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CLB Agenda 01/16/2019COLLIER COUNTY Board of County Commissioners Contractor Licensing Board AGENDA Board of County Commission Chambers Collier County Government Center 3299 Tamiami Trail East, 3rd Floor Naples, FL 34112 January 16, 2019 9:00 AM Robert P. Meister, III Patrick G. White Michael E. Boyd Terry Jerulle Richard E. Joslin, Jr. Kyle E. Lantz Matthew Nolton NOTICE: All persons wishing to speak on Agenda items must register prior to presentation of the Agenda item to be addressed. All registered speakers will receive up to three (3) minutes unless the time is adjusted by the chairman. Any person who decides to appeal a decision of this Board will need a record of the proceeding pertaining thereto, and therefore may need to ensure that a verbatim record of the proceedings is made, which record includes the testimony and evidence upon which the appeal is to be based. If you are a person with a disability who needs any accommodation in order to participate in this proceeding, you are entitled, at no cost to you, the provision of certain assistance. Please contact the Collier County Facilities Management Division located at 3335 East Tamiami Trail, Suite 1, Naples, Florida, 34112 -5356, (239) 252-8380; assisted listening devices for the hearing impaired are available in the Facilities Management Division. 1. ROLL CALL 2. ADDITIONS OR DELETIONS 3. APPROVAL OF AGENDA 4. APPROVAL OF MINUTES 5. PUBLIC COMMENTS 6. DISCUSSION 7. REPORTS 8. NEW BUSINESS 8.A. ORDERS OF THE BOARD 8.B. FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY 8.C. LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW OF CREDIT 8.D. LEONARDO GUERRA – A TO Z GARAGE DOOR SERVICES – REVIEW OF CREDIT 9. OLD BUSINESS 10. PUBLIC HEARINGS 11. NEXT MEETING DATE 11.1. WEDNESDAY, FEBRUARY 20, 2019 Inquiries concerning changes to the Board’s Agenda should be made to the County Manager’s Office at 252-8383. 01/16/2019 COLLIER COUNTY Contractor Licensing Board Item Number: 8.A Item Summary: ORDERS OF THE BOARD Meeting Date: 01/16/2019 Prepared by: Title: – Contractor Licensing Board Name: Lilla Davis 01/08/2019 10:51 AM Submitted by: Title: Supervisor - Operations – Contractor Licensing Board Name: Everildo Ybaceta 01/08/2019 10:51 AM Approved By: Review: Contractor Licensing Board Lilla Davis Review Item Completed 01/10/2019 12:12 PM Contractor Licensing Board Michael Cox Review Item Skipped 01/10/2019 3:08 PM Contractor Licensing Board Everildo Ybaceta Meeting Pending 01/16/2019 9:00 AM 8.A Packet Pg. 3 01/16/2019 COLLIER COUNTY Contractor Licensing Board Item Number: 8.B Item Summary: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY Meeting Date: 01/16/2019 Prepared by: Title: – Contractor Licensing Board Name: Lilla Davis 01/08/2019 4:53 PM Submitted by: Title: Supervisor - Operations – Contractor Licensing Board Name: Everildo Ybaceta 01/08/2019 4:53 PM Approved By: Review: Contractor Licensing Board Lilla Davis Review Item Completed 01/10/2019 12:14 PM Contractor Licensing Board Michael Cox Review Item Skipped 01/10/2019 3:07 PM Contractor Licensing Board Everildo Ybaceta Meeting Pending 01/16/2019 9:00 AM 8.B Packet Pg. 4 ET County COLLIER COUNTY CONTRACTORS' LICENSING BOARD JANUARY 16, 2018 9:00 A.M. FERNANDA ROSA _ APPLICATION TO QUALIFY SECOND ENTITY Tile and marble installation contractor requires 24 months experience, a passing grade on an approved test and a passing grade on a business and law test, and means those persons who are qualified to set tile, marble and stone. Ordinance 2006-46, as amended, (1.6.3.45) Fernanda Rosa who currently qualifies OCLEANO SERVICES LLC is requesting to qualify a new company, ROCA GRANITE AND CABINETS LLC. She is the Manager and owns 10% of OCLEANO SERVICES LLC. She is also the Manager and owns 10% of ROCA GRANITE AND CABINETS LLC. Fernanda Rosa currently has a TILE & MARBLE CONTRACTOR license with Collier County. The license was first issued on 0212812017. Her license is currently ACTIVE and there are no complaints or citations on f ile. 8.B.1 Packet Pg. 5 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND Gontents Letter to go in Front of the Board Application - Current Company Application - Proposed Comp any Questionnaire Supplemental lnformation pages from Questionnaire Financial Responsibility Resolution of Authorization Qualif ier Credit Report Current Company - Sunbiz & LLC Documents - Business Tax Receipt - lnsurance & Workers Comp - Bank Statements September 2018 October 2018 November 2018 - Credit Proposed Company - Sunbiz & LLC Documents - lnsurance & Workers Comp - Bank Statements August 2018 September 2018 October 2018 - Credit Board Hearing Letter Qualifier Driver's License 8.B.1 Packet Pg. 6 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND Dear Colller County Borrdt lli:1td, Rosa am wnting ro request a meeting with rhe Collier eolnry goard. This is in regard togemng my second business R0CA 6ranite and Cibinets licensed to be aile m *sr* in &e aria along side my first business, 0cleano Services. 0t/021201e Slncerely, Fernanda Rosa L ,ftu"leS /-* sT rE0FFtofto_Agggyly69 L(L n lbrB.hg rdllrrllw8a rJ+ n Ory ot Inl- A rq.ry Etriob kfinbrEfr hifodrod sciootlot€d tot B rr!f Qc !.n!tdl Jf,\- Pril. *fin*a$rl, Iddy hDlk .5tda ol tbddl Cc.wrbho ,(s 2{Sn ry Con"i, lr8r' Jul 13, 20n rr,lll rhrn h xr(t{al }udtsrl' 8.B.1 Packet Pg. 7 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND :r covr.*at-y GMD Operations & Regulatory Management Licensing Section 2800 North Horseshoe Drive Naples, FL 34104 APPLICATION FOR COLLIER COT]NTY/CITY OF NAPLES/CITY OF MARCO INSTRUCTIONS: 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 ir:formation, consult Collier County Ordinance No. 90-105, as amended. NAME OF COMPAT{Y CURREI{TIY QTIAI,IFIED: Exact Corporate/Business Name : Fiction Name/ D34' N/A OCLEANO SERVICES LLC Qualifier Name:FERNANDA E SANTOS ROSA Phys ical Address: 528I Buckingham Rd Fort Myers FL 33905 Mailing Address: (Number & Stre€t) 5281 Buckingham Rd (city) Fort Myers (State) FL (zip Code) 33905 (Number & Sheet)(State) (Zip Code) ferosa5006gmail.com (City) E-mail:Telephone . (239)738-8128 TYPE OF LICENSE: Genera I Bu ild ing Residential Mechanica I Roofing s230.00 s23o.oo s230.00 s230.00 s230.00 Electrician Plumber Air Conditioner Swimming Pool Specialty s230.00 s230.00 5230.00 S230.00 s20s.00 TILE & MARBLE x ApplicationFee $105.00 CHANGE OF STATUS: ( ) Reinstatement ( ) From One Business to Another ( ) Dormant License to Active FIRM-SECOND ENTITY Specialty Trade: 8.B.1 Packet Pg. 8 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND 1 . The names, titles, home address and phone numbers of all Officers,Managing Members of the Firm. l) Fernanda E Santos Rosa - MGR - 5281 Buckingham Rd, Forl Myers, FL 33905 - (239) 738-8128 2) Ocleano Matos Rosa - MGR - 528I Buckingham Rd, Fort Myers, FL 33905 - (239) 738-8081 3) Aldemar Castro - MGR - 309 NE 26th Ter, Cape Coral, FL 33909 (239) 245-3560 2. List all businesses, firms, entities or contracting bushesses you have been associated with during the last ten years (i.e. held a license for or been a partrer). Attach extra pages ifneeded- Ocleano Services LLC Roca Granite & Cabinets LLC 3. List all debts you or any company(s) associated with you that you refixed to pay and the reasons for the rcfusal to pay. Attach exha pages if needed. NONE Under the penalties ofperj facts stated in it are true. ury I declare that I have read the going application and that the Authorized Officer of the Firm The foregoing instrument as acknowledged before me this ll lo6 aaJS e- €a*,rs /stt+.