you did painting? Are you painting cabinets? A. I paint cabinetry. Q. On site or in a shop? A. At their shop. Chairman Lykos: Q. I am impressed with your initiative, your understanding of things, and your explanation of what you are trying to accomplish. But we have to deal with this debt. A. Absolutely. Q. I am hoping my fellow board members will come up with a plan where we can address the debt to meet the County's requirements and help you further your career. Vice chairman Joslin stated this case mirrored the previous case heard by the Board, and-Mr.-Docamp's_debt was must less than that of the previous Applicant. Juan Docampo: If you look at some of these debts on my credit report, on the first page, the first two are actually repetitive—it's one sold to the other, but the credit report shows it as two separate items. The first one on the second page was a Fire Rescue ride in 2011 where I almost died and they are overcharging me. I refuse to pay another cent more than what was paid—it was close to $2,000 for a twenty- minute ride. Everything else was paid by my insurance company. If things go well, I do have friends who are willing to pay this thing off for me and let me continue to make payments—if that's something that you are willing to entertain. If I can come 11 September 21,2016 out of here and say, "Hey, I got my license but I need to do this," I have people in place who can take care of it for me immediately. Kyle Lantz: Q. If we were to say that as soon as you give proof to the Licensing Board Office Supervisor that your debts are paid in full, we will issue a license—could you make that happen? A. I would prefer to have the license first. I have a quarter of the debt of the last guy but I wouldn't have a license when I left here. Q. So how long would it take you—realistically, if we gave you the license today, how long would it take ... and I don't care if you owe your friends—that's not my concern right now. But how long would it take to get the creditors paid off? A. I'd say before the end of the year. Chairman Lykos: Q. Let's go back a little bit. You said there was duplication on your credit report— show me where that is. A. On the first page of my personal credit report—it's the 3`d and 4th items. If you see the dates and the amounts for Mariner Finance and Sunbelt Credit, they are the same. That was an auto loan that my ex-wife took out with Sunbelt and it was sold to Mariner Finance. Q. The outstanding balances are different amounts but you are correct. The credit limit is the same and the dates are the same. As Mr. White said, you have about $3,300 of debt. And your credit score isn't that far below what the State requires. As Mr. Joslin said, your situation is similar to the previous Applicant. But I would respectfully disagree because the previous Applicant had an operating business in another state—he was moving that business to Florida—he had experience running a business—he had some challenges, understood why he had those challenges, and had a plan to overcome those challenges. We have a young man here who wants to start his own company but hasn't really done that yet. Chairman Lykos noted the situations were not similar and pointed out one Applicant was an experienced tradesman and knew how to run a business while the other has about three years' experience working at Jenny with no experience running a business. Vice Chairman Joslin replied the previous Applicant got into trouble with his business in another state and had come to Collier County—it was basically like he had nothing because he had no credentials in Collier County—and this man has none either. So, technically, the two are similar. This Applicant is much closer tothe minimums on the credit report that was the other gentleman. Vice Chairman Joslin moved to approve granting a probationary license to the Applicant for a period of ninety days. At the end of the probationary period, he is to provide proof to the Licensing Office that he had paid his debts or he will be required to appear before the Board and provide an updated credit report, a written business plan, and proof of payment plans for each creditor. Patrick White offered a Second in support of the motion. 12 September 21,2016 Discussion: Terry Jerulle explained to the Applicant if he did not accomplish what was required in the motion, he would not have a license. Juan Docampo stated he understood what he was expected to do. Patrick White noted if Mr. Docampo provided sufficient proof to the Licensing Office Supervisor, he would not be required to appear before the Board again. Juan Docampo stated he would negotiate the amounts down or pay them off because he did not want to have those issues on his credit report. Chairman Lykos called for a vote on the motion. Carried unanimously, 7— 0. E. Wallace Booth—Review of Credit (d/b/a "Wallace Booth Electric, LLC. " Transfer to and qualify: "Paradise Electrical Concepts &Solutions, Inc.") Chairman Lykos noted the Applicant's credit would be reviewed and that he wished to transfer his license from one entity to another. Ian Jackson stated Mr. Booth had been qualifying Wallace Booth Electric, LLC. He submitted an application to qualify Paradise Electrical Concepts & Solutions, Inc. After reviewing the business credit report for the currently qualified company, "Wallace Booth Electric, LLC,"there were federal and State tax liens noted on it that prohibited transferring his license to qualify Paradise Electrical Concepts & Solutions, Inc. without the Board's review. Chairman Lykos: Let me see if I understand. There is an existing entity that is qualified? Ian Jackson: Yes. Chairman Lykos: And the Applicant wants to transfer his license from one entity to the other but because of the credit issues, Staff cannot make the transfer happen without approval from the Board? Ian Jackson: Correct. Terry Jerulle: Since the Applicant has a tax lien on the existing company, doe he qualify to renew that existing company? Ian Jackson: Yes. Terry Jerulle: Why is that? Ian Jackson: That's the way our Code is written. If Mr. Booth renews on time every year, an updated credit report is not required. If Mr. Booth did not renew before December 31St, an updated credit report would be required when he applied to renew his suspended license. Chairman Lykos questioned the Applicant: Q. Mr. Booth, why do you want to transfer your license from one entity to another? A. I had some financial issues brought about by my bookkeeper and I, basically, am transferring and becoming a partnership with Paradise and some other people. We will gain more financially and will also have a better bookkeeping system. 13 September 21,2016 Kyle Lantz questioned the Applicant: Q. What is your intention with the tax liens? A. The one for the State has been paid off at this moment. We are working with the IRS to negotiate and get a settlement agreement in place. Q. Do you have any documentation proving the State lien has been paid? A. Yes, I do. Q. Do you have an anticipated time line for the federal lien? A. On the federal one—we have just started negotiating with them and getting paperwork together to submit to them so that they can tell us what our next step will be. It was noted that Mr. Booth submitted a copy of the paid State tax lien to Staff. Chairman Lykos: Q. What will happen to your existing entity? A. The existing entity will be, basically, shut down. Q. Do you have other debt associated with that entity besides this tax lien? A. No, I do not. Q. No other trade debt? A. No. All the materials I have ever bought were with cash. Kyle Lantz: Personally, I have a hard time allowing him to qualify another business before the federal lien is taken care of. Terry Jerulle: I would agree. Gary McNally questioned the Applicant: Q. As I look through the credit report, you indicated that you have no other debt. But I see two small items that were placed for collection. Have they been paid? They are personal but I'm just curious. A. I do not have that report—the personal credit report. Ian Jackson stated the two items were medical and should be viewed a little differently than other lien items. Elle Hunt questioned the Applicant: Q. How long has the current company been in business? A. Since 2009. Kyle Lantz: Q. Paradise Electric does not have a Qualifier currently? A. It does not. Chairman Lykos: Q. Why can't your partner in Paradise just become part of the existing business? A. Because we are re-organizing it and we're renaming it. 14 September 21,2016 Vice Chairman Joslin: In the past, I have seen other cases come through the Board with the same situation—federal tax liens. There is a way— if you contact the IRS — that they will set you up with a payment plan. Wallace Booth: Yes, and we are in the process of working on that. Vice Chairman Joslin: I would probably like to see that happen before we get too far involved in issuing another license. Chairman Lykos: I want the Applicant to understand what issues the Board members might have because assuming that the Applicant, and/or his future partners, take some action—I want that action to be sufficient enough to accomplish what they want to accomplish. If the Board's decision is that they have to come back, that their action is sufficient—rather than just make a decision without the Applicant having an understanding of why—that's what I'm trying to accomplish. Michael Pascale appeared as a witness on behalf of the Applicant and was sworn in by the Board's attorney. Michael Pascale: • He is a General Contractor—Distinctive Construction, Inc. • He is one of the partners for Paradise Electrical Concepts & Solutions, Inc. • He confirmed the State tax lien had been paid. • Regarding the federal lien, confirmed they were working with the IRS. He stated the amount of the lien on Mr. Booth's credit report was an estimated amount because he had not filed business tax returns from 2012 to 2015. • He explained Wallace Booth Electric was an"LLC" but filed as an"S" Corporation • He stated the bookkeeper had the information and was supposed to have filed the tax information—after several months have obtained the information from the previous bookkeeper and the returns will be filed. • The IRS has extended the time to file the late returns to mid-January, 2017. After the returns have been filed, the IRS will determine the correct amount of the lien and a payment plan can be put in place. • We are "aggressively trying to pursue this. We had a tough time getting the information but now that we have it, we can file the proper documents with the IRS." Chairman Lykos questioned the Witness: Q. Is there a reason why you can't just pay the amount of the lien and then go back and file the tax returns-file amended tax returns=arid then make the adjustments in a current year or a future year's tax returns? A. You mean the $20,000? Q. Correct? A. I don't know the answer to that. To be honest with you, we didn't ask that question when we were having conversations with the IRS. Chairman Lykos explained that an LLC filing as a Subchapter"S"—the income from the company gets passed through to the owners and the taxes are paid through 15 September 21,2016 the owners' personal income tax return. You still have to file a business tax return but the income is really passed through to the owners of the business. If you pay the tax, then the lien goes away. Then you can file amended returns and once they are corrected, and if there is a refund that is due, it would be applied to a future tax liability. Michael Pascale noted the tax returns had never been filed so they could not be "amended." Chairman Lykos: Depending on how long this takes, there will be interest and penalties applied to the amount as well. Patrick White: That may be what the estimated amount is based upon and that would be the point of any negotiation—trying to get to a current figure. Chairman Lykos noted if the tax lien had been paid, the Applicant would not have had to appear before the Board because his personal credit score, it was because of the tax lien. If he paid the lien, he would be able to go to work. Both Mr. Jerulle and Mr. Lantz asked if it wasn't for the tax lien would the Applicant be required to appear before the Board, and the answer was no.' Patrick White stated he was not a tax attorney and was not in a position to establish what the better course of action would be for the Applicant. His concern was with respect to how he has managed his current business and will manage the business to which his license will be transferred. And if there is some timeframe with which the Board is comfortable to issue a probationary license for the matter to be resolved—that's one thing. If the Board doesn't have a comfort level with that, then they have to make a choice of how they are to conduct themselves and he will potentially have to come back once it's resolved. Terry Jerulle: I certainly don't feel comfortable. You testified that you haven't paid taxes for—did I understand you haven't paid taxes for four years? Michael Pascale: He hasn't filed the returns nor paid any income tax for four years. Terry Jerulle: So personally, you haven't paid? I'm not sure how that's a bookkeeping problem and not a personal problem. I'm asking you—How do you blame a bookkeeper for not filing taxes for four years? Wallace Booth: The bookkeeper who was taking care of it all, did it all electronically. I never saw it—there were IRS payments coming out of the business account to pay these things so I assumed everything was being taken care of It was the same thing with the State of Florida. Terry Jerulle: But there is an IRS form that everybody signs at the end of the year. You didn't sign that? Wallace Booth: I've not signed them since 2009 because everything was electronically filed. Terry Jerulle: Shouldn't that be, like, a red flag? I can see maybe one year—but four years straight not signing an IRS form? It's almost a conscience decision, not a bookkeeping decision. Wallace Booth: When I filed for 2009, there was no document signed. It was all done electronically on their website. Terry Jerulle: But you still signed? Even though it's electronically, you're still providing your electronic signature. Wallace Booth: Okay— she was the one taking care of the electronic signature. 16 • September 21,2016 Chairman Lykos: Over the course of the last four or five years, you've had no need to review your personal income tax return? To submit it to a bank or—you've never had the occasion in the last four years to look at your tax returns? Wallace Booth: I never looked at them for the simple fact is, okay, I had money—I was still operating the business—everything was getting paid ... Chairman Lykos: But everything was not getting paid. And what you're asking us to do is to allow you the opportunity to take your license and go operate a new business with that same license. And I understand that you have new people who are going to help you run the finances—but all we have is history that indicates future performance to us. That's all that anybody ever has—history to anticipate somebody's future performance. And your history is—by your own admission—that you did not personally handle those returns ... you never reviewed them ... you didn't sign them ... and until this occasion arose, you didn't even know what was going on! How are we supposed to feel comfortable allowing you to go operate another business? That's a legitimate question. How do you anticipate that,based on your testimony today, and the evidence that's been presented to us, that we are to have the confidence in you to move forward to operate the financial well-being of a second entity after what you have provided in testimony to us today? Wallace Booth: It is—I thought everything was going right. I made a mistake. And, yes, I am ultimately responsible for that mistake. I just assumed that the people that I had doing stuff for me were taking care of it. They did not. I am getting together with another group of people who have the knowledge and I am going to be sitting there being move involved. We are planning to have meetings where we will sit there and discuss this and we will know what's going on with all aspects of the business. Chairman Lykos: Unfortunately,there are too many people in our industry who think somebody is doing the books and somebody else is managing the money—when you have a license, you ultimately have all the responsibility for every part of your business. You can delegate responsibility but you cannot abdicate it. Wallace Booth: I understand that. Chairman Lykos: You learned it the hard way. Wallace Booth: Yes, I did. Vice Chairman Joslin: The reason why he is before us is not to qualify a second entity, I don't think. He's here to transfer his license from Wallace Booth Electric, LLC to qualify Paradise Electrical Concepts which, in essence, means that Wallace Booth won't have a qualifier. Ian Jackson: Correct. Vice Chairman Joslin: That's a big concern. Wallace Booth is no longer going to be in business. So the tax_lien_against Wallace Booth Electric, or the tax liens that are filed against him, aren't going to apply to Paradise Electrical are they? Wallace Booth: No, they are going to apply to me personally. Vice Chairman Joslin: Okay. I'm definitely not comfortable with that. Patrick White: I think the point of it is—as we have with new applicants who come in and have credit issues—the argument often is, "If I don't get the license, I won't be able to have the income and won't be able to make the payments." I think that's a rational and fair argument. It's similar here. What I believe they are saying is, "We have made all of the good-faith efforts after the problems were identified,"to not only 17 September 21,2016 pay off one of the liens but to negotiate for and intend to pay off what may be agreed upon as an amount on the federal tax lien. The question in my mind isn't about the adequacy of the past practice but, rather, what is going forward in Paradise with the lessons learned. To me, if there's a time frame within which the words that we are hearing today of future performance can be actualized, meaning they pay off the lien, then—to me—it is similar to the prior two cases where we gave someone an opportunity. There were no indications that they were defrauding anyone or circumstances where customers were harmed, there were no questions about the quality of the work, it was simply a credit review issue. Given the stellar credit report that I think he has on the personal side, I understand my colleagues' concerns—but I don't share them. Terry Jerulle: That's fine, Patrick. But I don't share yours as well. This wasn't the economy that caused the problem, it wasn't a medical condition that caused the problem, it wasn't due to a divorce which caused the problem—this is incompetency in his business that, in my opinion, caused the problem—from his testimony. It doesn't give me the comfort level—not that I wouldn't approve it in the future without more documentation and having a business plan; more documentation having contacted the IRS and making some payments, and/or more documentation of a payment plan. But sitting here today with the information, I just don't feel comfortable at all. Kyle Lantz questioned Michael Pascale: Q. Tell me a little bit about—I feel the same reservations that Terry and Tom feel—so tell me a little bit about Paradise Electric. Mr. Pascale, you are one of the partners in Paradise Electric and you are also a General Contractor? You are currently a General Contractor? A. Correct. Q. Not Paradise Electric—a different entity? A. Yes, a General Contractor. Q. And you're still going to maintain your general contracting company? A. Yes. Q. So, you'll be an owner of two different companies—but now you'll have an electric company as well. A. I will be a part owner in Paradise Electric—okay? And I'll also still have Distinctive Construction, Inc. Q. And who is going to run Paradise Electric? A. Paradise Electric is going to be run by Michael Pascale, Gregory Pascale, and Wallace Booth. Q. The three of you will run it? A. Yes, Q. What will be everybody's duties? A. My duties—okay—will be ... I'm responsible for the financial and all the administrative, okay. Gregory and Beau are responsible for the field—scheduling the jobs and inspecting the jobs. Q. What kind of work do you anticipate Paradise Electric doing? Construction, re- model, service ...? A. Remodel and service right now is the plan. Okay? They will do, basically, Distinctive work—it will be in-house. Not that Distinctive will using strictly 18 • September 21, 2016 Paradise—they will use other electrical companies, too. But it will alleviate some of that. Q. But Paradise will do work for Distinctive as well as ... A. Paradise will do work for Distinctive as well as service work. Q. Okay. A. But they will not do work, right now, for another General Contractor—they are just not that large that they would be able to do that. Q. I do not feel that he should qualify a new business until he has settled up his old business and I get Patrick's argument where you need the license to move ahead, but I don't think that's the case in this situation because can't your current General Contractor business just sub-out Wallace Booth Electric until he gets this straightened out? When he gets it straightened out,then make Paradise it doesn't sound as if he's missing anything because he's just going to work for your company anyway except as a sub. Why not hire Wallace Booth Electric instead of Paradise Electric? A. That is a possibility—which is basically how we are handling it right now up until we decided to set up the Paradise ... Patrick White: The thing in my mind is at what point do you cut off—if you will— Wallace Booth? Their request today is we want to cut Wallace Booth off now and start with Paradise while we go through the process of resolving Wallace Booth Electric's lingering federal tax lien. The alternative approach that it seems this Board is leaning to is one that says, "Well, that's great but you need to come back after you have gone through the process." I'm comfortable and believe that all I've heard tells me they are going to get it done in the next ninety days and it they do, great. If they don't, then they are really done. Kyle Lantz: They have said their meeting is not until the middle of January, 2017, when they will start making a plan—not have it solved. Michael Pascale: Let me just correct that, we're filing the tax returns and IRS has given us up to January to get them in. Okay? And then, what will happen is—they will have an actual dollar amount, along with penalties and interest, and we will have a firm dollar amount. At that point, we will negotiate what the payment plan will be —the installment plan. Our plan is we will take the IRS up on the installment plan but we are also going to give them some up-front money to show that we are making the effort to get this done. We plan to have the tax returns filed before the end of this year. That's a priority for us. Patrick White: Let's assume for the sake of discussion that the Board denies the request for today. -They will come back at-some point after they have negotiated and have a plan—then the questions that will be in our minds are, "How do we know that you will keep the plan?" and"How long do we want to monitor you under the plan to ensure that if we give you a probationary license, it becomes a full license?" What I'm trying to share is that I feel fairly comfortable that those things will take place. There has been nothing to indicate in either the personal or the business history, or in the business plan that's been shared with us, that there is any reason for concern that it is not going to be implemented. I don't know how to tight we want to follow up based on the fact that Mr. Booth had failed to follow up, and kind of be a substitute for his judgment that was flawed in the past but, as we see today, he has learned from 19 i '. • September 21,2016 that lesson and is engaged/involved with people who have a clear plan on how to fix that problem and keep it from happening again. The monitoring system would be fully in place. Do we have to substitute our monitoring over the span of two years, for example, with probationary licensing to keep an eye on him? Kyle Lantz: I just see it differently. I get what you are saying. I just feel, fix the problem and then get the license. I ... Chairman Lykos: Well, we have no monitoring—we don't have to decide until later —anything. Kyle Lantz: And he can go to work today or tomorrow—he can keep doing what he is doing—keep operating the way he plan on operating ... Patrick White: And that's a perfectly rational and appropriate response. Vice Chairman Joslin: Since they are going to be in business together anyway, they can still coordinate themselves and discuss this with the IRS, or make their plan to get this to happen. Or, it could happen sooner. I think it would be the smartest way to do it. Terry Jerulle: We are not taking anything away from him—he has a license and can operate in the County. When he came in here, he said that he would dissolve the other company but there's nothing here that proves he will. That company [Wallace Booth Electric] could stay open forever as well—not that it makes any difference in anything. I'm just not inclined to ... Patrick White: You don't want to reward someone for a failure to monitor. I understand that. Chairman Lykos: I don't think it's that we don't want to "reward" someone for a failure—it's a matter of ... Let's say, for example, that Mr. White's assumption about their plan is correct. It's a matter of execution—it's not about punishing a failure— it's about saying, well—you have a plan to execute and you are at the beginning of the plan and I know I would rather see you closer to the end of the plan. It's about execution—it isn't about punishment. Patrick White: I don't disagree. The point is: if he were to get a probationary license for Paradise, in about three months from now,the monitoring we would put in place would be for him to come back to show that you have implemented the plan ... then that's different from saying ... once you have implemented the plan, come back and talk to us. Chairman Lykos: How much easier would this be if the packet had proof the IRS lien was paid and had verification; that Wallace Booth Electric was closed and had verification ... Patrick White: Staff would have issued the license. Chairman Lykos: Exactly. Mr. Lantz wants to make a motion. Kyle Lantz moved to deny the application. Patrick White offered a Second in support of the motion. Michael Pascale: Will I be able to say something before the vote? Patrick White: I would be interested in hearing what Mr. Pascale has to say. Chairman Lykos stated since a motion had been made and it had a second, he would open the floor to discussion from the Board members and then they would hear from Mr. Pascale. 20 September 21,2016 Discussion. • Attorney James Morey, Attorney for the Board, directed his question to the Licensing Office Supervisor: How does denial impact a re-application process? • Ian Jackson replied: The Applicant would re-apply. If the new application meets the requirements of our Code, I would issue the license. • Patrick White asked if there were a time constraint to re-apply and Ian Jackson's response was, "no." • Vice Chairman Joslin noted they could work out a plan with the IRS and re- apply but would still appear before the Board. • Chairman Lykos confirmed while the Applicant would still appear before the Board, at that time, he would have a written plan. Chairman Lykos asked Mr. Pascale if he would like to make a comment before the vote was taken. Michael Pascale: I think if I were sitting on that side, I would have some concerns, too. What I would like to say is that I have been in business for thirty years; I've owned various businesses, and I have a financial background. None of my other companies have ever been in trouble. We've never had any problems. Unfortunately, Mr. Booth has never had the luxury of having somebody with that much financial experience that he could"tap." Because of that, I am very comfortable that this relationship is going to work out. You may or may not know that dealing with the IRS can be—I mean—it takes a lot of time, especially when you are on the phone and waiting an hour to an hour and fifteen minutes for them to answer. It's been a slow process but the key is to get the tax returns done. We didn't have the information to that but we're working on that. And now that we have it, that's our number one priority. But if we weren't forthcoming, you could see that we wouldn't have even attempted to go to the Florida Department of Revenue and take care of the lien right away. You may say that it's a small amount ($2,646)—and it was—but that really wasn't the idea. The idea of it was the information was readily available, it was very easy to do—they were very cooperative and we took advantage of that, okay? Dealing with the IRS, unfortunately, is not that smooth of an operation but it doesn't mean that we're not going to be aggressive—as aggressive as we can to take care of it. We really want to get this behind us and, again, like I said—with my experience— this is an issue that's not going to happen again. Chairman Lykos: I think Mr. Booth was lucky to have found somebody like you with your background and your skills to help him move forward. Chairman Lykos stated there was a motion and a second before the Board. He called for a vote on the motion. Motion carried, 6— "Yes"/1 — "No." Patrick White was opposed. Michael Pasquale asked what they were required to do. Chairman Lykos explained there was no specific reason for the denial. Based on the comments of the Board, if the federal tax lien is paid and you have verification of that —when you re-apply, Ian Jackson will be able to issue the license administratively 21 • September 21,2016 and you will not be required to appear before the Board. The only reason you were here was because of the federal tax lien. That is the easiest and cleanest solution. If you are able to negotiate an agreement with the Internal Revenue Service and provide documentation of that, when you re-apply, I anticipate that your case would come back before the Licensing Board again and I anticipate that with the agreement in place, you would probably—no promises—but you would probably get a different response from the Board. Personally, I would like to have something that documented about how Wallace Booth Electric, LLC was going to be dissolved— have it already done or about to be dissolved, i.e., produce a copy of your letter to the State concerning dissolving the LLC so that we know—because Wallace Booth Electric, LLC could be out running up a tab, creating debt, and filing bankruptcy— and all the revenue ends up going to the new entity. For me, personally,to know that is not going to happen ... Michael Pasquale: We wouldn't be able to close that company until the license gets transferred, correct? Chairman Lykos explained a contractor can be a license hold and not qualify an entity. Michael Pasquale: Okay. Chairman Lykos: For me, personally,to know that the other entity is not out there— yes, you can close Wallace Booth Electric, LLC and take the license and have only a single entity that gets qualified. Michael Pasquale: Okay—very good. Thank you for your time. We appreciate it. BREAK: 10:25 AM RECONVENED: 10:42 AM F. Ben Mading—Petition for Reinstatement (d/b/a"Adria Group") Ian Jackson stated he distributed additional paperwork during the break concerning this case-it was an updated T-U credit monitoring report. He suggested the Board members may wish to take a few moments to review it. Terry Jerulle disclosed to the Board that he worked with an electrical contractor who employed Ben Madding on a project approximately five years ago. He stated it would not have any bearing on his decision making in this case. Attorney Morey stated the contact was remote and there was no current financial interest. Chairman Lykos asked if the Applicant had submitted the documentation and the response from Staff was, "yes." Ian Jackson provided a brief history: • The Applicant appeared before the Board in September, 2015 to waive the requirement for re-testing for reinstatement and for a credit review. • He was granted a six-month probationary license at that meeting and was to appear before the Board in May, 2016. 