{dof k<4 e@N (Date) )re L cqy,'yyf tlc fName of Oflicer, Title/t) by a (State or Place of Corporation) He/She has produ ced (vtata4't hva,uttt (Type of identifi cation) (Name of Corporation) Corporation on behalf of the corporation. identification and d not take an oath. {u-*: pr+- I '-;ffi ISMAEL CARDOSO Nolary Public - Slale ol Flo(ida Commission # FF 948857 My Comm Erpires May 4,2020 Sonded lhro00h National Nolary Assn NOTARY'S SEAI oFNOTAR9 AFFIDAVIT 8.B.1 Packet Pg. 9 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND QUALIFIER INFORMATION : 1r1n1s. FERNANDA E SANTOS ROSA Address: 5281 Buckingham Rd Fort Myers FL 33905 (Number & Street) (239) 738-8128 (State) Date of Birth: 0512111985 g-*ui1. ferosa500@gmail.com (city)(Zip Code) Telephone SS#:-1527 Driver's License #: S -681-1 1. Type of Certificate of Competency for which application is made. TILE & MARBLE 2. The names and telephone numbers of two persons who will know your whereabouts. ISMAEL CARDOSO - 239-344.7417 ABIGAIL WALTON - 954-812-7280 3. Have you ever been convicted ofa crime related to Contracting? (Ifyes, attach extra sheet with explanation.) NO 4. Have you or any firms you have been associated with ever filed bankruptcy?YES (PERSONAL) 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. I NEVER REFUSED TO PAY ANYTHING. I JUST AVOID THE DEBTS I HAD THROUGH MY PERSONAL BANKRUPCY PROCESS IN 2005, 6. List your business or work experience during the last ten years. I HAVE STONE INSTALLATION EXPEzuENCE FOR 6 YEARS. 7. statement of any formal training you have had in the area for which the application is made. NONE 8.B.1 Packet Pg. 10 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND AFFIDA\TT The undersigned hereby makes application for Certificate ofCompetency under the provisions of Collier County No. 2006-46, as amended and under penalties ofpe{ury. 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, helshe will be held strictly accountable for any and all activities involving his license. Any willful falsification ofany information contained herein is grounds for disqualification. Applicant (please print) {L.. G"o-i)e 6 Gbi""1s Name of C v t Signature of Applicant State of Florida County of LZ( The foregoing instrument as acknowledged before me this Jafo6f sa6 by ka*^eR V.re^fio 9 (n5*who has produced (Date) (gP*nn+t k^/ott/t) (name of person acknowledging) as identification and did not take an oath. (type of identifi cation) ,-,ffi, ISMAEL CARDOSO Nolary Public ' State ol Florida Commission # FF 94885 7 My Comm. ErPires MaY 4 2020 BondBd through National Nolary Assn A OFNOTAR9 NOTARY'S SEAL 8.B.1 Packet Pg. 11 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND cm- covt*tt:3/ GMD Operations & Regulatory Matragement Licensing Section 2800 North Horseshoe Drive Naples, FL 34104 APPLICATION TO QUALIT"T SECOND ENTITY TT{IS FORM MUST BE COMPLETED IF YOU WISH TO INITIATE OR CHANGE THE STATUS OF AN EXISTING LICENSE. READ ALL INSTRUCTIONS AND MAKI SURE YOU HAVE SIGNED WHERE INDICATED. TYPE OR PRINT IN INK. NAME OF COMPAI\TY OUALIFYING: Exact Corporate,{E}usiness Name : Fiction Name/ DBA: ROCA GRANITE & CABINETS LLC Qualifier Name FERNANDA E SANTOS ROSA Physical Address:12451 METRO PK\{Y STE 108 FORT IVIYERS FL Mailing Address: (Number & Sfeet) (Crty) (State) 1245I METRO PKWY STE IO8 FORT MYERS FL 33966 (Zip Code) 33966 (Number & Street)(State) (Zip Code) ferosa500@gmail.com (City) E-mailTelephone.239-77r-0996 82-2337 32r Federal ID Tax Number: AIL APPLICANTS MUST APPEAR BEFORE THT', C6IY1P4CTOR LICENSING BOARD FOR FINAI, APPROVAL. TIIE BOARD, AT THT'IR SOLE DISCRETION, MAY REQTJIRE ADDITIONAL DATA IN ORDER THAT THT WELFARE OF TII}' CONST]MER IS PROTECTED AT ALL TIMES. 8.B.1 Packet Pg. 12 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND AFFIDA\'IT 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 Certific ofCompetency S ignature o Applicant ]e Business Name t2ld1 lB Date BEFORE ME this day personally app "ur"a (EowAr.tlft E.5frNTo; PISA-who affirms and says that he/she has less than one employee and does not require Workmen's compeosation 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 L€€, The foregoing instrument as acknowledged before me this hl 06 Jat6 (Date) by kn,*P* €-SRNfiS BosA-who has produced k A/e1N r) (name of person acknowledging)(type of identifi cation) as identification and did not take an oath Lcc .::H".(:z ,*(#s ISMAEL CARDOSO l.lolary Public ' State ol tlorida Commission # Ff 948857 My Comm. ExPires MaY 4,2020 8o0ded lhlough National llolary Assn NOTARY'S SEAI GNA oF NOTARD 8.B.1 Packet Pg. 13 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND AFFIDA\'IT The undersigned hereby makes application for Certificate of Competency under the provisions of Collier County No. 200646, as amended, and under penalties of perjury. I declare that I have read the foregoing qualifier information and tlat the facts stated in it are true. The undersigned hereby certifies that he is legally qualified to act on behalf ofthe 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 orgadzation and that he will coutinue 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 licanse. Aly willful falsification ofany information contained herein is grounds for disqualification. Fer^-*J t ftst Applicant (please print) l. ame of Company S lgnature o fApplicant State ofFlorida County of LEe .}?r-lsctc The foregoing irstrument as ackrowledged before me this Jalo| I ArA (Date) who has produced ?ee*+r*u 1 KlbwN (name of person acknowledging)(type of identifi cation) as identification and did not take an oati. .:;HK.,Z ",#s ISMAEL CABOOSO Nolary Pubhc-Slale ol Florida Commissron # Ff 948857 My Comm Expires M Sonded lhlou0h l'{ational ay 4,2020 Nol y Assn OF NOTAR\') av kpN*up* €.5pups (s5* NOTARY'S SEAI 8.B.1 Packet Pg. 14 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND OUE ONNAIRE FO RO UALIFNNGA SECOND ENTITY THIS FORM MUST BE COMPLETED BY THE APPLI CANT REQUESTING TO QUAIIFY A SECOND ENTITY OR REQUESTING A CHANGE TO AN E)CS TING SECOND ENTITY QUAIIFICATION. THE APPLICANT AND PRESIDENTS,?ARTNERS/O WNERS OF ALL COMPANIES INVOLVED MUST SIGN WHERE INDICATED. USE THIS SHEET, AND ADDITIONAI SHEETS IF NECESSARY, 1 2 Explain why you wish to maintain your present license(s) while qualifuing this additional business. I need a second license because i have a second business which has a different partner from the prior qualified business and the new business will be focused on granite instalation instead of tile installation. Has the proposed entity been previously qualified? If so, explain why the previous qualifier is no longer willing to continue to qualify this entity. Never qualified before 3 If the proposed entity has been qualified within the last 12 months, list three recent jobs completed by the proposed entity. lnclude dates of completion, address, description of work, name ofprevious qualifier and name of owner. N/A 4. List the last three jobs completed by you under your existing license. hrclude dates of completion, address, description ofwork, name ofprevious qualifier and name ofowner. 1) 10/09/2018 - 25252Pelican creek cir Apt IOt, Bonita Springs FL 34134 - Tile Installation 2) 1lll2l2018 - 79i6 Cordova Place, Naples FL 34I13 - Tile Installation 3) 1I/05/2018 - 267 N Collier Blvd, Marco Island FL 34145 - Tile Installation 5. Does the business(es) you presently qualify and/or wish to qualify have any outsranrting liens against them or against the property of consumers as a result of construction work or a contract they had with your firm? YES_ NO X Ifyes, identify business and provide explanation. List principal suppliers for the past six months for the busiless you are applying to qualif,. UMI and TAC Granite 8. List penons authorized (currently and in the past 6 weeks) to pull permits on your license(s) JUST ME - FERNANDA E SANTOS ROSA 7 6. List principal suppliers for the past six months for the business you presently qualify. Ocleano Services LLC - Omicron and Pro Source 8.B.1 Packet Pg. 15 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND 9. How are you being paid by the business(es) you presendy qualify (sdary, % oFprofit etc.)? PAYROLL AND PROFIT SHARI ] 0. How will you be paid by the business you are applying to qualify! PAYROLI AI{D PROFIT SHARE 11. What percentage of ownership do you have in the present business(es) you qua1ifu and whar percemage ofownership *,i11 you have in t}le business you are atsmpting to qualiff PR&SF-NT BUSINE53 - 10% NEW BUSiNESS - IO% tr3. Lisr all officers/partnerslowngrs of the business you ara apptyrag to qualify and positioo hetd 1) FERNANDA E S.A.NTOS ROSA - Man ager 3) ALDEIvIAR CASTRO - I'lanager 2) OCLEANO M R0S..\ - llanager 14, List all officers,,panners/owuers of the busiaess you presently quali&, and posirion held. l) FERFJAI'{DA E SANTOS ROSA - Manager 2) OCLEANO M ROSA - Ivlanager 12. Do yo*(applicarlt) havc check writing authority fcr Ore present and proposed entities? YES I NO lfyes, provide a lener from the banlc. sgr errecnrraglrr 15. Do the businex(es) you presently qualifi and wish to qrrali& bave ar:y other licenses presendy qualifying tlose busincsses? YES X NO_ Ifyes, list licensee's name, license number and address. r-i:r couNr:,: }iLhroRK LTCENS E. - CB.T -00s42 !6- sutrnit notarized #aternents sigaed Lry ar authoiized agent ofthe entity(ies) you presentlyquali$ and from an aur}orized agent ofthe proposed entity attesting to the &ct tt ut each"is aware of what entiry you presenrly qualify, and what eatity you are requesdllg ro qualil).. SEE ATTACHMENT 8.B.1 Packet Pg. 16 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND 72/06/2OL8 Ocleano Services LLC 5281 Buckingham Rd Fort Myers, FL 33905 l, ocleano Matos Rosa, am an authorized agent of Ocleano Services LLC. This letter is to state that me and the officers of this Company are aware of the existence of Roca Granite & Cabinets LLC, the new company. ocleano Services LLC has a different focus (Tile lnstallation) in the market than Roca Granite & Cabinets LLC. Besides, Ocleano Services LLC has different partners than Roca Granite & Cabinets LLC. lf you need more information, please contact us at: (239) 738-8081 Sincerely, Ocleano Matos Rosa - Manager Stote of {usrtl o./Y County of l.{ 6 Ihe foregoing intnrnent um o&nou/edged - Uetore nre thil6ir. dOy at bce/,^kt42}j6 W W a- @3rt.- ufp ha prodwed kv.+,t t<,-* o: identificotion r:#*:,. i;r-"H#s SIMAEL CAR s0 Public-Slal ol Florida Commission # FF 8E5 7 My Comm. Erpires May 4 2020 Bonded thr0ugh flali0nal Nolary Assn 8.B.1 Packet Pg. 17 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND 12/06/2or8 Roca Granite & Cabinets LLC 12451 Metro Pkwy Ste 108 Fort Myers, FL 33966 l, Aldemar Castro, am an authorized agent of Roca Granite & cabinets LLc. This letter is to state that me a nd the officers of this company are awa re of the existence of ocleano services LLC, the presently qualified company. Roca Granite & cabinets LLc, as a second entity, will have a different focus (Granite lnstallation) in the market than Ocleano Services LLC. Besides, Roca Granite & Cabinets LLC has different partners than Ocleano Services LLC. lf you need more information, please contact us at: (239) 771-0996 Sincerely, Aldemar Castro - Manager *&e ol €.ot-'.'e-County of Le-r The forcgoing in*rument wot ochnoq,l€dged before nc thB 6;.. dry ol Aezeagt*Olft Atw-,n A{ O94\-.zr- who lu grodtJfxd Pew* t:.*'";a irertificdbn Bonded lhrouoi alional Nolary Assn N ry Public'e oi Flo0da mis s ion FF 948857 My Comm. Expire M.y 4 202A IS N4 0 8.B.1 Packet Pg. 18 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND BBE I Branch Banking & Trust Co. 7750 Cypress Lake Drive Fort Myers, FL 33907 To Whom lt May Concern: ROCA GRANITE & CABINETS LLC Account # 1500 Established to / !7/2077 Fernanda Santos Rosa is an account owner and signer able to withdraw funds and sign checks Regards, Alec Hamilton Branch Banking & Trust Co. 7750 Cypress Lake Drive Fort Myers, FL 33907 Branch (239) 267 - 0624 9:9n.,1 t1/3a/:ntr, o:/-' (,_- 8.B.1 Packet Pg. 19 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND Page 1of 2 Datet 711712015 fimo: 12:3254 PM (US ContralTime) Scanned From lP:10.75.42.8 BankotAmerica'?Business Signature Card with Substitute Form W-9BANK OF AMERICA. N,A (THE'tsANK') Account Number: --- -Rank Number. 07J Accouut Type: Eloo,c Accourt Titlel OCLEANO SERVICES LLC E sav CD Legal Designation: ! IndividurYsole Proprietor Trusl,/Estu te ! Unincorporatcd essociation C Corpontior I S Corporetion ! frrtnerstrip (Err.! th. typeotpsrtn.rrhlp: c.nrml, LP, LLP or LLLP) !l,lmiled Li.bility Company (Entrr l.x cl.rrlAc.don: C-C Corporltlon, S-S Corpor.tton, P-Prtne]lhlp or M-SinBle M.mb€r Sol€ Propriero.) Social Security Number (or) EmployerldetrtificationNumbcr 454407022 By rigninB below, I/we .ckDoryledge md ,gre. that this account rs and wlll be govcmcd by tha lerms and condrtrons set fonh rn the accounr operrng documcnb for my/our accolnt, as th€ry sic .meodcd ftom tjmc to tim.. Thc account openirg docuhcnB includc the Dcposir Agrc.mcot and DsclosuEs and thc Blsincss Schcdulc ofFccs. Funhcrmorr, l/pe.cknowl€dg. lhc rcccrpl ofthes€ documents. By signing belor, Uw. scknorrledge ird rSree tfut the sigoaorc(s) will serve as verification for rny transactions in connc.lion with this accorht, and as thc ccrtification (sot fonh b.low) ofthc laxpayer rdentrfication numbcr (TIN) ro whlch Uw. wrna in!€resl reponed. The D€posil Agreement includes a provisron for altemahve drsputc rcsolutrcn. Substitute Form w.9. Cemficanon - Ufldcr pcnaltics ofpetjury, I celtiry thEti (l) The nuriber shown on th)s fonn is the corre.t taxpaycr identrfication number (or I am wailhg for a numbcr to bc i6sucd to mc), and (2) I am not subjcct to backup $thholding becsuse: (A) I am cxcmpl from backup wrlhholdinS, or (B) I have not betn nolified by $e Intemal Rcvenue Service (lRS) thal I am rubjcct to backup withholdnS as a result of a failurc ro rcpon all intcrc$ or drvidcnds, or (C) Thc IRS has nonfjcd m. thal I am no longcr subjccr io bach.rp wilhholdrnS, and (3) I am a US cruz€n or othcr US p€rcon (Defined in thc W-9 instrucrions) and (4) the FATCA code(s) eDtered on rh,s form (rfany) indrcanng lhar I am cxemrrt from FATCA r.poninS rs corte.r. Certificrtion Inslruclionsr You most cross oul rtcm 2 above rfyou havc bccn nonficd by d1c IRS that you arc currcnrly subJect to backup wrlhholding b.causc yor havc farled to repot all int€rcst and d)udcnds on your ax retum. For real eslate tmnssclions, item 2 does nor .pply. For mongage htcr.sr pard, acqurshron 6r abandonmcnt ofsccurcd propcrty, canccllaoon oideba, contrbuirons to an rndrvidual retrrement arrangcmcnt (lRA), ahd gcncmlly, payments other than rnterest s.d drvidends, you are nor required lo sign thc cenrfication, but you mrlst p.ovide your corrccr TIN (Please rcfcr to the IRS rnst ctions for Form W-9). Th€ Interrsl Revcnue Service does no( r€quire your conscnt to .ny provision of lhir documedi other thrn the certifications r€quired to rvold backup withboldlng. E empt pryee code (ifsny) Eremption from FATCA reporting code (if any) I Non resid. n t Al ien Status (if applicr b le) I f lhe beneficlal owner of rh is accounl is a foreign peBon, check hcre, and complefe and sign th€ applicablc Form(s) W-8. N.me (t, ped or priotcd) I ocLE^NO M^TOS ROSA Tide (ifipplic!bl€) FERNANDA E SANTOS ROSA MCRM M(iRM [,]roro'',''*-[*o t%47 ^.^ r (. /* :4q2 3 5 0$r4-9297MW 08-20t4 O 2012 Blnl ofAlncric!. N.A All RrshLs Rcscrvcd ll I ll I I I lill lil llt tilr il r il ilffi [ I I ] l]l[ I I I [ ilt il I til Pagc I of2 https://webimageviewer.bankofamerica.com/VirtualViewerJavaHTML5/resourcesiprint.h... 1211412018 I Other (Defined in lv-e in.t!'u.tion, 8.B.1 Packet Pg. 20 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND Page 2 of 2 Oale:7l17l2015ftme: 12:32:54 PM (US ContralTime) Scanned From lP:10.75.42 8 Account Nrmhcr 95',77 E Sigrature Crrd Addendum on File ATM/Depo!itlDebit C.rd Req ..t Provrdcd that thc accoutrt rcfercrccd abovc B chglble lo rccave aulomsrcd t€ller mrchDc cards ancvor D€b( Cards, I (as authonzed by thc resoluions ardlor coun documcnts and/or oftEr ag.cmcnls whrch authoDzc thls account) hcrcby rcquest thc rssuancc ofsuch csrd5 to any oflhe nzed srgnen on thrs sccoLrnt Aulhonzed Srgoer Trrlc Custom6r I Nrmc OCLEANO MATOS ROS US Dnvo L,crn5. wPboto tss Darc Sll exp Datc oe/2or'? Iss Dirc Y- Exp Datc 09/2018 1"" Drr" lzolo - Irp o,r" !