22 September 21,2016 ' I • The Applicant was unable to attend the May, 2016 meeting and his license was suspended by the Board. • Currently,his license is suspended pending a review of his credit report. Chairman Lykos asked the Applicant if the credit report that had been distributed was the most current credit report. A. That is correct. When I was here at the first meeting (September, 2015), we ran a credit check and there was probably around$16,000 worth of debt that was out there. Since then I negotiated all of it and have paid 95%, if not all of it, to date. There was a judgment that you will see that I have satisfied. In the last credit report that I just ran, there were a couple of items that—I have to review it again— but as I said, out of the $16,000—99% of it is paid. (There was a pause in the proceedings while the Board reviewed the newest credit report.) The amounts are less because I negotiated with each of the creditors. Q. In reading through the previous Order of the Board, we did not give Mr. Mading any specific direction on what to accomplish. It looks as if we just suspended his probationary license—looking for improvement in his credit score—because he was not present at the May meeting. There was no specific direction. Vice Chairman Joslin asked why the Applicant did not attend the May meeting. A. My daughter passed away in March, 2016. Elle Hunt noted there was a public record of a lien in the amount of$3,100. A. Yes, and there is a page in the credit report showing that I satisfied it. I paid that off—the whole amount. Vice Chairman Joslin moved to approve terminating the probation and reinstating the Applicant's Electrical Contractor's license in full. Terry Jerulle offered a Second in support of the motion. Carried unanimously, 7—0. IX. OLD BUSINESS: A. Natalina Capone—Application to Qualify a Second Entity (Current Qualifier for: "Signature Surfaces, LLC." Second=Entity: "PMT of Naples, Inc.") Chairman Lykos summarized the previous meeting where Ms. Capone had requested to qualify a Second Entity. The Board had some questions about her packet, her employment agreement with the Second Entity, and her understanding of her financial responsibilities. And her application was tabled by the Board. Natalina Capone stated she had submitted an agreement and a revised Profit and Loss Statement. 23 September 21,2016 Chairman Lykos: You submitted additional information based on the Board's comments? Natalina Capone: Yes. Chairman Lykos: Tell us what you have done this month that is different than from last month. A. I hired a lawyer and we did a legal agreement between PMT of Naples, Inc. and myself It states I will be paid 10% of the gross sales of the business on a bi- weekly basis. I will be in charge of payroll, paying payables and receivables, quality control at the jobsite, supervision, and estimating support. The owner will be in charge of sales, installation, hiring/firing, and scheduling. I will support him in anything else that he needs with estimating. It's all in the legal agreement that we both signed and you have a copy. Q. If I remember correctly, Ms. Hunt led the conversation about the agreement. A. Yes. Chairman Lykos asked Elle Hunt if she had an opportunity to review the agreement and did it appear to satisfactorily answer her concerns for the Board's purposes. Elle Hunt: Yes. Technically, it meets the needs of Ms. Capone to have an employment agreement. Patrick White noted the agreement appeared to be undated and there were no dates on the signature page. He asked if the date was intentionally left blank. Ms. Capone stated it was an oversight and the agreement had been signed on September 9t. Patrick White: Your testimony is that you believe the employment agreement became effective on September 9th? Natalina Capone: Yes. Vice Chairman Joslin asked if Grantlaw, P.A., had drafted the agreement and Ms. Capone's response was, "yes." Chairman Lykos: Ms. Capone, by your testimony, the effective date of the management agreement was the ninth day of September on the first page and the date of execution where everybody signed it was also the ninth day of September? A.. Yes. We were together on the same day and we had the same witnesses. Vice Chairman Joslin questioned Ms. Capone: Q. At the last meeting,there appeared to have been several questions about the Profit and Loss projection. A. Yes. Q. There were questions about how you were going to get paid and the percentage. In your new one,the income projection is $250,000 and in your documentation, you will receive ten percent off the gross sales—correct? A. Yes. Q. Will the $25,000 come off of the payroll portion or will it come off the top of gross sales? A. It will come off the top from gross sales. Q. So the bottom line for your Gross Profit is not $237,000. 24 • September 21,2016 A. It's part of the payroll with taxes taken out. Q. What I'm trying to find out is if the $25,000 is coming off the gross income. Chairman Lykos: In other words, there is no line item that says Natalina's pay, $25,000. There is no line item in the Profit/Loss Projection that shows where your money is. Natalina Capone: My money is in the payroll. Obviously, I didn't separate it the other way. Patrick White: Which is different from what we understood you to say—that it came off the top. Vice Chairman Joslin: If the money is coming off the top, it should be listed as a line item under the $250,000 which then would decrease your gross profit number (from $237,000 to $212,000). If it is coming off the Payroll expenses as part of the payroll, then that's different too. Patrick White: From a bookkeeping perspective, I think it's more correct that it belongs under"Payroll." It isn't part of the Gross Profit if it is deducted from the Gross Income. Chairman Lykos: Actually, "Payroll" should come out of"Cost of Goods Sold." It's not an overhead expense. And because this is an Employment Agreement—it's a Management Agreement but because it lists employment responsibilities, it can be considered "Payroll," so it would now be under the payroll expense but the payroll for the field should be under "Cost of Goods Sold" and the payroll for overhead should be in the overhead expenses. So if Ms. Capone's $25,000 is a percentage of sales because she is the Qualifier, that's one thing. If the $25,000 is for payment for work as an employee—if she is paid $25,000 no matter how much she works—then it is an overhead expense. And if her payroll was for working in the field, it would be under"Cost of Goods Sold." I think we've opened up a can of woiuis we don't need to get into. Mr. Joslin just wanted to know where the line item was for your pay. Natalina Capone: Obviously, there isn't one because it is in the "Payroll" as I'm doing both. Part of my pay is because of qualifying the company and the other part is because I'm actually doing work. Vice Chairman Joslin: In that case, I would remove the $25,000 from"Payroll Expenses" ($167,000) and the Net Income would mean your company made $2,217.50. Chairman Lykos: No, she said it was included in the payroll expenses. Vice Chairman Joslin: Included? Okay. Chairman Lykos: But that's what he was asking. If it wasn't on here, it would , mean your net profit was really $2,217, not $27,217. Patrick White: Not to challenge the precision of the drafting of the employment agreement, but it states on Page Two, under Item 5(a), "Base Compensation." Is there something other than the "base" that we are to understand that you will be compensated for? Natalina Capone: No. Chairman Lykos: So you will get ten percent of the sales regardless of the volume and you will make no other income? Natalina Capone: Right. 25 September 21,2016 Chairman Lykos: It is not our job to negotiate for her or to question the agreement, we just want to make sure that the agreement meets our requirements to allow her to qualify a Second Entity. Ms. Hunt was the one who asked detailed questions about it and she said it satisfied her questions with regard to the Board's needs. Elle Hunt: My biggest concern is that on Page Two, Item 2(e), it concerns me because it states that you, as the employee, will not be required to sign any individual guarantees or contracts or any other obligations of the employer. As the License Holder, that statement seems to be in conflict. So that's where my concern is. Chairman Lykos: It's directly in conflict. Elle Hunt: Yes. So, again, it's slightly vague—but this is my concern. Patrick White: I think the "hair" that was attempted to be split in the drafting was between being a Guarantor and being fiscally responsible. Elle Hunt: Right—but this is so, so open-ended that it concerns me. Terry Jerulle: I think it started out one way and kind of drifted into another meaning. Chairman Lykos: Do you understand what we're talking about,Natalina? Natalina Capone: Yes. What this was meant to say was that I am not the owner of the business—I'm qualifying the business. So any debts or anything like that—of course, I will do my best obviously to make everything paid, but I don't have any responsibilities other than—like,the owner has his responsibilities ... Patrick White: But you are the Qualifier. Natalina Capone: Yes. Patrick White: We only get to look at this through the lens of what this agreement talks about in terms of what your statutory responsibility is as a Qualifier in terms of fiscal responsibility. Okay? Natalina Capone: Yes. Patrick White: So there's a difference in my mind between having fiscal responsibility—it's a very small difference—and saying, "I will sign some individual guarantee for an obligation of the corporation." Chairman Lykos: This agreement appears to waive your responsibilities as a Qualifier. Patrick White: I think it's subject to that inference or conclusion. Elle Hunt: And that's what we are concerned about—it's vague enough to be questionable and that concerns us because you are the Qualifier. You are the one that we, the Board, and the public would look to if there was an issue. Vice Chairman Joslin: You do realize now that being the Qualifier means you are responsible for everything that business does. Natalina Capone: Yes. Vice Chairman Joslin: Good or bad. If there comes a time that something drastic should happen—something that you don't want to happen, happens—and someone sues you or a job goes wrong—they are not going to go to the people who are working for that company ... they are coming to you. And you will be coming before us and it could be serious. You have to understand that you have a lot of responsibility in taking on the responsibility to license a company. Patrick White: The reason why I would find some comfort in it—there exists on Page 5,under Item 15, "Law Governing"—it says "This Agreement shall be governed 26 September 21, 2016 by and construed in accordance with the laws of the State of Florida." And it has what is known as a Savings Clause which states, "Oh, by the way, if the employment agreement is ever challenged in Court and part of it is struck, the rest is good." So in my mind, if this thing were challenged and it came down to whether in fact you had fiscal responsibility or not, under Item 2(e),the part in there that says, "... or in any way be personally responsible for ..."—that may be struck, or interpreted in a way that says you can't avoid the State law—the Statutory responsibility you will always have. So those are preserved. And at the end of the day, you are still the "stuckee." Is that clear to you? Is that your understanding? Natalina Capone: Yes. Patrick White: Okay. Well then, all I can tell you is whoever drafted this probably is not familiar with the very specific Statutes we are talking about. Natalina Capone: Okay. Patrick White: So you may have gotten those legal services at a lower cost than perhaps someone who was more aware and who would have avoided drafting in a way that this lack of clarity was part of your document. Natalina Capone: Yes. Okay. Attorney Morey: The one comment I agree with is if you take the agreement in totality and look at Paragraph 2 on Page One, "Duties of the Employee," and then it goes without limitation to talk about with a little more specificity—but it does say, "... at all times, the qualifying License Holder for the Employer performing such duties as are customarily associated with such position with full and complete authority to direct all daily functions of the Corporation's business including without limitation ..." when I read that and look at these other things, and then look at 2(e)—okay, maybe it was not an artful attempt at carving out no guarantee, the intention was not that she would not be in complete fiscal control. Vice Chairman Joslin: In your opinion, do you feel that this agreement meets what we are looking for? Attorney Morey: In Paragraph Two. Vice Chairman Joslin: Well, Paragraph Two pretty well spells it out. I'm just wanting her to understand that there's no getting out of this. Natalina Capone: No, no, I understand. . Elle Hunt: My next question is Page Four, Item 9,the non-compete—you are asking to qualify a"Second"Entity—so how is this relevant? Natalina Capone: Okay—like I said, the current company that I am qualifying,has an office—has no showroom—no salespeople—has five builders that he has been working with for over 25 years and that's where we get our business. We rarely go out and look for more business unless we're slow and, if we do that, we put out "feelers." Elle Hunt: This ties you for five years, though. Natalina Capone: Yes. Well, not necessarily. (Cross-talk by the Board members) 27 • September 21,2016 Chairman Lykos: And two years after employment is terminated. Terry Jerulle: I think Chairman Lykos was asking the question of how you distinguish between the two companies and I think this was a way to address how to distinguish between the two companies. Patrick White: After her employment ends—for a period of two years. Elle Hunt: This does meet our request, technically, it does. I'm sure that you tried your best in one month to meet our needs. Natalina Capone: Yes. And I also want you to understand that the PMT business has no showroom—the owner is the salesperson—and is working as a subcontractor for a big firm. So there's no—the way I see it, you have your thing about the competition but the way I see it,there isn't any. I've been working with the current business that I qualify for eleven years and that's the way it has been and probably the way it will be but the owner is going to retire soon. And, eventually, yes, with PMT, I am tied there for five years now but I have been doing this for over fifteen years and it's my life. And if it does happen that we end up on the same job—it's competition for everybody. Yes, I qualify the businesses and I'm an important part of the businesses but I pretty much stay in the background. Patrick White: But you are on the job sites. Natalina Capone: Yes, I am. Kyle Lantz moved to approve the Natalina Capone's Application to Qualify a Second Entity. Terry Jerulle offered a Second in support of the motion. Motion carried, 6— "Yes,"/1 — "No." Elle Hunt was opposed. X. PUBLIC HEARINGS: A. 2016-04: Collier County Board of County Commissioners, Plaintiff,vs. Jimmy M. Dean, d/b/a "I D. Design Construction, Inc.," Respondent (Note: This case was withdrawn from the Agenda by the County and will be continued to another date.) NEXT MEETING DATE: Wednesday, October 19, 2016 BCC Chambers, 3rd Floor—Administrative Building "F," Government Complex, 3301 E. Tamiami Trail,Naples, FL 28 September 21,2016 There being no further business for the good of the County, the meeting was adjourned by the order of the Chairman at 11:34 AM. COLLIER COUNTY CONTRACTORS' LICENSING BOARD THOMAS LYKOS, Chairman The Minutes were approved by the Chairman on , 2016, "as submitted" [ 1 OR "as amended" [ 1. 29 Findings of Fact, Conclusions of Law and Decision of the Board Collier County Contractors' Licensing Board For Applications Submitted to the Board for Review Type of Application: X Credit Report Review Waiver of Testing Requirements Reinstatement of License Request to Qualify Second Entity Other (specify) THIS CAUSE came on for public hearing before the Contractors' Licensing Board (hereafter Board) on June 18, 2008 for consideration of the application submitted to the Board for review. The type of application is set out above. The Board having 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: FINDINGS OF FACT 1. That Noel Sinclair has submitted an application to the Collier County Contractor Licensing Supervisor or his designee for review of credit reports. 2. That pursuant to section 22-184 (b) of the Collier County Contractors' Licensing ordinance (Ordinance 90-105, as amended) a credit report that appears to indicate that the applicant may not meet the standards set out in Florida Administrative Code 61 G4-15.006 for financial responsibility requires referral to the Board for a decision regarding approval or denial of said application. — -37-That-the Board has jurisdiction-over this matter and that-Noel-Sinclair-was— present at the public hearing and was not represented by counsel at the hearing on June 18, 2008. 1 4. Allnotices required by Collier County Ordnance No. 90-105, as amended, have been properly issued. 5. The facts in this case are found to be: a) Noel Sinclair has submitted adequate documentation and testimony in support of his company's credit report in that his licensure will not result risk of economic loss resulting from the contractor's inability to pay his lawful contractual obligations, subject to his satisfaction of the terms set out herein. b) Credit report does meet the standards of Florida Rule 61G4-15.006 for Financial Responsibility, subject to the criteria set out in this order. CONCLUSIONS OF LAW 1. Based upon the foregoing facts the Board concludes that the applicant has met the standard set out in Ordinance 90-105, as amended, with the exceptions noted herein. 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 Collier County Ordinance No. 90-105, as amended, by a vote of 3 in favor and 2 opposed, a majority vote of the Board members present,, the applicant is gran e a license to act as a contractor subject to the stipulations set out below. 2 1. Contractor will operate on under the supervision of the Contractors's Licensing supervisor and the Contractors' Licensing Board fora period of one (1) year. 2. During the probationary period, the Applicant must submit a credit report after six (6) months, which credit report will be brought to the Board for review and action at that time. If Board finds that the credit report is satisfactory, the Applicant will continue to be licensed for the final six (6) months of the probationary period. If it is not, the Board may revoke the license, or take other action as it deems appropriate. 3. If the Applicant is granted the second six (6) month period of the probationary period, a new credit report must be submitted to the Board for review at the end of the second six (6) month period. If the Board finds that it is not, the Board may revoke the license or take other action as it deems appropriate. 4. The Contractors' Licensing Department may not issue any letters of reciprocity for the Applicant during the pendency of the probationary period. ORDERED by the Contractors Licensing Board effective the1-8 -day –— - of/June, 2008. ///// r�chard foshn,Vice Chairman Contractors Licensing Board 3 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 the Applicant, and Michael Ossorio, Licensing Com fiance Supervisor, 2800 North Horseshoe Drive, Naples, FL 34104 on this U° day of `1 ``'i,` , 2008. S e etary / Contractors Licensing Board 4 CONTRACTORS LICENSING BOARD COLLIER COUNTY, FLORIDA BOARD OF COUNTY COMMISSIONERS ) COLLIER COUNTY, FLORIDA ) Petitioner, ) In re ) LICENSE #:ER13014132 Noel Sinclair ) #32951 Applicant ) ORDER THIS CAUSE came on for public hearing before the Contractors' Licensing Board (hereafter Board) on October 21, 2009 for consideration of the non-compliance of the Applicant, Noel Sinclair, with the terms of his probationary licensure. 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: FINDINGS OF FACT 1. That Noel Sinclair is the holder of record of License Number ER13014132/ #32951. 2._T-hat=the-Board-has jurisdiction-of-the-person of the_Respondent-and_that_Noel Sinclair was present at the public hearing and was not represented by counsel at the hearing on June 18, 2008. C:\Documents and Settings\clements_k\Local Settings\Temporary Internet Files\Content.Outlook\JL8DE61 W\Sinclair Noel-Order re failure to provide credit report.doc 1 3. All notices required by Collier County Ordinance No. 90-105, as amended, have been properly issued and were sent by certified mail and/or personally delivered. 4. The Applicant was approved for a Probationary License on June 18, 2008 with certain conditions and criteria to be fulfilled in order for the Probationary License to become permanent, pursuant to the Findings of Fact, Conclusions of Law and Order of the Board issued effective that date. 5. That the Applicant has failed to comply with the provisions of the Order of the Board issued at its June 18, 2008 hearing on this matter. CONCLUSIONS OF LAW 1. The Applicant has failed to fulfill the provisions of the Order of the Board as set out above and thus said Probationary License as a matter of law is revoked. 2. Collier County has jurisdiction over this contractor pursuant to Collier County Ordinance 90-105, as amended. 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 Collier County Ordinance No. 90-105, as amended, by a vote of 7 in favor and 0 opposed, a majority vote of the Board members present, the Applicant has been found to have failed to comply with the previous order of the Board granting a Probationary License. Further, it is hereby ORDERED, by a vote of 7 in favor and 0 opposed, a majority vote of the Board members present that the following order is hereby imposed upon the holder of Contractors' Certificate of Competency No. C:\Documents and Settings\clements_k\Local Settings\Temporary Internet Files\Content.Outlook\JL8DE61w\Sinclair Noel-Order re failure to provide credit report.doc 2 Applicant's Probationary License is revoked effective October 21, 2009. FURTHER, the Board makes a recommendation to the Florida Construction Industry Licensing Board that the Applicant be prohibited from contracting in the state of Florida without a full hearing on such matter. ORDERED by the Contractors Licensing Board effective the 21 day October, 2009 ichard Joslin/Chair 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 the Respondent and Michael Ossorio, Licensing Compliance Supervisor, 2800 North Horseshoe Drive, Naples, FL 34103 on thisday of November, 2009. Ayi Secretary / Contractors Licensing Board F:\Board Orders\October 2009\Sinclair Noel-Order re failure to provide credit report.doc 3 . ..**- ( 0..--. 7 e-r ..../o-t-i-fity --------tt---..---.„-----_ GMD Operations & Regulatory Management Licensing Section 2800 North Horseshoe Drive agLiciGZ. Naples,FL 34104 CD PlSL C.323si APPLICATION FOR COLLIER COUNTY/CITY OF NAPLES/CITY OF MARCO FIRM INSTRUTIONS: This application must be typewritten or legibly printed. The application fee must be paid upon approval and is not refundable. All checks should be made payable to: Collier County Board of County Commissioners. For further information, consult Collier County Ordinance No. 90-105, as amended. NAME OF COMPANY: , Exact Corporate/Business Name: <-7 - , -- - , - , i ----)M.) C ei/XL_- (1E-(_ - bt. i C 6, C. , Fiction Name/DBA: /Air (a /z_ 1.-z6--c2-7,6. C Qualifier Name: A/6e/ Physical Address: C7772— :3 t/1 .-7.- bil ii.:/-; ".-6-, (Number&Street) (City) (State) (Zip Code) (12/71--) 3 s7r;5/ i ,4 ,tc.::-?•:-i , - Mailing Address: ) v (Number& Street) (City) (State) (Zip Code) Telephone: 5t / (La& -? -7 '12 E-mail: Ale L ( , c TYPE OF LICENSE: General $230.00 X Electrician $230.00 Building $230.00 Plumber $230.00 Residential $230.00 Air Conditioner $230.00 Mechanical $230.00 Swimming Pool $230.00 Roofing $230.00 $ .00 Trade: I// 13 7 7 77211° 21/ CHANGE OF STATUS: RENSTATEMENT FEE $230.00 ( ) Reinstatement (sbrom One Business to Another 3BACK YEARS $615.00 NEW LICENSE FEE $230.00 TOTAL = $435.00 10/21;2009 Certificate REVOKED-Order Of The Board Page 1 of 4 1. The ames,titles,home address and phone numbers of all Officers/Managing Members of the Firm. /(-od 'lI 35M Si 6 9h 3 g { IF- 2. List all businesses, firms, entities or contracting businesses you have been associated with during the last ten years(i.e.held a license for or been a partner). Attach extra pages if needed. Po 4-4 .41,7Z-6 G iC- qz7 U 7e.ii e ''-'2;-.1.,-.7-7-e-,%-1.. -6 ., '&j 2 ,j'/A/i, e,e T S fr 3. List all debts you or any company(s)associated with you that you refused to pay and the reasons for the refusal to pay. Attach extra pages if needed. C AFFIDAVIT Under the penalties of perjury I declare that I have read the foregoing application and that the facts stated in it are true. ;(7 .5;,0-2 6-6 , Qualifier The foregoing instrument as acknowledged before me this -7,/,/(7/ ' / f ( by Az '- `7 t�111(-cL t%/o f 5/<2cL/ <i 6ier %���_ Lt- (Quallifier Name) (Name of Corporation) 14- al U �� � Corporation on behalf of the corporation. (State or Place of Corporation) He/She hasproduced r i identification and did not take an oath. (Type of identification) NOTARY'S SEAL f ",Y SkGNATURE OF NOTARY) =zs ,,e,,,, ANNEKA HOWELL k 4, Notary Public-State of Florida < .,,. ti My Comm.Expires Feb 15.2018 ;---: ,-°'''''"09.1-$' Commission#FF 074120 AFFIDAVIT The undersigned hereby makes application for Certificate of Competency under the provisions of Collier County No. 2006-46,as amended, and under penalties of perjury. I declare that I have read the foregoing qualifier information and that the facts stated in it are true. 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/she 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. ill) Al Applicant(please print) bei//e/‘- I 6:- Name -Name of Company Signature of Applicant State of Florida K(Y' f County of The foregoing instrument as acknowledged before me this 7//1//6 /6��6 ti (Date) by who has produced (Name of person acknowledging) (Type of identification) As identification and did not take an oath. NOTARY'S • �.1 `r o!�. pANNEKA HOWELL I -� ,, Notary Public-State of (SIGNA i F NOTARY) �' Florida ;,_�� s My Comm.Expires Feb 15.2018 `••6,aCommission#FF 074120 AFFIDAVIT It is understood and acknowledged by the Collier County Contractor's 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. (3),L - Signature of Applicant Business Name ///6 Date BEFORE ME this day personally appeared A �' tt `1' `�c�' ' t t � who affirms and says that he/she has less than one employee and does not require Workmen's Compensation and understands that at any time he/she employs one or more persons he/she must obtain said Workmen's Compensation Insurance. State of Florida ,,-7-- County of The foregoing instrument as acknowledged before me this -7////// ) (Date) I37de6 � 01-- by who has produced (Name of person acknowledging) (Type of identification) As identification and did not take an oath. NOTARY'S SEAL i// , '�j,,,pt, (SIGNATURE OF NOTARY) o��r n�.,,�� ANNEKA HOMIER. =: 1 Notary Public-State M Florida W. n My Comm.Expires Feb 15.2018 ' ' O/ Commission#r FF 074120 AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF \ Ck( '` COUNTY OF c . %060, I, pv,Ch a Q k Ct ),}v:e„A c n , having been first duly sworn, state and affirm: I am a resident of p1 ?'- tCounty, Fie 1-/014,--' (State) and have resided here for more than five (5) years. During the last five years I have known i'i'e1"C S74"4 F (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. f� /% %' 0., 1 Signature M,c hoe 1c, ,A4 �,,%43.-7 Name A 6K tiV),6\i\iM \\O ti V))40 I Address 5t'— Ws-5C\\ Telephone The foregoing instrument as acknowledged before me this P CJXJ { If by \ x\t1 `� iV\ VW� who has produced \I V .L (name of person acknowledging) (type of identification) as identification and did not take an oath. 'C4L /1 NOTARY'S SEAL , . . I \A° , ,./may Jimilla Monique Bess I .4IGNATURE OF NOTARY) 4 Y1040 NOTARY PUBLIC \\) 1 '_ STATE OF FLORIDA Comm#FF172859 4 E Is Expires 10/29/2018 RESOLUTION OF AUTHORIZATION WHEREAS S;A't-"ill- �e 'J2/ L c C proposes to engage (Name of Business Entity) in contracting as -3 '1'�'A i2-- 6e z;;--e144.-2_ 4...'L in (Type of legal entity: corp.,partnership,etc.) Collier County,Florida,according to Collier County Ordinance 2006-46,as amended:and WHEREAS S J'L c-6 4 f;:-/- C;261 . 7 'C Lt.0 proposes to qualify (Name of BusinessEntity) / ( for a Certificate of Competency with ui�` S i 1(Ces//-' (Name of Individual) NOW,THEREFORE,BE,IT HEBY RESOLVED THAT: We the undersigned /L10 ( V-2( i""ii- of (Officers,Owners,Partners) A;(-Iti I %vG 2ie, hereby resolve and represent to the Collier County (Name of Business Entity) c---, j Contractor's Licensing Board that the qualifying agent, Al`s L`( ' /11I L��' :is active (Name of Individual) in all matters connected with the contracting business of e: .QV Ze C LL--C ,and (Name of Business Eptity) We further resolve and represent that , 'C' tt ( :IIYh''C'=(a %iee is S//vL%1CLi/Z. (Name of Individual) Legally empowered to act for �L6-G%.�`/ G Li- in all matters connected with its (Name of Business Entity) contracting business,and_has the authority to supervise construction undertaken by (Name of Business Entity) / DULY PASSED AND ADOPTED THIS // DAY OF -3-''` r / , GP C(6 (Officers,Partners,Owners-with designation underneath) Witness Witness Witness Corporate Seal(if applicable)or Notary Public Certificate Sworn to and subscribed before me this r l day of J�1:k1 , �( +� by Alii f ( -r i1I (-6I`'-- The foregoing instrument as acknowledged before me this l , •• 2./C / L Date :�/it)C,(_ 1 e. by ill,„!,�{. � ho has produced 1-1;6 �--�(.--- (name of person acknowledging) (type of identification) as identification and did not take an oath. .—,4 NOTARY' ", n, _; � � ��r S; l,,llllllfff ion;" "�*'� ANNEKA HOWELL ,1: _ Notary Public-State of Florida ;- (SIGNATURE OF NOTARY) y: �o F My Comm.Expires Feb 15,2018 0,1,o,l Commission#FF 074120 STATEMENT OF OWNERSHIP This certifies that I, , 1 ( ' 571116-:(e:///1-, am a member or (APPLICANT'S NAME) Managing member of 711' c1 f t-C c e 7/2 i6„ (LIMITED LIABILITY COMPANY NAME) I own /00 % 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. ey( r. %c-< < 111 , .. (PRINT NAME) (APPLICANT'S SIGNATURE- (D IGNATURE/ /6 (D TE) sZr Greenacres. Florida O � �—r-- Phone#(561)304-4922 ,� '_ Ext. 108 — Fax#066)770-9675 May 23,2008 Re:Noel Sinclair To Whom It May Concern: Let this letter serve as a reference and a strong recommendation for the ability,integrity,and quality of work for Noel Sinclair. Noel was employed with Crattstaff, LLC from January 19 2004 thru March 3'° 2006 and subsequently from September 2nd 2006 thru May 16th 2008. Mr.Sinclair has exhibited the skill level and competency of a Journeyman Electrician on all projects he was assigned too.If you have any questions please feel free to contact me directly. Regards, Danny Chavis/Regional Manager CraftstafF,LLC License Number-ER13012614 Phone:(561)304-4922 ext.108 Fax(866)770.9675 Cell:561-723-1395 small:dchavis(�craftstalf oom Given under hand and seal this`.. )day of ` , CO Sworndiagi thi20Substxl me CRA � F,LL Y1 By: �\ Nam • <<: Notary Public My Commission Expires: (Affix Seal) OIGNO8AHARNIA • NYCO ON#00619t29 I .4°�'.a�.. :r t)rPlFebmry9,20tt s�amn.ura�rawveaw.e., t v� STRATTON ELECTRIC, INC. ELECTRICAL CONTRACTORS State Certified EC 13002778 May 6,2008 Collier County To whom it may concern: Re:Employment verification This letter is to verify that Noel Sinclair had been employed by Stratton Electric,Inc.from November 9,2000 until March 7,2002.He was employed as an Electrician. Stratton Electric, Inc.offered 40 hours of work a week. If you have any questions or concerns,please feel free to call the office at(561)848-1010. Sincerely, -r Calvin Ellis Baird Qualifier Competency# 13 co 2 7 7 g Coral Stratton Kimball President Payroll/Human Resources STATEOF-1/"0/p` COUNTY OF)A-.,.M ) On this the I:4day of Mks, ,20/4 before me personally appearedho acknowledged to be the Gbixwa.11Ahvmsit,of 7DMe a c ucand to be duly authorized by said corporation to execute the forgoing document on behalf of said corporation,and that being authorized to do so,executed the forgoing instruction for the purpose therein contained,by signing the • name of the corporation as Swotaf and subscribed before me this ."Z"14- day of MAY ,204{ . I - My commission expires bah)!1�z `8' No Public lPersonaliy known _Produced identification,type Moth Prove-sWn et iNM. —tle Candesio4 Esnat Fab t, Gemini,*ini,*s 00 7N3* 7546 Pauttprise Drive.West Palm Beach,FL 33404 USA (.561)845-1010 fax:(561)545-0088 wwws trauonciccui c.c-t.m • POMEROY ELECTRIC Pomeroy Electric Incorporated 3131 SW 13th Drive Deerfield Beach,FL 33442 Phone: 954-427-0705 INCORPORATED Fax: 954-360-9579 � License: EC0000931 May 5, 2008 Re: Noel R. Sinclaire, Sr. To Whom It May Concern: Pomeroy Electric Incorporated employed Noel R. Sinclaire, Sr. originally from April 22, 2002 through February 24, 2003, then again from March 06, 2006 through August 29, 2006 as an electrician. Starting in an entry-level position, he was able to take on additional responsibility and increased his skills, doing what was necessary to become a professional in his field. He worked well with our customers, his co-workers and other trades, keeping the best interest of the company in mind. He was also reliable and trustworthy. I considered him a valuable asset to this company. Sincerely, POMEROY ELECTRIC,INC. Ste•03/4" , •• eroy Presi.e SCP/mcp Sworn and subscribed to me this 5th day of May 2008 by Stephen C. Pomeroy who is personally known to me. 1116.