#oll tss oatc l/A exp orrc {!!l- ID T}?c lD Tnc B OA ATM,rDcbncard wPhoro DE ID# Cuslomer 2: Nlmc FERNANDA E SANTOS ROSA US Dovq LE.nsc wPborolD'lypc lD lipc rD Issucr lD ksufiBOA ATM/Ckcd No lhoro IDi IDr Customer 3: lD Typc lD Typc lD Tnc lD TIPG lDtt lD// ID hsucr lD Issucr Erp Dalc _ Exp Ditc _ _ Customer 4: ID' tDt lD Issucr hs Darc_ _Exp Darc _ _ lss Datc ___ Exp Datc _ _lD lssucr lD Typc IO Tnc tDd ID' ID lsrucr ID l$uc. b!Darc_ExpDc_ Iss Datc _EIp Darc _ Custom€r 5: a1l t6n0t5 WNKL!R AVENUE D.re B.trkng C€lrer N.h. Atloorr.'s PhDnc N!Bbet 00 t4-9297MW 08 20 t4 2J9-9)91714 llllilililr il l]lilit il I il tillfl trilililfl tit t] illl il ]t ?a9c 2 of 2 https://webimageviewer.bankofamerica.corn /virtualviewerJavaHTML5/resources/print.h 12/14/2018 ReY'erY Inform!lron a0nk Intormrnon 8.B.1 Packet Pg. 21 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND FINANCIAI] RI,SPONSIBILITY AIL APPLICANTS/LICENSEES MUST ANSWER THE QUESTIONS BELOW. Ifyou answer yes to any ofthe questions, a written explanation is required. Additional documentatioo is also required, as indicated. Ifyou are applying to quatry a coryoratioq parhersb.ip or other legal entity, ALL OFFICERS OF THAT ENTITY MUST ALSO EXPLAIN IF ANY OF THE BELOW WOLILD PERTAIN TO THEM. This would include the presidetrt, vice president, secretary, and./or parhers or owners ofthe proprietorship Have you, the business organization, or any of the above mentioned individuals in any capacity ever: \TS l. Undertaken construction contracts or rir'ork for a third party, such as a bonding or surety company, completed or made financial settlements? 2. Had claims or lawsuits filed, or unpaid or past due accounts by your creditors as a result of construction experience? 3. Undertaken construction contracts or work which resulted in liens, suits or judgments being filed? 4. Had a lien frled against you by the lntemal Revenue Service or Florida Corporate Tax Division? If yes, you MUST attach a copy of the Notice of Lien, and any , payment agreement, satisfaction, Release oflien or other proof ofpayment. 5. Made an assignment of assets in settlement of construction obligations for less than the debts outstanding? 6. Been charged with or convicted of acting as a contractor without a license, or if licensed as a contractor in this or any other state, been "subject to" disciplinary action by a state, county, or municipality? If yes, you must attach a copy of any , state, counry, mrnicipal or out of state disciplinary oder ofjudgment. 7. Filed for or been discharged in bankruptcy within the past five years? Ifyes, you must attach a copy ofthe Discharge Order, Order Confrming Plan, or ifa Corporate Chaptsr 7 case, a copy of the Notice of Commencement. 8. Been convicted or found guilty of or entered apleaof nolo contendere to, regardless ofadjudication, a crime in anyjurisdiction within the past 10 years? NOTE: IF YOU, TIIE APPLICA,NIT/LICENSEE, EA\rE HAD A FELONY CON!'ICTION, PROOF TEAT YOUR CIYIL RIGETS IIA!'E BEEN RESTORED WILL BE REQUIRXD PRIOR TO LICENST]RE. V 8.B.1 Packet Pg. 22 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND WHEREAS BESOLUTION OF AUTI{ORIZATION Qry &p^,;re 8,:*g,,s'79 yy5 proposes to engage (NaDe of Business Etrtity) t-i *6 ) t i r.( C-o-,/te,+ N "(in coDtracting as LqTE g 1n Collier County, Florid4 according WHEREAS (.""+ for a Certificate of Competency wittr (Type oflegal entity: cory., partoemhip, etc.) to Collier County Ordinance 2006-46, as amended: and c4-4,ses to quaUry (Name of Business Entity) kAn*o* ? S*urcs ks/Y- We the undersigned ot)')NxLt NOW, TIIEREFORE, BE IT IIEREBY (Name of Individual) RESOL\G,D THAT: I {*r-rrnat Mff ::rfft resent to the co rrier coulty (Name of Busitress Eotity) Conhactor's Lic€nsing Board that the quaiii.ing agent,E-Apist active in all matters conDectcd with the contactirg business of Lt4^a We further resolve and represent ttrat k (Name of Business Entity) /+lkr,to,t Z ht+NTot fibft-IS Q.{ame oflndividual) Legally empowered to act for Poc* el*r';W I 0ftb;,v"6 LUin au matters connected \Mith its (i.{ame of Business Entity) contracting business, and has the authority to supewise conslructiotr uDdsrtaken by c4b;Nzt', LLC (Name of Business Entity)6fa oaV Or ttzz.tft(,IoJ€Y PASSED AND ADOPTED THIS Han'a AslvD (Officers,with desigration underneath) wi 55 0t*6L AAOk>.-e Corporate Seal (if applicable) or Notary lic Certificate Swom to and subscribed before me this 6n aayorMafu,2oi$ by ,z:TTJV| S before me this Ja o6 $) o 54 The foregoing instrument as acknowledgedkeJn -F* € -€*rro2 lctp- ;.<-6@ k1,*t49 go5r4' bY ALO€,,/1*4 c.LtYL+- (Date) ful4o.u*un R (name ofperson acknowl edging) as identification and did not take an oath. NOTARY'S SEAL who has produced ofiden on) ( .r#,^€;z:-1.,r\$rI.:iarWs ISMAEL CARDOSO Notary Public - Slate ol Florida Comfiission * FF 948E57 My Comm. Expires May 4,2020 Bondrdlhrough llalional ilolaryAssn FNOTARY) of 8.B.1 Packet Pg. 23 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND Prepared Byl Merit cnedit (219) 277 - 3202 (8Oe) 371- 3348 TRANSUNION CREDIT RE PORT [FoR] [suB NAJ.IE ](r) z NP6284423 IMKI SUB ] 16 NP IINFILE] 1,7/ e2 IDATE ] [TIME ]72/94/78 14:35cT I suB] Ecrl SANTOSROSA, FERNANDA E. IALSO KNOWN AS] ROSA, F ERNANDA, S SANTOS, FERNANDA, E SANTOS, FE RNANDA, A ICURRENT ADDRESS ] 5281 BUCKINGHAI'1 RD,, FORT MYERS FL. 33905 IFORMER ADDRESS ] 12350 WOODROSE CT., #4. FoRT MYERS FL. 33907 2149 DOVER AV., FORT MYERS FL. 33907 ICURRENT EMPLOYER AND ADDRESS ] MARSUZ ENTERPRIS E IFORMER EMPLOYER AND ADDRESS ] SELF EMPLOYED IssN]51s27 IBIRTH DATE] s /8s IDATE RPTD] 5 /7A 9 /7s IVERF] [RPID] 711,7A uL7 3/04 MODEL PROFILE ***AL ***FICo SCORE 4 SCORE.-+729. : a1O, O72, OL4, e1o*,\ IN ADDITION TO THE**XFACTORS LISTED ABOVE, THE NUMBER OF INQUIRIES ON THE CONSUMER'S CREDIT**IFILE HAS ADVERSELY AFFECTED THE CREDIT SCORE. CREDIT SUMMARY TOTAL FILE HISTORY PR=a COL=g NE6=O HSTNEG=O TRD=25 RVL=21 INST=4 MTG=I OPN=S INQ=9 HIGH CRED CRED LIM BALANCE PAST DUE I.INTHLY PAY AVAILAELEREVoLVING: $33.3K $63.7K $13.aK $O $384 Be% ITISTALLMENT: 596.3X $ $58.8K $O $r4s7 |1oRTGAGE : $91 . 2X $ 985 . aK $o $675TOTALS: $22oK $53.7K $1s7K $a $2s57 TRADES SUBNAI{E SUBCODE OPENED HIGHCRED TERMSACCOUNT# VERFIED CREDLIM PASTDUE ECOA COLLATRL/LOANTYPE CLSD/PD BALANCE REI'IARKS wYNDHArrl VACA F 2COMOAT 6/7s $L4.7K ].20M239 64753sA94 L7/7AA ge I TIMESHARE LOAN $11.9K SEARS/CBNA B 62s6458 7r/16 $23s95L21A72L34gs L!/18A g52qg I CREDIT CARD $7792 SYNCB/|^/ALMAR D 23SO'7X 72/72 $15A96O322s7461,63 r7/78A g57oe I CHARGE ACCOUNT 8/L8 $O $o crTr-SHELL B 2A2EO22 1/76 $1359793 r7/t8A gTsds I CREDIT CARD 8/T8 $O $o cBlKAY 7 7NZa344 4/17 $79477aAsq4e6339 77/L8A $7600I PFROM S]I DBA KAY 7/17 $A MIN27 $e 111111111111 R01 111111111111 24 0/e/a MAXDE LQ AMT-MOP PAYPAT 1.12 HOP PAYPAT 13-24 MO 30/5O/ 9A x11111111111 re1 xx1111111111 39 elO/s 111111111111 RA1 111111111111 4A e/elg 111111111111 R01 111111111111 33 e/A/O 111111111111 Rg1 1 13 e/ Ol o $e 8.B.1 Packet Pg. 24 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND FST PREMIER B 41PFE16 11/11 517AOA74099a t7/1AA I CREDIT CARD l"llN 30 $s BRCLYSBANKDE B IZZBEOT A/7A soo374995s7 A!/7AAI FLEX SPND CRT CRD MI N71 $o $238 $340A $36 MI N25 $a $474 $56o $148 $79s3 $8060 $7 7so $246 $276 $o $s5 $5AA $a $84 $5OA $s $486 $2see $s $4os $40e $o $91.2K $85. 