• • / - r JAN7.^.E L BOSCO _l -A — _ - 10+ comms oo340323e Public trItei••FBoldMT(800$32-4254 1. FlanW Notvy AseM1.µee 7-4 Terry's Incorporated • May 7,2008 To Whom It May Concern: Mr. Noel Sinclair, 1111111111.66 was employed by Terry's Electric, Inc.from 02/06/2003 through 01/16/2004,as an Electrician Helper in our South Florida Commercial Division. Mr.Sinclair was involved in all phases of electrical construction,including pipe,wire,and gear. Sincerely, V John P.Neveu Vice President Administration • EC-0001017 /7�a cr" 1 o .ry Public Date My Commission Expires: KAREN A.SISSETT NOTARY WATS OF FLORIDA "Affiant Known Personally." COMMISSION#OO479946 EXPIRES 11/08/2009 Kum ninU 14110411TARY1 600 N.Thacker Avenue•Suite A A.Kissimmee,Florida 34741 1-888-27TERRY•(407)572-2100•Fax:(407)846-3461•www.terryselectriccam Prepared By: Merit Credit (239) 277-3202 (800) 371-3348 TRANSUNION CREDIT REPORT [FOR] [SUB NAME] [MKT SUB] [INFILE] [DATE] [TIME] (I) Z NP6284423 MERIT CREDIT 16 MI 9/00 08/23/16 12:40CT [SUBJECT] [SSN [BIRTH DATE] SINCLAIR, NOEL ROY JR. - [CURRENT ADDRESS] [DATE RPTD] 915 38TH ST., WEST PALM BEACH FL. 33407 6/11 [FORMER ADDRESS] 4501 PINEWOOD AV., WEST PALM BEACH FL. 33407 9/00 4401 PINEWOOD AV., WEST PALM BCH FL. 33407 [POSITION] [CURRENT EMPLOYER AND ADDRESS] [VERF] [RPTD] [HIRE] FASTRAC ELECTRIC CO ELECTRICIAN 6/16 6/16 3/16 [FORMER EMPLOYER AND ADDRESS] FAST TRACK ELECTRIC 6/16 6/16 MODEL PROFILE * * * A L E R T * * * ***FICO SCORE 4 ALERT: SCORE +668 : 038, 020, 010, 008 *** IN ADDITION TO ***THE FACTORS LISTED ABOVE, THE NUMBER OF INQUIRIES ON THE CONSUMER'S ***CREDIT FILE HAS ADVERSELY AFFECTED THE CREDIT SCORE. CREDIT SUMMARY * * * TOTAL FILE HISTORY PR=0 COL=5 NEG=1 HSTNEG=0 TRD=17 RVL=12 INST=4 MTG=1 OPN=0 INQ=15 HIGH CRED CRED LIM BALANCE PAST DUE MNTHLY PAY AVAILABLE REVOLVING: $8446 $18.9K $5908 $0 $213 69% INSTALLMENT: $33.1K $ $32.8K $0 $490 MORTGAGE: $50.0K $ $39.6K $0 $370 TOTALS: $91.6K $18.9K $78.3K $0 $1073 COLLECTIONS SUBNAME SUBCODE ECOA OPENED CLOSED $PLACED CREDITOR MOP ACCOUNT# VERIFIED BALANCE REMARKS TSI/969 Y 2C1R010 I 2/15 $55 MEDICAL O9B 4/15A $55 PLACED FOR COLLECTIO CENTRL FINCL Y 275M011 I 3/11 $550 MEDICAL O9B 1/13A $550 PLACED FOR COLLECTIO CENTRL FINCL Y 275M011 I 3/12 $350 MEDICAL O9B 1/13A $350 PLACED FOR COLLECTIO CENTRL FINCL Y 275M011 I 4/11 $550 MEDICAL O9B 1/13A $550 PLACED FOR COLLECTIO AMSHER COLL Y 744U001 I 4/15 8/15F $97 11 DISH NETWORK O9P 8/15A $0 SETTLED [ FULL BLNC TRADES C rte`: / ,-,, SUBNAME SUBCODE OPENED HIGHCRED TERMS MAXDELQ PAYPAT 1-12 MOP ACCOUNT# VERFIED CREDLIM PASTDUE AMT-MOP PAYPAT 13-24 ECOA COLLATRL/LOANTYPE CLSD/PD BALANCE REMARKS MO 30/60/90 SYNCB/JCP D 235058D 6/01 $650 R9P 2/10A $100 $0 I CHARGE ACCOUNT 11/09F $0 SETTLED [ FULL BLNC DSNB MACYS D 2A5T001 5/00 $332 1111111XXX11 R01 8/16A $2000 $0 111111111 I CHARGE ACCOUNT 4/16P $0 21 0/ 0/ 0 SYNCB/WALMAR D 235057X 2/14 $0 111111111111 RO1 8/16A $400 $0 111111111111 I CHARGE ACCOUNT 2/16C $0 CLOSED 30 0/ 0/ 0 CAPITAL ONE B 1DTV001 1/12 $674 MIN25 111111111111 RO1 8/16A $750 $0 111111111111 A CREDIT CARD $629 48 0/ 0/ 0 SYNCB/TJXDC B 235065N 6/15 $251 111111111111 RO1 8/16A $1800 $0 11 I CREDIT CARD 5/16P $0 14 0/ 0/ 0 SEARS/CBNA B 6256458 10/15 $2548 MIN74 111111111 RO1 7/16A $4000 $0 I CREDIT CARD $2289 9 0/ 0/ 0 THD/CBNA B 26H3005 11/01 $901 MIN36 111111111111 RO1 7/16A $5000 $0 111111111111 I CHARGE ACCOUNT $381 48 0/ 0/ 0 ALLY FINCL F 259237N 6/16 $33.1K 84M490 1 I01 7/16A $0 C AUTOMOBILE $32.8K 1 0/ 0/ 0 SYNCB/JCP D 235058D 6/09 $321 111111111111 RO1 7/16A $281 $0 111111111111 I CHARGE ACCOUNT 6/15C $0 CLOSED 48 0/ 0/ 0 CAPITAL ONE B 1DTV001 10/03 $3142 MIN78 111111111111 RO1 7/16A $3500 $0 111111111111 I CREDIT CARD $2609 48 0/ 0/ 0 OCWEN LOAN B 813P004 5/03 $50.0K 360M370 111111111111 MOl 6/16A $0 111111111111 I CONVENTIONAL REAL $39.6K 48 0/ 0/ 0 CRDT FIRST A 3835003 11/13 $205 111111111111 RO1 3/15A $1400 $0 111 I CHARGE ACCOUNT 3/15P $0 15 0/ 0/ 0 CRDT FIRST A 3835003 10/04 $393 1111111111XX RO1 7/10A $400 $0 XXXXXXXX1111 I CHARGE ACCOUNT 6/10P $0 44 0/ 0/ 0 CITIFINANCIA F 7212001 11/06 $10.0K 60M 111111 I01 6/07A $0 I UNSECURED 6/07C $0 CLOSED DUE TO REFIN 6 0/ 0/ 0 CAPITAL ONE B 1DTV205 1/07 $0 RO1 1/07A $300 $0 I CREDIT CARD 1/07C $0 ACCT CLSD BY CONSUMER CITIFINANCIA F 7212001 7/06 $8311 60M233 111 I01 11/06V $0 I UNSECURED 11/06C $0 ACCT CLSD BY CONSUMER 3 0/ 0/ 0 SANTANDER F 1R18003 4/03 $10.8K 60X282 IUR 6/09A $0 I AUTOMOBILE 6/09C $0 CLOSED INQUIRIES DATE SUBCODE SUBNAME TYPE AMOUNT 8/23/16 ZNP6284423 (FLA) MERIT CREDIT 6/24/16 BBH0009408 (SCT) COMPASS BK I 6/24/16 FPC1246538 (NTL) COAF 6/24/16 FDT4113756(MCH) TD AUTO FINA 6/24/16 ACH0210898 (CHI) ARRIGO DODGE 6/21/16 FPC1246538 (NTL) COAF 6/10/16 ZSM0049997 (WIL) CREDIT PLUS 6/03/16 FPH3355120 (EAS) FLAGSHIP CRE 6/03/16 FPC1246538 (NTL) COAF 4/25/16 QHO2004946 (SCT) CBClnnovis 11/12/15 BHO6079436 (SCT) PNC MORTGAGE 10/04/15 BCE2532232 (CHI) CBNA/SEARS 7/22/15 ZSM0049997 (WIL) CREDIT PLUS 7/08/15 FCO1207005 (CAL) CREDCO 6/06/15 BNY4597847 (EAS) SYNCB/TJX DC CREDIT REPORT SERVICED BY : TRANSUNION 800-888-4213 2 BALDWIN PLACE P 0. BOX 1000,CHESTER, PA 19022 Consumer disclosures can be obtained online through TransUnion at: http://www.transunion.com CREDITOR CONTACT INFORMATION TSI/969 YC2C1R010 (877) 282-1250 POB 7100 DUBLIN OH. 43017 CENTRL FINCL YC275M011 (888) 233-7880 PO BOX 660873 DALLAS TX. 75266 AMSHER COLL YC744U001 (205) 322-4110 4524 SOUTHLAKE PAR HOOVER AL. 35244 SYNCB/JCP DC235058D (866) 227-5213 PO BOX 965007 ORLANDO FL. 32896 DSNB MACYS DC2A5T001 PO BOX 8218 MASON OH. 45040 SYNCB/WALMAR DC235057X (877) 294-7880 PO BOX 965024 EL PASO TX. 79998 CAPITAL ONE BC1DTV001 (800) 955-7070 PO BOX. 30281 SALT LAKE CITY UT. 84130 SYNCB/TJXDC BC235065N (800) 926-6299 PO BOX 965015 ORLANDO FL. 32896 SEARS/CBNA BC6256458 (L2 PO BOX 6282 SIOUX FALLS SD. 57117 THD/CBNA BZ26H3005 PO BOX 6497 SIOUX FALLS SD. 57117 ALLY FINCL FA259237N (800) 925-2559 P.O. BOX 380901 BLOOMINGTON MN. 55438 OCWEN LOAN BM813P004 (561) 682-8000 1661 WORTHINGTON R WEST PALM BEAC FL. 33409 CRDT FIRST AZ3835003 (216) 362-5000 POB 81315 CLEVELAND OH. 44181 CITIFINANCIA FZ7212001 (800) 922-6235 605 MUNN ROAD FORT MILL SC. 29715 CAPITAL ONE BC1DTV205 (800) 477-6000 PO BOX 30253 SALT LAKE CITY UT. 84130 SANTANDER FA1R18003 (866) 923-9282 PO BOX 961245 FORT WORTH TX. 76161 COMPASS BK I B 0009408 (205) 297-6720 PO Box 11830 Birmingham AL. 35202 COAF F 1246538 (888) 396-2623 3905 N. DALLAS PAR PLANO TX. 75093 TD AUTO FINA F 4113756 (800) 556-8172 27777 INKSTER RD FARMINGTON HIL MI. 48334 ARRIGO DODGE A 0210898 (561) 683-1511 6500 OKEECHOBEE BL WEST PALM BEAC FL. 33409 CREDIT PLUS Z 0049997 (800) 258-3488 31550 Winterplace SALISBURY MD. 21804 FLAGSHIP CRE F 3355120 (800) 707-0115 3 CHRISTY DRIVE CHADDS FORD PA. 19317 CBClnnovis Q 2004946 (877) 237-8317 875 Greentree Road Pittsburgh PA. 15220 PNC MORTGAGE B 6079436 (937) 910-1200 3232 NEWMARK DRIVE MIAMISBURG OH. 45342 CBNA/SEARS B 2532232 (208) 322-5100 P.O. BOX 5 BOISE ID. 83707 CREDCO F 1207005 (800) 523-0233 PO BOX 509124 SAN DIEGO CA. 92150 SYNCB/TJX DC B 4597847 (800) 926-6299 PO BOX 965015 ORLANDO FL. 32896 END OF TRANSUNION REPORT MERIT CREDIT HAS RETRIEVED THE ABOVE PERSONAL CREDIT REPORT FOR LICENSING PURPOSES AS REQUESTED BY THE BUSINESS OWNER/PROPRIETOR. PUBLIC RECORDS FOR THIS REPORT HAVE BEEN CHECKED AND VERIFIED AT THE COUNTY, STATE AND FEDERAL LEVELS. PUBLIC RECORDS 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) 277-3202. 1.71 d c., d { SE CLAS NOEL RC: n SINCLAIR ';;;441144- 915581 f$i WEST PALM BENCH.Ft..33407.3823 DOS Si ids 01-20-2040 HOC 040 .1148.1s- 12144018 0887 7 [ 'SE01-1'4016ffvn of s t*x+aur vel z#Mtlent .*.,ad+nel9'beat zetootod Sy Mw X OF vthjR"INTERNALZDEPARTMENT REVENUEESERVICERY CINCINNATI OH 45999-0023 Date of this notice: 08-23-2016 Employer Identification Number: 001814.689865.462540.3772 1 MB 0.419 530 38-4010890 1111141111111111111111111111111111111"1114111111111111111111 Form: SS-4 Number of this notice: CP 575 G SINCLAIR ELECTRIC LLC NOEL SINCLAIR SOLE MBR For assistance you may call us at: 915 38TH ST 1-800-829-4933 WEST PALM BEACH FL 33407 )1814 IF YOU WRITE, ATTACH THE STUB OF THIS NOTICE. WE ASSIGNED YOU AN EMPLOYER IDENTIFICATION NUMBER Thank you for applying for an Employer Identification Number (EIN) . We assigned you EIN 38-4010890. This EIN 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. IMPORTANT REMINDERS: * Keep a copy of this notice in your permanent records. This notice is issued only one time and 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. * Provide future officers of your organization with a copy of this notice. Your name control associated with this EIN is SINC. You will need to provide this information, along with your EIN, if you file your returns electronically. If you have questions about your EIN, you can contact us at the phone number or address listed at the top of this notice. If you write, please tear off the stub at the bottom of this notice and include it with your letter. Thank you for your cooperation. Report Viewer Page 1 of 1 1 /1 100% JEFF ATWATER ^ "—" CHIEF FINANCIAL ICER 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: 8/29/2016 EXPIRATION DATE: 8/29/2018 PERSON: SINCLAIR NOEL FEIN: 384010890 BUSINESS NAME AND ADDRESS: SINCLAIR ELECTRIC LLC 915 38TH ST WEST PALM BEACH FL 33407 SCOPES OF BUSINESS OR TRADE: ELECTRICAL WIRING WITHIN BUIL Purant to Chapter 440.05(14),F.S.,an officer of a corporation who sleds enenption from this chapter by a COMMRCata of election andNMdi SBteon Pura recover banefih or compensation ander this chapter.Pursuantto Chapter 440.05(12).P.S..Ce tcetaf '9 of election to be 000091...apply only wahin the scope.of the base e n or trade toted on the notice of Vection to be exempt Pur uant b Chapter 440:05(131,F.S.,Notices of election to be y exempt and cared on the berme to be exempt e be eob)eat to revocation i et any time after the anng of the nonce or the idepance of the certificate, the person named on notice or certificate no longer meds the requirements of this section for issuance of a certificate.The department Shea revoke a DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS?(850)413.1609 https://apps8.fldfs.com/crrenortviewer/renortViewwr acnx9riata=krivnaint'4il7n1au,cTr PI Q/I1/1A 1 4 8/23/2016 Detai by Entity Name } 1,(}R11?It, I) FPAR.1..ME \'101 STA1F It"lf ' ' () ! RtT 'l ' 1. 1 () Detail by Entity Name Florida Limited Liability Company SINCLAIR ELECTRIC LLC Filing Information Document Number L16000155607 FEUEIN Number NONE Date Filed 08/19/2016 State FL Status ACTIVE Principal Address 915 38TH ST WESB PALM BEACH, FL 33407 Mailing Address 915 38TH ST WESB PALM BEACH, FL 33407 Registered Agent Name&Address SINCLAIR, NOEL 915 38TH ST WESB PALM BEACH, FL 33407 Authorized Person(s)Detail Name&Address Title 0 SINCLAIR, NOEL 915 38TH ST WESB PALM BEACH, FL 33407 Annual Reports No Annual Reports Filed Document Images No images are available for this filing. http://search.su nbtorg/Inqury/CorporationSeamh/SearchResukDetarhiquiytype=EnblyName&iiectionType=Initial&searchNameOrder-SINCLAIRELECTRIC%20L 16000155607... 1/2 IV �Q , -€.-10 - 0 ri, ,. .€........, _ _ ua 0 4 . .. .,\_. , <I ..... .:;., . n • .... . . to. tol . . . _ . 4. -.. toe, ,.. .€ OC ` �Sh 'SiGOD wE7AUsC s Wel a depar � tmPnt of Ottttp t y 0 C '•C 0. I certify from the records of this office that SINCLAIR ELECTRIC LLC, is a limited gC •C liability company organized under the laws of the State of Floridan filed-on �C August 19, 2016. 0 The document number of this company is L16000155607. =i r 40 0 further certify that said company has paid all fees due this office through t0 .,40,-4`" December 31, 2016, and its status is active. t.� jOC '. .€ V• Oz cc 0L 0 t0 0 w4Given under my hand and the j-C j Great Seal of the State of Florida S00 at Tallahassee, the Capital, this the - Tx _s .,, Twenty-second dayof August, 2016 0. _ � toy 0 '� V' ?s:B�Eo C �a / 'V•ri iiir-k=--___,,,-,,- -..„-:isi \IPAik AUC *, ......,,,.,:* 402Gop_ T4: AEZi Ptalitedti O tolCR2E022 (1-11) p EtTEMr�1 0 EM E tol • • _ U ° IIvvO�n0 tnC7,CCIN-41.1NV6Udii(5i(eAg� OVll°Oa`eroOO. AtUO OO(,l &C)& )&C 1 . . n ...iN11,,. ., . .NANai .w,. .evAv-4Not. A�-- CERTIFICATE OF LIABILITY INSURANCE DATE 8/26/ �DD'YYYY' 08/26/2016 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 MAGEN INSURANCE INC CONTACT NAME: MAGEN INSURANCE MEMBER OF FAIA MEMBER SERVICES PHONNo ;t)_ (561)221-6710 FAX 7301 W PALMETTO PARK RD#B105 (NC NoL(561)221-6739 aD��less: luis@mageninsurance.Com BOCA RATON FL 33433 PRODUCER CUSTOMER 10#: INSURERS)AFFORDING COVERAGE NAIC# INSURED SINCLAIR ELECTRIC, LLC INSURER A: Cypress Property&Casualty 10953 915 38TH ST INSURER B: WEST PALM BEACH FL 33407 INSURER C: INSURER 0: 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 ADDL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR VI/VD POLICY NUMBER (MM/DDTYYYY) (MMJDD/YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY FGL 5009048 00 08/26/2016 08/26/2017 DAMAGE TO RENTED $ 100,000 PREPAISES(Ea occurrence) CLAIMS-MADE X OCCUR MED EXP(Any one person) S 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE S 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG S 2,000,000 POLICY f (PRO- ^LOC JECT S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY(Per person) S SCHEDULED AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS PROPERTY DAMAGE $ (Per accident) NON-OWNED AUTOS S UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE RETENTION 5 S WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERJMEMBER EXCLUDED? N/A EL EACH ACCIDENT $ (Mandatory in NH) If yes,describe under EL.DISEASE-EA EMPLOYEE $ DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S T Contractor's E&O Per Claim Limit S CLAIMS MADE I OCCUR Annual Aggregate S IESCRIPTION OF OPERATIONS t LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) :ER T IFICATE HOLDER CANCELLATION COLLIER COUNTY CONTRACTORS LIC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 2800 N HORSESHOE DR THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN NAPLES FL 34104 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE MAGEN INSURANCE INC I BOCA RATON FL ©1988-2009 ACORD COPRORATION.All rights reserved. :ORD 25(2009/09) The ACORD name and logo are registered marks of ACORD Sep 1416,09:49a Corporate Fax 239-288-4968 p.6 II1T Merit Credit Fast,Accurate&Secure. MERIT CREDIT EAS RETRIEVED THE ABOVE BUSINESS REPORT FOR LICENSING PURPOSES AS REQUESTED BY TEE BUSINESS OWNER/PROPRIETOR. PUBLIC RECORDS FOR THIS REPORT HAVE BEEN CHECEED AND VERIFIED AT THE COUNTY (INCLUDING PINELLAS) , STATE AND FEDERAL LEVELS. PUBLIC RECORDS LEARNED: 0 SOURCES OF INFORMATION: EXPERIAN BUSINESS INFORMATION SERVICES IRS LIEN SECTION COUNTY COURTHOUSE RECORDS IF YOU HAVE ANY QUESTIONS REGARDING THIS REPORT, PLEASE CONTACT MERIT CREDIT A2: 1— SO0-371-3348 OR 23S-277-3202. COMPANY NAME:.ST CLAIR ELECTRIC, INC FEDERAL ID:90-0369681 CURRENT STATUS:.INACTIVE PRINCIPAL(S):NOEL SINCLAIR TITLE: PRESIDENT DATE INCORPORATED: MAY 15.2008 • Sep 1416,09:49a Corporate Fax 239-288-4968 p.1 1�1T Merit Credit Fast, Accurate & Secure. Phone: 1-239-277-3202 or 1-800-371-3348 Fax Cover Sheet: Requested Credit Report Attached! Please call if you have any questions, CONFIDENTIALITY NOTICE:This communication with its contents may contain confidential and/or legally privileged information.It is solely for the use of the intended recipient(s). Unauthorized interception,review,use or disclosure is prohibited and may violate applicable laws including the Electronic Communications Privacy Act. If you are not the intended recipient, please contact the sender and destroy all copies of the communication. Sep 14 16,09:49a Corporate Fax 239-288-4968 p.3 This score predicts the likelihood of serious credit delinquencies for this business within the next 12 months. Payment history and public record along with other variables are used to predict future risk.Higher scores incicafe lower risk. Factors lowering the score Industry Risk Comparison > COMPANY'S BUSINESS TYPE 35%of businesses indicate a higher likelihood of severe I delinquency. > RISK ASSOCIATED WITH THE COMPANY'S INDUSTRY Inteiliscore Pius Quarterly.Score:Trends Quarterly Score Trends 100 .r`. 80 I. ` • 1 . F,,j • 1.:... i The Intelliscore Plus Quarterly Score Trends provide a view of the likelihood of delinquency over the past 12 40 1 months for:his business.The trends will indicate if the .' ss score improved,remained stable,fluctuated or declined,•-` over the last 12 months. i ... c ?.ts0\lC-`�3 kfPF,tr.P` 1V�� �,,r 'No score average available for this quarter ff__ Credit Rssk-S cte Fioanctiat Stabiltty.:Risk Current Financial Stability Risk Score:9 Risk Class: 4 High Low The risk class groups scores by risk into ranges of similar Risk Risk performance.Range 5 is the highest risk,range 1 is the 0 3 10 3G 65 100 lowest risk. This score predicts the likelihood of financial stability risk within the next 12 months. The score uses tradeline and collections information•public filings as well as other variables to predict future risk.Higher scores indicate lower risk. Factors lowering the score Industry Risk Comparison LACK OF ACTIVE TRADES 8%of businesses indicate a higher likelihood of financial stability risk. > RISK ASSOCIATED VVITH THE BUSINESS TYPE > EMPLOYEE SIZE OF BUSINESS Financial Stability Fisk 4 arteriy Score Trends • Premier Profile-ST CLAIR ELECTRIC INC 214 Sep 1416,09:49a Corporate Fax 239-288-4968 p.2 Premier Profile-ST CLAIR ELECTRIC INC Subcode:970135 Ordered:09/14/201608:44:40CST • •�Xperian Transaction Number:C501455623 .sr. Search Inquiry:ST CLAIR ELECTRIC/NAPLES/FL • • • Model Description: Intelliscore Plus V2 Business Name e m Business Identification Number ST CLAIR ELECTRIC INC. 889257136 az 889257136 Primary Address:2911 8TH AVE NE Phone: (561)509-4526 NAPLES,FL 34120-4920 Tax ID: 90-0369681 TCP Q Risk Dashboard Risk Scores,and C It Limit:Recommendation Days BeyendTerms Derogatory Legal - FravdAlerts. Intelliscore Plus Financial Stability Risk Company DBT Original Filings High Risk Alerts 36 MEDIUMKMEDIUM TO D8T n L RISK '= ^i HIGH RISK Unavailable Score range:1 -100 percentile C-edit Limit Recommendation:$1,300 TOP Q Business Facts - -- Years on File: 8(FILE ESTABLISHED 07/2008) SIC Code: ELECTRIC SERVICES-4911 State of Incorporation: FL ELECTRICAL CONTRACTORS-1731 Date of Incorporation: 05/15/2008 NAICS Code: Business Type: Profit Electric Power Generation,Transmission and Distribution-221100 Contacts: SINCLAIR NOEL-OTHER THAN LISTED Electrical Contractors and Other Wiring Installation Contractors- 238210 TOP 0 Commercial Fraud.Shield Evaluation for:ST CLAIR ELECTRIC INC,2911 8TH AVE NE,NAPLES,FL34120-4920 Business Alerts` I YerificationTriggers Active Business Indicator: letI Experian shows this business as active INACTIVE DOMESTIC CORPORATE FILING FOUND Possible OFAC Match: 16I No OFAC match found BUSINESS ADDRESS IDENTIFIED AS I RESIDENTIAL Business Victim Statement: I No victim statement on file TOP Credit Risk Score and Credit Limit Recommendation Credit Risk,Score,Intellr• ore Plus Current Intelliscore Plus Score: 36 Risk Class:3 38 MEDIUM RISK _. High Loan The risk class groups scores by risk into ranges of similar Risk — Risk performance.Range 5 is the highest risk.range 1 is the C 10 25 5C 100 lowest risk. f J J Premier Profile-ST CLAIR ELECTRIC INC 114 • Sep 1416,09:49e Corporate Fax 239-2884968 p.4 The Financial Stability Risk Quarterly Score Trends Quarterly Score Trends provide a view of the likelihood of finanaal stability risk over the past 12 months for this business.The trends will indicate if the score improved,remained stable, 100 fluctuated or declined over the last 12 months. • I � 0, 0\, 0cC_45. thFT' 4k0 P;G No score average available for this quarter Credit Limit Recommendation Credit Limit Recommendation This recommendation compares this business against similar businesses in the Experian business credit database,It is based on trade information,industry,age of business and the Intelliscore $1,300 Plus.The recommendation is a guide.The final decision must be made based on your company's business policies. TOP 0 Payment and Legal Filings Summary -' Payment Perform,ante . Trade ani ColfecUoir.Balance Legal•Filings Current DBT: Not Available Total trade and collection(0): 50 Bankruptcy: No Predicted DBT: N!A All trades(0): $0 Tax Lien filings: 0 Judgment filings: 0 Monthly Average DBT: 0 All collections(0): $0 Sum of legal filings: $0 Highest DBT Previous 6 Months: 0 Continuous trade(0): $0 UCC filings: 0 Highest DBT Previous 5 Quarters: 0 6 month average: N/A Cautionary UCC filings: No Payment Trend Indication: Highest credit amount extended: N/A Payment trend indicator not available Most frequent industry purchasing terms: Industry purchasing terms not available Industry Comparison Industry DBT Range Comparison The current OBT of this business is Not Available. DBT for this business: Not Available :-elo--ufbasinesce - 80% a DBT Range 0-5 6-15 n 16+ TOP 0 Additional Business Facts Corporate Registration THE FOLLOWING. :. .... .. . :. _ .:._. - _..._..,_ ..._. . . .. ... . ..__ . _... :..__ . .. ... .. .... __ INFORMATION WAS PROVIDED BY THE STATE OF FLORIDA.THE DATA IS CURRENT AS OF 09114/2016. State of Origin: FL Date of Incorporation:05/15/2008 Current Status: Inactive Business Type: Profit Charter Number: P090000489 Premier Profile-ST CLAIR ELECTRIC INC 3/4 Sep 14 16,09:49a Corporate Fax 239-288-4968 p.5 ( Agent: SINCLAIR NOEL Agent Address: 2911 8TH AVE NE COLLIER COUNTY,FL TOP 0 Experian prides itself on the depth and accuracy of the data maintained on our databases.Reporting your customer's payment behavior to Experian will further strengthen and enhance the power of the information available for making sound credit decisions. Give credit where credit is due. Ca//1-800-520-1221,option d14 for more information. End of report 1 of t report The intonation heroin Is furnished in con/Vence for your exot sit-e use/or Mgt/mate business purposes and shell not be reproduced Nerther Experian Information Solutions,inc.,nor their sources or distnbutors warrant such information nor s/tn/I 1/i ey lie liable for your use or thione upon it. Experian 2016.All rights rese veo.Privacy policy. Experian and the Experian marks herein are service marks or registered trademarks of Experian. Premier Profile-ST CLAIR ELECTRIC INC 4/4 From the Deskof Jim 7carvin 5801 Cedar Tree Lane, Napres, Tforida 34116 239-280-6054 James.kaFvin61 @gmaif corn jimkafvin.com Collier County Contractor Licensing Board October 2016 Applicant: James Kalvin Re: Renewal of Marine Contractor's License Dear Sirs and Madame, Please find my application for the renewal of my Marine Contractor's license accompanying. I am before you due to a tax issue which I have elaborated on within the credit report(see tabs). At time I allowed the license to expire, dock permits all across Florida were on hold due to a federal lawsuit filed against the State of Florida and the U.S. Fish& Wildlife Service by a coalition of"environmental"organizations. As well, residential dock builders had just been subjected to the United States Longshoreman and Harbor Workers' compensation act—which effectively doubled our insurance burden overnight—even on previously contracted work. I opted to go into commercial construction as soon as my signed contracts had been completed. At this time, I believe that there are markets within the Marine Construction industry that are under-manned. This belief is due to calls I have received over the past year from previous clients and tradesmen, even having been out of the trade for over a decade. My aim is to fill the need in a few niche markets and help Collier County residents enjoy their waterfront without severe delays in service, or even delays in communication back from the trade. As a resident of Collier County since 1964, I have been involved in either construction or the marine industry since 1982. During that time, I have been an advocate for all waterway users as a founding member,and current Board Member, of the Marine Industries Association of Collier County. Marine Construction is a natural for me, and I ask for your consideration on the attached application for renewal. Sincerely, -,-,. _,,,A.,.._— /II /_Zt__---„_ James N. Kalvin Com?�er GOJ-L1 r.ty GMD Operations & Regulatory Management Licensing Section 2800 North Horseshoe Drive 1--73, , \ Naples,FL 34104 APPLICATION FOR COLLIER COUNTY/CITY OF NAPLES/CITY OF DECEIVE® FIRM SEP 0 2 2016 INSTRUTIONS: This application must be typewritten or legibly printed. The application fee must be paid upon approval and is not refundable. All checks should be made payable to: Collier County Board of County Commissioners. For further information, consult Collier County Ordinance No. 90-105, as amended. NAME OF COMPANY: Exact Corporate/Business Name: c ���' i""� L G Fiction Name/DBA: Qualifier Name: ---L t5 AL /fa/ley/4 Physical Address: 5-80/ 1/4 /414r ,J 9/41 (Number&Street) (City) (State) (Zip Code) Mailing Address: _;04-t (Number&Street) (City) (State) (Zip Code) 8Y1-u95 ' E-mail: j 11 f. /��1`1/A, dl( f ://0 , Telephone: �3q>� —, TYPE OF LICENSE: General $230.00 Electrician $230.00 Building $230.00 Plumber $230.00 Residential $230.00 Air Conditioner $230.00 Mechanical $230.00 Swimming Pool $230.00 Roofing $230.00 I Specialty Specialty Trade: H(i C J t 1 (. 9/2/2016 Reinstatement Fee=$205.00 3 back Year Fees=$555.0C New license Fee=$205.0C HANGE'OFA' US: Total=5965.0( APiRstatement p.O.From One Business to Another *Different fees may apply* ZOO'd Page 1 of 4 1. The names,titles,home address and phone numbers of all Officers/Managing Members of the Film. ,..301e5 / /O/IN 1116,14", ,a71.4 /?//h/pi j t 5-0 Gtr•- % �� S// !s Sf#/ %Jr ; Alyi.45 3'/r/G 9//6 grey 2. List all businesses,firms, entities or contracting businesses you have been associated with during the last ten years(i.e. held a license for or been a partner). Attach extra pages if needed. vaff /,29, ' ��>.r 4!c' 'sill nil A-a#.7 f-A'a z�®y C/ 3. List all debts you or any company(s)associated with you that you refused to pay and the reasons for the refusal to pay. Attach extra pages if needed. AFFIDAVIT Under the penalties of perjury I declare that I have read the foregoin• application and that the I facts stated in it are true. A orized Officer of the Firm The foregoing instrument as acknowledged before me this 30 %Z ® i (Date) by V/+t., of T1rn +4 , LLC (Name of Officer, Title/Agent) (Name of Corporation) a 1-L0 rt r 04 Corporation on behalf of the corporation. (State or Place of Corporation) He/She has produced 1 rkson'4 .<y /t N identification and did not take an oath. (Type of identification) NOTARY'S SEAL (SIGNATURE OF NOTARY) aN•;;,. PAUL R.EVANS ploys`�i Notary Public•State of Florida ` Page 2 of 4 . My Comm.Expires Dec 10,2017 ,, = Commission 0 FF 063942 1 '''441:.`, Bonded Through National Notary Assn. P QUALIFIER INFORMATION: Name: -,akl1C c , /4/dl h Address: 5-WW/ �i �s�G L4 ,'4#45, / l- f'9//6 (Number& Street) (City) (State) (Zip Code) Telephone: ,2.3f- Date of Birth: SS#: 11111— E-mail: jnlitf.gC��i//N 6/e.p, /iCe" Driver's License #: 1. Type of Certificate of Competency for which application is made. — /21GAVI GW/4 2. The names and telephone numbers of two persons who will know your whereabouts. gect4 ero J�oy�r Jays 776-//o 3. Have you ever been convicted of a crime related to Contracting? A/0 (If yes, attach extra sheet with explanation.) 4. Have you or any firms you have been associated with ever filed bankruptcy? Aip 5. List all debts you or any company(s) associated with you that you refused to pay and the reasons for the refusal to pay and reasons why. 6. List your business or work experience during the last ten years. 7. Statement of any formal training you have had in the area for which the application is made. 5ee 164e1 3 of4 1 AFFIDAVIT The undersigned hereby makes application for Certificate of Competency under the provisions of Collier County No. 2006-46, as amended, and under penalties of perjury. I declare that I have read the foregoing qualifier information and that the facts stated in it are true. 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/she 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. Jet t_s 4/1//14 N Applicant(please print) Name of Company S'. ature of Applicant State of Florida County of C c. The foregoing instrument as acknowledged before me this 9 - 3 0 0 (Date) by Ti Pah (i 4i-vrru1 .42 NI 11741-0 Ailfh0 has produced rklo'T4ny (name of person acknowledging) (type of identification) as identification and did not take an oath. NOTARY'S SEAL 0� (SIG ATURE OF NOTARY) ,. ".44, PAUL R.EVANS ���' Notary Public-State of Florida 4 of 4 ( � of My Comm.Expires Dec 10.2017 Commission+e FF 063942 ' " •a Bonded Through National Notary Assn. I AFFIDAVIT It is understood and acknowledged by the Collier County Contractor's 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 o •m.etency. Sid .ture of Applicant cJi /4/v/a, LIG Business Name tho//I Date BEFORE ME this day personally appeared a r; /44//44l//4' who affirms and says that he/she has less than one employee and does not require Workmen's Compensation and understands that at any time he/she employs one or more persons he/she must obtain said Workmen's Compensation Insurance. State of Florida County of C4.1.1�11-- � ' C, d1 The foregoing instrument as acknowledged before me this 3 (Date) by T, ,vc.c who has produced i<t4G.. gy /110 74 it (name of person acknowledging) (type of identification) as identification and did not take an oath. NOTARY'S SEAL -_- _ _ _ _— _ - - - - SIGNATURE OF NOTARY) I A ;% PAUL R.EVANS ;sa44:tts/ Notary Public-State of Florida • tl,‘ • My Comm.Expires Dec 10.2017;.,, �d;FCommission�Y FF 063942 -•°a°;'u Bonded Through National Notary Assn. 0 RESOLUTION OF AUTHORIZATION WHEREAS WG//l1/Yl, L1 c - proposes to engage (Name of Business Entity) in contracting as Z j;.y//�" //G•®// /�l�s�l�ds� in (Type of legal entity: corp.,partnership,etc.) Collier County,Florida,according to Collier County Ordinance 2006-46,as amended:and HE � ^ WREAS - L! /‘"/"1/1:.1, L1 G proposes to qualify (Name of Business Entity) �,�/ // for a Certificate of Competency with 3—a'10-ft.' may f;q'!/5 / ///'1 . (Name of Individual) NOW,THEREFORE,BE IT HEREBY jESOLVED THAT: We the undersigned ��s i f�T�c�5 of ' (Officers,Owners,Partners) / 4" ` �!/1//H LL hereby resolve and represent to the Collier County (Name of Business Entity) Contractor's Licensing Board that the qualifying agent, J /i?*5 // /4Jc.6/A active (Name of Individual)// in all matters connected with the contracting business of S /6/1//a; h G.- , and (Name of Business Entity) We further resolve and represent that Re1/4 16/%!.7, A'`"'9 *ATI is f/ (Name of Individua Legally empowered to act for ,D7‘.4.7 /Sd/!//� LL C. in all matters connected with its (Name of Business Entity) contracting business,and has the authority to supervise construction undertaken by (Name of Business Entity) DULY PASSED AND ADOPTED THIS 3i DAY OF j .. , 1�1d (Officers,Partne Owne -wi designation underneath) 4 , 'b C Witness L�/� , �.. riA_ Witness Witness Corporate Seal(if applicable)or Notary Public Certificate Sworn to and subscribed before me this 11 day of q1,,0- , 3414 by 4t. r+ `L. tz-v The foregoing instrument as acknowledged before me this Sr IaI 1-°i6 (Dntel� 'Iav►+cs At. KO n yU by who has produced r (name of person acknowledging) (type of identification) as identification and did not take an oath. NOTARY'S SEAL Qv.' O NAT 4 ' • OTARY) : My Comm.Expires• C _Q I Novemyef�.20t9: w No.FF 938554 s %'`-Op F ``407. Corilr County Operations and Regulatory Management Division Growth Management Department Contractor Licensing Section 2800 North Horseshoe Drive Naples,FL 3410 Date: June 13, 2016 To: Applicants for Certificate of Competency II From: Ian Jackson, Contracting Licensing Supervisor Subject: Collection of social security numbers Pursuant to Chapter 1-19, Florida Statutes and Collier County Contractor Licensing Ordinance 2006-46 Section 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 I-19, Florida Statutes, 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 1-19, Florida Statutes. From the Desk Of Jim Kalvin 5801 Cedar Tree Lane Naples, Florida 34116 239-280-6054 james.kalvin61@gmail.com 1 To Whom it May Concern Collier County GMD Operations and Regulatory Management 2800 North Horsehoe Drive Naples, Florida 34104 8/22/16 rflitAtenteS— For Collier County/Naples/Marco Island The past 10 years of work experience has included the following in reverse chronological order: January 2011 to present—USCG Licensed 100 Ton Master providing Charter Captain services for private clients from Texas to Nantucket, including the Bahamas and all interior waterways in Florida and the Eastern Seaboard. Also provides marine mechanical service and repair to all vessels power and sail, gasoline or diesel, and boatlift service and repair. Currently a member of Captain Team for Dalis Charters running 3 charter boats out of Naples City Dock. Jim Kalvin, LLC is a properly licensed and insured business which is on-going, and in good standing with all regulatory agencies, accounts, and clients. January 2009 through January 2011—General Manager at Diversified Yacht Services in Ft. Myers. Hired from Kraft Construction, and tasked with bringing industrial park/warehouse marine service operation to the waterfront as a full-service marina capable of handling 150 Ton vessels. Helped to acquire property, design facility from footers to the rafters including HVAC, electrical needs, and all marina-specific systems including equipment and amenities needed. Engaged consultants and helped mitigate DEP slip credits relative to manatee protection plan in Lee County in compliance with USFW guidelines. Responsible for brand acquisition (Mercury, Mercruiser, Hamilton Jet, Iveco Diesel), and acquisition of special tools and look-ahead construction schedule. Terminated following ground-breaking. I 2006—2009—Project Manager for Kraft Construction. Began as Assistant Project Manager in 2006 with ground-breaking at The Cottages at Naples Bay Resort, a $116,000,000.00 project, on corner of Sandpiper and 41. Promoted to Project Manager by end of project—a 120 unit condominium with full amenities including kitchen and clubhouse, recreational spa, pools, tennis courts, and Kid's Club. Handled City of Naples permitting, submittals, RFI's, change orders, draw requests, and final inspections and C.O. on project. Proceeded from the Cottages project to break ground at the parking garage at Waterside Shops in Pelican Bay. This involved finalizing contracts with sub-contractors, Collier County permitting, and organizing Owner meetings with professional consultants. Once Job was stabilized and underway, I was transferred to the Immokalee Schools Team in 2008. As Project Manager for the Lake Trafford Elementary School remodeling, a $28,000,000.00 project, I was in charge of all submittals, sub-contracts, change orders, draw requests/ payments to subs, and organizing OAC meetings and subsequent communications with subs, consultants, and CCPS officials. I was also tasked with meeting project schedule.The Immokalee Schools Team won the "Project Team of the Year" award at Kraft's annual meeting that year. Gave advance notice of intent to leave Company in December of 2009 to pursue opportunity with Diversified Yacht Services in Ft. Myers. I From the Desk Of Jim Kalvin 5801 Cedar Tree Lane Naples, Florida 34116 239-280-6054 james.kalvin61@gmail.com To Whom it May Concern Collier County GMD Operations and Regulatory Management 2800 North Horseshoe Drive Naples, Florida 34104 t.411f7-Application for Collier County/Naples/Marco Formal training for Marine Construction began in 1986 as the Service Manager at Turner Marine on Naples Bay (Now Naples Boat Club). All dock maintenance operations were done by the Turner Family and their employees. I learned to replace stringers, cap timbers, decking, and assisted with pile setting when needed. I left Turner Marine in 1991 to open my own marina on Haldeman Creek (now Naples Boatyard). My operation was called All-Star Marina, and I ran the property for 5 years as a full- service marina hauling vessels up to 60 tons. During that time, I engaged Naples Dock and Marine to rock-punch and set outer pilings for me, and I built floating docks for the existing seawall. I personally built and decked a wharf along 330' of water frontage to safely access floating docks and vessels. I also engaged Fineis, Boyette, & Holiday Construction to re-pour the concrete approaches to my travel-lift ramps, per engineering plans supplied by Todd Turrell & Associates, as the existing 30 year old cement was deteriorating when I took the property over. I left the marina in 1996 at the expiration of the 5 year property lease, and went to work for Naples Dock and Marine. I held a USCG 150 Ton Ocean Operator license at the time, and was a barge pilot and maintenance tech for their fleet of barges. I learned job layout, pile driving, and boatlift installation. After a year with the Company, I was self-sufficient as a Lead tech—laying out the jobs, setting pilings, and working with the framing crew to bolt sub-structure in place, and with the finish crew to install deck and trim. I began working in sales as well, as the first point of contact with home-owners. By the end of the second year with Naples Dock, I was executing jobs from sales and permitting to final trim and punch-out-to include collecting deposits, draws, and final payments to the Company. I was pouring and installing seawalls, seawall caps,tie-backs, dredging, and installing rip-rap banks from Marco Island to Vanderbilt Lagoon the last year I was with the Company, as well as running a self-sufficient dock building crew from my designated barge. All for$12.00 per hour while I was driving my own truck with no gas allowance. In 1998, I left Naples Dock, and opened my own marine construction company. I worked primarily in Port of the Islands, but also did a fair share of work in the Moorings, Park Shore, Royal Harbor, and Aqualane Shores. I built my first barge by hand by myself, and used that vessel for the next 4 years. I represented High Tide Boatlifts,ABC Boatlifts, ABL Boatlifts, and installed other brands as well when Owners had a particular style that they wanted. My primary market was single-family residential though I did do some larger work with condominiums from time to time. I worked with then County Natural Resources Director Kevin Dugan installing pilings for Collier County in Chokoluskee and Everglades City, as well as replacing pilings when needed in the intracoastal waterway between Naples and Marco Island. I also worked with Mr. Dugan and City of Naples Natural Resource Director Dr. Jon Staiger on the Collier County Manatee protection plan devised in 1999 as it related to marine construction and the environment. I had 2 barges working with two crews when the Longshoreman's Insurance act (USL&H)was applied to residential dock builders—for which it was never intended. I was contracted out 9 months, and though my built-in profits were above the norm, I could not afford that insurance on work that was already signed without said overhead burden.There were other contractors then that worked without USL&H coverage, and the new laws were not enforced. I opted to not work illegally, and thus was not able to compete with the low-ballers—most of whom did not even have workers' comp. I gave my employees notice and severance, scuttled my first barge, and began finishing out the contracted jobs myself with my hydraulic barge to be in compliance with the law. In 2000, Florida was sued by Save the Manatee Club, Audubon, and others to curtail dock permitting throughout the State.The lawsuit lasted for 4 years, and blocked all federal permits. I worked with Kevin Dugan, Dr.Jon Staiger,the Marine Industries Association of Collier County, the Marine Industries Association of Florida, and the National Marine Manufacturer's Association as federal dock permits were put on indefinite hold. I started a grass-roots org called Standing Watch to engage home-owners in this issue, as they were the primary targets of the lawsuit.That org grew to over 25,000 members by 2002.The lawsuit was in settlement stages when Hurricane Charley came through in 2004, and our barge sank in Port of the Islands due to the storm surge. The barge was covered by insurance, but with the triple-threat of outrageous insurance costs (USL&H), having to invest six figures back into the business, and facing the possibility that the permitting issue may lag on for an indefinite period of time, I opted to go into commercial development with Kraft Construction as an Assistant Project Manager. My hands-on "formal"training has included designing/building the equipment needed (barge as well as lifting &pile driving tools), pile driving, pouring and setting seawalls, setting toe- stones and rip-rap, and dock building from the first timber to the last piece of trim. It has also included installing boatlifts from half a dozen different manufacturers,wrapping pilings, and performing underwater surveys of existing dock structures. I have trained many upstanding individuals in the trade over my years as a Contractor, and I have networked with County staff, City of Naples staff, and State and Federal regulators with respect to dock building throughout Florida. My impetus in getting back into Marine Construction is because clients that I performed work for over a decade ago are now calling me and asking for help, as none of the current contractors have time to call them back for maintenance work on their docks. It seems that there is a market segment that nobody is interested in, and that is, again, maintenance work to existing structures. Re-decking, wrapping existing pilings, repair and replacement of decking, railings, and other amenities, rip-rap maintenance, storm damage repair, seawall maintenance, and boatlift repair are all items that I have been contacted for over the past season even though I have been out of the business for the past 10 years. I apply for this license so that I can legally service clients with their existing maintenance needs, as they currently seem to be falling through the cracks in this industry. it 9/2/2016 httpsJ/usa.egerian.com/#/print/eperian/201609021559572313 • •• • S... • :1.. !: x erian • • • Credit Report Prepared For: JAMES N KALVIN Experian Report As Of: Sep 2, 2016 II Personal&Confidential II https://usa.experian.coral#/print/experianf201609021559572313 1/28 9/2/2016 https://usa.experian.comf#/print/e,¢,erian/201609021559572313 JAMES N KALVIN-Experian •.;;.• Date of Report Sep 2, 2016 •;..:• xperian • • • _. _ . � Account Summary My Accounts Summary My Overall Credit Usage Open Credit Cards 9 Credit Debt Open Retail Cards 1 58% $83,503 Open Real Estate Loans 1 Total Credit $143,450 Open Installment Loans 0 Total Open Accounts 12 My Debt Summary Accounts Ever Late 2 Credit and Retail Card Debt $83,503 Collections Accounts 0 Real Estate Debt $156,034 Average Account Age 9 yrs 6 mos Installment Loans Debt $0 Oldest Account 23 yrs 8 mos Collections Debt $0 newest account Q Total Debt $239,537 My Hard Credit Inquiries My Public Records 3 1Summary Accounts Collections Inquiries Public Records Credit Score https://usa.ecerian.com'i/print/eperiari201609021559572313 2/28 9/2/2016 https://usa.e Brian.cony#/print/e)¢ierian/201609021559572313 JAMES N KALVIN-Eperian • •• • Date of Report: Sep 2, 2016 • xperian • • • . . _ Account Summary My Personal Information Name Personal Statement(s) JAMES N KALVIN No Statement(s) present at this time Also Known As KALVIN JIM Birth Year 1961 Addresses 5801 CEDAR TREE LN NAPLES, FL 34116-5403 1147 RAINBOW DR NAPLES, FL 34104-4264 4273 ENTERPRISE AVE NAPLES, FL 34104-7061 Employer(s) SELF JIM KALVIN&SONS Summary Accounts Collections Inquiries Public Records Credit Score https://usa.everian.corn/#/print/egerianl201609021559572313 3/28 9/2/2016 https://usa.eperian.cony#/printIe erianl201609021559572313 JAMES N KALVIN-Experian • •• • Date of Report: Sep 2, 2016 • xperian • • • s a Open Accounts AMEX Open ACCOUNT DETAILS CREDIT USAGE Account Name AMEX Unknown Credit Usage Account# Credit usage could not be calculated for this N/A account because either the balance and/or Account Status Open credit limit were not reported. Last Updated Aug 14, 2016 CONTACT INFORMATION Account Type Credit Card-Revolving Terms PO BOX 297871 Date Opened Jan 1, 1993 FORT LAUDERDALE, FL 33329 Balance $843 (800)874-2717 Credit Limit - PAYMENT HISTORY Monthly Payment 2016 2015 2014 Past Due Amount - JJaanFFeebMMaarApr JJaanFFeebMMaarA®pr JJaanFFeebMMaarA®pr Payment Status Current MayJunJul Aug Ma-}clu Jul Aug MayJu Jul Aug Highest Balance $2,251 Wait SepdctNov6eo noon GEilEQ& EEE Terms 1 Month 2013 2012 2011 Responsibility Authorized User JanFebMarApr JanFebMarApr JanFebMarApr Comments Jaun ®g RPA ® JalunMaApg Sep c Nou�c Se•T Jov ec SepOctNov�c EibiERER a Summary Accounts (Open) Collections Inquiries Public Records Credit Score https://usa.eeerian.comm#/print/experianl201609021559572313 4/28 9/2/2016 httpsi/usa.ecerian.comf#/print/ecerian/201609021559572313 JAMES N KALVIN-Experian '•;;.' Date of Report Sep 2, 2016 •• •• Experian BK OF AMER Open ACCOUNT DETAILS CREDIT USAGE Account Name BK OF AMER =. No Credit Usage Account# You have no account balance. Keeping your 07o account balances as low as possible can have Account Status Open a positive impact on your credit Last Updated Aug 8,2016 CONTACT INFORMATION Account Type Credit Card-Revolving Terms PO BOX 982238 Date Opened Jul 1, 2016 EL PASO, TX 79998 Balance $0 (800)421-2110 Credit Limit $2,500 PAYMENT HISTORY Monthly Payment 2016 Past Due Amount - JanFebMarAprFe Payment Status Current MaynunJ—ul Aug Highest Balance $330 SeNNoo,r6e pOCtc Terms Revolving 17-1E1E1 Responsibility Individual Comments - Summary Accounts (Open) Collections Inquiries Public Records Credit Score https://usa.experian.com'#/print/e perian/201609021559572313 5/28 9/2/2016 https://usa.experian.com+#/print/everian/201609021559572313 JAMES N KALVIN-Experian •.•• • Date of Report Sep 2, 2016 ••.• xperian • • • CAP1/NTHRN Open ACCOUNT DETAILS CREDIT USAGE Account Name CAP1/NTHRN No Credit Usage Account# o You have no account balance. Keeping your 0�o account balances as low as possible can have Account Status Open a positive impact on your credit. Last Updated Sep 12, 2010 CONTACT INFORMATION Account Type RevoMng Charge Account PO BOX 5253 Date Opened Aug 1, 2009 CAROL STREAM, IL 60197 Balance $0 (800)695-6950 Credit Limit $2,200 PAYMENT HISTORY Monthly Payment 2010 2009 Past Due Amount - JanFebMarApr JanFebMarAprFe Payment Status Current Y�UnJul HU9 X�un i Aug Highest Balance $1,507 RR vDec SepOctNovDeb Terms RevoMng & nnn EilaaEil Responsibility Individual Comments - Summary Accounts(Open) Collections Inquiries Public Records Credit Score https://usa.everian.conV#/print/eperian/201609021559572313 6/28 9/2/2016 https://usa.eierian.com//print/e)erian/201609021559572313 JAMES N KALVIN-Experian Date of Report Sep 2, 2016 •• •• Experian • • • CAPITAL ONE BANK USA N Open ACCOUNT DETAILS CREDIT USAGE Account Name CAPITAL ONE BANK USA N High Credit Usage Account# Keeping your account balances as low as 65% possible can have a positive impact on your Account Status Open credit Last Updated Aug 28, 2016 CONTACT INFORMATION Account Type Credit Card-RevoMng Terms 15000 CAPITAL ONE DR Date Opened Feb 1, 2005 RICHMOND,VA 23238 Balance $324 (800)955-7070 Credit Limit $500 PAYMENT HISTORY Monthly Payment $25 2016 2015 2014 Past Due Amount - JanFebMarAprFeJanFebMarApr JanFebMarApr Payment Status Current, was past due 30 days kly nKMag unMaJul ApHug Highest Balance $651 Se•T No c SepOctNovDeb nnnn ®�E EPEE Terms Revolving 2013 2012 2011 Responsibility Individual JanFebMarApr JanFeb®MaMarApr JanFebMarApr Comments (RA . JaFenuAJaFenMa® Se_••No c Sep�tc ITo c �e c vDec E&&lal &EE® EE 2010 2009 JanFebMarApr JanFebMarApr Ja j unTul g MayJJuunJulMaAug Kikitaitc SepOctNOv a Summary Accounts (Open) Collections Inquiries Public Records Credit Score https://usa.e.erian.cord#/print/e erian/201609021559572313 7/28 9/2/2016 https://usa.experian.com/#/print/eperian/201609021559572313 JAMES N KALVIN-Everian �•••• •.. Date of Report Sep 2, 2016 • Experian • V CAPITAL ONE BANK USA N Open ACCOUNT DETAILS CREDIT USAGE Account Name CAPITAL ONE BANK USA N Low Credit Usage Account# 47912485XXXXKeeping your account balances as low as LO7o possible can have a positive impact on your Account Status Open credit Last Updated Aug 25, 2016 CONTACT INFORMATION Account Type Business Credit Card-Revolving Terms 15000 CAPITAL ONE DR Date Opened Feb 1, 2000 RICHMOND,VA 23238 Balance $248 (800) 955-7070 Credit Limit $1,000 PAYMENT HISTORY Monthly Payment $15 2016 2015 2014 Past Due Amount - JanFebMarApr JanFebMarAprFeMaJanFebMarApr Payment Status Current, was past due 30 days kl nJul Hug MaJawunJul Hug ma unJul Aug Highest Balance $1,525 •�Novu Seec Rii0iie*c SepOctN6vDec �� nInn EEEE EaaaE Terms RevoMng 2013 2012 2011 Responsibility Individual JanFebMarApr JanFebMarApr JanFebMarApr Comments IVlayunJ®ul Aug M®aunJul®ug h7layJunJul Aug . Novuec SepOctNov6ec SepOctNovDec 2010 2009 JanFebMarApr JanFebMarApr May unJ�®ul A®®ug yd❑ unJgul Aug Se•T NovDec SepOCot v�o U EgEla&I &&&& Summary Accounts (Open) Collections Inquiries Public Records Credit Score https://usa.e.erian.com'#/print/egerian/201609021559572313 8/28 9/2/2016 httpsJ/usa.eterian.com1#Iprint/e perian/201609021559572313 JAMES N KALVIN-Experian '.::.' Experian x Date of Report Sep 2, 2016 . . . Ep CHASE CARD Open ACCOUNT DETAILS CREDIT USAGE Account Name CHASE CARD Fair Credit Usage Keeping your account balances as low as Account# 38% possible can have a positive impact on your Account Status Open credit Last Updated Aug 25, 2016 CONTACT INFORMATION Account Type Credit Card-Revolving Terms Date Opened Aug 1, 2008 PO BOX 15298 WILMINGTON, DE 19850 Balance $1,504 (800)432-3117 Credit Limit $4,000 PAYMENT HISTORY Monthly Payment $36 2016 2015 2014 Past Due Amount _ JanFebMarAprpFe�Ma®®�CuJanFebMarApr JanFebMarApr Payment Status Current t�layJunJul g MayJunJul Aug Ma}JunJul Aug rop Highest Balance $4,158 Se., No c Sekgii SepOcfNovDec EEEE Terms Revolving 2013 2012 2011 Responsibility Individual JanFebMarApr J anFebMarA pr JanFebMarApr Comments - f�7launTul lug MajnJul Aug jdunJul Aug Se•T NovDec §Ipt§tIlovDec Sep t NovDec EEEE EEEE EEE& 2010 2009 JanFebMarApr® JanFebMarApr[ I�IayJunSul Aug MayiunJ l Aug §11§1( oovDec Se2tNOv6ec EEEE EEEE Summary Accounts (Open) Collections Inquiries Public Records Credit Score https://usa.everian.com/#/print/experian1201609021559572313 9/28 9/2/2016 httpsJ/usa.eperian.conJ#/print/experian/201609021559572313 JAMES N KALVIN-Experian '•::•' ::Experian Date of Report: Sep 2, 2016 • • Ex p • CHASE CARD Open ACCOUNT DETAILS CREDIT USAGE Account Name CHASE CARD No Credit Usage Account# o You have no account balance. Keeping your 0 7o account balances as low as possible can have Account Status Open a positive impact on your credit Last Updated Aug 16, 2016 CONTACT INFORMATION Account Type Date Opened Oct 1, 2013 FO BOX 15298 WILMINGTON, DE 19850 Balance $0 (800)432-3117 Credit Limit $7,200 PAYMENT HISTORY Monthly Payment $25 2016 2015 2014 Past Due Amount _ JanFebMarApr JanFebMarApr JanFebMarApr Payment Status Current �Cu9 MajnJul Hug �UnJu�Xu9 Highest Balance $8,348Se Se•' No c Se c No ^ec p NovDec Dona EE ERS EEE Terms Revolving 2013 Responsibility Authorized User JanFebMarApr Dnnn Comments - MMaaylunJJul Aug Sect No}vU maa Summary Accounts (Open) Collections Inquiries Public Records Credit Score https://usa.e,perian.conY#/print/e perian/201609021559572313 10/28 9/2/2016 https://usa.ecerian.con/#/print/e)g3erian/201609021559572313 • JAMES N KALVIN-Experian maw Date of Report Sep 2, 2016 :L•E:Experian • • DISCOVER FIN SVCS LLC Open ACCOUNT DETAILS CREDIT USAGE Account Name DISCOVER FIN SVCS LLC No Credit Usage Account# You have no account balance. Keeping your 0% account balances as low as possible can have Account Status n apositive impact on your credit. II Last Updated Aug 24, 2016 CONTACT INFORMATION Account Type Credit Card-Revolving Terms PO BOX 15316 Date Opened Jun 1, 2016 WILMINGTON, DE 19850 Balance $0 BYMAILONLY Credit Limit $10,500 PAYMENT HISTORY Monthly Payment 2016 Past Due Amount - JanFebMarApr Payment Status Current MaylunJulMaAug Highest Balance - Se• T No c Terms Revolvingao[ JO Responsibility Individual Comments - Summary Accounts (Open) Collections Inquiries Public Records Credit Score https://usa.eperian.corn /print/e perian/201609021559572313 11/28 9/2/2016 https://usa.egerian.cony#/print/e ceriarg2016090215595/2313 JAMES N KALVIN-Experian '.i:.' Date of Report: Sep 2, 2016 .• •••Experian • • FNB OMAHA Open ACCOUNT DETAILS CREDIT USAGE Account Name FNB OMAHA No Credit Usage You have no account balance. Keeping your Account# O% p g account balances as low as possible can have Account Status Open a positive impact on your credit. Last Updated Aug 20, 2016 CONTACT INFORMATION Account Type Credit Card-Revolving Terms PO BOX 3412 Date Opened Mar 1, 2010 NE 68103 Balance $0 PAYMENT HISTORY Credit Limit $8,550 2016 2015 2014 Monthly Payment $41 J anF ebMarA pr JanFebMarApr JanFebMarApr Past Due Amount AJaMa®ugJakirkMa® Payment Status Current ..Novuec Se c Nov6ec SepOct{OA Highest Balance $9,648 noon a(pla(p� 2013 2012 2011 Terms Revolving JanFebMarApr JanFebMarApr JanFebMarApr Responsibility Authorized User un u ug a un u ug a Run uqK ug Comments Se• Nokc Sep�c No c SepOctNovDec a&Etia ®EgE E EgacEgEg 2010 JanFebMarApr yJunJ®Aug Se•S Novuec fiskilazg ill Summary Accounts (Open) Collections Inquiries Public Records Credit Score https://usa.e.erian.com#/print/e perian/201609021559572313 12/28 9/2/2016 https://usa.egerian.comm#/print/e,erian/201609021559572313 JAMES N KALVIN- Experian ��••��Experian Date of Report Sep 2, 2016 • • p • SYNCB/SAMS CLUB DC Open ACCOUNT DETAILS CREDIT USAGE Account Name SYNCB/SAMS CLUB DC >f. Low Credit Usage Account# Keeping your account balances as low as 57o possible can have a positive impact on your Account Status Open credit. Last Updated Aug 23, 2016 CONTACT INFORMATION Account Type Credit Card-Revolving Terms Date Opened Sep 1, 2010 PO BOX 965005 ORLANDO, FL 32896 Balance $362 (866)220-0254 Credit Limit $7,000 PAYMENT HISTORY Monthly Payment $25 2016 2015 2014 Past Due Amount - JanFebMarAprFe®Ma®Ap� JanFebMarAprJaFeMa® JanFebMarAprJaMa® Payment Status Current MajJunJul/dug M®a-jdunJul-Aug �71a unJul/iug Highest Balance $3,936 §f vDec SepO tc ^ec Sep NovDeb Terms Revolving OnnE saaER� &faaa 2013 2012 2011 Responsibility Authorized User JanFebMarApr JanFebMarApr Jan (FeunbMa�JMal rApugr Comments - JaFeMa® SOIlic SepOctlNovDec 2010 JanFebMarApr MMaayJ unJg Aug 6111gt�vDec ii Summary Accounts (Open) Collections Inquiries Public Records Credit Score https://usa.egerian.corrv#/print/eterian1201609021559572313 13/28 9/2/2016 https://usa.eeerian.cony#/printIexperian/201609021559572313 JAMES N KALVIN-Experian �:•••:.• Experian Date of Report: Sep 2, 2016 : : p WELLS FARGO BANK NV NA � Open ACCOUNT DETAILS CREDIT USAGE Account Name WELLS FARGO BANK NV NA High Credit Usage Account# Keeping your account balances as low as 80% possible can have a positive impact on your Account Status Open credit Last Updated Jul 31, 2016 CONTACT INFORMATION Account Type Home Equity Line Of Credit-Revolving Terms PO BOX 31557 Date Opened Apr 1, 2008 BILLINGS, MT 59107 (800)245-8936 Balance $80,222 PAYMENT HISTORY Credit Limit $100,000 Monthly Payment $227 2016 2015 2014 JanFebMarApr JanFebM ual rA pur JanFebMa rAp r Pastto AJaMa®g iJai n g FeMal® TvPo Status Current • ec ce• ®®ec ®e®®®b till nnnn ak5R&I&I 6-14Mil&I Highest Balance $81,146 2013 2012 2011 Terms Revolving JanFebMarAprJaMa® JanFebMarAprFeMa® JJaanFebMMaarA®pr Responsibility Joint Account MaynJul AugjJunJul Aug MaunJul Aug Comments Se-.T ITvuec SepOctfTowDec Sep ITowDec EREgERii i i Summary Accounts (Open) Collections Inquiries Public Records Credit Score https://usa.e,erian.com'#/print/egerian1201609021559572313 14/28 9/2/2016 https://usa.egerian.cony#/print/eperian/201609021559572313 JAMES N KALVIN-Experian • •: • Date of Report:Sep 2, 2016 ••• Experian '• • • WELLS FARGO HM MORTGAG Open ACCOUNT DETAILS CONTACT INFORMATION Account WELLS FARGO HM MORTGAG 8480 STAGECOACH CIR Name FREDERICK, MD 21701 Account# (800)288-3212 Account Open PAYMENT HISTORY Status Last Updated Aug 8, 2016 2016 2015 JanFebMarApr JanFebMarApr Account Type Conventional Real Estate Loan, IncludingQ Purchase Money First a®®unJu Aug May.lunJul AugAu ri pOct NovOec SepOc NOv ce Date Opened Dec 1, 2005 n o n e ono n Balance $156,034 Original $190,000 Balance Monthly $1,574 Payment Past Due - Amount Payment Current Status Highest - Balance Terms 360 Months Responsibility Joint Account Comments - ii Summary Accounts (Open) Collections Inquiries Public Records Credit Score https://usa.egerian.cony#/print/egerian/201609021559572313 15/28 9/2/2016 https://usa.experian.corn'#/print/egerian/201609021559572313 JAMES N KALVIN-Experian ..5: ' Date of Report: Sep 2, 2016 .: S. Exper i a n Closed Accounts BK OF AMER Closed ACCOUNT DETAILS CREDIT USAGE Account Name BK OF AMER Unknown Credit Usage Account# Credit usage could not be calculated for this N/A account because either the balance and/or Account Status Closed credit limit were not reported. Last Updated Oct 10, 2006 CONTACT INFORMATION Account Type Check Credit Or Line Of Credit 4909 SAVARESE CIR Date Opened Nov 1, 1994 TAMPA, FL 33634 Balance _ (800) 669-6607 Credit Limit $5,000 PAYMENT HISTORY Monthly Payment 2006 2005 2004 Past Due Amount _ JanFebMarApr JanFebMarApr JanFebMarApr nil l n❑❑❑ pI H I Payment Status Paid satisfactorily M❑ayJunJu AugAuMayiuunJul[Auug ayiuunJJu AugAu Highest Balance $5,091 Sep�ctNovDec Se'r tNo'v c SepOctNovDec Terms Revolving0E2[70 OEM MOO 2003 2002 2001 Responsibility Joint Account JanFebMarApr JanFebMarApr JanFebMarApr Comments - JaanMaAug JaynMaug MaJunMaApg S 1 t :11a fie. Nvuec Sep6at Nov6ec ❑nn❑ &❑❑n 2000 1999 JanFebMarApr JanFebMarApr 11�a un(JNul�Cug JanFebMarApAApugr JaFenJl S ❑toiv®c SepOtoa Summary Accounts (Closed) Collections Inquiries Public Records Credit Score https://usa.everian.com/#/print/experian/201609021559572313 16/28 9/2/2016 httpsl/usa.experian.cony#/printIeverian/201609021559572313 JAMES N KALVIN-Experian *0 OD Experian Date of Report: Sep 2, 2016 • p CBNA Closed ACCOUNT DETAILS CREDIT USAGE Account Name CBNA Unknown Credit Usage Account# 525650240210XXXXCredit usage could not be calculated for this N/A account because either the balance and/or Account Status Closed credit limit were not reported. ' Last Updated Apr 26, 2012 CONTACT INFORMATION Account Type Credit Card-Revolving Terms Date Opened Sep 1, 2008 PO BOX 6497 SIOUX FALLS, SD 57117 Balance _ BYMAILONLY Credit Limit $4,800 PAYMENT HISTORY Monthly Payment - 2012 2011 2010 Past Due Amount - JanFebMarApr JanFebMarApr JanFebMarApr Payment Status Paid satisfactorily it'FeMaApklMaug JaFeMa® Highest Balance $1,987 SepOCtNo c SepOctNovDecc SepOctNovDec Terms RevoMng Dom &&[&& 2009 2008 Responsibility Individual JanFebMarApr JanFebMarApr Comments - I�Iaycti Jul Aug Don g Sepc ovDec SepOctNovDec E&&1& a&I&® Summary Accounts (Closed) Collections Inquiries Public Records Credit Score https://usa.egerian.com4/print/ecerian/201609021559572313 17/28 II 9/2/2016 httpsi/usa.ecerian.cony#/print/ecerian/201609021559572313 JAMES N KALVIN-Experian •.: 9/2/2016 httpsi/usa.egerian.cony#/print/everian/201609021559572313 JAMES N KALVIN-Experian .um.::Experian Date of Report Sep 2, 2016 •: •• p • SYNCB/CHEVRON Closed ACCOUNT DETAILS CREDIT USAGE Account Name SYNCB/CHEVRON Unknown Credit Usage Account# 70615910XXXXCredit usage could not be calculated for this N/A account because either the balance and/or Account Status Closed credit limit were not reported. Last Updated May 9, 2014 CONTACT INFORMATION Account Type RevoMng Charge Account PO BOX 965015 Date Opened Nov 1, 2006 ORLANDO, FL 32896 Balance - (800)243-8766 Credit Limit $0 PAYMENT HISTORY Monthly Payment 2014 2013 2012 Past Due Amount - JanFebMarApr JanFebMarApr JanFebMarApr Payment Status Paid satisfactorily wunJul Aug MaunJul Hug Highest Balance $585SepOctNovDec (its NovDec SepOctNovDec Dann aagiala aa®& Terms RevoMng 2011 2010 2009 Responsibility Authorized User JanFebMarApr JanFebMarApr JanFebMarApr Comments - AJa1aMa®g JaaFeMa®g Se•Toovuec Sep tTo c Sep tTovDec aaaa ®axil [62EREga 2008 2007 JanFebMarApr JanFebMarApr M -A§.1ul Aug MayluunJ®ul AugAu ®a Sep c f�Ov 1c S pOct NoVDeC E®&IE &iaaai Summary Accounts (Closed) Collections Inquiries Public Records Credit Score //usa. rian.conV#/ int/ ian/201609021559572313 19/28 � Pr ewer 9/2/2016 https://usa.eeerian.comMt/print/experian/201609021559572313 JAMES N KALVIN-Experian •�••��::Experian Date of Report: Sep 2, 2016 •;•�•• p WF/WB Closed ACCOUNT DETAILS CREDIT USAGE Account Name WF/WB Unknown Credit Usage Credit usage could not be calculated for this Account# N/A account because either the balance and/or Account Status Closed credit limit were not reported. Last Updated Mar 24, 2011 CONTACT INFORMATION Account Type Home Equity Line Of Credit-Revolving Terms PO BOX 3117 Date Opened Apr 1, 2008 WINSTON SALEM, NC 27102 BYMAI LONLY Balance - PAYMENT HISTORY Credit Limit $100,000 Monthly Payment 2011 2010 2009 JanFebMarApr JanFebMarApr JanFebMarApr Past Due RR�n MaRJ I ( � Amount a un ul Aug un u ug a un u ug Q nQ Payment Status Current S pOc No ec ar ecSe No ec ' =no aaziaa aaEgaia Highest Balance $76,601 2008 Terms Revolving JanFebMarApr Responsibility Joint Account Maxlung Hug Comments - SepOctNovDec aalaa Summary Accounts (Closed) Collections Inquiries Public Records Credit Score https://usa.everian.comr#/print/experian/201609021559572313 20/28 9/2/2016 https://usa.everian.com/#/print/everiarV201609021559572313 JAMES N KALVIN-Experian � X..... EBrian Date of Report Sep 2, 2016 •. • p • ? WFHM Cbsed ACCOUNT DETAILS CONTACT INFORMATION Account WFHM 4101 WISEMAN BLVD#MC-T Name SAN ANTONIO, TX 78251 Account# (800)642-0257 Account Closed PAYMENT HISTORY Status Last Updated Oct 7, 2015 2015 2014 2013 JanFebMarApr JanFebMarApr JanFebMarApr Account Type Conventional Real Estate Loan, Including unJ oAug Wig ui3R Purchase Money First Date Opened Dec 1, 2005 e.