0K $1803 $67ae $50 s $44.5K $o $o $o $o $o $o MIN31 $o MI N 115 $o o7 2t4695 $o 360t457 5 9o MIN27 $o 111111111111 R01 1111111111114a o/o/o 111 Re1 3 e/a/s 111111111111 RO1 111111111 27 6/ e/ e SYNCB/TIXDC B 23SA65N 2/77 524356169422 L1,/IAA I CREDIT CARD CAPITAL ONE B 1DTVOB1 11/11 511A05A56690 11,/7AA I CREDIT CARD T1/78 cBlvrcscRT c LSusooT 6/77sas637531ss7 TL|LaA I CHARGE ACCOUNT 7/I8 CB/ANNTYLR C 1NZ8O78 9/16 77aA5079O746 11l 18A r CHAR6E ACCOUNT 7 /77 cBlPrERl H 1N28183 11117 7788392s2987 t7/t8AI CHARGE ACCOUNT 8/18 111111111111 RB1 111111111111 4A O/ O/ s 111111111111 RB1 11111 L7 O/ A/ o 111111111111 RBI 111111111111 26 0/A/s 11111111111 R01 11 e/ela THD/CBNA B 26H3gO5 9/15 6e1532952O22 1-L/taA I CHARGE ACCOUNT LOANDEPOT B ZEMFOET 7 /L5 3000e737632a7 !!/LBA r FRD952913185 1e12 SYNCB/SAMSDC B 235O67D ul76 527333122167 u/ 78AI CREDIT CARD SYNCB/BRDC B 235O64C 6/77 447993708779 L|/IAA I CREDIT CARD CCB/PIERCE ) !NZ83€4 2/L8 57AO97416112 Lt/78A I CHARGE ACCOUNT 1/7A SYNCB/CARECR F 999296T 7/16 5A1918342860 71,/78A I CHARCE ACCOUNT $24s6 $22sO $323 MIN 27 $o 111111111111 R01 111111111111 37 O/ O/ 0 SYNCB/GAP C 235O58F 7 /7660tas9st9s67 r7/1aAI CHARGE ACCOUNT 7 /17 111111111111 R01 111111111111 2A e/ O/ a $2858 $47OO $9ss MIN 3E $o 111111111XXX t'101 111111111111 33 A/A/s 111111111111 R01 111111111111 24 A/a/O 111111111111 Re1 11111t7 o/ o/ o 11111111 R91 8 O/OlA 111111111111 R01 111111111111 34 O/0/O 111111111111 R91 11111111111135 0/s/o 7n77 r 0l. $40 $12s o $a $20so $3,so $302 SYNCB/MC B 235A65r u/75 5243631AL639 t7/1aA I CREOIT CARD $7633 $77es $ 1812 I,JORLD OMNI F F 2729096 5/1,8 LLA6qOOO392396L LA/L8A I AUTOI4OBILE $42.3K s e/o/s 8.B.1 Packet Pg. 25 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND IJoRLD OMNI F F 27 29906 6/13 rloooaoo3olg7l9 aa/7aA I AUTOI',IOBTLE TARGET/TD D 6476907 r/!3 5A597520547A 5/!AA I CREDIT CARD 5 /18C KAY IEWELERS J 722D62X 4/77 37a795 10/t7A I SLDTO COMENITY BA TO/L7C TDRC/RI.4S lOC C 7427930 2/74 73L0A360O222 Ls/\4AI CHARGE ACCOUNT !O/74 I,JORLD OMNI F F 2729OOE 6/72 77AOOgeO259aA12 6/!3A I AUTOMOBILE 6/73C o72M563 111111111111 I01 $g 111111111111 48 A/A/A 111111111111 RO1 $a 111111111111 INACTIVE ACCOUNT 4A Ol gl O 11111 RO1 $o PURCH 8Y OTHER LENDER 5 O/ Al A 11111111 RO1 $€8 e/ o/ o 475t44L0 111111111111 I01 $ecLosED 12 O/ e/ A $37. 1K $4446 $2os $o $7 94 $76ss $o $577 $32OA $e $19. sK $a INQUIRIES DATE SUBCODE L2/O4/a8 2NP6284423 (F LA) ro / os / 78 2NP6284423(FLA) I / 3s / 78 BWL339O354(WrL )s/22/78 ACH96986o4 ( CHr ) L2/55/77 2CS511s059 ( CNrl ) rc / 2e / 77 2PH0005036( EAs ) I / 17 / 77 ZNP 6284421 (F LA) 2/ 03 / r7 PNP777r028(FLA) L/7!/!7 BCHLe54962 (cHr ) SU BNAJ'1E MERIT CREDIT MERIT CREDIT BRCLYSBANKDE FORT MYERS T FACTUAL DATA UNIVERSAL CR MERIT CR EOIT LICENSES ETC BBT TYPE AI"IOUNT CREDIT REPORT SERVICED BY: TRANSUNION 809 - 888 -4213 2 BALDI,JIN PLACE, P.O. BOX 1EAO CHESTER, PA 19915 CONSUMER DISCLOSURES CAN BE OBTAINED ONLINE THROUGH TRANSUNION AT; HTTP : //l,llWW. TRANSUNION. COM CREDITOR CONTACT INFORT4ATION TDRC/RMS T06 C27427939 1OE9 MACARTHUR BV MAHI,IAH N7. A743OcBlvrcscRT cz16us001 PO BOX 182789 COLUMBUS OH. 432LA CAPITAL ONE BC1DTVOO1 PO BOX 30281 SALT LAKE CITY UT. 8413A CBIANNTYLR CZINZASTS PO BOX 182789 COLUMBUS OH. 43218 CBIPIER1 HF 1N28183 P0 Box 182789 COLUMBUS OH. 43218 CCB/PIERCE JA1NZ83A4 PO BOX 182120 COLUMBUS OH. 43218 CBIKAY JA1NZ8344 PO BOX 182789 COLUMBUS OH. 43218 BRCLYSBANKDE BZTZZBEOT P.O. BOX 8803 WILMINGTON DE. 19899 SYNCB/WALMAR DC235O57X PO BOX 965S24 oRLANDO FL. 32895 SYNCB/GAP C6235058F P0 BOX 955005 oRLANDO FL. 32896 SYNCB/SAI'4SDC 8C235A670 PO BOX 965e05 oRLANDO FL. 32A96 SYNCB/BRDC BC235O54C PO BOX 9650e5 oRLANDO FL. 32896 SYNCB/TIXDC BC23se5sN P0 Box 955015 oRLANDo FL. 32895 (800) 808 - 69sA (8OO) 955-7s7e (888) (877) (8oo) ( 8oo) (865) (877) 232-O789 294-7AAO 887- L198 964-!917 450 - 2330 890- 3150 8.B.1 Packet Pg. 26 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND sYN CB /l'1C P0 BOX 95sa0s THD/CBNA PO BOX 5497 WORLD OMNI F 1769 PARAGON DRIVE CITI. SHE L L P0 Box 6497 WYNDHA''1 VACA 19750 W CHARL ESTON LOANDEPOT 48OO N. SCOTTSDALE FST PREMIER 3820 N LOUISE AVE SEARS/C8NA PO BOX 6217 TARCET/TD PO BOX 673 KAY I E[^IELERS 375 GHENT RD SYNCB/CARECR c/o P0 Box 95ss35 FORT MYERS T 2555 COLONIAL BLVD BBT 815 EAST GATE DR LICENSES ETC 886 11OTH AVE STE MERIT CREDIT 12734 KENI"]OOD LANE UNIVERSAL CR 374 REED ROAD SUIT 8RC LYSBANKDE PO BOX 8803 FACTUAL DATA PO BOX 1055 BC235e65T ORLANDO F1.32896 8726H3005 sroux FALLS sD. 57117 F72729906 MEMPHIS TN.38132 BC2A2EO22 SIOUX FALLS SD. 57L17 FZZCD$OS7 LAS VEGAS NV. 89135 BM2EMF091 SCOTTSDALE AZ. A525L BZ47PFEL6 sloux FALLS SD. 57LO7 BC5255458 SIOUX FALLS SD. 57LL7 oc647 6eA7 HINNEAPOLIS MN. 55448 J A7 22D62X AXRON OH.44333 F2999206f ORLANDO F1.32896 A 96986e4 FORTMYERS FL. 33997 B 1954962 MOUNT LAUREL N]. 88954 P 7777e28 NAPLES F1.341A8 7 6244423 FORT MYERS FL. 33907 z g0g6036 BROOMALL PA. 19988 B 33903s4 L/ILl'tINGToN DE. 19899 z 67LOg60 PITTSBURGH PA. 7523O (844) 4A5-1427 (80a) 586- 3s25 (8e9) 95e- s114 (866) 854-85e3 (865) (23s) ( 8s6) (23s) (23e) (61a) (865) (8ea) 396-8254 935-47L4 627 - 580A 177 -rO28 277 -3202 284-LSAO 379-5937 929- 2772 END OF TRANSUNION RE PORT MERIT CREDIT HAS RETRIEVED THE ABOVE PERSONAL CREDIT REPORT FOR LICENSlNG PURPOSES AS REQUESTED BY THE BUSINESS OI^]NER/PROPRIETOR. PUBLIC RECORDS FOR THIS REPORT HAVE BEEN CHECKED AND VERIFIED AT THE COUNTY, STATE AND FEDERAL LEVEIS. PUBLIC RECORDS HAVE ALSO BEEN VERIFIED FOR PINELLAS COUNTY. SOURCES OF INFORJ"TATION:TRANS UNION LLC IRS LIEN SECTION COUNTY COURTHOUSE RECORDS IF YOU HAVE ANY QUESTIONS REGARDING THIS REPORT, PLEASE CONTACT HERIT CREDIT AT: *8ae-37r-3348 oR (239) 277-3202. PUBLIC RECORDS LEARNED O 8.B.1 Packet Pg. 27 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND 8.B.1 Packet Pg. 28 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND Detail by Entity Name Florid: Oeoarlmenr oi SIate Page 1of 2 D v s oN oF CoRPoFAT oNs *}E1 Ltrq$x,1 ti ,pro.4tg.org,C',l,lt,lu.r.!,i,:r,t,: ,,<-* :sa &i"n uek.$'Fb',ta n' a,i\n ! Deoanmont of SEte / Oivision ol Corporalions / SCE!.q!_BC99d.: / Deta,r Bv Doarment Number / Detail by Entity Name Florida Limited Liability Company OCLEANO SERVICES LLC Filino lntormation DocumentNumber L120000'13956 FEI/EIN Number 454407022 Date Filed O1l3Ol2O12 State FL Status ACTIVE Principal Address 12350 WOODROSE CT 4 FORT MYERS, FL 33907 Changed: 02101/2018 Mailinq Address 12350 WOODROSE CT 4 FORT MYERS, FL 33907 Changed: 02101 /2A18 Reqistered Aoent Name & Address TIMELINE BUSINESS CENTER LLC 8981 DANIELS CENTER DR 208 FORT MYERS, FL 33912 Name Changed: 02101/201 8 Address Changed: 02y01/2018 Authorized Person(s) Detail Name & Address Title MGRM ROSA. OCLEANO M 12350 WOODROSE CT 4 FORT MYERS, FL 33907 http:/isearch.sunbiz.org/lnquiry/CorporationSearch./SearchResultDetail?inqui4aype:Entit... 12117 /2018 8.B.1 Packet Pg. 29 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND Detail by Entity Name Iltle MGRM SANTOS ROSA, FERNANDA E 12350 WOODROSE CT 4 FORT MYERS, FL 33907 Annual Reports Report Year 2016 2017 2018 Filed Date 03t21t2016 02t01t2017 02to1t2018 Document lmaqes O2l01/20I8 - ANNIJAL REPORT OZO12017 _ ANNUAL REPORT O3t/212016 _ ANNUAL REPORT O4l24l2015,ANNUAL REPORT 04/292014 - ANNI.]AL REPORT O3/272013 - ANNUAL REPORT 011302012 - Flonds Limiled Liabilitu Mew imaqe in POF fomai Vew image in POF formar View image in POF lomal Mew inage in PDF fomal Mew lrnage in PDF- tormal Vlew i.nage in POF Iomal http://search.sunbiz.org/lnquiry/CorporationSearch/SearchResultDetail?inquirytype:Entit... 