• N®vec ®pOAuc e ®Au c EiEgnri Balance - 2012 2011 2010 Original $190,000 JanFebMarApr JanFebMarApr JanFebMarApr ® Balance y7u y Aug 117fa uny Aug IV j un7ul-Aug Monthly §1.T kik ki tc kvic SepDctNovDec Payment Past Due - 2009 2008 Amount JanFebMarAprMa® JanFebMarAprMa Payment Account transferred to another office Aug MeunJul Aug Status ®� ]❑❑ Highest - Se•' NovOec SepOctNovDec Balance ER®ER&I ❑naEg Terms 360 Months Responsibility Joint Account Comments - Summary Accounts (Closed) Collections Inquiries Public Records Credit Score I https://usa.eperian.cony#/print/egerian/201609021559572313 21/28 9/2/2016 https://usa.eqoeri an.coml/pri nt/experi an/201609021559572313 JAMES N KALVIN-Experian •:��•:� EX Brian Date of Report Sep 2, 2016 •• p • WFHM Closed ACCOUNT DETAILS CREDIT USAGE Account Name WFHM Unknown Credit Usage Account# Credit usage could not be calculated for this N/A account because either the balance and/or Account Status Closed credit limit were not reported. Last Updated May 27, 2008 CONTACT INFORMATION Account Type Home Equity Line Of Credit-Revolving Terms 4101 WISEMAN BLVD#MC-T Date Opened May 1, 2006 SAN ANTONIO, TX 78251 (800)642-0257 Balance - PAYMENT HISTORY Credit Limit $35,000 Monthly Payment 2008 2007 2006 JanFebMarApr JanFebMarApr JanFebMarApr Past Duel Amount MayJunJul Aug MajcTunJul Aug MayJunJul Aug Payment Status Paid satisfactorily SebOCtNovDec SepOctgvDec Sec NovDec moo ®®arm EsicEi�u Highest Balance $33,984 Terms Revolving Responsibility Joint Account Comments - Summary Accounts (Closed) Collections Inquiries Public Records Credit Score https://usa.eperian.comf#/print/experian/201609021559572313 22/28 9/2/2016 https://usa.egerian.corrV#/print/ecerian/201609021559572313 JAMES N KALVIN- Experian ••::•• • : Date of Report Sep 2, 2016 •: :: Experian Collections No collection accounts Summary Accounts Collections Inquiries Public Records Credit Score turps://usa.experian.corn/#/print/experian/201609021559572313 23/28 9/2/2016 httpsJ/usa.eeerian.com/#/print/e)eriar>/201609021559572313 JAMES N KALVIN-Experian :::;:: Date of Report:Sep 2, 2016 • . • Experian Inquiries Q BVU/BLUEGREEN CORP Q BK OF AMER Inquiry Date Aug 11, 2016 Inquiry Date Jul 12, 2016 Removal Date Aug 2018 Removal Date Jul 2018 Business Type Mortgage companies Business Type Bank credit cards Contact Information 4960 BLUE LAKE DR Contact Information PO BOX 982238 BOCA RATON, FL 33431 EL PASO,D(79998 (561)912-8000 (800)421-2110 Q MACANDREWS&FORBES GR Inquiry Date Oct 15, 2014 Removal Date Oct 2016 Business Type Finance companies-non specific Contact Information 38 E 63RD ST NEW YORK, NY 10065 (212)572-8600 Summary Accounts Collections Inquiries Public Records Credit Score https://usa.e perian.com/#/prinh/experian/201609021559572313 24/28 From the rDeskof ,dim 1(atvin 5801 Cedar Tree Lane, Naples, Eforida 34116 239-280-6054 James.kafvin61 @gmai1 com jimkalvin.corn Collier County Contractor Licensing Board October 2016 Dear Sirs and Madame, As a license renewal applicant, I have been asked to come before you to discuss a tax lien that I have with the IRS. I understand the concern, and will do my best to address the issue. The lien is the result of a levy against me for work done at a condominium re-deck job back in 2002. I contracted the work,performed the work, and was paid progress payments as the job was executed. I completed the job, and was paid in full. All checks were written to my Company, and the funds were deposited into the Company bank account when received.Proceeds were a part of my gross income against expenses for that tax year. 2004 was a bad year. My barge sank in Hurricane Charley in Port of the Islands, and I received a form 1099 from the condominium that I had done the re-deck for. I was subsequently notified by the IRS that I owed self-employment taxes on the contracted amount,plus a non-filing penalty along with other associated penalties and interest. I believe we were notified of this in 2006, though I honestly can't remember exactly when it was. I disputed the fees, and attempted to show that the funds were recorded as a part of our gross income for the year in question. I contacted the condominium association for their help, and found out the manager that I had dealt with had passed away. His replacement was who sent the 1099, and would not help me. As I took a deposit on the job w/subsequent progress payments, I could not show a deposit for the 1099 amount, and the agent in charge of my case recommended a payment plan—which I reluctantly agreed to with no admission of wrong-doing. I was unable to keep pace with the original payment plan, and was told to pay what we could when we could, and the IRS put a lien on our private residence. At one point, it was as high as $36,000. I've been paying on the lien as I have been able, and had it down as low as $13,397.00 back in Sept of 2015 (see attached). I tried to use my equity line to pay the amount off at that time, but that was unable to be used due to the lien. I figured that the bank would be happy to have the lien off of the property, and would help us—but I was not correct. With a very real groundswell of potential support from new and previous dock clients, I've signed a new payment agreement with the IRS, and will begin auto-debited payments in November, with extra payments on principle as I am able. I am open to any questions that you may have, and I thank you in advance for your time and consideration. Sincerely, liii L1 ftlIIl SB ' Department of the Treasury ;;l i ;; Notice �.P�23 1,4 ' Internal Revenue Service Tax YearAY iRs 10:1 Atlanta,GA 39901-0030 I, t Notice date September 14,2015 Social Security number 9307 1107 5660 1801 0631 98 To contact us Phone 1-800-829-8374 Your Caller ID 036834 020110.594342.67589.24746 2 AT 0.416 1310 Page 1of5 IllrIIIH1111. 1.11..lldllHllNI.IIn11.mii4iIlIUIIIIIIr +" JAMES N!CALVIN 5801 CEDAR TREE LN 020110 NAPLES FL 34116-5403012 Notice of intent to levy Intent to terminate your Installment Agreement Am untrue immediately: $13,397.61 _ The monthly payment for your installment agreement is overdue. Since we did not receive Billing Summary one or more payments from you as agreed to in your installment agreement,your installment Amount you owed $10,858.24 agreement will be terminated on Interest charges 2,539.37 October 14, 2015. Amount due immediately In addition,the IRS may seize("levy")any state $13,397.61 tax refund to which you're entitled and apply it to your$13,397.61 in overdue taxes on or after December 13, 2015. Continued on back... C N KALVU4 S801 Notice CP523A'v t, 5801 CEDAR TREE LN Notice date September 14,2015 NAPLES FL 34116-5403012 IRS Social Security number liii ; ` IMMatittil III • Make your check or money order payable to the United States Treasury. • Write your Social Security number(XXX-XX-8908),the tax year(2002),and the form Payment number(1040)on your payment and any correspondence. Amount due immediately $13,397.61 INTERNAL REVENUE SERVICE P.O.BOX 931200 LOUISVILLE,KY 40293-1200 dII.IyI.Ilp.i..ILyI.,18Lll•iyr.,IIijlll.rlillu,WL,II XXXXX8908 JI KALV 30 0 200212 670 00001339761 9/2/2016 httpsJ/usa.experian.com/#/print/ecerian1201609021559572313 JAMES N KALVIN-Experian ::••:: Date of Report Sep 2, 2016 : ••:Experian Public Records A FED TAX LIEN Filing Date Mar 16, 2010 Amount $29,699 Reference Number Bk4546pg3132sq44066 Court Collier county civil c Plaintiff - ii Summary Accounts Collections Inquiries Public Records Credit Score https://usa.everian.com/-#/print/experian/201609021559572313 25/28 9/2/2016 https://usa.experian.cony/i/print/experian/201609021559572313 JAMES N KALVIN-Experian .•::•' .• •. Date of Report Sep 2, 2016 •• ••� xperian Credit Score RATING:VERY GOOD Experian 300 850 74 8 FICO Score 8 based on Your score is above the average of U.S. consumers and demonstrates to Experian data as of Sep Very Good 2,2016 lenders that you are a very dependable borrower. 300 850 What's helping your score? What's hurting your score? + No Serious Delinquency y Collection And/Or PR There is no evidence of a serious delinquency (90 days past due You have a public record and/or collection on your credit report or greater)or derogatory description on your credit report. Number of public records on your credit report Number of your accounts that were ever 60 days late or worse 1 public record 0 accounts The presence of a derogatory public record 0 or collection 0 is The presence of delinquencies or derogatory information 0 in a highly correlated with future payment risk. credit report is a powerful predictor of future payment risk. Satisfying a public record or paying off a collection will not People with no previous late payments are much more likely to remove a valid item from the credit report and it will still be pay on time in the future. considered by a FICO®Score as long as it is reported. Virtually no FICO High Achievers 0 have a 60 days late payment As these items age, they will have less impact on the FICO® or worse listed on their credit report. Score. Most public records and collections stay on your report for no T Long Credit History more than seven years-though there are certain items that could remain longer. You have an established credit history. Virtually no FICO High Achievers 0 have a public record listed on their credit report. Your oldest account was opened 21 Years, 10 Months ago FICO®Scores measure the age of the oldest account and the 4. Few Accounts Paid On Time average age of all accounts being reported. Generally speaking, having a relatively long credit history and not opening many new You have few accounts that are in good standing. accounts is reflective of lower risk. Number of your accounts currently being paid as agreed FICO High Achievers 0 opened their oldest account 25 years 6 accounts ago, on average. The FICO®Score considers the number of accounts showing on time payments. In your case this number is too low either 4. Recent Revolving Account Usage because you have very few accounts or you've missed payments recently on some of your accounts or have accounts with derogatory indicators 0 reported. You've shown recent use of revoMng accounts. FICO®Scores evaluate the mix of revoMng credit 0, installment FICO High Achievers 0 have an average of 6 accounts currently loans 0 and mortgages. People who demonstrate recent and being paid as agreed. responsible use of revoMng credit are generally considered less risky to lenders. Summary Accounts Collections Inquiries Public Records Credit Score https://usa.egerian.comr#/print/egerianJ201609021559572313 26/28 9/2/2016 https://usa.eperian.com'#/print/eperian/201609021559572313 https://usa.egerian.comm#/print/experian/201609021559572313 27/28 9/2/2016 https://usa.experian.cora#/print/egerian/201609021559572313 JAMES N KALVIN-Experian •'�•• Ex Brian Date of Report Sep 2, 2016 • p • Disclaimer _, _.r. _ .. Disclaimer Your Credit Score is a numerical representation of your credit worthiness that is used by most lenders and credit card issuers. Remember,the Experian credit bureau, Equifax, and TransUnion each have their own set of data in your credit file.That's a reason why Credit Scores may vary between bureaus. About your FICO®Score 8 Your FICO®Score 8 powered by Experian data is formulated using the information in your credit file at the time it is requested.Your FICO® Score 8 can range between 300 and 850, with a higher score indicating a lower risk.There are many scoring models used in the marketplace. The type of score used, and its associated risk levels, may vary from lender to lender. But regardless of what scoring model is used, they all have one purpose: to summarize your creditworthiness. Keep in mind that your score is just one factor used in the application process. Other factors, such as your annual salary and length of employment, may also be considered by lenders when you apply for a loan. What this means to you: Credit scoring can help you understand your overall credit rating and help companies better understand how to serve you. Overall benefits of credit scoring have included faster credit approvals, reduction in human error and bias, consistency, and better terms and rates for American consumers through reduced costs and losses for lenders.The Credit Score we provide is FICO®Score 8. Your lender or insurer may use a different FICO®Score than FICO®Score 8, or different scoring models to determine how you score. https://usa.experian.comr#/print/experian/201609021559572313 28/28 Electronic ArticlesFoof Organization F DSOo 87 February 07, 2011 Florida Limited Liability Company Sec. Of State clewis Article I The name of the Limited Liability Company is: JIM KALVIN, LLC Article II The street address of the principal office of the Limited Liability Company is: 5801 CEDAR TREE LN. NAPLES, FL.US 34116 The mailing address of the Limited Liability Company is: 5801 CEDAR TREE LN. NAPLES, FL. US 34116 Article III The purpose for which this Limited Liability Company is organized is: ANY AND ALL LAWFUL BUSINESS. Article IV The name and Florida street address of the registered agent is: RUTH P KALVIN 5801 CEDAR TREE LN. NAPLES, FL. 34116 • Having been named as registered agent and to accept service of process for the above stated limited liability company at the place designated in this certificate, I hereby accept the appointment as registered agent and agree to act in this capacity. I further agree to comply with the provisions of all statutes relating to the proper and complete performance of my duties, and I am familiar with and accept the obligations of my position as registered agent. Registered Agent Signature: RUTH P. KALVIN VERIFICATION OF CONSTRUCTION EXPERIENCE`: GMD Operations&Regulatory Management Department Licensing Section 2800 N.Horseshoe Drive Naples,FL 34104 Applicant's Name: i.keeCS /r/v/4 ?) —105-y Certificate Category Requested: 1 r#'iM - a d/ 5/5 ,'4#//t 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: Tod.a T. Tu creel P.E Title: O LAJ Y«V- License Number(if applicable): 39CD59 Name of Business: Ti.)rte.t( �__ �Gt--U ,HtV 1465 G CAA.�CheC 5 l h Business Address: 36g4 rCkUrr� Xle e - P_1 Qp[es FL-- 3 9-10 Business Phone: 3 1 -lo93 -Ot(o& The applicant's years of experience from /9'9 to ,z ',i The applicant's scope of work(specific duties) included:,1&,-, -5 /9 /4 2xf‘x/X- fliOtkitf 6ekt,en,/ C'� 14,c f u ,W ei� . P-/J/ f <-771- Additional comments: Falsifying any information provided herein may subject your license to revocation. Under the penalties of perjury I declare that I have read the foregoing application and that the facts stated in it are true. Signatur- rdi ,i . U - e_ U Print Name State of Florida County of ao��� The foregoing instrument as acknowledged before me this a 5 CACi-c� C a.t e-VA-4A ` "o t )o (Date) by (oda T. V'C‘re- who has produced pec-so tl.(AV.4 k AA)V.) (name of person acknowledging) (type of identi ation) as identification and did not take an oath. (- NOTARY'S SEAL /L'e'C -714717._(..))5srepf (SIGNATURE NOTARY) 9 ti%'•• LEE M.RUSSELL "- MY COMMISSION#FF 032412 , EXPIRES:October 30,2017 p�tO` Bonded Tru Notary Public Underwriters VERIFICATION OF CONSTRUCTION EXPERIENCE GMD Operations&Regulatory Management Department Licensing Section 2800 N.Horseshoe Drive Naples,, FL 34104 Applicant's Name: J�(s /Y /�Q-k, Certificate Category Requested: ov'/k/' — /20a/.5/j , //t 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 e .w'•.information: Name: s / Ge) '4LIP J/7zJC1" Title: License Number(if applicable): �— l' • / v-1'fj/fits Name of Business: U ���C ��r2?S�Y v�"Tlo/✓ //2C� Business Address: 1.7f 7O'7 / /. /'m:--(• //1/7t-/).h S y/e Business PQ:';(7"" 7706 The applicant's years of experience from /17 to.2a/,/ The applicant's scope of work(specific duties)included:1lj -j 60-0e/v (;;;,/i,wl_h;:y Aekert 1,`'/142a#Z;Z-7571- Additional comments: Falsifying any information provided herein may subject your license to revocation. Under the penalties of perjury I declare that I have read the foregoing plication and that the facts stated in it are true. /-7.? Sipture _ Print Name State of Florida County of The foregoing instrument as acknowledged before me this al0/6 -- ate) by t. �1O Ohl �j / rad- J . who has produced (name of person acknowledging) (type of identification) as identification and did not take an oath. NOTARY'S SEAL / _ ISIGNAT�_ ': NOTARY) "" ',• Y AN TUR 2° 40 ,t 0.Arg`% ry Public•State of Florida t MNotay Comm ExpiresJEApr 14,2017 ' ••;, - P. CommissionTERR #FF 3028RNE ••f •n,,,,, Bonded Through National Notary Assn . na"• omispeqwwwwessowspoomisp VERIFICATION OF CONSTRUCTION EXPERIENCE GMD Operations &Regulatory Management Department Licensing.Section 2800 N.Horseshoe Drive Naples,pl/ FL 34104 Applicant's Name: /Y. ��(p(!//H Certificate Category Requested: 01 — � (�q�� The applicant is seeking a Collier County Certificate of Competen y 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: S c t . nn Title: QU�W� License Number(if applicable): c -g 744 Name of Business: $�C4. ✓ ` i�PG`,'1 � C-- �7 �L Business Address: n9 I ! T k ,iq�� se ) /'altos Business Phone: a3'79?Og. The applicant's years of experience from /syq to�-�2 The applicant's scope of work(specific duties) included:/17G?, ,'-z 6-0)1 "r f7 4 l nOG/Z, Additional comments: Falsifying any information provided herein may subject your license to revocation. Under the penalties of perjury I declare that I have read the foregoing application and that the facts stated in it are true. Signature S� Print Name State of Florida /le County of D ` r The foregoing instrument as acknowledged before me this a 02 /4e, (Date by Tt b. ` ) LA who has produced /2YSOh It / l?o i r (name of person acknowledging) (type of identification) as identification and did not take an oath. o Y'S SEAL 4,AiddleAdAltiiiriffReb—v JOUR F.MAME • Wiry Mk-- Florida (SIGN�� 11F •T Itif My Comm.byins May S.2017 „= Commis O If 011/06 bald TWO O Uwe Nary ban AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF7Od//14 COUNTY OF (.; I, Zel--/eigqy having been first duly sworn. state and affiiiii: I am a resident of 4-146,-/.._/ .0- County, /42‘717-/e9.4 (State) and have resided here for more than five (5) years. During the last five years I have known ,Jt' eS /4�11/ (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. 71//144 fil/W4 Signature '1i&% — .0 Name 9/ z' -1 ;7 ,(Ji .,/4d 5 mac, ?//y Address Telephone The foregoing instrument as acknowledged before me this CLi a.,vT l 4 N ;l(� N (l (Date) by 1 C.�}i�r%�- Doo crL\ who s- e reed ,_'J A .� J i i l �. .►_ . (name of person acknowled 'ng) (type of iden ',lcation) as identification and did not take an oath. NOTARY'S SEALu � A �ter�..:,��, Rai P.Kam * MY COMMISSION a FF 1:17493 EXPIRES:January 11,2019 SIGN TURF OF NOTARY) 44,voc\Oe Bonded Thou Budget Nobly Servka AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF 1---LE?� COUNTY OF 62. !',/e 0-' I, 467/- .9 e b- 0/Mhaving been first duly sworn, state and affirm: I am a resident of // County, aottitc, (State) and have resided here for more than five (5) years. During the last five years I have known ___„Y-LAG)- / /11J/i^ (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. %i r zi.L....______________ Signature e,p,,,,_____ 7 ,. b-02,4,,r Name � t � , V7(:) J 7�`' 1 a DJ 1� \ L ' : V L /&7 Address q S 5'— `7geg6 1 Telephone The foregoing instrument as acknowledged before me this , lf- its 0 _ (Date by Pc ti e , [AO( meats- who has produced -77-f-'9())1(1.CX---f) L 1�n C";t (name df person acknowledging) (type of identificion) as identification and did not take an oath. NOTARY'S SEAL ...............a.rwahmemiwah.db,a6., 0 $ i* -44r. 'JAI° e I p Y 1 4,, JOSEPH F.FAKE (SIGN, 'URE 0 NOTAR' I '`��` Nohry Public•Me of Florida I * q _. :Hwy E*ss May S.2017 i Ccauaisnos•El SUM I k `' IaadM Him.WWI Nifty Ann. c mow��� NM,��111111..._.‘i _ COLLIER COUNTY BUSINESS TAX RECEIPT Fo� lid APPLICATION risill:.. 2800 N.Horseshoe Drive,Naples,FL 34104 `x� g Make Check Payable to: Collier County Tax Collector :::4---4:',•��,5� Phone:239-252-2477 Fax:239-643-4788 Website:www.colliertax.com coo wEt"- �/ 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. mpleted Zoning application with appropriate fee made payable (850-488-0595) to. :.... . .... ::•.•-'..'..- 252-5603) Copy of City Business Tax Receipt.(239-213-1800) mpleted 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: yell Coni-rekc-t-or L: c S,5frx. 0 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) CH CK ONE: Date: 8/oZAio, Original Application Classification Transfer of License# Code Number - - Renewal of License# License Amount 1) CORPORATE NAME - « ieek/79, L4.G la) DBA NAME - lb) BUSINESS OWNER OR QUALIFIER'S NAME - _d/- 'c'5 ,k /<' /i,,M' 2) PHYSICAL ADDRESS - ,5'"y / (.8 ri 77 -e Z14, 4,A=5, /7 3tiiid (No P.O.Box allowed) 2a) IS RESIDENCE USED AS AN OFFICE - i . Yes No 3) BUSINESS MAILING ADDRESS - jifLtnt' Street City Zip 4) OWNER OR QUALIFIER'S RESIDENTIAL ADDRESS- SAfrie 5) TELEPHONE -Business: 23f-,z , V-E;T5 V Home: ,2,3f- 776--0 7 6) LEGAL FORM OF BUSINESS: Sole Proprietorship Partnership Corporation j/ LLC LLP 7) OPENING DATE OF BUSINESS OR DATE ASSUMED- ,2./7lj/ 8) OFFICE WITHIN CITY LIMITS OF NAPLES - Yes £'No If Yes,City License No. 9) ' , �SOCIAL SECURITY NO. or FEDERAL EMPLOYER IDENTIFICATION NO. - •ee back of application for explanation 9a) TYPE OF BUSINESS CONDUCTED: '/!' 'or7 Kxv t5/`,'GPeb x-'' 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 copy of state license if state licensed and certified UNDER PENALTIES OF PERJURY,I DECLATHAT I HAVE READ THE FOREGOING DOCUMENT AND THAT THE FACTS STATED IN IT U TO THE BEST OF MY KNOWLEDGE. xxxAPPLICANT'S SIGNATURE: (L--- ./T, DATE: t 4,.?/ce' (Owner and/or representative of busin )TIT E. T 4 - i' y/� 1 j 6A'$ ' ****THIS LICENS IS NON-REFUNDABLE FOR BUSINESS STATED ABOVE**** Hull&Company,Inc. UII 1815 Griffin Suite 300 Dania Beach, FL 33004 & Company (954)527-4855 Fax:(866)449-8449 Managing General Agents■Wholesale Insurance Brokers DATE: 08/30/2016 TO: Norma Etienne Agency Code: 97561 LUTGERT INSURANCE 1395 PANTHER LANE SUITE 100 Naples, FL 34109 Agency Fax: (239)948-7845 FROM: James Gallaudet Phone: (954)903-4335 ext.4335 Fax: (954)828-2537 james.gallaudet@hullco.com RE: Jim Kelvin LLC QUOTATION Quotation Premium Policy Term: 08/30/2016-08/30/2017 Quote Exp Date: 09/29/2016 12:01 AM Premium: $3,600.00 Inspection Fee $150.00 Total: $3,750.00 Commission: 10% Minimum Earned Percent: 50.00% Note: Policy Fees are fully earned. Carrier(s): United States Fire Ins Co-Admitted Locations: Naples, FL, 34116 Endorsements/Exclusions: (include, but are not limited to,the attached terms,conditions and exclusions.) Conditions: (include, but are not limited to,the attached terms, conditions and exclusions.) Subject to signed completed application. Subject to loss runs or insured's no loss statement. Subject to satisfactory inspection by insurer. Special Provisions: This quotation is being offered on the basis indicated. It is incumbent upon you to ascertain the accuracy of the quote,and to review with the insured the terms of the quote carefully,as the coverage,terms and conditions may be different than those on original application. All requests to bind coverage must be received in our office in writing. Coverage cannot be backdated or presumed to be bound without confirmation from an authorized representative of Hull&Company, Inc.. Be advised that if Hull&Company, Inc. has not received a response from you by the expiration date of this quote,we will consider this quotation closed. Please be sure to check the carrier's A.M.Best rating to satisfy you and your client's interests. Please review and advise if you have any questions. We look forward to hearing from you concerning placement of this coverage. Kevin Belk 'MarineUnderriter w 2040 North Loop 336 West Suite 225 n erwriters Conroe,TX 77304 Phone: (936)230-5537 A Fax: (936)230-5538 erica Cell: (704)604-6539 Email:kevin& marineuw.com United To: Jim Gallaudet Date: August 30,2016 RE: Jim Kalvin,LLC Thanks for your submission on the above account. Please review the terms of the quotation below fully as there may be differences in what is being requested on the application submitted. If you have any questions,please contact me. Quote follows: • MARINE GENERAL LIABILITY Each Occurrence: $1,000,000 Personal/Adv $1,000,000 Product./Completed Ops.: $1,000,000 Fire: $50,000 General Aggregate: $2,000,000 Medical: $ 1.000 Deductible: $2,500 Except$10,000 S&A Pollution M&D: $3,250 Rates: 1.3%Against Gross Receipts of$250,000 $250—Flat(S&A Pollution) Total MGL Premium: $3,500 • CONTRACTOR'S EQUIPMENT: Total Insured Values: $20,000 Misc.Tools&Equip.($2,500 max any one item) Deductible: $1,000 Valuation: ACV/80% Total Inland Marine Premium: $200 Rate: 1.0% Total Account Premium: $3,600 TRIA: $250 (optional) Inspection Fee: $150 TERMS AND CONDITIONS: MUA 0020 0211 USFI Common Dec Page PRIV 0001 0611 Privacy Notice MUA 0001 1109 Marine GL Dec Page MUA 0011 1109 Contractor's Equipment Dec Page Forms: MUA 1002 0312 Marine General Liability—Marine Contractors Legal Liability MUA 8001 1109 Contractor's Equipment Applies to All Coverages: MUA 1000 0516 Hazards Excluded MUA 1048 0610 Terrorism Exclusion(unless TRIA purchased) Applies to Liability Coverages: MUA 1029 1109 Liability Exclusions and Limitations Marine Uerwriters A° erica Applies to Marine General Liability MUA 1019 1109 Cross Liability Exclusion MUA 1025 1109 Leased Worker Exclusion MUA 1034 1109 Public Utilities—Dredging MUA 1039 1109 Paint Overspray Exclusion MUA 1041 1109 Sudden and Accidental Pollution(without Pll)-$250,000 MUA 1045 1 109 Subcontractor Certificate Warranty MUA 1052 1109 Total and Absolute Pollution Exclusion Applies to Contractor's Equipment MUA 8002 1109 Inland Marine Conditions MUA 8003 1109 Common Policy Conditions MUA 8017 1 109 Flood Exclusion Security United States Fire Insurance Company(Admitted) Subject to: Hard Copy Loss Runs or Signed Statement of NO LOSSES by the insured(3 year min). Minimum Earned. No flat cancellations. Inspection to be ordered by MUA TRIA form at time of binding. PLEASE NOTE: • Unless hull and/or P&1 and/or the watercraft liability is included within,this quote does not include any property damage or liability coverage for owned watercraft. By binding these coverages,agent acknowledges this notice. Quote is valid for 30 days from date of quote. Let me know if you have any questions. Regards, Kevin Belk 'liMarine Underwriters A° erica POLICYHOLDER DISCLOSURE NOTICE OF TERRORISM INSURANCE COVERAGE You are hereby notified that under the Terrorism Risk Insurance Act, as amended in 2015, you have a right to purchase insurance coverage for losses resulting from acts of terrorism.,as defined in Section 102(1)of the Act. The term "act of terrorism" means any act or acts that are certified by the Secretary of the Treasury-in concurrence with the Secretary of Homeland Security, and the Attorney General of the United States-to be an act of terrorism; to be a violent act or an act that is dangerous to human life, property, or infrastructure;to have resulted in damage within the United States, or outside the United States in the case of certain air carriers or vessels or the premises of a United States mission; and to have been committed by an individual or individuals as part of an effort to coerce the civilian population of the United States or to influence the policy or affect the conduct of the United States Government by coercion. YOU SHOULD KNOW THAT WHERE COVERAGE 1S PROVIDED BY THIS POLICY FOR LOSSES RESULTING FROM CERTIFIED ACTS OF TERRORISM, SUCH LOSSES MAY BE PARTIALLY REIMBURSED BY THE UNITED STATES GOVERNMENT UNDER A FORMULA ESTABLISHED BY FEDERAL LAW. HOWEVER, YOUR POLICY MAY CONTAIN OTHER EXCLUSIONS WHICH MIGHT AFFECT YOUR COVERAGE, SUCH AS AN EXCLUSION FOR NUCLEAR EVENTS. UNDER THE FORMULA, THE UNITED STATES GOVERNMENT GENERALLY REIMBURSES 85% THROUGH 2015; 84% BEGINNING ON JANUARY 1, 2016; 83% BEGINNING ON JANUARY 1,2017; 82%BEGINNING ON JANUARY 1,2018; 81% BEGINNING ON , JANUARY 1, 2019 and 80% BEGINNING ON JANUARY 1, 2020, OF COVERED TERRORISM LOSSES EXCEEDING THE STATUTORILY ESTABLISHED DEDUCTIBLE PAID BY THE INSURANCE COMPANY PROVIDING THE COVERAGE. THE PREMIUM CHARGED FOR THIS COVERAGE IS PROVIDED BELOW AND DOES NOT INCLUDE ANY CHARGES FOR THE PORTION OF LOSS THAT MAY BE COVERED BY THE FEDERAL GOVERNMENT UNDER THE ACT. YOU SHOULD ALSO KNOW THAT THE TERRORISM RISK INSURANCE ACT, AS AMENDED, CONTAINS A $100 BILLION CAP THAT LIMITS U.S. GOVERNMENT REIMBURSEMENT AS WELL AS INSURERS' LIABILITY FOR LOSSES RESULTING FROM CERTIFIED ACTS OF TERRORISM WHEN THE AMOUNT OF SUCH LOSSES IN ANY ONE CALENDAR YEAR EXCEEDS $100 BILLION. IF THE AGGREGATE INSURED LOSSES FOR ALL INSURERS EXCEED $100 BILLION, YOUR COVERAGE MAY BE REDUCED. I I hereby elect to purchase terrorism coverage for a prospective premium of$250 I hereby decline to purchase terrorism coverage for certified acts of terrorism. I understand that I will have no coverage for losses resulting from certified acts of terrorism. Policyholder/Applicant's Signature Insurance Company Print Name Quote/Policy Number 1 I Date Marine Underwriters of America APPLICATION FOR MARINE CONTRACTORS LIABILITY INSURANCE Applicant Name: Years in Business(if less than 3 yrs, please attach resume) Mailing Address(including City,State,Zip): Proposed Effective/Expiration Date: Estimated Gross Receipts for upcoming year. List of Insured Locations: 1. 2. 3. 4. Describe the Watercraft in your Care,Custody, Type of Work: Control: Dredge Pile Driving Bulkhead/Dock Survey Lift Installation Diving Salvage Other % (Describe): Indicate percentage of work performed in: Commercial: % Residential: % Renovation: % New Construction: Describe your last 5 jobs(include dates): 1. 2. 3. 4. 5. Do you require subcontractors to(indicate yes or no): Sub contractor used? Name you as an additional insured to their liability policy? Sign an indemnification agreement/hold harmless agreement in your favor? Furnish Certificates of Insurance? Limit of Liability Insurance Subcontractor carries$ Gross Receipts for the past 5 Years: _ $ $ $ $ $ Describe your Non-Marine Work and give percentage of total revenues Current Insurer: Is Current Insurer canceling,increasing rate,changing coverage,etc? (If yes,please explain): LOSS EXPERIENCE: List all claims(insured or not)during past 5 years on all operations. (ATTACH FULL LOSS EXPERIENCE DETAILS) YEAR PREMIUM PAID LOSSES OPEN/ TOTAL SETTLED Applicant Signature Date Agent or Broker Date ANY PERSON WHO KNOWINGLY PRESENTS A FALSE OR FRAUDULENT CLAIM FOR PAYMENT OF A LOSS OR BENEFIT OR KNOWINGLY PRESENTS FALSE INFORMATION IN AN APPLICATION FOR INSURANCE IS GUILTY OF A CRIME AND MAY BE SUBJECT TO CML FINES AND CRIMINAL PENALTIES. (December 2009) Co ler County COLLIER COUNTY GOVERNMENT 2800 NORTH HORSESHOE DRIVE GROWTH MANAGEMENT DIVISION NAPLES, FLORIDA 34104 www.colliergov.net _ (239) 252-2400 FAX (239) 252-6358 LAND USE AND ZONING CERTIFICATE: HOME OCCUPATION LDC section 5.02.00 & subsection 10.02.06 B.1.f Chapter 4 K. of the Administrative Code Please take the time to fill out this form as completely as possible. 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 Business Tax Receipt 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. APPLICANT CONTACT INFORMATION Name of Applicant(s): -14 c5' /1'.- lef/r'/G4 Telephone: ,2'39"--#0;'d-6.05-4/ Cell: j5sbot Fax: /are E-Mail Address: j 4'/'ft , WeiVe41, z•-n4---` BUSINESS & USE INFORMATION Business Name(If any): -.ilk-Pi /4./I%l, L1 Z! Phone Number: XS '59 Address: 5 OO/ /t7t'v'-- 77: e LliCity: ,441%5 State: Al ZIP: 3e//&, Description of the type of business or use: inlet e' (.c;!>'c/I/vve 7.11/4P/-7 Collier County Land Development Code Section 5.02.00-Home Occupations 5.02.01-Applicability ome occu•a Ions - •- •n • • r • : •' • ' •- • as a mterrr'tted-ase. 5.02.02-Allowable Home Occupation Uses There shall be no retail sale of materials, goods, or products from the premises. 5.02.03-Standards The home occupation shall be clearly incidental to the use of the dwelling for dwelling purposes. The existence of the home occupation shall not change the character of the dwelling. A. An allowable home occupation shall be conducted by an occupant of the dwelling. B. There shall be no on-site or off-site advertising signs. C. The use shall not generate more traffic than would be associated with the allowable residential use. To that end, traveling to and from as well as meeting or parking at the residence by either employees of the business operated there from who are not residing at the subject address or by customers or clients of the home occupations is prohibited. 1/14/2014 Page 1 of 2 ,h 3 � GITS, LLC Examination Operations Division Providing the services and products to assist Government Agencies to make informed educated decisions. Official Examination Score Report July 11, 2016 Official Score Report: Candidate Information: Name—James Kalvin Candidate #: 54610240K Testing Site: Naples, FL Final Score Result: Marine Contractor;Seawalls Score: 80% These results represent the grade that has been achieved on the above named examination(s) administered by Gainesville Independent Testing Service for Collier County, Florida on July 9, 2016. If you have any further questions, please do not hesitate to contact us. Sincerely, Jay E. Bowermeister President PO Box 831127 Ocala, Florida 34483-1127—Voice(352)369-GITS –Fax(352)387-2443 800 997 2129 GITS, LLC Examination Operations Division Providing the services and products to assist Government Agencies to make informed educated decisions. Official Examination Score Report August 17, 2016 August 17, 2016 Official Score Report: Candidate Information: Name—James Kalvin Candidate #: 54610240K Testing Site: Ft, Myers, Fl Final Score Result: Business Procedures Score: 78% These results represent the grade that has been achieved on the above named examination(s) administered by Gainesville Independent Testing Service for Collier County, Florida on August 17, 2016. If you have any further questions, please do not hesitate to contact us. Sincerely, Jay E. Bowermeister President PO Box 831127 Ocala,Florida 34483-1127—Voice(352)369-GITS –Fax(352)387-2443 800 997 2129 t- a Co [ -r C4DK1-1ty GMD Operations&Regulatory Management Licensing Section 2800 North Horseshoe Drive Naples,FL 34104 APPLICATION FOR COLLIER COUNTY/CITY OF NAPLES/CITY OF MARCO FIRM INSTRUTIONS: This application must be typewritten or legibly printed. The application fee must be paid upon approval and is not refundable. All checks should be made payable to: Collier County Board of County Commissioners. For further information, consult Collier County Ordinance No. 90-105, as amended. NAME OF COMPANY: r ,9 Exact Corporate/Business Name: U`X`05 C- t'l SC 0 " ')OU(V) (91a, ) ei C Fiction Name/DBA: w Qualifier Name: AI u �'1� G Physical Address: 11 Sca � tUl f Y- 3(i i 67 (Number&Street) (City) (State) (Zip Code) Mailing Address: S a609. (Number&Street) (City) (State) (Zip Code) Telephone: 2 Z— f 3 I E-mail: UTasG fir GL` �tiyvl��I TYP OF LICENSE: General $230.00 Electrician $230.00 Building $230.00 Plumber $230.00 Residential $230.00 Air Conditioner $230.00 Mechanical $230.00 Swimming Pool $230.00 Roofing $230.00 Specialty-ec-ialt - -- --- p y ...