1211712018 Page 2 of 2 r-------::----:- I vrew rnage rn PUF tormat 8.B.1 Packet Pg. 30 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND Electron ic Arflcles o f Organization -U orFlorida Limited Liability Company Article I The name of the Limrted Liability Company is: OCLEANO SERVICES LLC Article II The street address of the principal office of the Limited Liability Company is 1825 SAN ruAN DR D DELRAYBEACH,FL.33 FL The mailing address of the Limited Liability Company is 1825 SAN ruAN DR B DELRAYBEACH,FL.33 FL Article III The purpose for which this Limited Liability Company is organized is: ANY AND ALL LAWFI]T- BUSINESS. Article IV The name and Florida street address of the registered agent is METRO BUSINESS AGENCY INC 4460 CLE\ELAND A\E E FORTMYERS, FL. 33901 L12000013956 FILED 8:00 AM Januarv 30.2012 Sec. OfStatetcline Hqyl{,g b"* named as registered agent and to accept service ofprocess for the above stated limited Iiability company at the place desiryated in this ceriificate, I hereby. accept the appoinrnent as registered agent and agree to act in_this capaCity. -l furdrer agree to comply *ittr drti provisions of all statute-s relatmg to fre proper and complete performance oTmy duties, dnd I am fainiliff wift and accepl the oblrgatrons 01 my poslfion as reglstered agent. Registered Agent Signature: HANNA SRODA 8.B.1 Packet Pg. 31 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND Article V The name and address of managing members/managers are: Title: MGRM OCLEANO M ROSA 1825 SAN ruAN DR B DELRAYBEACH, FL. 33445 Title: MGRM FERNANDA E SANTOS 1825 SAN ruAN DR B DELRAY BEACH, FL. 33445 Signature of member or an authorized representative of a member Electronic Signature: OCLEANO MATOS ROSA L12000013956 FILED 8:OO AMJanuarv 30.2012 Sec. OfStatetcline I am the member or auttrorized representative submitting these Articles of Oreanization and affrm that the lacts staled herein are true. I am aware ftat false inforriation submifted in a ilocument to $e Departrnent of Stale constitutes a third degree felony as provided for in s,817.155, F.S. I understand the requiranent to frle_ an annual report between-January l3t anit May ist in fie calendar year following formation of flre LLC and every year thereafter 1o maintairi "active" statirs. 8.B.1 Packet Pg. 32 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND 2018 FLORIDA LIMITED LIABILITY COMPANY ANNUAL REPORT DOCUMENT# Ll 200001 3956 Entity Name: OCLEANO SERVICES LLC Current Principal Place of Business: ,12350 WOODROSE CT 4 FORT MYERS, FL 33907 Current Mailing Address: 12350 WOODROSE CT 4 FORT MYERS, FL 33907 US FEI Number: 454407022 Name and Address of Current Registered Agent: Certificate of Status Desired: No FILED Feb 01, 201 8 Secretary of State cc7726917113 TIMELINE BUSINESS CENTER LLC 8981 DANIELS CENTER DR 208 FORT MYERS, FL 33912 US The abave named entity submits this statement for the purpose of changing its registered otrice or registered agent, ar both, in the State of Floida. SIGNATURE: TSMAEL CARDoSo oztoltz}l1 Electronic Signature of Registered Agent Authorized Person(s) Detail : Tltle MGRM Name ROSA, OCLEANO M Address 12350 WOODROSE CT 4 City-State-Zip: FORT MYERS FL 33907 Date Tifle Name Address I\,1GRM SANTOS ROSA, FERNANDA E 12350 WOODROSE CT 4 FORT MYERS FL 33907City-State-Zip: \ hetebv @nny het lhe qlotution 'nd@ted an rh6 epod a.:uEDteneotal rtpod 6 tue and accu@te and that iry etecnoni sgnature shau ha@ the same teoat enec! as t nade mderaath. that t am a naoashs neabet ar nanesq ot d.,e tihned bbitity @mpaay @ the @@@ * r."1.. iipZi"ki a "i"iiJit," ipZi);;;;,;;;;;;;;;;6"". ,krn,a sratnes andthat iry neae appeaB aboE, ot @ an attachment with al other like en powered. SIGNATURE: FERNANDA E SANTOS ROSA MGRM O2t}lt2oja Date EJectronic Signature of Signing Authorized person(s) Detail 8.B.1 Packet Pg. 33 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND v ill9l:'ulPr Phvsical locationr Business closed This is not a bill. Detach the bocom porion and display in a public location. I hope you have a successful year. Sincerely. Lee County Tax Collector 2018 - 2019 LEE COTNTY LOCAL BUSINESS TAX RECEIPT Account Number: l?005?g Location: 2I+9 DOVER AVE FORT MYERS FL 3-i907 OCLEANO SERVICES LI.-C SANIOS ROSA FERNANDA E 2 r49 DOVER .{VE FORT MYERS FL 3390] Account Expires: September 30, 2019 lta! }I{RBI,E / TILE / TERR,I.ZZO CO\T&I(-TOII ULATOR]'IS NON REGTrxTHISLOC-,I,L BLSL\[SS RECEII'T Pr\rTn:nt lnlormrlioni PAID.19o?13_t1t-l 0tn0c0t8 02:r9 pM s50.m {-ot* 8.B.1 Packet Pg. 34 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND A COYERAGES Cfu CERTIFICATE OF LLIBILITY INSURANCE TE CANCELLATION o I 98&2014 ACORD f}!o AC-ORO nam€ and logo are rrgist rld mark ot ACORD REVISION i{U AER SXOUID.4IY Of THE ASOVE DE,SCREEO PqIctES AE CATICELLED AEFC}RErHE EIPNAIOII DATE 'HEREOF, IIOTICE wlLL BE OELJVE;E;-'iiacooRD^ltcE w.rH THE pottcy pRovtslors.Collbr Camty Confractors lica*tE Eosd E-rnafl : CDartractorsli-ftsirE@crifietgorr.aret 28@ N Hqseshoe &- Naples FL 34104 ^urHoiEE t@(ElCiar tlvE k-Ld ow2gao17rxFoR.*tATrOlt CETNFICATEEGATN'ELY AITER EXTA THIS CEFIFICA ISTE tss ASUEO A TTER OF ottL A}TD Loco FERS GHTSR'UPOTI THEcErnFICATE HOLDERDOES rHtsilorAFF|R AnyE!._OR ATETOAfEro,OR TTIE COVERAGE AFFORDEDAELOW BYTHIS THECERlIFIGA POUCIESOFTEDOESll{suRAllCE ttoT cot{sTtTuTE CO}'TRACT THEBETWEEX UINGISSREPRES.IIVE txsuRER(S UTHORIZEOORl,AI{DROfXJCER THE CERTIFICA TE HOtl)ER,HPORIAI{T SUBROGATIOII I'ths cartit.ate holder an AI]D(TIOTAL tho b€polisy(h.tfendorradtrotsnnsand tsco{rd oti€ons tio Y'AIVED,tocarbinsut i{ctp.rlicy pol,cL.anmEyftlquino andoGarneatt lirtamont this c€ftiltc.e does hotll,'lr confur!uch theto,igltts Ana Trevino 239"466€600tlelro lrEuaance Aqlrey 15?71 S Mccregor gM Ste 3 FL 33908FL Myers ', 1600CrumCoInsrr3ace Markel lnsr€nce CoIrlpany 0 FL 33907Fon Myers fteano Serviccs tlc 21,{9 Dov€rAvr f}lAT REMEXT. ICATE tsIHIS IO CERTI The POLTCtES o:IXSURAXCE LISiEO BELOtr'tl VE EEEN rssuEo THETOll\lolcA lNSURED EOTED ABCVE THEFORNOTIMTHSIAIIDING POLICYREOgI PER'OOorERllcollOFDlTlONCOTITRACTOROTHERCERTIF!'\r!THDOCUrrEtftBISSUED€RESPECTORY IO ICH TlllsPERTAITHEN,INSURANCE AFFORDED 8Y THE POLICIESgCLUSIONS OESCRIBED I.{ERE]NAIID rs ECTSUBJ TOocoilofTtor{s ErHSIJCHPOUCIES.TERMS,UMTTS sHowr!flAVE BEE}]REDI.]CEO BY PA]O CLAMS !r{lt3 3 100,000 t 5,000 , 1,0oo.000 ! 2.000.000ca\E_RA!AGGGEGA-rE PROO{]CiS 2,000,000 c@xE aaal GEtr*a! (lllquTY crrrrrs{ ^[E X ** JECi GE:I,,L A6GRET:I IE L]MII ;,o!,cY LCC :1.000.0@ GIFL 1 02421 02 11fi7AMA '11t17DA19 I I SOOTIY tt &AY Fr. pqeJ s BOoIY n.il.ny (h. Eiilir) s rurolbeLE !'tEu:rt SCIGDIILED H'RED IUIOS 5occllG actss UAE G6REEAE I occuRRelrcE 5 i aL EAC|ACCIDEYT s 500,0&) 3 500,00o iND &OYEE U.^eu* MWC007371103 EL OIS6AS€ . E 01/132018 0r113?2019 : 500,000 oElcEPItOi Oa opERAIOTiS I LOC tEt{s ne, Stoie, Ma6le Work - lnterior /VE aICL.ES ( CliD to,t. A.,.Inrd i.rb S.rEd&..t !. edEd I nE! r-. r. qsin) Ferianda S€do€-Roaa and Odeano M Rlsa arc exarnFt from Vrc cDyerage, ACORD 25 (201/4,()1)CORPORATION . All rights .eserved. i I Ii I I I l I ltlli I B I ,gRI 8.B.1 Packet Pg. 35 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND PLEASE CUT OUT CARD BELOW AND RETAIN FOR FUTURE REFERENCE OEPARTMENT OF FINANCIAL SERVICES DrvrsroN oF woRKERs, coirPE sanoN IMPORTANT COIJSTRUCTION INDUS-TRY EXE MOfl F o L D H E R E CERNFEATE OF ELECNOI TO 6E OGMPI FROM FLORIOA Pucua.t lo Chapter!40.05(14), F.S., an olficer of a @rporation who elects exemplion i'om this diapre. by naino a cenif.ate ol election under this seclion may not re@ver benefts o. compen$ton under this chapter. Pu6uantro Chapter 440.05(12), F,S., Cenif@tes of etection ro be *emp!.. apply only wilhin the s@pe oi the busiress or t.ade listed on Ure oolice oi electio. to be exempt. EFFECNVEDAIE: 10/3,2013 PERSOM FERNANOA SANIOS.ROSA BUSII{ESS {A E ANO AOOR€SS: OCLEANO SERVICES LLC EXAR,ATIONDATE: 10,?