__._$205.00 --- Specialty Trade: E Q--V\ CHANGE OF STATUS: ( ) Reinstatement ( )From One Business to Another ( )Dormant License to Active Page 1 of 4 � I 1. The names,titles home address and phone umbers of all Officers/Managing Members of the Firm. d n u 4 () los& —cY -S► ;4017 IVO- S 30/k 2. List all businesses, firms,entities or contracting businesses you have been associated with during the last ten years(i.e.held a license for or been a partn ). Attach extra pages if needed. . ( ;�-epailom SOL 3. List all debts you or any company(s)associated with you that you refused to pay and the reasons for the refusal to pay. Attach extra pages if needed. i✓tSY1 SL AFFIDAVIT Under the penalties of perjury I declare that I have read the foregoing application and that the facts stated in it are true. AI Auth•,ize•'r* icer of the Firm The foregoing instrument as acknowledged before me this • (Date) by rn4flL( 0 $O5 of D,foS A S "'' l�-c?-iD ✓ )'31 S _ (Name of Officer, Title/Agent) (Name of Corporation) a �-(7 cLat Corporation on behalf of the corporation. (State or Place of Corporation) He/She has produced V identification and did not take an oath. (Type of identification) NOTARY'S SEAL r 406 ie/tA/CLI &a/471)W (SIG!„1E4.1 OF NO ARY) >P`"`�P` ' LEURY MARTINEZ POLANCO e pa 2 of 4 MY COMMISSION#FF192276 g coFl,cFP EXPIRES:January 22,2019 sy QUALIFIER INFORMATION: Name: t/sia. . Address: '/OO �..;rc{ ► A tJ0 . -S �. .34///2 (Number&Str ) (City (State) (Zip Code) Telephone: CZ3 i � Z- 593/ Date of Birth: SS#: -2 E-mail: 6SCSp ; �in�'l Driver's License#: CS- 1. Type of Certificate of Competency for which application is made. 2. The names and telephone numbers of two personswhowill know your whereabouts. 4- Y' Veu aS Z-3(1GNU'7 c R. Su Q.Z 3. Have you ever been convicted of a crime related to Contracting? 6 (If yes,attach extra sheet with explanation.) 4. Have you or any firms you have been associated with ever filed bankruptcy? Li 5. List all debts you or any company(s) associated with you that you refused to pay and the reasons for the refusal to pay and reasons why. 6. List your b siness or workexp rience during the last ten years. ited.,-)i, ,46,5v5k2,74.46., 7. Statement of any f al training you have had in the area for which the application is made. 3 of 4 AFFIDAVIT The undersigned hereby makes application for Certificate of Competency under the provisions of Collier County No. 2006-46, as amended, and under penalties of perjury. I declare that I have read the foregoing qualifier information and that the facts stated in it are true. 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/she will be held strictly accountable for anynd all activitie4involving his license. Any willful falsification of any information contained herein is grounds for disqualification. Applicant(please print) 6 Yf�S& 6.6111 dlr._ Gam, Name of Company Signat e of pp icant State of Florida 4 g County of Lo(kit r The foregoing instrument as acknowledged before me this 7122,7/ Dafe by qit/1L1J2. who has produced-TIL 1111.111- 45*- 111111/ (name of person acknowledging) (type of identification) as identification and did not take an oath. NOTARY'S SEAL K GNATU�E OF NOTARY) f �r°` Y nye' KATY M GUERRERO i t n: •, n, Y, Notary Public-State of fforida 4 of 4 My Comm Expiroes Jan 13,2017 Commission EE 864871 , 's AFFIDAVIT It is understood and acknowledged by the Collier County Contractor's 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. 3 Signa e o Applicant :Orisa 66(froi 09-nbueckinisi h< Business Name 7i/ Date ,.J arm BEFORE ME this day personally appeared �l� who affirms and says that he/she has less than one employee and does not require Workmen's Compensation and understands that at any time he/she employs one or more persons he/she must obtain said Workmen's Compensation Insurance. State of Florida County of COUR Y The fore bin instrument as acknowledged I?� G` b g g cknowledged before me this (Date by Ilk U ii r� who has producedbillilla L (name of person acknowledging) (type of identification) as identification and did not take an oath. 1 NOTARY'S SEAL i / `I KATY M GUERRERO - NAT -`' ,, ' OF NOTARY) p !,r '_; .°` Notary Public-State of Florida - v.` a :Qc My Comm.Expires Jan 13.2017 : 4.., r ,6-;OFlltt Commission#EE 864871 Ie 11111�� RESOLUTION OF AUTHORIZATION WHEREAS ( r O. y, Ryn b bra Q1 Ts(hi( proposes to engage (Name of Business Entity) in contracting as e z-s�t�( 3- C in (Type of legal entity: corp.,partnership,etc.) Collier County, Florida,a according to Coll' r County Ordinance 2006-46,as amended:and WHEREAS 'V C.t,�S� ,5-Y1tAlos.Aj0'151 Ihproposes to qualify (Name of Business Entity) for a Certificate of Competency with fiffC)11j b100.- . (Name of Individual) NOW,THEREFORE,BE IT HERE Y RESOLVED THAT: We the undersigned (SLS; C k' of , � (Officers,Owners,Partners) 6' SC eLLS G)v1 6 , L[!(J 013 £hQ.hereby resolve and represent to the Collier County (Name of Business Entity) Contractor's Licensing Board that the qualifying agent, L7 6/)UPC U f 0., , is active //11 (Name of I dividual) in all matters connected with the contracting business of 01(6-SC j e iti eA 'and /� /£)(Name of Business Entity) We further resolve and represent that i4 f1 u.1i S G is (Namef Individual)- Legally empowered to act for o1b- 6 fl'J�y) R,jtj1(l�i�w 4ifPlttn ail matters connected with its (Name of Business Entity) contracting busi ess,and has the authority to supervise construction undertaken by (Name of Business Entity) DULY PASSED AND ADOPTED THIS 2, DAY OF rr:il1 , i �� , (Officers, Partners,Ow er!it designati n underneath) AO . ii.Witainr- Witness Witness Corporate Seal(if applicable)or Notary Public Certificate Sworn to and subscribed before me this2Z day of _"L , 7,131 co by 11 ttJ Bibi . The foregoing instrument as acknowledged before me this z /CZ. / ile by qt2iüjJbTh.5� who has produced �� (� . ��>�—'� name of person acknowledging) (type of identification) as identification and did not take an oath. / -----1.-:.:-----Th NOTARY'S SEAL osV.,Ppeq,' KATY M GUERRERO •TURE O OTARY) -* ,��*`'%. Notary Public -State of Florida 4 ;:' 7u :,,,I.- My Comm. Expires Jan 13.2017 iFOF F,_n,+ Commission#EE 864871 GMID Operations & Regulatory Management Licensing.Section 2800 North Horseshoe Drive Naples, FL 34104 MEMORANDUM Date: February 17, 2015 To: Applicant's for Certificate of Competency From: Michael Ossorio, Contracting Licensing Supervisor Subject: Collection of social security numbers. Pursuant to Chapter I-19, Florida Statutes and Collier County Contractor Licensing Ordinance 2006-46 Section 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 I-19, Florida Statutes, 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 I-19, Florida Statutes. GITS, LLC Examination Operations Division Providing the services and products to assist Government Agencies to make informed educated decisions. Official Examination Score Report March 25,2015 Official Score Report: Candidate Information Name—Manuel Orosa Candidate#540852900 Testing Site: Ocala,FL Final Score Result: General Unlimited Contractor ` Score: 76% These results represent the grade that has been achieved on the General Unlimited Contractor examination(s) administered by Gainesville Independent Testing Service for Collier County, Florida on March 25, 2015. If you have any further questions,please do not hesitate to contact us. r� ,/1 Sincerely, E Jay . : •wermeister President PO Box 831127 Ocala,Florida 34483-1127—Voice(352)369-GITS –Fax(352)387-2443 800 997 2129 GITS, LLC Examination Operations Division Providing the services and products to assist Government Agencies to make informed educated decisions. Official Examination Score Report March 26, 2014 Official Score Report: Candidate Information: Name—Manuel Orosa` Candidate#: 540852900 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 26, 2014.. If you have any further questions,please do not hesitate to contact us. Sincerely, Jay E. Bowermeister President PO Box 831127 Ocala, Florida 34483-1127—Voice(352)369-GITS –Fax(352)387-2443 800 997 2129 LOR D P 'rM N ''xAFi. Detail by Entity Name Florida Profit Corporation OROSA CUSTOM RENOVATIONS, INC. Filing Information Document Number P12000076371 FEI/EIN Number 90-1077612 Date Filed 09/07/2012 Effective Date 09/07/2012 State FL Status ACTIVE Last Event AMENDMENT AND NAME CHANGE Event Date Filed 07/30/2013 Event Effective Date NONE Principal Address 1732 TRADE CENTER WAY NAPLES, FL 34109 Changed: 03/10/2015 Mailing Address 1732 TRADE CENTER WAY NAPLES, FL 34109 Changed: 03/10/2015 Registered Agent Name & Address OROSA, MANUEL 1732 TRADE CENTER WAY NAPLES, FL 34109 Address Changed: 03/10/2015 Officer/Director Detail Name &Address Title P OROSA, MANUEL 1732 TRADE CENTER WAY NAPLES, FL 34109 Annual Reports Report Year Filed Date 2013 04/18/2013 2014 04/24/2014 2015 03/10/2015 Document Images 03/10/2015 -- ANNUAL REPORT View image in PDF format 04/24/2014 --ANNUAL REPORT View image in PDF format 07/30/2013 --Amendment and N me Change. View image in PDF format 04/18/2013 --ANNUAL REPORT View image in PDF format 09/07/2012 -- Domestic Profit View image in PDF format coov,oht and Privacy'',:-Acies State of Floricia, Departrnr,:ri'.of State Electronic Articles of IncorporationILED P12 $0076371 For September 07, 2012. Sec. Of State jshivers ANGEL GRANITE & CABINETS, 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: ANGEL GRANITE & CABINETS, INC Article II The principal place of business address: 1728 55TH TER SW B NAPLES, FL. US 34116 The mailing address of the corporation is: 1728 55TH TER SW B NAPLES, FL. US 34116 Article III The purpose for which this corporation is organized is: ANY AND ALL LAWFUL BUSINESS. Article IV The number of shares the corporation is authorized to issue is: 1000 Article V The name and Florida street address of the registered agent is: MANUEL OROSA 1728 55TH 1ER SW B NAPLES, FL. 34116 I certify that I am familiar with and accept the responsibilities of registered agent. Registered Agent Signature: MANUEL OROSO P12000076371 FILED Article VI September 07, 2012 The name and address of the incorporator is: Sh ve s State MANUEL OROSO 1728 55TH TER SW B NAPLES, FL 34116 Electronic Signature of Incorporator: MANUEL OROSO 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 document 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 MANUEL OROSO 1728 55TH TER SW APT B NAPLES, FL. 34116 US Title: VP JOSE L RODRIGUEZ 3906 14TH ST SW LEHIGH ACRES, FL. 33976 US Article VIII The effective date for this corporation shall be: 09/07/2012 • Ttaoo 7 5 ( al . , uur llin • (Requestor's Name) (Address) • • 40025007 064 (Address) (City/State/Zip/Phone#) 0 PICK-UP 0 WAIT 0 MAIL 07/30/13--01006--009 **35.00 (Business Entity Name) (Document Number) Certified Copies Certificates of Status —6 <CP w c r1 •Special Instructions to Filing Officer. 'Jrn —Ooh; 9 Office Use Only • AUG 12013 T. BROWN is CQVER LETTER TO:Amendment Section Division of Corporations NAME OF CORPORATION: ANGEL GRANITE & CABINETS, INC. DOCUMENT NUMBER: P12000076371 The enclosed Articles of Amendment and fee are submitted for filing. Please return all correspondence concerning this matter to the following: MANUEL OROSA Name of Contact Person OROSA CUSTOM RENOVATIONS, INC. Finn!Company 3906 ARNOLD AVE, UNIT C Address NAPLES, FL 34104 City/State and Zip Code sylviaalvarez01 a©msn.com E-mail address:(to be used for future annual report notification) For further information concerning this matter,please call: SYLVIA ALVAREZ at(239 )645-0375 Name of Contact Person Area Code&Daytime Telephone Number Enclosed is a check for the following amount made payable to the Florida Department of State: Q $35 Filing Fee 0$43.75 Filing Fee& 0543.75 Filing Fee& 0552.50 Filing Fee Certificate of Status Certified Copy Certificate of Status (Additional copy is Certified Copy enclosed) (Additional Copy is enclosed) Mailigg Address Street Address Amendment Section Amendment Section Division of Corporations Division of Corporations P.O.Box 6327 Clifton Building Tallahassee,FL 32314 2661 Executive Center Circle Tallahassee,FL 32301 Sc� i)fr s.. x/'/04 0F4/prc Articles of Amendment 73✓ib, ?f?j r)/.4 to • Articles of Incorporation /y' of Oz ANGEL GRANITE & CABINETS, INC (Name.of Corr/oration as currently Ned with the Florida Dent of State) P12000076371 (Document Number of Corporation(if known) Pursuant to the provisions of section 607.1006,Florida Statutes,this Florida Profit Corporation adopts the following amendment(s)to its Articles of Incorporation: A. If amending name.enter the new name of tilt corporation OROSA CUSTOM RENOVATIONS, INC. The new name must be distinguishable and contain the word "corporation," "company," or "incorporated" or the abbreviation "Corp.," "Inc.,"or Co.,"or the designation "Corp." "Inc,"or "Co". A professional corporation name must contain the word"chartered,"professional association,"or the abbreviation "P.A." B. inter new mindful office address.if applicable: N/A (Principal office address must BE A STREET ADDRESS) C. Enter new smiling address.If medicable: N/A (Mailing address MAT BEA POST OFFICE BOX) it D. If amending the registered agent and/or registered office address in Florida enter the name of the new registered agent and/or the new registered office address: Name of New Registered Agent N/A (Florida street address) New Registered Office Address: ,Florida (City) (Zip Code) New Registered Agent's Signature.if changing Registered Agent: I hereby accept the appointment as registered agent. I am familiar with and accept the obligations of the position. Signature of New Registered Agent,if changing Page I of 4 If amending the Officers and/or Directors,enter the title and name of each officer/director being removed and title,name,and address of each Officer and/or Director being added: (Attach additional sheets, if necessary} Please note the officer/director title by the first letter of the office title: P=President; V= Vice President; T= Treasurer;S=Secretary;;D=Director; TR= Trustee;C=Chairman or Clerk; CEO=Chief Executive Officer; CFO =Chief Financial Officer. If an officer/director holds more than one title, list the first letter of each office held.President, Treasurer,Director would be P77). Changes should be noted in the following manner. Currently John Doe is listed as the PST and Mike Jones is listed as the V. There is a change,Mike Jones leaves the corporation,Sally Smith is named the V and S. These should be noted as John Doe,PT as a Change, Mike Jones, Vas Remove,and Scilly Smith,SV as an Add. Example: X Change PT John Doe X Remove V Mike Jones .2 AddSally Smith Tyne of Action ,Title Address (Check One) 1) Change VP JORGE L. RODRIGUEZ 3906 14TH ST SW Add LEHIGH ACRES,FL 33976 X Remove 2) Change Add Remove 3) Change Add Remove 4) Change Add Remove 3} Change Add Remove 6) Change Add Remove Page 2 of 4 • E. If amending or adding additional Articles.enter chaagetsl here: (Attach additional sheets, if necessary). (Be specif c) N/A F. gam amegdment_nrovides for an exchange.reclassification.or cancellation of issued shares., provisions for imalement is the amendptent If not contained in the amendment itself•. (if not applicable,indicate NMA) N/A Page 3 of 4 The date of each amendment(s)adoption: 07/26/2013 ,if other than the date this document was signed. II Effective date if sonlicable: 07/26/2013 (no more than 90 days after amendment file date) Adoption of Amendments) (CHEC(ONE) Q The amendments)was/were adopted by the shareholders. The number of votes cast for the amendment(s) by the shareholders was/were sufficient for approval. ©The amendment(s)was/were approved by the shareholders through voting groups. The following statement must be separately provided for each voting group entitled to vote separately on the amendment(s): "The number of votes cast for the amendment(s)was/were sufficient for approval by (voting group) Q The amendment(s)was/were adopted by the board of directors without shareholder action and shareholder action was not required. ❑The amendment(s)was/were adopted by the incorporators without shareholder action and shareholder action was not required. Dated 07/26/ 013 Alii Signature (By a d - tor,president or other officer—if directors or officers have not been selected,by an incorporator—if in the hands of a receiver,trustee,or other court appointed fiduciary by that fiduciary) MANUEL OROSA (Typed or printed name of person signing) PRESIDENT (Title of poison signing) Jul 1416 01:23p 2392770167 p.2 P_epared. By: Merit Credit (239) 277-3202 (800) 37:-3348 TRANSUNION CREDIT REPORT [FOR] [SIB NAME] [MKT SUB] :INFILE] [DATE] [TIME] ,I) E NP6284423 MERIT CREDIT 16 NP 2/05 07/14/16 11:31CT {SUBJECT] ISSN) [B:RTH DATE) OROSA, MANUEL ORCSA JR. :ALSO KNOWN AS] PEREZ,MANUEL,OROSA [CURRENT ADDRESS] :DATE RPTD] 4005 CINDY AV., NAPLES FL. 34112 1/13 [FORMER ADDRESS] 3906 SW. 14TH ST. , LEHIC-H ACRES FL. 33976 2/11 2255 MALIBU LAKE CI. , #335. NAPLES FL. 34119 [POSITION] [CURRENT EMPLOYER AND ADDRESS] [VERF] [RPTD] [HIRE] A F C ELECTRIC ELECTRICIAN 4/12 4/12 4/11 MODEL PROFILE * ALERT * * * ***FICO SCORE 4 ALERT: SCORE +592 : 038, 013, 010, 018 *** IN ADDITION TO ***THE FACTORS LISTED ABOVE, THE NUMBER OF INQUIRIES ON THE CONSUMER'S ***CREDIT FILE HAS ADVERSELY AFFECTED THE CREDIT SCORE. CREDIT SUMMARY * * * ' T OT .A L FILE HISTORY PR=0 COL=1 NEG=1 HSTNEG=2-28 TRD=5 RVL=2 INST=3 MTG=0 OPN=0 INQ=6 HIGH CRED GRED LIN BALANCE PAST DUE MNTHLY PAY AVAILABLE REVOLVING: $2689 $2550 $522 $0 $15 800 INSTALLMENT: $32.5K $ $57 $57 $381 TOTALS: 535.2K $2550 $579 $57 $396 COL L E CT_ I O N S SUBNAME SUBCODE ECOA OPENED CLOSED $PLACED CREDITOR MOP ACCOUNT# VERIFIED BALANCE REMARKS TSI/09 Y 2.C1R01.7 1 5/12 3/15F $357 11 DIRECTV 09P 25:16283 3/15A $0 PAID CO?LECTION TRADES SURNAME SUBCODE OPENED HIGHCRED TERMS MA2DELQ PAYPAT 1-12 MOP ACCOUNT# VERFIED CREDLIM PASTDUE AMT-MOP PAYPAT 13-24 ECOA COLLATRL/LOANTYPE CLSD/?D BALANCE REMARKS MO 30/60/90 CAF F 45WK001 1/13 $32.5K 64M381 1/14 112111121222 IO2 5/16A $57 03 112112321332 C AUTOMOBILE $57 4C 15/ 4/ 0 CAPITAL ONE B 1DTV001 9/11 $839 MIMS 6/13 111111211211 R01 6/16A $800 $0 $82 03 111121121121 I CREDIT CARD $522 48 8/ 1/ 0 CAP ONE AUTO F 1W2S001 4/12 $18.8K 72M415 111111111 101 ./13A $0 C AUTOMOBILE :/130 $0 CLOSED 9 0/ 0/ 0 CAPITAL ONE B 1DTV001: 2/07 $1850 • 111111111111 RC1 8109A $1750 111111111111 T CREDIT CARD 29 0/ 0/ 0 MID ATL FIN F 1DMA001 9/04 $7733 26M303 111111111111 101 Jul' 416 01:23p 2392770167 p.3 5.6.9S401 12/06A $a I1T11111111 I AUTOMOBILE 12/06C $0 CLOSED 23 0/ 0/ 0 INQUIRIES DATE SUBCODE SURNAME TYPE AMOUNT 7/14/16 ZNP6284423(FLA) MERIT CREDIT 2/23/16 ZNP6284423(FLP) MERIT CREDIT 3/13/15 ZNP6284423(F A) MERIT CREDIT 2/25/15 ZMI0651860(F_A) PREMIUM CB 2/13715 BNC6199555(FLA) BK OF AMER 1/19/15 ZSN5952757'(SCT) SARMA C RED I T REPORT S E R V I CED BY : f< TRANSUNION 2 BALDWIN PLACE P.O. BOX 1000,CHESTER, PA. 19022 800-888-4213 Consumer dinnlnsures can be obtained online through TraneUDjon at: http://www.transunion.com CREDITOR CONTACT INFORMATION TSI/09 YC2C1R017 (E77) 2.73-3.495. PO BOX 17205 WILMINGTON DE. 19850 CAF F245WK001 (804) 342-6400 2040 THALBRO ST RICHMOND VA. 23230 CAPITAL ONE BC1DTV001 (800) 955-7070 POE 30281 SALT LAXE CITY UT. 84130 CAP ONE AUTO FA1W2K001 (800) 946-0332 • 'CREDIT BUREAU DISE, PLANO TX. 75025 MID ATL FIN FZIDMA001 15201 EOOSBVELT CLEARWATER FL. 34620 PREMIUM CB Z 0651860 (600) 322-8825 ' 2412 NW 87 PLACE DORAL FL. 33172 BK OF AMER B 6199555 (800) 421-5110 • PO BOX 982238 EL PASO TX. 79998 SARMA Z 5952757 (800) 955-5238 555 E Ramsey Rd SAN ANTONIO TX. 78216 END OF ^_RANSUNION REPORT MERIT CREDIT HAS RETRIEVED THE ABOVE PERSONAL CREDIT REPORT FOR LICENSING PURPOSES AS REQUESTED BY THE BUSINESS OWNER/PROPRIETOR. PUBLIC RECORDS FOR THIS REPORT HAVE BEEN CHECKED AND VERIFIED AT THE COUNTY, STATE AND FEDERAL LEVELS. PUBLIC RECORDS HAVE ALSO BEEN VERIFIED FOR PINELLAS COUNTY. PUBLIC RECORDS LEARNED 0 SOURCES OF INFORMATION: TRANS UNION LLC IRS LIEN SECTION COUNTY COURTHOUSE RECORDS I? YOU HAVE ANY QUESTIONS REGARDING THIS REPORT, PLEASE CONTACT MERIT CREDIT AT: 1-800-371-3348 OR (239) 277-3202. Jul 1416 01:23p 2392770167 p.4 Premier Profile•OROSA CUSTOM RENOVATIONS,INC $is3tcoEfe: •970135, • •. a Or-c1ered 07/14/20161 t33:07 CST ear, ' Transaction Number:0501382546 .ia+sir s Lx fan Search Inquiry:ORDSA CUSTOM/1732TRADE CENTER WAY/MAPLES/FU34109/US/239-260-1928 ' ' * /964128899 Model Description:Intelliscore Pius V2 Easiness R1�,me a Business Identi'i:atian Nur her OROSA CUSTOM RENOVATIONS, INC. ¢- ,`lam 964128899 `Primary Address: 1732 TRADE CENTER WAY Website: orosacustomrenovations.cxrm NAPLES,Ft.34109-1864 Phone: (239)260-1928 Tax ID: 90-1077612 illiThis business is the ultimate parent. See the corporate hierarchy .y clicking here TOP 411, Risk Dashboard Intelliscore Plus . Financial Stability Risk Company DBT Original Filings High Risk Alerts HIGH RISK MEDIUM TO NIGH RISK 1 Score range:1 -100 percentile Industry DBT:7 Credit Limit Recommendation:$4,400 TOP, Business Facts Years on File: 4(FILE ESTABLISHED 09/2012) SIC Code: CONSTRUCTION,SINGLE-FAMILY HOUSES-1521 State of Incorporation: FL BRICK,STONE&RLTD CONSTRUCTION MAILS-5032 Date of Incorporation: 09/07/2012 NAICS Code: Residential Remodelers-236118 Business Type: Profit Brick,Stone,and Related Construction Material Merchant Contacts.: QROSA AAAI LUEL-PRESIDENT Wholesalers-423320 Number of Employees: 4 Sales: 51,519,000 TOP ilD Commercial Fraud Shield Evaivatior`cr OROSA CUSTOM RENOVATIONS, INC, 1732 TRADE CENTER WAY,NAPLES,FL34109-1864 �..._._. _.._. . kilttGlf., f. ._.. : Activel3usiness Indicator: pan shows this business as active The:rman,8usfr eees Name Adams:and : .� Experian Phone Number on Experian File wercreviewed for High Risk indicators,no High Risk indicators ' were found. Possible OFAC Match: itiii No OFAC match found Business Victim Statement 101 No victim statement on file v- TDP_ Credit Risk Score and Credit Limit Recommendation •PliSrtti't-. 4 .,,.:..: Current Intetitscore Plus Score:5 Risk Class:5 • 11161•1 RISK • • Premier Profile-OROSA CUSTOM RENOVATIONS.INC -ii.6 I Jul 14 16 01:23p . 2392770167 p.5 I 5The risk class groups scores by risk into ranges of similar • . • • " performance.Range 5 is the highest risk,range 1 is the k lowest risk. ." Rrdr 5 al'°14"111.111MINMS. a io 2'5 5.0 7'5 160 This score predicts the likelihood of serious credit delinquencies for this business within the next 12 months.Payment history and public record along with other variables are used to predict future risk.Higher scores Indicate lower risk. Factors lowering the score Industry Risk Comparison . i•NUMBER OF COMMERCIAL ACCOUNTS WITH NET 1-30 DAYS TERM 4%of businesses indicate a higher likelihood of severe cielirquency. >NUMBER OF RECENTLY ACTIVE COMMERCIAL ACCOUNTS , >NUMBER OF COMMERCIAL ACCOUNTS WITH HIGH UTILIZATION >AVERAGE BALANCE OF RECENTLY DELINQUENT COMMERCIAL ACCOUNTS 4041644:014ilai*itoricare: :64;-..".'::::-,..:.,.:,':.:7.::fl..::: : *-.'i1:::: :,';,.',':":7:,, .:.::::.:,. Quarterly Score Trends 80i ' • . . . The Inteiliscore Plus Quarterly Score Trends provide a 60 l'' view of the likelihood of delinquency over the past 12 • months for this business.The trends will indicate if the 401.. •• - score improved,remained stable,fluctuated or declined over the last 12 months. i ,.................... ..... 20 ...:_f_ ' • driiiitair,) 0 !:.„..:. ..• ,s. 5e-? -c-osc. Ov oc. .'ctemoFuiik$66r‘Fhtiovstabiliho§isk:, .- : . '.:, - , z'.',-.,..: , .:.,,, : :-: -,, , :- , .- - . ..::-•:..,... :.,,..-::,:. Current Financial Stability Risk Score: 7 Risk Class:4 : I .• LtitlifillSW-I High ,0111111111111memp— , /.. _.• Low The risk class groups scores by risk into ranges of similar Risk . _ , Risk performance.Range 5 is the highest risk,range 1 is the 0510 30 6's 16o lowest risk. ... „ This score predicts the likelihood of financial stability risk within the next 12 months. The score uses tradeline and collections information;public fil:ngs as well as other variables to predict Uwe risk.Hilker scores iiiiicate lower risk. Factors lowering the score Industry Risk Comparison > NUMBER OF COMMERCIAL COLLECTION ACCOUNTS 6%of businesses indicate a higher likelihood of financial stability risk. > NUMBER OF ACTIVE COMMERCIAL ACCOUNTS PERCENT OF TOTAL COMMERCIAL BALANCE SERIOUSLY DELINQUENT > RECENT COMMERCIAL ACCOUNT DELINQUENCY premier Profile-°ROSA CUSTOM RENOVATIONS,INC 216 Jul'(416 01:23p 2392770167 p.6 Quarterly Score Trends 100 ;!'. . : . . l The Financial Stability Risk Quarterly Score Trends provide a view of the likelihood of financial stability risk SO over the past 12 months for this business,The trends will • Indicate if the score improved,remained stable. fluctuated or declined over the last 12 months, 50 1 . . 0 0- \k"— ,.Vagi- �v 4 ,� tt�tt��ian •. - , Credit Limit Recommendation This recommendation compares this business against similar businesses in the Experian business credit database.li is based on trade information,industry,age of business and the Intelliscore $4,400 Plus.The recommendation is a guide.The final decision must be made based on your company's business policies. TOP ID Payment and Legal Filings Summary Plionord nnence-. :Mrayds and- • rnt•DRT. 31 To#ailrode:•and-collectiort(SP 54,536 Bankruptcy: NO Predicted DBT as 0910712016: 33 All trades(4): 51.400 Tax Lien filings: 0 Monthly Average DBT: 62 All collections(1): S3•136 Judgment filings: 0 Sum of legal filings: $0 Highest DBT Previous 6 Months: 86 Continuous trade(3): $1,300 UCC filings: 1 i Highest DBT Previous 5 Quarters: 91 6 month average: $300-$1,400 Cautionary UCC filings: Yes Payment Trend indication: Highest credit amount extended: $900 Payments are stable Most frequent industry purchasing terms: NET 3O,CREOtT:t°tEWOt.VE lrttts C.. _ EKY. titgpanson.• ... Industry 081 Range Comparison DST Norms The current DBT of this business is 31,9%of businesses have a DBT range of 16+. All industry: 4 DBT for this business: 31 Same industry: 7 Industry Payment Comparison iHas paid slower than 70%of similar businesses 1 % of ,_ 4��=-: ,�a,,; . i ' . ___ DOT Range -- Q-5 ,6-15 16+, Tap's Payment Trending •iDf�f` f Premier Profile-OROSA CUSTOM R Ed+IOVATIONS INC 318 Jul 4416 01:24p 2392770167 p.7 Monthly DBT Trends Quarterly DBT Trends 100 e 100 -f A ; , ii ' k j 40 if. 1 I • 0 0 ' :4111110".' '. . �p1,11� s'1. 1,¢1 PFg 1-pS s6 C t/e • a1`= 0)5 ryQ,1`' 1;116 �Q>6 Marlthy • .Pttir1ett>t Tt+ertdt: , Payment Trends Analysis Account Status CONSTRUCTION,SINGLE-FAMILY HOUSES•1521 Days Beyond Terms Date Reported Industry Business Cur DBT DBT Balance Cur 1-30 31-60 69.90 91+ CURRENT 86% 7 31 $1,300 70% 1% 1% 28% JUN16 86% 7 33 $1,400 65% 11% 24% _._.______----_--.__...._._....___....._.__._.___...__.—____.�._,_...._.._._....._....._......_._...._._......___._.____._..._...._........1111--,...__._11.11--._•- MAY16 87% 71% 1% .._._—..__....____.. `� $800 40% 18% 40% APR16 87% 7 86 $500. 1%. 3:1% 68% ` MAR18 87% 7 —._ .._... % 11 11-._._.-__.__.._...__.._ ._.__.__...--___-•- 72 $500 31'% 17% 52%' . ..__._....._--1111..:...,..__.--_..__.__._.._.._.--_._._...--•--1111-- 68 $400 18% 20% 20% 42% -----••--11...__11-1111-_---..._..._._r.-_.__..._.•- 1111--•_•-•-_ JAN16 87% 7 60 $300 25% 25% 25% 25% lbt -P8 ment Trend$ Payment History.Quarterly Averages Account Status Days Beyond Terms Quarter Months 'DBT . Balance Cur 1.30 31-60 61.90 91+ Q2-16 APR-JUN 91 $500 1% 11% 21% 67% --------..--_.1111 _-_--._ 0 l-16 JAN-MAR 67 $400 7%. 19% 13% 20% 41% Q4-15 OCT-DEC 31 $200 5% 57% 19% 19% Q3-15 JUL-SEP 0 50 Q2-15 APR-JUN 0 50 Co'ectian Experiences Date Placed Status Original Balance Outstanding Balance Date Closed Agency Agency Phone 0512013 Open Account $3,136 $3,136 NATIONAL CHECK TRUST (951)431-5256 TOP 0 Trade Payment Summary Trade Line Type Lines Reported .DBT Recent High -Balance Current ;Credit 91-30 31-60 41-96 99+ Oonfrnuous '3 31 $1,400 S1,303 70% 1% 1% 28% New 0 $0 Combined Trade 3 31 $1,400 $1,300 70% 1% 1% 28% Additonal 1 $100 5100 100% -- _-_. Premier P•ofile-OROSA CUSTOM RENOVATIONS.INC.. 416 Jul 14 16 01:25p 2392770167 P.8 Total Trade 4 $1,500 $1,400 74% 26%I TOP 0 Trade Payment-New and Continuously Repotted Tide Details • i.•• • : Days Business Date Last Payment Recent High Category Reported Sale Terms Credit Balance Cur 1-30 31-60 61-90 91+ Comments BLDG MATRL 06/2016 06/2016 CREDIT $900 $900 100% PACKAGING 0612016 NET 30 $0 OUST 1 YR PRNTG&PUBL 07/2016 VARIED $500 S400 1% 2% 2% 95% TOP 0 :Trade Payment-Additional Trade Details .;• •••: 11aYment4Exporittbees A6coupt:Sti1tic .4 ' Business Date Last Payment Recent High Balance Category Reported Sale Terms Credit Cur 1-30 31-60 61.90 91+ Comments BUS SERVOS 12/2015 VARIED $100 $100 100% -TePAD Uniform Commercial Code{UGC)Filings i Total Termina t:b;t iteieaseCi 'A—mended i Date Range Year aautionarContinuous UCCs Filed tion Assigned JUL-PRESENT 2016 JAN-JUN 2C16 JUL-DEC 2015 JAN-JUN 2015 1 1 JUL-DEC 2014 PRIOR TO JUL 2014 Total i 1 0 0 0 "Cautionary UCC Filings Include one or more of the following collateral: Accounts,Accounts Receivables,Contract Rights,Hereafter Acquired Property,Inventory,Leases,Notes Receivable or Proceeds. UCbel UCC FILED Date:05112/2015 Filing Number 201503703329 Jurisdiction:SEC OF STATE FL Secured Party:CORPORATION SERVICE COMPANY,AS REPRESEN IL SPRINGFIELD 6270 Collateral:UNDEFINED,ACCTS REC,EQUIP,INVENTORY,HEREAFTER AQUIRED PROP TOP 0 AdditionalBusiness Facts THEFal.61AllriG INPOFibliCilbr;1ViASPRaViDED BY74 STA7E THE DATA IS CURRENTASOF 07/14i2016. State of Origin: FL Date of Incorporation: 09/07/2012 Current Status: Active Business Type: Profit Charter Number: P120000763 AgentOROSA MANUEL Agent Address: 1732 TRADE CENTER WAY NAPLES,FL TOP 0 Corporate Linkage .f : ;!' •:. : Premier Profile-OROSA CUSTOM RENOVATIONS.INC 5/6 Jul',416 01:25p 2392770167 p.9 The inquired upon business.OROSA CUSTOM RENOVATIONS,INC,is the Ultimate Parent OROSA CUSTOM RENOVATIONS,INC 1732 TRADE CENTER WAY-NAPLES.FL 964128899 Branches of the Inquired upon business: OROSA CUSTOM RENOVATIONS,INC 1728 55TH TER SW APT B-NAPLES,FL 992524820 TOP 0 Inquiries sLI1R11Y8 i is i • .Iy o{ Iriest' "••.a.': .... v ..n .. . ..:fir BusinessCatejory Jti1.I6 JL11316 MAYAS AP/00 MART& PEB& JANIS D C15 NOV1S 'FINCL SVCS Totals 1 TOP C Experian prudes itself on the depth and accuracy of the data maintained on our databases.Reporting your customer's payment behavior to Experian will further strengthen and enhance the power of the information available for making sound credit decisions.Give credit where credit is due.Call 1-800-520-1224 option#1 for more information. Fwd of/report 0 of 1 report The information herein is furnished m confidence fcryourexc,s+ve use for legitimate business purposes and shall not be reproduced Nether Expenen information Solutions,inc.,nor their sources ordistrbutors warrant such inonnai on nor shall they be liable for youruse orrreliance;rpcn it ®Experian 2016.All rights reserved.Phcv policy,. Experian and the Experian marks herein are service marks or registered trademarks of Experiar. 616 Premier Profile-OROSA CUSTOM RENOVATIONS,INC Www. Equifax. Com/fcra Atlanta GA 30348 August 15, 2016 EgliiFAX To Start An Investigation, Please Visit Us At: www.investigate.equifax.com Kra` 000001026 FOECE0816160116410000 01 000000 002331023-1107 Manuel Orosa Perez 4005 Cindy Ave Naples, FL 34112-6729 Dear Manuel Orosa Perez: Thank you for requesting your credit file, commonly called a Consumer Credit Report. Your credit file contains information received primarily from companies which have granted you credit and from public record sources. Great care has been taken to report this information correctly. Please help us in achieving even greater accuracy by reviewing all of the enclosed material carefully. If there are items you believe to ae incorrect,you may be able to initiate an investigation request via the Internet 24 hours a day, 7 days a week at: www.investigate.equifax.com Using the Internet to initiate an on-line investigation request will expedite the resolution of your concerns. Or you may complete the enclosed Research Request Form and return it to: Equifax Information Services LLC Www. Equifax. Com/fcra Atlanta GA 30348 NOTE: Sending the Research Request Form to any other address will delay the processing of your request. Please note, when you provide documents, including a letter, to Equifax as part of your dispute, the documents may be submitted to one or more companies whose information are the subject of your dispute. Under the FACT Act, you have the right to request and obtain a copy of your credit score. To obtain a copy of your credit score, please call our automated ordering system at: 1-877-SCORE-11. Get Informed. Be empowered. For an added convenience, use one of the below options to start an investigation or check the status of your dispute. Visit us at www.equifax.com/CreditReportAssistance or Call us at 866-349-5186. Page 1 of 16 6228039614SJ4-002331023- 1107-2228 -ASD I Florida Consumers Have the Right to Place a Security Freeze You have a right to place a "security freeze" on your consumer report, which will, except as provided by law, prohibit a consumer reporting agency from releasing any information in your consumer report without your express authorization. A security freeze must be requested in writing by certified mail to a consumer reporting agency. The security freeze is designed to prevent credit, loans, and services from being approved in your name without your consent. YOU SHOULD BE AWARE THAT USING A SECURITY FREEZE TO CONTROL ACCESS TO THE PERSONAL AND FINANCIAL INFORMATION IN YOUR CONSUMER REPORT MAY DELAY, INTERFERE WITH, OR PROHIBIT THE TIMELY APPROVAL OF ANY SUBSEQUENT REQUEST OR APPLICATION YOU MAKE REGARDING A NEW LOAN, CREDIT, MORTGAGE, INSURANCE, GOVERNMENT SERVICES OR PAYMENTS, RENTAL HOUSING, EMPLOYMENT, INVESTMENT, LICENSE, CELLULAR PHONE, UTILITIES, DIGITAL SIGNATURE, INTERNET CREDIT CARD TRANSACTION, OR OTHER SERVICES, INCLUDING AN EXTENSION OF CREDIT AT POINT OF SALE. When you place a security freeze on your consumer report, you will be provided a personal identification number or password to use if you choose to remove the freeze on your consumer report or authorize the release of your consumer report for a designated period of time after the security freeze is in place. To provide that authorization, you must contact the consumer reporting agency and provide all of the fllowing: 1 . The personal identification number or password. 2. Proper identification to verify your identity. 3. Information specifying the period of time for which the report shall be made available. 4. Payment of a fee authorized by this section. A consumer reporting agency must authorize the release of your consumer report no later than 3 business days after receiving the above information. A security freeze does not apply to a person or entity, or its affiliates, or collection agencies acting on behalf of the person or entity, with which you have an existing account, that requests information in your consumer report for the purposes of reviewing or collecting the account. Reviewing the account includes activities related to account maintenance, monitoring, credit line increases, and account upgrades and enhancements. You have the right to bring a civil action against anyone, including a consumer reporting agency, who fails to comply with the provisions of s. 501 .005, Florida Statutes, which governs the placing of a consumer report security freeze on your consumer report. A security freeze request must be mailed via certified mail to: Equifax Security Freeze P.O. Box 105788 Atlanta, GA 30348 Or, you may contact us on the web at equifax.com or call 800-685-1111 . The fee to place a security freeze is $10.00. If you are a victim of identity theft and you submit a copy of a valid investigative or incident report or complaint with a law enforcement agency about the unlawful use of your identifying information by another person, no fee will be charged. If you are sixty-five years of age or older, no fee will be charged. Include your complete name, complete address, social security number, date of birth and payment, if applicable. Written confirmation of the security freeze will be sent within 10 business days of receipt of the request via first class mail. It will include your unique personal identification number and instructions for removing the security freeze or authorizing the release of your credit report for a specific period of time. Page 2 of 16 6228039614SJ4-002331023- 1107-2228 -ASD • If you are the parent or legal guardian of a minor younger than 16 years of age or a guardian or advocate of an incapacitated , disabled, or protected person under chapter 39, chapter 393, chapter 744, or chapter 914, Florida Statutes, you have the right to place a security freeze on the consumer report of the person you are legally authorized to care for. If no consumer report exists, you have the right to request that a record be created and a security freeze be placed on the record. A record with a security freeze is intended to prevent the opening of credit accounts until the security freeze is removed. Kr: YOU SHOULD BE AWARE THAT USING A SECURITY FREEZE TO CONTROL ACCESS TO -.. THE PERSONAL AND FINANCIAL INFORMATION IN A CONSUMER REPORT OR RECORD • MAY DELAY, INTERFERE WITH, OR PROHIBIT THE TIMELY APPROVAL OF ANY - : • SUBSEQUENT REQUEST OR APPLICATION REGARDING A NEW LOAN, CREDIT, MORTGAGE, INSURANCE, GOVERNMENT SERVICES OR PAYMENTS, RENTAL HOUSING, EMPLOYMENT, INVESTMENT, LICENSE, CELLULAR PHONE, UTILITIES, DIGITAL SIGNATURE, INTERNET CREDIT CARD TRANSACTION, OR OTHER SERVICES, INCLUDING AN EXTENSION OF CREDIT AT POINT OF SALE. To remove the security freeze on the protected consumer's record or report, you must contact the consumer reporting agency and provide all of the following: 1 . Proof of identification as required by the consumer reporting agency. 2. Proof of authority over the protected consumer as required by the consumer reporting agency. 3. The unique personal identifier provided by the consumer reporting agency. 4. Payment of a fee. A consumer reporting agency must, within 30 days after receiving the above information, authorize the removal of the security freeze. A security freeze does not apply to a person or entity, or its affiliates, or a collection agency acting on behalf of the person or entity, with which the protected consumer has an existing account, which requests information in the protected consumer's consumer report or record for the purposes of reviewing or collecting the account. Reviewing the account includes activities related to account maintenance, monitoring, credit line increases, and account upgrades and enhancements. If you need assistance, you may contact Equifax at 1-888-298-0045. You have the right to bring a civil action as authorized by section 501.0051, Florida Statutes, which governs the security of protected consumer information. Page 3 of 16 6228039614SJ4-002331023- 1107-2228 -AS 14. :i"77 CI 1 O1 Co M 3 o co a • CNV O a? O M L.0 N p CO ai • a . 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A Summary of Your Rights Under the Fair Credit Reporting Act The federal Fair Credit Reporting Act (FCRA) promotes the accuracy, fairness, and privacy of information in the files of consumer reporting agencies. There are many types of consumer reporting agencies, including credit bureaus and specialty agencies (such as agencies that sell .,,% information about check writing histories, medical records, and rental history records). Here is a : summary of your major rights under the FCRA. For more information, including information }° about additional rights, go to www.consumerfinance.gov/learnmore or write to: Consumer Financial Protection Bureau, 1700 G Street N.W., Washington, DC 20552. o You must be told if information in your file has been used against you. Anyone who uses a credit report or another type of consumer report to deny your application for credit, insurance, or employment - or to take another adverse action against you - must tell you, and must give you the name, address, and phone number of the agency that provided the information. o You have the right to know what is in your file. You may request and obtain all the information about you in the files of a consumer reporting agency (your "file disclosure"). You will be required to provide proper identification, which may include your Social Security number. In many cases, the disclosure will be free. You are entitled to a free file disclosure if: o a person has taken adverse action against you because of information in your credit report; o you are the victim of identity theft and place a fraud alert in your file; o your file contains inaccurate information as a result of fraud; o you are on public assistance; o you are unemployed but expect to apply for employment within 60 days. In addition, all consumers are entitled to one free disclosure every 12 months upon request from each nationwide credit bureau and from nationwide specialty consumer reporting agencies. See www.consumerfinance.gov/learnmore for additional information. o You have the right to ask for a credit score. Credit scores are numerical summaries of your credit-worthiness based on information from credit bureaus. You may request a credit score from consumer reporting agencies that create scores or distribute scores used in residential real property loans, but you will have to pay for it. In some mortgage transactions, you will receive credit score information for free from the mortgage lender. o You have the right to dispute incomplete or inaccurate information. If you identify information in your file that is incomplete or inaccurate, and report it to the consumer reporting agency, the agency must investigate unless your dispute is frivolous. See www.consumerfinance.gov/learnmore for an explanation of dispute procedures. o Consumer reporting agencies must correct or delete inaccurate, incomplete, or unverifiable information. Inaccurate, incomplete or unverifiable information must be removed or corrected, usually within 30 days. However, a consumer reporting agency may continue to report information it has verified as accurate. o Consumer reporting agencies may not report outdated negative information. In most cases, a consumer reporting agency may not report negative information that is more than seven years old, or bankruptcies that are more than 10 years old. o Access to your file is limited. A consumer reporting agency may provide information about you only to people with a valid need -- usually to consider an application with a creditor, insurer, employer, landlord, or other business. The FCRA specifies those with a valid need for access. Page 11 of 16 6228039614SJ4-002331023- 1107-2228 -ASC o You must give your consent for reports to be provided to employers. A consumer reporting agency may not give out information about you to your employer, or a potential employer, without your written consent given to the employer. Written consent generally is not required in the trucking industry. For more information, go to to www.consumerfinance.gov/learnmore. o You may limit "prescreened" offers of credit and insurance you get based on information in your credit report. Unsolicited"prescreened" offers for credit and insurance must include a toll-free phone number you can call if you choose to remove your name and address from the lists these offers are based on. You may opt-out with the nationwide credit bureaus at 1-888-5-OPTOUT (1-888-567-8688). o You may seek damages from violators. If a consumer reporting agency, or, in some cases, a user of consumer reports or a furnisher of information to a consumer reporting agency violates the FCRA, you may be able to sue in state or federal court. o Identity theft victims and active duty military personnel have additional rights. For more information, visit to www.consumerfinance.gov/learnmore. States may enforce the FCRA, and many states have their own consumer reporting laws. In some cases, you may have more rights under state law. For more information, contact your state or local consumer protection agency or your state Attorney General. For information about your federal rights, contact: TYPE OF BUSINESS: CONTACT: 1.a.Banks,savings associations,and credit unions with total assets a.Bureau of Consumer Financial Protection of over$10 billion and their affiliates. 1700 G Street NW Washington,DC 20552 b.Such affiliates that are not banks,savings associations,or credit b. Federal Trade Commission: Consumer Response Center-FCRA unions also should list, in addition to the CFPB Washington,DC 20580 (877)382-4357 2.To the extent not included in item 1 above: a.Office of the Comptroller of the Currency a.National banks,federal savings associations,and federal Customer Assistance Group branches and federal agencies of foreign banks 1301 McKinney Street,Suite 3450 Houston,TX 77010-9050 b.State member banks,branches and agencies of foreign banks b.Federal Reserve Consumer Help Center (other than federal branches,federal agencies,and insured state P.O.Box 1200 branches of foreign banks),commercial lending companies owned Minneapolis,MN 55480 or controlled by foreign banks,and organizations operating under section 25 or 25A of the Federal Reserve Act c.Nonmember Insured Banks, Insured State Branches of Foreign c. FDIC Consumer Response Center Banks,and insured state savings associations 1100 Walnut Street,Box#11 Kansas City,MO 64106 d.Federal Credit Unions d.National Credit Union Administration Office of Consumer Protection(OCP) Division of Consumer Compliance and Outreach(DCCO) 1775 Duke Street Alexandria,VA 22314 3.Air carriers Asst.General Counsel for Aviation Enforcement&Proceedings Aviation Consumer Protection Division Department of Transportation 1200 New Jersey Avenue,SE Washington,DC 20590 4.Creditors Subject to Surface Transportation Board Office of Proceedings,Surface Transportation Board Department of Transportation 395 E Street, SW Washington, DC 20423 5.Creditors Subject to Packers and Stockyards Act, 1921 Nearest Packers and Stockyards Administration area supervisor 6.Small Business Investment Companies Associate Deputy Administrator for Capital Access United States Small Business Administration 409 Third Street,SW,8th Floor Washington,DC 20416 Page 12 of 16 6228039614SJ4-002331023- 1107-2228 -ASD TYPE OF BUSINESS: CONTACT: 7.Brokers and Dealers Securities and Exchange Commission 100 F Street,NE Washington,DC 20549 8. Federal Land Banks, Federal Land Bank Associations,Federal Farm Credit Administration Intermediate Credit Banks,and Production Credit Associations 1501 Farm Credit Drive McLean,VA 22102-5090 9. Retailers,Finance Companies,and All Other Creditors Not Listed FTC Regional Office for region in which the creditor operates or ice,��,,/;,. Above Federal Trade Commission:Consumer Response Center-FCRA Washington,DC 20580 r1 � S (877)382-4357 Page 13 of 16 6228039614SJ4-002331023- 1107-2228 -ASD Commonly Asked Questions About Credit Files Q. How can I correct a mistake in my credit file? A. Complete the Research Request form and give details of the information you believe is incorrect. We will then check with the credit grantor, collection agency or public record source to see if any error has been reported. Information that cannot be verified will be removed from your file. If you and a credit grantor disagree on any information,you will need to resolve the dispute directly with the credit grantor who is the source of the information in question. Q. 111 do have credit problems,is there someplace where I can get advice and assistance? A. Yes,there are a number of organizations that offer assistance. For example,the Consumer Credit Counseling Service(CCCS)is a non-profit organization that offers free or low-cost financial counseling to help people solve their financial problems. CCCS can help you analyze your situation and work with you to develop solutions. There are more than 600 CCCS offices throughout the country. Call 1 (800)388-2227 for the telephone number of the office nearest you. Facts You Should Know o The length of time an account or record remains in your credit file is shown below: Collection Agency Accounts: Remain for up to 7 years from the Date of 1st Delinquency. Creditor Other Reported Accounts: Accounts paid as agreed remain for up to 10 years from the Date Reported. Accounts not paid as agreed(i.e.delinquent,charge off,accounts placed for collection)remain for up to 7 years from the Date of 1st Delinquency. Public Records: Remain for up to 7 years from the date filed,except: Bankruptcy-Chapter 7 and 11 remain for up to 10 years from the date filed. Bankruptcy-Chapter 13 dismissed or no disposition rendered remain for up to 10 years from the date filed. Unpaid tax liens remain for up to 10 years from the date filed. Paid tax liens remain for up to 7 years from the date released or up to 10 years from the date filed,whichever is earlier. New York State Residents Only: Satisfied judgments remain for up to 5 years from the date filed;paid collections remain for up to 5 years from the Date of 1st Delinquency. Payment history and Historical Account Information for an account on your credit file,if any,is found at the bottom of an account under the title"Account History with Status Codes"or"Historical Account Information"respectively. This payment history reflects the month,year and late payment status,and is generally supplied by credit grantors or other furnishers of information to Equifax with whom you have a relationship. This history is included on both open accounts and accounts that have already been closed. The historical account information reflects a broader view of your credit behavior over a 24 month period. This history is also included on both open accounts and closed accounts. Payment in full does not remove your payment history or historical account information. If you have always paid an account as agreed,the account should not have payment history status information. Specific payment history typically remains on your credit file for up to 7 years from the date shown for it. o Name,address,and Social Security Number information may be provided to businesses that have a legitimate need to locate or identify a consumer. Additional Notice to Consumer: You may request a description of the procedure used to determine the accuracy and completeness of the information,including the business name and address of the furnisher of information contacted,and if reasonably available the telephone number. If the reinvestigation does not resolve your dispute,you have the right to add a statement to your credit file disputing the accuracy or completeness of the information;the statement should be brief and may be limited to not more than one hundred words(two hundred words for Maine residents)explaining the nature of your dispute. If the reinvestigation results in the deletion of disputed information,or you submit a statement in accordance with the preceding paragraph,you have the right to request that we send your revised credit file to any company specifically designated by you that received your credit report in the past six months(twelve months for California,Colorado,Maryland,New Jersey and New York residents)for any purpose or in the past two years for employment purposes. Page 14 of 16 6228039614SJ4-002331023- 1107-2228 - ASD EqUIFAX RESEARCH REQUEST FORM You may initiate an investigation request via the Internet at www.investigate.equifax.com. To initiate your request or if you elect below to have the results of your investigation posted on a secured website, you will need the below confirmation number, email address you provided, and ID information. Or, mail this document to the following address: Equifax Information Services LLC Www. Equifax. Com/fcra Atlanta GA 30348 Email Address(please print clearly): .`'3 Would you like Equifax to hide the first 5 digits of your social security number on our response to you? Circle: Yes No Confirmation Number: 6228039614 Intentionally making any false statements to a consumer reporting agency for the purpose of having it placed on a consumer report is punishable by law in some states.To ensure that your request is processed accurately,please enlarge photocopies of any items that contain small print(i.e.driver's license,W2 Forms,etc.).Photocopies that are not legible or contain highlighting may cause us to request that you resubmit your request for clarity. If your identity information differs from the information listed on this form,please fill in the correct information in the space provided for each item. Please provide a photocopy of your driver's license,social security card,or recent utility bill that reflects the correct information. Name: Manuel Orosa Perez Jr SS#: XXX-XX-6516 DOB:August 10, 1985 Current Address: 4005 Cindy Ave,Naples,FL 34112 Previous Address(es): 1700 49th St SW,Naples,FL 34116 3906 Arnold Ave,Naples,FL 34104 Daytime Phone Number Evening Phone Number List other names which you have used for credit in the past Collection Agency Information Collection Agency Name Account Number Reason for investigation: ❑ Not Mine ❑ Collection Paid in Full 0 Paid Before Collection Status O Other(Please explain) Collection Agency Name Account Number Reason for investigation: 0 Not Mine 0 Collection Paid in Full 0 Paid Before Collection Status O Other(Please explain) Credit Account Information Company Name Account Number Reason for investigation: ❑ Not Mine ❑ Paid in Full El Current/Previous Payment Status Incorrect 0 Account Closed ❑ Other(Please explain) Company Name Account Number Reason for investigation: 0 Not Mine 0 Paid in Full ❑ Current/Previous Payment Status Incorrect 0 Account Closed ❑ Other(Please explain) Company Name Account Number Reason for investigation: ❑ Not Mine ❑ Paid in Full ❑ Current/Previous Payment Status Incorrect 0 Account Closed ❑ Other(Please explain) Company Name Account Number Reason for investigation: 0 Not Mine 0 Paid in Full 0 Current/Previous Payment Status Incorrect ❑ Account Closed ❑ Other(Please explain) Page 15 of 16 6228039614SJ4-002331023- 1107-2228 -ASE .AC F CERTIFICATE OF LIABILITY INSURANCE ,, DATE(MM4/5YY) 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). CONTACT Patti Muzzonigro PRODUCER IVAM— I PHONE 353 3500 I F (888)353-9910 G&F Insurance,Inc. /Am.Ne.Err. (239) (Alc.No): E-MAIL pattimuaonigro@alistate.com 4930 Golden Gate Pkwy I ADDRESS Naples,FL 34116 INSURERS)AFFORDING COVERAGE I NAIC# Phone (239)353-3500 Fax (888)353-9910 1 INSURER A: Cypress Property and Casualty InsuranceCompany INSURED INSURER B: Orosa Custom Renovations,InC INSURER C: I 1732 Trade Center Way INSURER D: INSURER E: Naples,Fl 34109 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. ILTR ADDLSUBR POLICY EFF POLICY EXP TYPE OF INSURANCE ' IINSR WVD POLICY NUMBER I(MM/DD/YYYY) (MMIDD/YYYY)I LIMITS GENERAL LIABILITY I EACH OCCURRENCE S 1,000,000.00 DAMAGE TO RENTED S 10(),000.00 EI COMMERCIAL GENERAL LIABILITY I PREMISES(Ea occurrence) ❑ ❑ CLAIMS-MADE D OCCUR N SGL 0056502 00 81 MED EXP(Any one person) S 5,000.00 A ❑ 05/19/2016 05/19/2017 PERSONAL&ADV INJURY $ 1,000,000.00 ❑ GENERAL AGGREGATE I S 2,000,000.00 GEN'L AGGREGATE Limn-APPLIES PER: PRODUCTS-COMP/OP AGG I $ 2,000,000.00 © POLICY ❑ jE ❑ LOC S COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY (Ea accident) .$ ❑ ANY AUTO BODILY INJURY(Per person) S ❑ ALL OWNED AUTOS ❑ AUTOES ULED • BODILY INJURY(Per accident) s PROPERTY DAMAGE NON-OWNED (Per accident) S ❑ HIRED AUTOS ❑ AUTOS OS ❑ 0 EACH OCCURRENCE S UMBRELLA LIAR OCCUR ElEXCESS LIAB CJ CLAIMS-MADE AGGREGATE I S ❑ DED ❑ RETENTION$ - I S WORKERS COMPENSATION ❑TWC STATU-ORY LIMITS LJ ER H AND EMPLOYERS'LIABILITY Y I N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT S OFFICER/MEMBER EXCLUDED? N 1 A (Mandatory in NH) E.L DISEASE-EA EMPLOYE $ If yes,describe under E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS below I DESCRIPTION OF OPERATIONS I LOCATIONS i VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) . Collier County Contractor and Licensing Board is listed as additional insured • CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Collier County Contractor and Licensing Board THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 2800 N Horseshoe Dr Naples, FL 34104 AUTHORIZED REPRESENTATIVE n FAX(239)-252 2469 T2 4)914/11 /125-- I ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05)QF The ACORD name and logo are registered marks of ACORD ..: DATE(MMJDD/YYYY) €-car. CERTIFICATE OF LIABILITY INSURANCE 07;14/2416 `THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS L?CES'NOT AFFIRM .TWVE Y;O`'NEGATIVEL•Y A1'EnENC E) I i v_t:C` ^ —E ,� G_ .__,.... l=.ti.T!Hi �t t L i.CY -,OVERA, :Esrr:l � cL-��' -i~'t 1=, 1 dFG.y BELOW.THIS CERTiFiCATE-OF INSURANCE-DOES NOT CONSTIT-UTE A CONTRACT BETWEEN THE 1NSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If thecertificate holder is_an ADDITIONAL INSURED,the Erol cv(ies)must be endorsed.. If SUBROGATION IS WAIVED,stibjecttc the ter;ns'and Conditie s o:the policy,certain poi{-cies niay regitMre an-endorsernent, A-'s aternerii-on this csitiiwate does not corder ri-ghts to the certificate holder in lieu of such endorsement(s). ODUCER CONTACT Paychex Insurance Agency Inc PAYCHEX INSURANCE AGENCY, INC. PHONEFAX 150 SAWGRASS DRIVE (A/C,NO.EXT),: 877-266-6850 (A/C.No): 585-389-7426 ROCHESTER, NY 14620 E-MAIL Certs@paychex.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# iURED INSURER A: Technology Insurance Company 42376 OR.OSA CUSTOM RENOVATIONS,INC. -INSURER'S: ,• 1732 TRADE CENTER WAY NAPLES, FL 34109 • INSURER C: INSURER D: INSURER E: INSURER F: DVERAGES 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BEISSUED OR MAY PERTAIN;THE INSURANCE AFFORDED'BY THEPOLICIESDESCRIBED°HEREIN ISS'UBJECTTO,ALL THE TERMS:;. . EXCLUSIONS AND CONDITIONS OF SUCH POLfOIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. - R TYPE OF INSURANCE ADDL SUBR POLICY N JMBER POLICY EFF POLICY EXP LIMITS INSR WVD (MM/DD/YYYY) (MM/DD/YYYY) GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES(Ea occurrence) $ -1I-CLAIMS-MADEnOCCUR MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GENERAL AGGREGATE $- . GERL'.L AGGREGATEIJMIT.ARRLIES.RER: • - • . PRODUCTS-COMP/OPAGG ;g POLICY ' PROJECTT7 LOC • - AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY ALL ONED SCHEDULED (Per person) $ AUTOS AUTOS HIRED AUTOS sr NON-OWNED BODILY INJURY (Per accident) $ PROPERTY DAMAGE $ (Per accident) $ • UMBRELLA/LIABOCCUR - „EACH OCCURRENCE -S ` IEXCESS LIAB CLAIMS-MADE AGGREGATE $ I DED j I RETENTION$ - $ WORKERS COMPENSATION AND X WC STATU- OTH- EMPLOYERS.LIABILITY TWC3530308 01/11/2016 01/11/2017 TORY LIMITS FR E.L.EACH ACCIDENT $ 1,000,000.00 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 1,000,000.00 (Mandatary In NH) rYail N/A E.L.DISEASE-POLICY LIMIT $ 1,000,000.00 If yes,describe under OFRORIPTION OF OPERATIONS helnw :SCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space is required) ERTIFICATE HOLDER CANCELLATION . Collier County Contractor and Licensing SH00AN-Y OF-THE ABOVE DESCRIBED-POLICIES BE CANceeLED'BEFORE THE-EXPFRATIOFT Board DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY 2800 North Horseshoe Drive . PROVISIONS,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR •Naples,FL 341.04 • LIAEILITY OF AAIY_KIND UPONTHE COMPANY,ITS,AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE CORD 25(2010/05) 1.988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD IT-1/1 100% JEFF ATWATER CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS'COMPENSATION **CERTIFICATE OF ELECTION TOS£EXEMPT FROM FLORRIM WORKERS'COMPENSATION 1r4W** CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers'Compensation law. EFFECTIVE DATE: 7/12/2016 EXPIRATION DATE: 7/12/2018 PERSON: OROSA MANUEL FEIN: 901077612 BUSINESS NAME AND ADDRESS: OROSA CUSTOM RENOVATIONS INC 1700 55TH TER SW APT B NAPLES FL 34116 SCOPES OF BUSINESS OR TRADE: CARPENTRY INSTALLATION ADP CCA Pursuant to Chapter 440.05(14),F.S.,an officer of a corporation who elects exemption from this chapter h i Sri g a certificate of ele tion under this section mmaeyy not recover bmsfila a cempenaetion ued on th chepkr.P election tto Crena 44DA5t12i,FS.,apter 4 tes of el)RS,o be exanpL.. o within the scope of the business or trade listed on the notice of election to be enamor. Chapter 440.05(13),F.S.,Notices of elea�nntto bre exempt and certificates of election to be exempt shall be suh)ed to revocation if,at any time after the tifing of the notice of 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 depalment shall revoke a DFS-F2-OWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTIONS?(850)413-1609 iZ e I July 27th, 2016 To whom it may concern: I have known Manuel Orosa for over 8 years and I had the privilege of working with him on numerous projects. I have the outmost respect for him, he is a person of character and integrity. He gives 100% and is dedicated to providing the best quality of work. He was a wonderful asset to my company and I am happy to see him succeed in his field. Sincerely, i ...„, A -dot ifl. /41 Beatrice Hornia 239-877-6083 P 4Sai: LEURY MARTINEZ POLANCOF '47:9MY COMMISSION#FF192276 . EXPIRES:January 22,2019 ��'�� To Whom it May Concern: The purpose of this letter is to recommend Manuel Orosa owner of Orosa Custom Renovations Inc. Mr.Orosa has done some great work for me in the past 5 years. During that time I developed a very high regard for Manuel based on the outstanding contributions that he has made to my projects throughout that time. Mr.Orosa has exhibited a rare combination of speed and accuracy that has enable him to produce a very high volume of work while maintaining very high standards for quality. Manuel is a organizational whiz who can work on multilayered task and balance multiple projects concurrently. As you can tell by now, I am quite impressed with this outstanding young men and give him my strongest recommendations for the roles which require intelligence,organization,communication skills,service and a positive attitude. Please feel free to contact me if you need additional information or perspective. Sincerely, Pedro Torres Premier Finishes,Inc Lic#:CGC1509544 1781 21St Street SW Naples, FL 34117 • te1:239-596-2497 Signatur Date: OSS /A LEURY MARTINEZ POLANCO ','', ` MY COMMISSION#F,2019 6 �oFFl.� EXPIRES:January 22,2019 July 26, 2016 ASH-ANN HOMES, INC 311 39th Ave NE NAPLES, FL 34120 Tel: 239-207-4802 I Ariel Gonzalez owner of Ash-Ann Homes Inc., holder of license number CGC1510731, located at 311 39th Ave NE Naples, Fl 34120 have had the pleasure of working alone side with Manuel Orosaowner:of Orosa Custom Renovations inc.,at 1732 trade center way Naples,, FL 34109. I can testify that after knowing him for more than 10 years that not only he has one of the best manner as a person, but also has a great experience in both residential and commercial renovations. He's a very detailed person and he is constantly checking the projects to make sure everything is going according to plan. I never have problems with Manuel. I'm looking forward to the many project that we will be doing;together. Sincerely , 6/14/44 Ariel G al `"44(e. LEURY MARTINEZ POLANCO d MY COMMISSION#FF192276 Amo +��� EXPIRES:January 22,2019 ;r AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF P'.cf icel. COUNTY OF ("b///'ek I, 120 d Qf•ta.5 , having been first duly sworn, state and affirm: I am a resident of agree County, Pkt{'plj, (State)and have resided here for more than five(5)years. During the last five years I have known h9a.I()el 0 Ma-, (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. C Sign . ' . Name `q( 5 s' 1.?E r-.