/2020 Eil|atL: FEios@@'MLc@ Pu6uantlo Chapter 440.05(13), F.S., Notices of eleciio. to be exemptand certifi€tes oi elechon lo be exempr shallbe slbject lo evo€tioi il, at any ume alter lhe fling of the notice or the issuan@ ot lhe @rtifr€te, the peBo. named on the notice or cenifi€te no o.ger meets lhe requirements of lhis section to. issuance of a eftificle. The depa,1rent shall .evoke a ertifiEte at any time for failure of lhe pe6on nared o. the @rtili€le to meetthe requtements of th's seciion. DFS.F2.DWC.252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 ouESroNS? (850)413-1609 I I I I I Lt_____t 8.B.1 Packet Pg. 36 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND PLEASE CUT OUT CARD BELOW AND RETAIN FOR FUTURE REFERENCE r OEPARIXEXT Of FIT^NCAL SERVICES DMSOI OF I4oRXERS COTaPEISATON F o L D H E R E E EXEMPTTROT FLORIOA woR(ERS COTSPENSAIaT{ L^w PuBuant to Chapter 4,40.05(14), F.S., an ofrce. ot a @Doratio who ele.ts exetrptid tom this chaptetr by fitinq a @rti6@te oa electio u.ds rhis sedion may not l@ver hnefts d conpen*tiq under $is chapte.. P!6uantlo Chapler 440.05( 12), F.S., CeniiBles ot etec on rD be *empt... apply only within ttE s@pe of the busines 6 trade listed o the noti@ oi elecrion to be ercmpr. PuBUanl to Chaptell40.05(13), F.S., Noti@s ol declion ro be exempt and ertill@t4 ol elecii.rn to be exmpr sh5[ be subi4r to cvocalron d. at alytime aner Lhe fit'ng ot fte nolr@ or Lhe EsLanc ol he @rtfi@le, he petsd nEmed o the notice o. @.tifrcte no longer l]@ts the realtements of dris section for issuane of a @rtif@le. The departr.enl shal Evoke a csnifete at any lime lo. iaillE of the peBon named on the certifrate to meet lhe requnemenrs ol this s6ction. EFFECIIVEOAIE: 10/'2013 PERSOI: OCLEANo M Rqtq F€l r 454407422 Bt srxEss rl^raE ,xo aDDi€ss: OCTEANO SERVrcES LLC ExnRAnOx oAlEr 10n20r0 ET.]NL, FETOS&'@Cd DFS-F2-DWC.252 CERTIFICATE OF ELECTION TO BE EXEMPT REV]SED 08-13 QUESTTONS? (850)413-1609 t---t I I I I I I I I I I I I I I __l IMPORTANT I I 8.B.1 Packet Pg. 37 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND Bankof Am erica'7 P,O, Box 15284 Wilmington, DE 19850 Your Business Fundamentals Checking for September 1 , 201 8 to September 30, 201 8 OCLEANO SERVICES LLC Account summary Beginning balance on September 1 , 2018 s4,6s8.7s Deposits and other credits 22,982.O1 Withdrawals and other debits -7 .552.15 Checks -12.192.s4 Service fees -0.00 Ending balance on September 30, 20'l 8 s7,896.07 Business Advantage Customer service information ,)) r.SSB.BUslNESS (r.888.287.4637) r bankofamerica.com I Bank of America, N.A. P.O. Box 251 l8 Tampa, FL 33622-5i 18 Account number:| 9577 # of deposits/credits: '10 # of withdrawals/debits: 5'l # of items-previous cyclel:4 # of days in cycle: 30 Average ledger balancet 54,637.2O 1 lncludes checks poiddeposited items&other debits OCLEANO SERVICES LLC 5281 BUCKINGHAN,I RD FORT MYERs, FL 33905-7409 PULL: E CYCLE:53 SPEC 0 DELIVEFY:P WPE: IMAGE: A gC: R Pase 1 of 6 8.B.1 Packet Pg. 38 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND OCLEANO SERVICES LLC I Account #577 I September 'l , 201 8 to September 30, 201 8 IMPORTANT INFORMATION: BANK DEPOSIT ACCOUNTS How to Contact Us - You may call us at the telephone number listed on the front of this statement. Updating your contact information - We encourage you to keep your contact information up-to-date. This includes address, email and phone number. lf your information has changed, the easiest way to update it is by visiting the Help & Support tab of Online Banking. Deposit agreement - When you opened your account, you received a deposit agreement and fee schedule and agreed that your account would be governed by the terms of these documents, as we may amend them from time to time. These documents are part of the contract for your deposit account and govern all transactions relating to your account, including all deposits and withdrawals. Copies of both the deposit agreement and fee schedule which contain the current version of the terms and conditions of your account relationship may be obtained at our financial centers. Electronic transfers: ln case of errors or questions about your electronic transfers- lf you think your statement or receipt is wrong or you need more information about an electronic transfer (e.9., ATM transactions, direct deposits or withdrawals, point-of-sale transactions) on the statement or receipt, telephone or write us at the address and number listed on the front of this statement as soon as you can. We must hear from you no later than 60 days after we sent you the FIRST statement on which the error or problem appeared. Tell us your name and account number. Describe the error or transfer you are unsure about, and explain as clearly as you can why you believe there is an error or why you need more information. Tell us the dollar amount of the suspected error. For consumer accounts used primarily for personal, family or household purposes, we will investigate your complaint and will correct any error Promptly. lf we take more than 1 0 business days (10 calendar days if you are a Massachusetts customer) (20 business days if you are a new customer, for electronic transfers occurring during the first 30 days after the first deposit is made to your account) to do this, we will provisionally credit your account for the amount you think is in error, so that you will have use of the money during the time it will take to complete our investigation. For other accounts, we investigate, and if we find we have made an error, we credit your account at the conclusion of our investigation. Reporting other problems - You must examine your statement carefully and promptly. You are in the best position to discover errors and unauthorized transactions on your account. lf you fail to notify us in writing of suspected problems or an unauthorized transaction within the time period specifaed in the deposit agreement (which periods are no more than 60 days after we make the statement available to you and in some cases are 30 days or less), we are not liable to you and you agree to not make a claim a8ainst us, for the problems or unauthorized transactions. Direct deposits - lf you have arranged to have direct deposits made to your account at least once every 60 days from the same person or comPany, you may call us to find out if the deposit was made as scheduled. You may also review your activity online or visit a financial center for information. O 2O'18 Bank of America Corporation Bank of Amorica, N.A. Membor FDIC and Equal Housing Lende. Paee 2 of 6 8.B.1 Packet Pg. 39 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND Bankof Am erica'7 Your checking account OCLEANO SERVICES LLC I Account I 9577 | September 1 , 201 8 to September 30, 201 8 Deposits and other credits Date Description 09/os/18 BKOFAMERTCA MOBTLE 09/05 37279r s837 DEPOSIT -MOBILE FL r ,000.00 09/06/18 BKOFAN,4ERICA ATM 09/06 #OOOOO7299 DEPOSIT BELL TOWER FORT N,,IYERS FL 400.00 09/o7 /18 FLOOR INTERIOR S DE5:VENDOR PMT ID:/IXXXXXXXX INDN:OOOOOCLEANO SERVICES CO lD:S/r/r$C(XX(X CTX 2,239.85 09112/18 rlLE lT INDU44'19 DES:NET PAY lD: INDN:OCLEANO SERVICES LLC. CO ID:DX)fr)CXX$C( PPD 3,346.00 09/13/1A FLOOR INTERIOR 5 DES:VENDOR PMT ID:XXXXXXXXX INDN:0OO0OCLEANO SERVICES CO ID:SXX)fiXXXJ{X CTX 2,850.16 09114/18 TILE lT lNDUzl4l9 DES:NET PAY lD: INDN:OCLEANO SERVICES LLC, CO lD;DX/JOG/JCfi PPD 522.80 09/17 t18 BKOFAMERTCA MOBTLE 09/17 37 32624129 DEPOSIT -MOBILE FL 796.00 09t20t1B FLOOR INTERIOR S DES:VENDOR PMT lD:XXXXiX/JfiX INDN:O00OOCLEANO SERVICES CO ID:SXNCryXXXX CTX 1,279.O5 09/26/18 TILE lT INDU4419 DES:NET PAY lD: INDN:OCLEANO SERVICES LLC. CO ID:DXXXXXI0C( PPD 3,s8 r.30 09t27 /14 FLOOR INTERIOR S DES:VENDOR PMT ID:XXXX/iX/rXX INDN:0OOOOCLEANO SERVICES CO ID:SXXXfiXXXX CTX 6,966.8s Total deposits and other credits Withdrawals and other debits Date 522,982.0I 09/o4/1A ACH[,1A VISB DES:BILL PYN'NT ID:7290520 INDN:FERNANDA -SANTOS lD:0000751800 wEB CO -432.61 09/04/18 WC Penalty WEB DES:WEB PAYMNT ID:60215778 |NDN:ocleano services CO lD:4522050I31 -95.72 09/05/r B HOME DEPOT DES:ONLINE PMT lD:1327 427501190A7 tNDN:FERNANDA E SANTOS lD:ClrlCTP WEB CO -350.00 09/0s/r 8 CHARLOTTE CoUNTY DES:TAX COLL lD:5597058 tNDN:ocleano services flc CO ID:XX$CSXXXB