--p,„„i j2/j NAF lcs TL '-r(1/7 Address 3c- 3Vii) —oaca Telephone (Dateb ` by rYL-S who has produced L. Z name of person acknowledging) (type of identification) as identification and did not take an oath. NOTARY'S SEAL ��/ yv (SIG f • OF NOTARY) '44vPuN, LEURY MARTINEZ POLANCO MY COMMISSION#FF192276 ,,,, EXPIRES:January 22,2019 AFFIDAVIT OF INTEGRITY.AND GOOD CHARACTER STATE OF (0Y1'Vtt COUNTY OF C Olt r I, i it& 60„acIttz, ,having been first duly sworn,state and affirm: I am a resident of Calla- County, `'(6)1` (State) and have resided here for more than five(5) years. '/ Darin g the past-five years I have known Ilk �nil2i D tbs a_ (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. Ir 0 0 Sia' Name 3/l 3.77"./ Ave Ail% Ala/al9s, --Ft. 3L/120 Address Cz3I)207- /.g 02... Telephone The foregoing instrument as adknoWledged beforethis t' /�� `� by /Ir te) 7'1 (�6r►L4<leg who has produced OL.. (name of person acknowledging) (type of identification) as identification and did not take an oath. NOTARY'S SEAL / _ / ,_--- (SI t URE OF NOTARY) 44PLEURY MARTINEZ POLANCO MY COMMISSION#FF192276 %um/ EXPIRES:January 22,2019 AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF tIDY(G ez- COUNTY OF 6)//(61 I, blk-irce J bYi'U _ ,having been first duly sworn.,state and affirm: I am a resident of ( c2,L County, 71-14)/IxdaJ (State)and have resided here for more than five(5)years. _ During the last five years I have known 77011 ye I On)sO, . (applicant). 1 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. / ,91AodiR 00 0,.. ",•// Signature ' Jo iel Iii/ Name i/bc bolid am-6-d Lziie /./ 1 26S, 111102'24 7L 2z{/OV. Address 23- 1-77- 603 Telephone The foregoing instrument as acknowledged.before this. L 4o (Jaate) by 6,440, 4jafi91 q who has produced (name of person acknowledging) (type of identification) as identification and did not take an oath. j NOTARY'S SEAL /"--- URE OF NOTARY) 444YN, LEURY MARTINEZ POLANCO tr t MY COMMISSION#FF192276 No,s_ ° EXPIRES:January 22,2019 16.07.2016 01:21 PM Orosa Custon Renovations 2392601928 PAGE. 2/ 2 AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF Poi i iG COUNTY OF 05 f/,e./ • 6/„.-17.e.e to/Ci �o 4 ,having been first duly sworn,state and affirm: I am a resident of, (b /(/e ! County, r(c tt i� (State)and have resided here for more than five(5)years. During the last five years I have known � � 1/,c=-e.,/ f4(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. Signa Cirir,/cle Name r, AZi'-'44fin t%/1.2 r-"C 3 Y//9 Address r 3q - 2 C 3 - (7-4/ 2_.•- Telephone The foregoing instrument as acknowledged before me this 1 2641s by heYek 1�-�•a (Date) who l� 1 1 %. ,f.e. (name of person acknowledging) ( pe of identi tcation) as identification and did not take an oath. NOTARY'S SEAL __ 1r4► ...011.""„s ANi7RIA DAMSIGN AT R RE\*F NOTARY) e • till NOta StateofESFlorida, My Comp.Expires Nov 30,2018 ter, e1Cg imlulon#FF 179735 I F` _mod_ tionti Notary Assn.C AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER r STATE OF 6ticAa COUNTY OF Li C' ..tr I, a j4&u Y Ra10 , having been first duly sworn, state and affirm: I am a resident of CZ a`e e T County, 6 ( , (State)and have resided here for more than five (5) years. During the last five years I have known 1Yel,,aji b(S (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. ....9(7.7"C� Signature f rc R Name r/"1 - ..7 8.0 / y� C� Addres &� ) bbd Telephone The foregoing instrument as acknowledged before me this 7,12-Z. /i by x Ad,E Y .?�' who has produced IL �•ai (name 6f person acknowledging) (type of identification) as identification and did not take an oath. NOTARY'S SEAL '` gym__, 4•Figrffl7•F NOTARY) L -"�� KATY M GUERRERQ • t ; Notary Public-state of Florida s _ c My Comm. Expires Jan 1�,, 3,20 W,;`-p•' Commission#EE 864871 AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF*1,1Ni(36. COUNTY OF CA,�r rk no), )a 141)54 t c`- , having been first duly sworn, state and affirm: I am a resident of C.oltier County, ri (State) and have resided here for more than five(5) years. During the last five years I have known 64(;C O' C (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. 41 lit • Signature 11(071 h Name f0is �-(. S y/ 1a Address c_?. q) l- z?73 elep hone The foregoing instrument as acknowledged before me this 1/2;7, e byCi, m G ir&_ who has produced I ) ���� � (name of person acknowledging) (type of idents cation) as identification and did not take an oath. NOTARY'S SEAL SIG► U',' OF NOTARY) 20"aY PLe` KATY M GUERRERO A • Notary Public-State of Florida N, =` My Comm. Expires Jan 13,2017 '-'•41;F:;)::04. Commission#EE 864871 • TERRA HOME BUILDERS, INC 4420 18Th St NE Naples, FL 34120 239-253-4243 May 18, 2015 To whom it may Concern, I confirm that Manuel Orosa was employed with this organization from 2005- 2011. He started in the demolition and quickly learned mastered the criteria. Afterwards he was moved into carpentry, followed by work as a foreman in 2009.As a foreman he supervised and managed a crew of employees. Making sure all projects were safely completed, on time, and on budget was his priority during this time. In the carpentry unit he laid out, estimated costs, along with trim work that shows his focus on detail. He was given a number of kitchens to remodel, and he ended up exceeding my expectations. I've known Manuel for the past 10 years, and I can advocate that he is a man of good character and integrity. He is also reliable and certainly dependable. Manuel is family-oriented and hard working. He shows interest in the overall industry, while being eager to learn all phases of construction. Manuel's leadership skills are impeccable. Please don't hesitate to contact me with any questions or concerns. Yours\F 'thfully, Luis Gom z PresidentYrey4-1- 0 'V(t.:AjCA'ecti_rtit r n tt i$4 't'`. t '�%r ` I r F R 1(43 �� W Mikik' OJAI' ° 464/ ' S''• KATY Mt f UERRERO •`� -_ Notary Public-State of Florida -r9= Mty Comm Expires Jan 13,2017 ^' of ,„ Commission#EE 864871 Naples Home & Remodeling Inc 1385 47Th Ave NE Naples, FL 34120 February 19, 2016 To whom it may concern, I confirm that I have dealt with Orosa Custom Renovations since 2014 , during which time they have provided my business with excellent support in the area of stone fabrication. Their work has been a major factor in our company's success, helping to improve the overall success of my business. I can confidently recommend Orosa Custom Renovations as a solid and reliable supplier, and experts in their field. Sinceerrely, eda •o Gomez President s-1-61, i do 1.49 ti 6 YIrl'-iv`"( -�``1i►5 WA ki0% ---k,e_bi44,07 I� h fact Cbl `,O�PkY pj!ii � s KATY M GU ERO �_ Notary Public ERR - State of Florida ,��o� Nty Comm Expires Jan 13,20N ; °,'` Commission #EE 864871 1 Lux Enterprise Inc. 2237 J and C Blvd Naples, FL 34109 May 18, 2015 To Whom It May Concern, Regarding Orosa Custom Renovations, I confirm that I have had business association with this company since 2012 for almost 3 years. I found the dealing with the business to be more than satisfactory. They have always provided our business with healthy support and kind help. Orosa Custom Renovations is surely a solid and reliable supplier of countertops and an expert in their field in my belief. Sincerel , " J 4/ . Diomi tr- gad. President n ill kib loll Pv\-- ezi l i. z �rjOb/co jj.04,7 / (.1:/-4,.:114e;''..:110ANyoctaormyl(AmPTYobEixic ;UERRER4 -Stateofftorida9pires Jan 13,2O1 ' ,g;;, �' Commission#EE 864871 X o1,f ..,..,.....„:7r,,,!..1:.„.,71::,,,, ,.410:::4 �1 � . 4. 1 o f Ar a * �,r►. W �. 1:. .. / . ilk •, :.Aiiii"-14% 4p,IA!".111E1r00,I i > .... . : , +mss' Akio 11 Ist:',-)4Y0 ti-)4 o .-�cd b - s ilo 4 ' "ti •0t4 N 41`:01:ilti: P-c5 -4-, 4,1" Q o o #11.714.4 ,. 0 t* t f "-4- -1 0 1) 61) 'ej41°':' r4 )-- ,' •"4 g e+-i -23 t)CI )4)14 4.4 0 0 z!, "7-1 0 -arg c+.4 ° t: (6). c'' - 2 9 ig #Abk 1' . till o ''\-- 0 o • L A to al ill 5 1-4 - ,ti. .-0 .: ‘34Y 110 cr) - ' it *its% It11 h / v, z1-) d 0 . -F, .) 0 ,...., +.1w 0„ g , , oAtc• .fif WV,7-..._ , 0 4). 0 -4.4 • 0 tE g ,, g *,*k• 1,,,..... „,,-, ,, . . 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X OF "� INTERNAL7114ZNT REVENUEESERVICERY OGDEN UT 84201-0023 Date of this notice: 03-19-2015 Employer Identification Number: 001740.542836.409048.18442 1 MB 0.435 850 90-1077612 drrUlrrrrrlrlrll€rrrrrr'rrrlrlrrllrkllrllllrlrlrlrllllrrlrtlr Form: 1120 Number of this notice: CP 576 A 1x- OROSA CUSTOM RENOVATIONS INC MANUEL OROSA For assistance you may call us at: 1732 TRADE CNTR WAY 1-800-829-4933 NAPLES FL 34109 101740 • IF YOU WRITE, ATTACH THE STUB OF THIS NOTICE. WE ASSIGNED YOU AN EMPLOYER IDENTIFICATION NUMBER As we were processing your Form 1120 for tax period 122014, we found that your form didn't have a valid Employer Identification Number (EIN). Our records show that no EIN assigned to this business. Since an EIN is required by law, we assigned EIN 90-1077612 to this business. Please keep this notice for your 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. Every taxpayer must figure taxable income on the basis of an annual accounting period, called a tax year. For trusts, your tax year generally must be a calendar year, unless you are a charitable trust or are exempt from tax under the law. For partnerships, your tax year must conform with either the tax year of the majority partners, the tax year of the principal owners, or a calendar year, in that order, unless you establish a business purpose for using a different tax year. A personal service corporation must use a calendar year as its tax year, unless you establish a business purpose for using a different tax year. For further information, see Publication 538, Accounting Periods and Methods, which is available at most IRS offices or from our Web site at www.irs.gov. Please complete the Form SS-4, Application for Employer Identification Number, so we can complete our record of your account. Be sure to date-the form and send it to us with the tear off stub from this notice. You can get Form SS-4, by calling 1-800-TAX-FORM (1-800-829-3676) or by downloading it from the IRS Web site at www.irs.gov. If you already have an EIN for this business, please send a copy of the notice you received assigning you that EIN, along with the tear off stub from this notice, so we can update our records. Your name control associated with this ELM is OROS. You will need to provide this information, along with your EIN, if you file your returns electronically. 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 this stub. Thank you for your cooperation. Form Application for Employer identification Number ' OMB No.1545-0003 (Rev.January 2010) (For use by employes,corporations,partnerships,trusts,estates,churches, EIN government agencies,Indian triibai entitles certain individuals,and others.) Department of the Freasury internal Revenue service ►See separate instructions for each crate. ► Keep a copy for your records. , 1 ,4egal name of ( rndtvideer9 for whom the TIN is being reqt)estesie ?' 2 Trade name of business(if different from name on line 1) 3 Execueer,adminjetratoi,trustee, care eNtame t. �t S C 64/(— . ) 4a Mailing on t.,sur no.TetreeLyr d P.O.box) 5a Street address(if different)(Do not enter a P.O.box.) s f7 g,. 4b City,state, d ZIP _ (if torn, ins i ions) 5b City,state,and ZIP code(if foreign,see instructions) n tSK ` d 6 County�� vfktere principal t�els is local, A , fit1 U' COi 7a N respo `� t�, '7b SSN,ff1N,or EI ima 8a Is this pccation for a limited liabilitycompany(LLC)(or 8b &ais` es,"enter t„nam number of a foreign at ufvaiert? ❑ Yee >ir,;]-"No LLC members . ► Sc if 8a is"Yes,"was the LLC organized in the United States? 0 Yes 0 No 9a Type of entity(check only one box).Caution.if 8a is"Yes,"see the instructions for the correct box to check. 11 Sole proprietor(SSN) 0 Estate(SSN of decedent) i t ❑ Partnership 0 Plan administrator(TIN) IV/Corporation(enter form number to be filed)le IT 0 Trust(TIN of grantor) • Personal service corporation ❑` National Guard 0 State/local government ❑ Church or church-controlled organization 0 Farmers'cooperative 0 Federal govemmenten itary AOther nonprofit organization(specify) le 0 REMIC 0 Indian tribal govemments/enterpdses Other(specify)► Group Exemption Number(GEN)if any► 9b if a corporation,name the state or foreign country State 4 Foreign country (if applicable)where incorporated Cot k. 10 Reason for applying(check only one box) 0 Banti ng purpose(specify purpose) ► ❑ Started new business(specify type) le 0 Changed type of organization(specify new type) 0- . . ❑ Purchased going business Hired employees(Check the box and see line 13.) 0 Created a trust(specify type) le ,©, rnpliance with t w hotdip ions ,e ,r ❑ a pension plan(specify type)► M Other(~�ify)► i 't L. sheik&i�� 11 Date business started or acquired(month,day,year).See instructions. 12 Closing month of accounting year a+,),,fiO..+.v Let 14 If you expect your employment tax liability to iae$1,000 13 Highest number of employees expected in the next 12 months(enter-0-I none). or less in a full calendar year and want to file Form 944 If no employees expected,skip line 14. annually instead ofForms 941 quarterly,check here. (Your employment tax liability generally will be$1,000 Household ; , or less if you expect to pay$4,040 or less in total Agricultural 1,..... �� / wages.)if you do not checie this box,you must file p1 i i biForm 941 for every quarter. 0 , 15 First date wages or annuities were paid(month,day,year).Note. applicant is a withholding agent, ierne will fest be paid to nonresident alien(month,day,year) e- f R ei 6/24 l-"--°- 16 Clebrm box that best describes the principal activity of your business. 0 Health care&social assistance 0 Construction 0 Rental&leasing 0 Transportation&warehousing 0 Accommodation&food service 0 W ❑ Retail ❑ Real estate 0 manufacturing 0 Finance&insurance 0 Other(specify) 17 I print•a, lin of se id,pc con coon work e,p ••t . prod.cad,_, ,ervices provided. ; e r '.. tit, (.6d ;- 18 Has the applicant entity shown on line 1 ever amefied for and received an EIN? 4 Yes A We If"Yes,"write previous EIN here► I Liel— /0'7 7 b/z. Complete this section only if yott,want to authorize the named individual to receive the enity's EN and answer questions about the completion of this form. Third Designee's name a: _ Designee's rotenone number(iodide area tie) ( ) 1—%i v Party ___,...„ ,(k...„7--,„---- Designee Addrees code ` , Designee's fax number(include area code) ewer Name a�nd title�for*clam that I have eimrra4 my C�S application, tin t (y ,,- * < and,E,:,;— �fMdude i /!1 L/�i . MP6carrt's =Mar Secede area code) 673/ Signature ► �-- *`__..._ Date►62.5i f� �! ( ) For Privacy Alt and!'_ -- Reduction Act Notic.See separate instructions. Gam.No.16055N Form SS-4 (Rev.1-2010) • • COLLIER COUNTY BUSINESS TALC ''BUsfN€SST NUMBER= 132101 k COLLIER COUNTY TAX COLLECTOR 2800 N HORSESHOE DRIVE-NAPLES FLORIDA 3•41 44-,....,1.3.--0- 352•2 I-...-.h..•.';..::.- V1SIT OUR'WEBSITE AT Www.colhertax co TH tS�tEGEtPT EXPIftF SEP7IVIBER 30. 2018. t PLAY AT PLACE O BUSINF,SS POR P BLI SNS E t3R ; LOCi47i( 1 r`32 TRADE CENTER WAY :- FAILURE TO DO SO fiB Ct NTE RY TO LOCAL LAW, ZONED INDUSTRIAL • - THIS TAXIS NON REFU DABt ,eQwpO : TIONS, BUSINESS PI ONES 238 382 5931 ,,. ,., _ ONFRE V X'9iO iSx(NO O1�35A[iiS�' OR•OSA;.SEL • Y �. - •17.32 TRADE CENTER WAY : - µms , tt NAPLES;.FL 341:b9 0000 i : - 97' - .. - NU MBER !F EMPLOYEES . 1.10 EMPLOYEES .. ' � �. • --'• .KATIO•N STONE PRO,DO MFP11401NSTA —' N'-. " - • _D, 09/2 I2O �' GIJISSIFICATION 04J!;. ....OW001: f UNT • 3(}.00 RECEI#T �'h18 d¢currient is a business•tax only Th#5�s t�fiflca5on'�8f licensee is qualified 7'156.x#2 it oes►� tpetmlt a lice•nsee fo violate any vesting. ulatory zoning iaws of-.0 ;ate,wordy or citi • -4 - nor does exempt•fihelicensee from any other taxes.c r penmts that may Jse requiredby Jaw $ OLLIER COU NTY BUSINESS•TAX BSI 7..-:-.:17.:41r.'.77-7.."1...:71....' T i UMBER: • 1424 . COLLIER COUNTY'TAX COLI:ECTOR-2800 N.HORSESHOE DRIVE IBES FL€RIt 3411 )25..-2477 CEI,PPT EXPIRES S RI30 2A . ViS AT www ca -THIS RE EPTI=MI31= I. . DISPLAY AT PLACE OF BUSINESS FOR PUBLIC IN 1ON LOCATION 1732 TRADE.CENTER WAY • .4:4V: :::;141"1:: FAILUTO DO SO IS CONTRARY.TO LOCAL LAS r. ZONED INDUSTRIAL . - F 1 ` - - '`� CORPORATION -• TOS T/tIC IS 1�ON 12•EFUC�DABLE BUSINESS PHONE`-362-591 7. ¢ � • OROSA C Atit:)aI RE V.ATIONS.INC COUNTY LIG 2014-1x402 : •• ORf SA,MANUEL ' . 1752 TRADI_CENTER WAY, .: . NAPLES FL 34109.0000 NUMBER OF EMPLOYEES =' 1-10 EMPLOYEES CI,ASSIF'ICATION CABINET&MILLWORK ITRACTOR • qe �tDA 09125/201 5 C[ASSIFICATION' ODE :02107 i This document•is a business tax only.This is.not certification th t li nsee�s•qualified '}REt EIP 71$? . h oes not ermitttle licenses M violate army existing regulator r zoning lain of thestate,county or cities F nor does-exempt the licensee frorlj'any other taxes or permits that mi y;be requiredby Iaw ... „__ .r„.._,.„—7--.17- ..r.,".--:-.5.- ---- -z.--,:,!c,s7,i,,,. ›.7.--,-1,.,7----..„--- : . — a.,�:sem�: _ - s ROS - - Ste• — P — -„- -•- nn • a�`tf-¢ ? $_- c: eiF a z�� .4"7,,,,,t,�� Jt- ''i�. °aR'.."'r -"``- a -�-r t-• :ass .* .. ' =4L' r„f - 15'C£5t`f1'�.; t� '3' .3f�. ... Fete 2316 04:47p 2392770167 p.2 Prepared By: Merit Credit (239) 277-3202 (800) 371-3348 TPJ NSUVION CREDIT REPORT [FOR] [SUB NAME] [MKT SUB] [INFILE] [DATE] [TIME] (I) Z NP6284423 MERIT CREDIT 16 NP 2/05 02/23/16 14:33CT [SUBJECT] [SSW [BIRTH DATE] OROSA, MANUEL OROSA JR. • .- 8/ [ALSO KNOWN AS] PEREZ,MANUEL,OROSA [CURRENT ADDRESS] [DATE RPTDI 4005 CINDY AV. , NAPLES FL. 34112 1/13 [FORMER ADDRESS] 3906 SW. 14TH ST. , LEHIGH ACRES FL. 33976 2/11 2255 MALIBU LAKE CI. , #335. NAPLES FL, 34119 [POSITION] [CURRENT EMPLOYER AND ADDRESS] [VERF] [RPM] [HIRE] A F C ELECTRIC ELECTRICIAN 4/12 4/12 4/11 MODELPROFILE * * * ALERT * ***FICO SCORE 4 ALERT: SCORE : 038, 013, 010, 018 *** IN ADDITION TO • ***`=HE FACTORS LISTED ABOVE, NUMBER OF INQUIRIES ON THE CONSUMER'S ***CREDIT FILE HAS ADVERSELY AFFECTED THE CREDIT SCORE. CREDIT SUMMARY * * * TOTAL FILE HISTORY PR=0 COL=1. NEG=0 HSTNEG=2-27 TRD=9 RVL=6 INST=3 MTG=0 OPN=0 INQ=S HIGH CRED CRED LIM BALANCE PAST DUE MNTHLY PAY AVAILABLE REVOLVING: $3472 $3600 $285 $0 $23 92 INSTALLMENT: $32.5K $ $1264 $0 $381 TOTALS: $36.0K $3600 $1549 $0 $404 COLLECTIONS SUBNAME SUBCODE ECOA OPENED CLOSED $PLACED CREDITOR MOP ACCOUNT# VERIFIED BALANCE REMARKS TSI/09 Y 2C1R017 I 5/12 3/15F $357 11 DIRECTV 09P 25116283 3/15A _ $0 PAID COLLECTION TRADES SURNAME SUBCODE OPENED HIGHCRED TERMS M- ELQ PAYPAT 1-12 MOP ACCOUNT* VERFIED CREDLIM PASTDUE AMT-MOP PAYPAT 13-24 ECOA COLLATRL/LOANTYPE CLSD/PD BALANCE REMARKS MO 30/60/90 CAF F 45WK001 1/13 $32.5K 64M381 1/14 111212221121 101 1/16A $0 03 123213321123 C AUTOMOBILE $1264 36 14/ 4/ 0 CAPITAL ONE S 1DTV00 . 9/11 $392 MIN23 6/13 121121111112 R01 1/16A $300 $0 $82 03 112112111211 I CREDIT CARD $285 48 8/ 1/ 0 CAP ONE AUTO F 1W2K001 4/12 $18.8K 72N415 111111111 101 1/13A $0 C Af3TOMO3TT,F 1/13C $0 CLOSED 9 0/ 0/ 0 Feb 2316 04:47p 2392770167 p.3 CAPITAL ONE B 1DTV200 2/09 $1020 111111111111 RO1 12/12A $950 111111111111 A CREDIT CARD 45 0/ 0/ 0 • CAPITAL ONE B 1DTVO01 2/07 $1850 111111111111. RO1 8/09A $1750 111111111111 T CREDIT CARD 29 0/ 0/ o CB/EXPRESS C 8349001 9/05 $0 111111111111 RO1 9/08A $300 $0 111111111111 T CHARGE ACCOUNT 4/06P $0 ACCT CLSD BY CONSUMER 35 0/ 0/ 0 MID ATL FIN F 1DMAOO1 9/04 $7733 26M303 111111111111 201 12/06A $0 111111111_1 I AUTOMOBILE 12/06C $0 CLOSED 23 0/ 0/ 0 FST PREMIER B 41PF023 1/06 $268 111111111 RO1 10/06A $300 $0 I CPEDIT CARD ' 5/06C $0 ACCT CLSD BY CONSUMER 9 0/ 0/ 0 CB/A&F C 1BDT001 11/05 $210 11111 RO1 5/06A $300 $0 I CHARGE ACCOUNT 4/06P $0 ACCT CLSD BY CONSUMER 5 0/ 0/ 0 INQUIRIES • DATE SUBCODE SUBNAME TYPE AMOUNT 2/23/16 ZNP6284423(FLA) MERIT CREDIT 3/13/15 ZNP6284423(FLA) MERIT CREDIT 2/25/15 ZMI0651860(FLA) PREMIUM CB 2/13/15 BNC6199555(FLA) BIC OF AMER 1/19/15 ZSN5952757(SCT) SARMA 5/19/14 ZNP6284423(FLA) MERIT CREDIT 5/02/14 2NC6199555(FLA) BK OF AMER 3/24/14 ZPA2492327(KIN) REFERENCE SV CRELITREPORT SERVICED BY : TRANSUNION 800-888-4213 2 BALDWIN PLACE P.O. BOX 1000,CHESTER, PA. 19022 Consumer disclosures can be obtained online through TransUnion at: http://www.transunion.com CREDITOR CONTACT INr ORMATION TSI/09 YC2C1R017 (877) 273-3495 PO BOX 17205 WILMINGTON DE. 19850 CAP F245WK001 (804) 342-6400 2040 THALzBRO ST RICHMOND VA. 23230 CAPITAL ONE BC1DTVOO1 (800) 955-7070 POB 30281 SALT LAKE CITY UT. 84130 CAP ONE AUTO FA1W2K0O1 (800) 946-0332 CREDIT BUREAU DISP PLANO TX. 75025 CAPITAL ONE BC1DTV200 (800) 477-6000 PO BOX 30253 SALT LAKE CITY UT. 84130 CB/EXPRESS CW8 3 4 90 01 PO BOX 182789 COLUMBUS OH. 43218 MID ATL FIN FZ1DMA001 Feb 2316 04:48p 2392770167 p.4 15201 ROOSEVELT CLEARWATER FL. 34620 FST PREMIER BZ41PF023 3820 N LOUISE AVE SIOUX FALLS SD. 57107 CE/A&F CZ1BDT001 PO BOX 182789 COLUMBUS OH. 43218 PREMIUM CB Z 0651860 (800) 322-8825 2412 NW 87 PLACE DORAL FL. 33172 BK OF AMER B 6199555 (900) 421-2110 PO BOX 982238 EL PASO TX. 79998 SARMA Z 5952757 (800) 955-5238 555 E Ramsey Rd SAN ANTONIO TX. 78216 REeURENCE SV Z 2492327 (812) 474-9000 101 PLAZA EAST BLV EVANSVILLE IN. 47715 END OF TRANSUNION REPORT MERIT CREDIT HAS RETRIEVED THE ABOVE PERSONAL CREDIT REPORT FOR LICENSING PURPOSES AS REQUESTED BY THE BUSINESS OWNER/PROPRIETOR. PUBLIC RECORDS FOR THIS REPORT HAVE BEEN CHECKED AND VERIFIED AT THE COUNTY, STATE AND FEDERAL LEVELS. PUBLIC RECORDS 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) 277-3202. Feb 2316 04:48p 2392770167 p.5 Premier Profile-OROSA CUSTOM RENOVATIONS,INC •Subcode;970135 Ordered:0311 3/201 5 15:46:39 CST wX It1 Transaction Number:0500771892 Search Inquiry;OROSA CUSTOM RENOVATIONS,INC/3906 ARNOLD ' • AVE/NAPLES/FL134104-3374/US/96#128899 Model Description:Intelliscore Plus V2 Business Nemo c 3,;sness Identification Numbsr OROSA CUSTOM RENOVATIONS, INC. 964128899 Primary Address: 3906 ARNOLD AVE NAPLES,FL 34104-3374 This business is the ultimate parent. See the corporate hierarchy by clicking here TOP CV Risk Dashboard Intelliscore Plus Financial Stability Risk Company DBT Original Filings High Risk Alerts HIGH RISK • HIGH RISK DBT JUnavailable711 Score range:t-100 percentile Credit Limit Recommendation:$1,000 Top 4 Business Facts Years on File: 3(FILE ESTABLISHED 0912012) State of Incorporation: FL Date of Incorporation: 09107(2012 Business type: Profit Contacts: OROSA MANUEL-PRESIDENT TOP CP Commersiai Fraud Shield E,:aLatioi-far:OROSA CUSTOM RENOVATIONS, INC, 3906 ARNOLD AVE, NAPLES,FL34104-3374 .-+ 4L N f eJ.. ':' .n".i� -.41.4:,:r.:7;!. tj .4e' tt�� jsow1 iylC,s GSR... ._.._..,... _._.....v.�':aJa;.:.......,i`....a...v.__e......._...,..-.:::...at L..wse,...-.,..fiy, .'a.E':. 'i••. ..4'S.•t.^a- �.7Fy` The primary Business Name,Address,and Active Business Indicator: Experian shows this business as active Pnone Number on Experian File were reviewed ---- for High Risk indicators,no High Risk indicators "^" ^', were found. Possible OFAC Match: •• No OFAC match found Business Victim Statement / ' I No victim statement on file TOP Ci Credit Risk Score and Credit Limit Recommendation _• �'.ti. .. ..-.en_.._.u_...�........._..%Y_............,•......_...._._.ate........."�!'_Yom_i�v v....w..n....,-..... Current Intelliscore Plus Score:6 Risk Class: 5 HIGH RISK - The risk class groups scores by risk into ranges of similar performance.Range 5 is the highest risk.range 1 is the Premier Profile-OROSA CUSTOM RENOVATIONS,INC /I4 Feb 23 1604:48p . 2392770167 p.6 lowest risk. '4VAIIIIIIIIIMPW14010 . . . _ . -... - L a i:o is ... sb is 1..ao I This score predicts the likelihood of serious credit delinquencies for this business within the next 12 months.Payment history and public record along with other variables are used to predict future risk.Higher scores indicate lower risk. Factors lowering the score Industry Risk Comparison NUMBER OF RECENTLY ACTIVE COMMERCIAL ACCOUNTS 5%of businesses indicate a higher likelihood of severe delinquency. NUMBER OF COMMERCIAL ACCOUNTS WITH NET 1-30 DAYS TERM NUMBER OF COMMERCIAL COLLECTION ACCOUNTS AGE OF MOST RECENTLY OPENED COMMERCIAL COLLECTION ACCOUNT _ *.„,, 7.. : :77 ::':... ?..7..r '''17.,..r.'177-7:'.77:,'-'7','..',-,17:VKC7Vr:717.-..'' '714.?..V.'rr: ,;• .?:.."1-7:t77:::""•'-;'7---Z-i".•;—sr‘7.r.7.71, rs 71% r -T.; '.341.starPir.zirs '0:*.311gna51:.;r''4''." f.,. --:4:::'•:.."',.-.:::,":::, -I:l...-,-,-7:...:,‘-,..,' ::.i,..........c:-::.-;?•,!•,?;s4..ji,.....,:-.....:;..,,, ::-:f!.,:•.!..,`,r;::.. "' Vesr:v." .,:i,,,,...,r,i.....e....z.....:1::.s.::::.;,..rz.,?..c.:...',-.-•'.::-17.:*44:::,!-.I-z.a-'.,1---,,;;47':',',..fi.:';':-:'''..*:l;?;,.;.1.::'.! !.:::.':•,";, :l'4.''.4.4:12::!..!--.:,-.Tr'l'f::•:;;,c::::::::..,....:'.:::-'2.',..',"*.4..;i1,..lk''''':!.::: i'.'..'':.'.;;!. .l,':.:.2:F<;!:,-'*-:";I::.-';,..:.:%:: Quarterly Score Trends 100 T' , so-1.-'.`" 70 4- : .. . . . a° The Quarterly Score Trends provide a view of the 4'"1... ........... . . ... . .._ likelihood of delinquency over the past 12 months for this . 50 ' business.The trends will indicate if the score improved, 40 i i remained stable,fluctuated or dechned over the last 12 ; ..; . .. .. 30-I : months. I•-• 20 1 10 i ' 111111111$1::: a '' ,,t2.1104. 1444' 21*- *No score average available for this quarter , r7.1-,:-.,.- ....-:.....,:::-!.:.-•:7-1:-....7....,,::3774:-.'S.:Z7'n:::::';'r l:•Irrxr.nr.."-::r:',.:75, ''Otilfcgt-gbikftblVfliinallitiiiitOtOntiyillgsfc::, lfz'••••••• -t•::r:.1:,l.:c;:::."•T''.:.•'.':',"lil;r1;•; ,:`.:;;•:. I::•:<,:::: -..:".‘..:. :-:',... !::;,,l.e. ''..-,",...:.".'2:.-1•.•!'•-,,l2‘,;:,',.:II;•;:i,•A:,.: - ..,;;:. .7......,a;.:...c..it,...:,_:_1::..,::,....,..:,,,,!., ,-..:.:•.__,,,.._,....,.: .....,..-4:lL.-.47..;:';'.1..-_, ;',:-::<'''......'....:.!:‘1:.'fsf';,. .•.:1.:1-`,6,'; ,i1c:.:_`. .4'.. .i..:::,2,:::,-_:..l:r:: '::::::';.:,... Current Financial Stability Risk Score:3 Risk Class: S .. • . • . • -: .- 1111=M11 High „....,.*01111111011111111660010— - ., ,. Low The risk class groups scores by risk into ranges of similar Risk ,:” -4- 11111%111111111111 -3- : Risk performance.Range 5 is the highest risk,range 1 is the a i ib 3i) ds 1 6 o lowest risk. This score predicts the likelihood of financial stability risk within the next 12 months. The score uses tradeline and collec-jons information,pubiic filings as well as other variables to predict future tisk.Higher scores indicate lower risk. Factors lowering the score Industry Risk Comparison s NUMBER OF ACTIVE COMMERCIAL ACCOUNTS 2%of businesses indicate a higher likelihood of financial stability risk. P NUMBER OF COMMERCIAL COLLECTION ACCOUNTS NUMBER OF COMMERCIAL ACCOUNTS ) RISK ASSOCIATED WITH THE COMPANY'S INDUSTRY SECTOR ,...,.,........,-..,,,,,,.._,..,__...,,,-,-,-.,,.:,,,..,.?:.--::,-T.. .. __„.. .T.;/, !;,-..,-f-..-.:.-7,-_--,-,Ern,!-.-,...r.r.:..,,v-si,.-_,-.;......i..2.i.i.......7.-..-7.:-.7:‘-,-!,i.:•:r..-,..,--7.2",:il...71.14:,:-::7.-.::'-.5.r.7.i 7::;-'.."7-='''','"I.:.7.-.7-:.:T.:-7;l7;;:117:5`.,;:rl,I.li::!:'.7.-4'...77;',;,',';-;,(-:rl••,`:,:7, .gf...041g,14,113101VOMOIaliVONY:'1.:',;;;',-,"...A:.'':,,.-:,-r":':,•.,':',.i.;:,l-.::.:1‘.':"l'..'.,l.,:.-,I'':,; Iti:A:-.-4.''.'--.2",....!-;.:i:':',-;;,.,':.,';.:"-t...-:-.Z.,3:•',7,-,".;,:',:--',:-::,,'',I--,:1';::::.1::.;:._‘-f-.,..;';....-:,.,:,•:,••.:; -,‘,.......i.e.,•:.-:."3.:....::.,L:=...c,-,:::....C..:-.4,.."-:=1 •-•::..e-42:::.4,.:ae-i.Z-Z--.,.1,t.,:,,-;..t.7:Z;-Y,;•.!!..;i:.-::,;..4.-:.:;i....„77,i,,I.:134,....1::.a,:la.::::.:'s.;...;..:::....:.i... ..-1;.. sis....:...;::.:,.....,::=:,:.;:i:.itzs.-.:,..\,.,47,:soz,:::::::_11,..z.r::::::.;;LL4 Credit Limit Recommendation This recommendation compares this business against similar businesses in the Experian business credit database.It is based on trade information,industry,age of business and the Intelliscore $1,000 Plus.The recommendation is a guide.The final decision must be made based on your company's business policies. TOP fa. Premier Profile-OROSA CUSTOM RENOVATIONS,INC 2/4 ........... ... .... Feld 2316 04:49p 2392770167 p.8 • TOP 0 Experian prides Itself on the depth and accuracy of the data maintained on our databases.Reporting your customer's payment behavior to Experian will farther strengthen and enhance the power of the information available for making sound credit decisions.Give credit where credit is due.Call-860-520-1221,option#4 for more information. End of report 1 of 1 report The information herein is furnished in confidence for your exclusive use for legitimate business purposes and shall not be reproduced.Neither Experfan Information Solutions,Inc.,nor their sources or distributors warrant such information nor shall they be liable for your use or reliance upon it. ©Experian 2015.All rights reserved.Privacy policy. Experian and the Experian marks herein are service marks or registered trademarks of Experian. • • • • • Premier Profile-OROSA CUSTOM RENOVATIONS,INC 4/4 Fel:;2316 04:49p 2392770167 p.9 • V Merit Credit • Fast,Accurate&Secure. MERIT CREDIT HAS RETRIEVED THE ABOVE 8USINESS REPORT FOR LICENSING PURPOSES AS REQUESTED BY THE BUSINESS OWNER/PROPRIETOR. PUBLIC RECORDS FOR THIS REPORT HAVE SEEN CHECKED AND VERIFIED AT TELE COUNTY <INCLUDING PINELLAS) , STATE AND FEDERAL LEVELS. PUBLIC RECORDS LEARNED: 0 SOURCES OF TNFORMTION: EYPERIAN BUSINESS INFORMATION SERVICES IRS LIEN SECTION COUNTY COURTHOUSE RECORDS • IF YOU HAVE ANY QUESTIONS REGARDING THIS REPORT, PLEASE CONTACT MERIT CREDIT AT: 1-- 800-371-3348 OR 239-277-3202. COMPANY NAME:OROSA CUSTOM RENOVATIONS,INC FEDERAL ID:90-1077612 CURRENT STATUS:ACTIVE PRINCIPAL(S):MANUEL OROSA TITLE:PRESIDENT DATE INCORPORATED:SEPTEMBER 07.2012 tea. r ev County COWER COUNTY GOVERNMENT 2800 NORTH HORSESHOE DRIVE GRCYTH MANAGEMENT DIVISION NAPLES, FLORIDA 34104 www.colliergov.net (239) 252-2400 FAX(239) 252-6358 LAND USE AND ZONING ,CERTIFICATE: NON-RESIDENTIAL •f OC—sobsectton 10.02.06 B.1.f Chapter 4 K. of the Administrative Code Please fill out this form as completely as possible, if you don't know the answer, indicate "unknown", if the item doesn't apply. indicate "not applicable" or"N/A". Your application can not be processed without all of the necessary information. Zoning approval of this application can be expedited if a site plan of the property to be occupied showing parking and surrounding uses is submitted with the application. Zoning Certificate#:t--,2(,"` 3O c1 1 Relocating Existing Business ❑ New Business j Additional development orders may be required by the County for any changes in use and/or interior and exterior remodeling. Please be advised that Impact Fees may be due at time of Building Permit. Please contact Impact Fee { Administration at (239) 252-2991 and Public Utilities at (239) 252-6237 to verify' if any impact fee will be assessed. (Applicant's initials): H�0 _ APPLICANT CONTACT INFORMATION r Name of Applicant(s): A V U��_ 2.L%ca Address: 13 L.- ri ` ! ` City: t. d.t{;SO S State: t - ZIP: Telephone: ? - 2 "g7;( Cell:239-362-- l Fax: E-Mail Address: c 'Si4}14YJYtU(? yC\i„00, BUSINESS& USE INFORMATION Business Owner or Qualifier's Name: y an UQ_.. t `(e s a Business Name: 0 ror4-#- 0`00 W4 2Qr1 K.1£c' Business?hone: Z-31-3 62-- Sj 3i Business Address: f f 7)! t h 1L14 C4.Y( cIt LTV/City: 1JQ(f.�{/4 cs State: ���. ZIP: i4/7+ Property Owner or Leasing Agent Name: Complex Name(If any): Type of Business: Type and Name of Business Previously or Presently Occupying Location: If Vacant,Provide Length of Vacancy: Check below if the business is any of the following business types*: in Restaurant/Eating Places(SIC 5812) 0 Bar/Night Club/Drinking Places(SIC 5813)-will require a distance waiver. ] Restaurant/Bar with 150 seats or more *Alcohol Licenses will not be signed off by the Planning and Zoning Department until the Business Tax Receipt has been issued. It the license is for consumption on premises, a floor plan will be re9uired showing the location of ail serving areas and seating. 1f1'i2014 Page 1 of 2 ..-_-......-.....--_-._. Cotner County COLLIER COUNTY GOVERNMENT 2800 NORTH HORSESHOE DRIVE GROWTH MANAGEMENT DIVISION NAPLES, FLORIDA 34104 wwwcolliergov.net (239)252-2400 FAX(239) 252-6358 BUILDING IFORIATION Buildiag Type: ❑Single-Occupancy Building 0 Retail Shopping Center [j Office/Professional/Business Center Building Use,indicate the approximate square footage the unit or building is used for: s# Pt- Retail: Storage: Z ZOO , Office: .-.- Manufacturing/Repair: Other,describe: Total Building Floor Area: Auto Repair/Service Station: #of Bays Restaurant/Church/Beauty Salon: t of Seats Number of Parking Space for Building/Complex: 5 (if over 100 spaces state"common") Number of parking spaces available for unit,if specified: . i declare under :-n. . erjury the foregoing facts are true and correct to the best of my knowledge. Ado02_ Q431-1.5 Applican Sig at, a Date Zoning erti 'tate Review Fee:$125.00(checks payable to: "Board of County Commissioners") ` The following to be completed by County Staff: e�^�G. SIC#: 1 Zoning: :::CII. _._..� Property ID#: 11 0200 V L✓\ 02. . Building Permit#: (if available)SDP#:__....._._.�.._ (if available) Site Visit Required:0 Yes No Comments/Restrictions: A ___ A proved 11 Hold ❑Denied _ ..__�._.^..- 1 '=.I C6t6.1 y Planner Date 1/14/2014 Page 2 of 2