WEB -35.00 09/05/t 8 FPB CR CARD DES:INTERNET ID lD:341 ,]894455 WEB WEBXXXXXTXXXINDN:FERNANDASANTOS CO -6.50 09/06/18 INTUIT PAYROLL S DES:QUICKBOOKS ID:XXXXXXXXX tNDN:OCLEANO SERVTCES LLC CO lD1722616679 CCD -r,850.s0 cofitlnued on the nett p.ge Bank of America Business Advantage Your Digital Tip of the [rlonth Guaranteed bank-to-bank transfers Pay individuals, vendors and suppliers who bank at other financial institutions - right from Online Banking. Jusr log in and click rhe Transfers I Send rab, then selecr Send Money to Someone or a Business. ARHgBYHQ | sSM.0l.l8-00138 Paee 3 of 6 LIFE / BEITER 'ONNECTED' 8.B.1 Packet Pg. 40 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND oCLEANO SERVICES LLC I Account #1577 I September 1, 2018 to September 30, 201 8 Withdrawals and other debits - continued Date DescriDtion 09/06/18 WOFCSET DES:AUTO LOAN lD:000000003923961 INDN:FERNANDA E SANIOS ROSA CO lD:1592238832 PPD -695.51 09/06/r 8 TJX Rewards MC DES:TJX EPAY lD:1672578799 INDN lD:9'130142001 WEB 5243661604224928 CO -t 21.89 09/06/r 8 TIMELINE BUSINES DES:ACH lD:5330903620 CCD lD:239-344-7 417 INDN:OCLEANO SERVICES LLC CO -50 00 09/17 /18 IRS DES:USATAXPYMT lD:225866020860992 INDN:OCLEANO SERVICES LLC Co lD:33877020O0 CCD -459.00 09/r 8/r 8 SEARS ONLINE DES:PAYMENT tD:122753874156166 INDN:FERNANDA S ROSA CO lD:CITICTP WEB -140.00 o9l1 8/r 8 PAYPAL DES:ECHECK !D:42Z22AL6EAQF4 INDN:FERNANDAROSA ID:PAYPALECSS WEB co -27.OO 09/19/14 WOFCSET DES:AUTO LOAN |D:00O0O00O3010779 INDN:FERNANDA E SANTOS ROSA CO lD:1592238832 PPD -563.13 09/27 /18 Sams Club MC DEs:SAMS EPAY lD:1689438962 INDN lD:9,l3014200,] WEB 5213331221615025 CO 09/28/18 TIN4ELINE BUSINES DES:ACH lD:5330903620 TEL lD:239-344-7 41 7 INDN:OCLEANO ROSA CO - 100.00 Card account # XXXX XXXX XXXX 3550 o9lo4/18 CHECKCARD 0830 PN/T' LEE TAX COLL TAX 877-A18-4323 FL24445008243100200142793 cKcD 9399 XXXXXXXXXXXX355o XnX XXXX XXXX 3550 -50.00 09/04/18 CHECKCARD 0830 PN,T' LEE TAX COLL CC FE 877 -818-4323 FL2M4'OO8243100200142876 cKcD 9399 XXXXXXXXXXXX355o XXXX XXXX XXXX 3550 -1.85 09t04l1a cHECKCARD 0830 SHELL OrL s7542486600 FORT MyERS FL 243',]605824354898s005891 cKcD 5542 XXXXXXXXXXXX355o XXXX XXXX XXXX 3550 09/05/18 cHECKCARD 0904 SUNpASS-ACC19897942 888-865-s352 FL24431068247083175356117 RECURRTNG CKCD 4784 XXXXXXrcfiXXX3sso XXXX XXXX XnC( 3550 -25.00 09/r0/18 cHECKCARD 0906 SHELL OIL 575424866@ FORT MYERS FL 2431 6058250548925054985 cKcD 5542 XXXXXXXXXXXX355o XXXX XXXX XXXX 3550 -31 .7 5 09/13t1a cHECKCARD 0912 MARKEL FTRST CONrp 888-500-3344 NE 244921s82s6027780680190 CKCD 6300 xxxxxxxxxxxx3sso xxxx xxxx xxxx 3550 -298.00 09117 /1A cHECKCARD 0915 CENTURYLTNK StMpLE 800-20r -4099 U 2444sOO82596000s7556939 CKCD 48 14 XXpCXXXXXXXX355o XXXX XXXX Xx)C( 3550 -45.00 09/17 /1A cHECKCARD 091 5 SHELL OtL s7542488606 FORT MyERS FL 2431 60582s9548897055839 cKcD 5542 XDCfiXXXXXXX355o XX)fr )frXX )C0C( 3s50 -41.73 09/r8/18 cHECKCARD 09',17 SUNPASS'ACCr 9897942 888-865-5352 FL24431068260083195771784 RECURRTNG CKCD 4784 XXXXXXXXXICB55o XXXX XXXX XXXX 3550 -25.00 09/20t18 -29.05 CHECKCARD 0921 WAWA 5200 00052001 LEHTGH ACRES FL 24164078265637000',174810 cKcD 5542 XXXXXXXXXXXX355o XXXX )C(XX XXXX 3550 -30 00 09/24/1A cHECKCARD 0922 SUNPASS-ACCr 9897942 888-865-5352 FL24431068265083205307038 RECURRING CKCD 4784 XXXXXXXXXXXX355O XXXX XXXX XXXX 3550 -25.OO cHECKCARD 0925 SHELL OrL 57542486600 FORT MYERS FL 2431 605826954888603s402 cKcD 5542 XXXXXXXXXXXX355o XXXX XXXX XXXX 3550 Subtotal for card account # XXXX XXXX xxxx 3550 Card account # XXXX XXXX XXXX 5524 -5694.7 3 O9IO4/18 CHECKCARD O9O2 THE HUT AT THE PEACE TR FORT MYERS FI24122588246O180'1423']099 CKCD 58]2 XXXXXXXXXXXX5524 XXXX XXXX XXXX 5524 09/04/18 Wt\,4 SUPERCENTER 09/03 #000099989 PURCHASE Wal-Mart Super Ce FORT MYERS FL Pa{e 4 of 6 -39.00 continued oh the nexl poq. -1,200.@ cHECKCARD 0918 SHELL OrL 57544985',]04 DEERFTELD BEAFL 24316058262548076013448 cKcD 5542 XXXXXXXXXXXX355o XXXX )XXX XXXX 3550 09/24t18 09t27 /18 -45.45 -41 .51 8.B.1 Packet Pg. 41 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND Bankof Am erica'7 Your checking account OCLEANO SERVICES LLC I Account #t77 | September I , 20'18 to September 30, 2O'l I Date Descriotion o9/o5/18 CHECKCARD 0903 ptNCH A pENNy - 28 FORT MYERS FL 24269198247100297012649 CKCD -23.205996 XXXXXXXXXXXX5524 XXXX XX)C(xxxx 5524 09/05/18 CHECKCARD 0903 POLLO TROP|CAL lOt33 FORT N4YERS FL 2423168824709,1000436266 -22.85 CKCD 58]4 XXXXXXXXXXXX5524 Xx)C( XXXX XXXX 5 524 o9l10/18 CHECKCARo 0908 CH|POTLE #2285 FORT N/YERS FL 24431 0682522001 S82o,t 062 CKCD s814 - t r.66XXXXXXXXXXXXs524 XXXX XXXX XNC(5524 09/12/18 CHECKCARD 09']O SHELL OIL 57542488606 FORT MYERS cKcD 5541 XXXXXXXXXXXX5524 XXXX XXXX XXXX 5524 F I 243 1 60s825 4548893052s04 -4.33 09/1z1A CHECKCARD O9IO SANIBEL DAIRY QUEEN SANIBEL FL 247078082540170377 79682 CKCD -7.41 58',r4 XXXXXXXXXXXXSS24 XXXX XXXX xxxx 5524 09/1 3/r B CHECKCARD 0912 JlMMyloHNS - 2551 FORT MYERS 58',r4 XXXXXXXXXXXXs524 XXXX XXXX XXXX 5524 F t 242697 982560011 192497 32 CKCD -17 .25 o9l't7/18 CHECKCARD 0914 CHIPOTLE #2285 FORT MYERS FL 24431068258200188200068 CKCD 5814 -20.94XXXXXXXXXXXXS524 XXXX XXXX xxrc{ 5524 o9/19t18 CHECKCARD 0917 SANIBEL DAIRy QUEEN SANTBEL FL 24707808261017036486686 CKCD -14.08 58',t4 XXXXXXXXX XXX 55 2 4 XXXX XXXX xxxx 5524 09/19/18 CHECKCARD 0917 POLLO TROP|CAL tOl33 FORT MYERS FL 2423.1688261091000042560 - 17 .64CKCD 58] 4 XXXXXXXXXXXXs524 XXXX XXXX XXXX 5524 09 t21/18 CHECKCARD O92O MOE's SW GRILL #338 FORr IIYER5 58r4 XXXXXXXX$CU5524 Xn(x )frXx x)ccx 5524 FL 2423168826420608810 t 529 CKCD -13.00 09/24/1A CHECKCARD O92I MOE'S 5W 6RILL #338 FORT MYERS 5814 XXXXXXXXXXXXs524 XXXX XXXX XXXX 5524 -24.76 09/24/18 CHECKCARD 0922 TOTAL WNE AND MORE 902 FORT MYERS FL24755428266132667903538 -150.99 CKCD 592I XXXXXXXXXXXX5524 Xx)O(XXXX XXXX 5524 09/26118 CHECKCARD 0924 STEVENS FAMILY CHIROPRA FORT MYERS FL2476062826A3089009970]8 -235.00cKcD 804't xxxxxxxxxxxxs 52 4 xxxx XXXX XXXX 5524 09/26/18 CHECKCARD 0924 POLLO TROP|CAL I Ol30 FORT MYERS FL 2423168826840000007851 I -24.81 CKCD 5814 XXXXXXXXXXXXs 52 4 XXXX XXXX XXXX 5524 09/26/18 CHECKCARD 0925 jlMMy JOHNS - 255',1 FORT MYERS FL2426g7g826gO0078990982 CKCD -17.'135814 XXXXXXXXXXXX5524 XXXX XXXX XXXX 5524 09/28/18 CHECKCARD 0926 STEVENS FAMILY CHIROPRA FORT MYERS F L 247 6062A27 0302501 087 325 -45.00 CKCD 8O4I XXXXXXXXXXXX5524 XXXX XXXX xxxx 5524 Total withdrawals and other debits Checks Date Check #Date -57,ss2. t s Check # o9lo4/18 1141 -2,0s9.33 09/18/18 ',t 146 -700.00 09/12/18 1142 -t,500.00 09/27/18 1147 -4,445.93 09/19/18 r 145. Total checks Total # of checks -51?.,192.s4 5" There is o gop in sequentiol check numbe..s -3,487.28 Withdrawals and other debits - continued F L 24231 68826s206088 1 0077 7 CKCD 8.B.1 Packet Pg. 42 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND OCLEANO SERVICES LLC I Account # Date 9577 | September I , 2Ol 8 to September 30, 2Ot 8 Service fees The Monthly Fee on your Business Fundamentals Checking account was waived for the statement period ending OB/3,]/l g. A check mark below indicates the requirement(s) you have met to qualify for the t\,lonthly Fee waiver on the account- ,/ S25O+ in new net purchases on a linked Business debit card 5250+ in new net purchases on a linked Business credit card 53,000+ minimum daily balance in primary checking account S5,000* average monthly balance in primary checking account 5,]5,000+ combined average monthly balance in linked business accounts enrolled in Business Advantage Relationship Rewards For information on how to open a new product" link an existing service to your account, or about Business Advantage Relationship Rewards please call 'l.888.BUSlNE55 or visit bankofamerica.com/smallbusiness. Daily ledger balances Balance (S) Date Balance{s) Date Balance (S) 09/01 4,658.75 09/12 4,142.08 A9/20 3,704.99 09/04 1.89'1.83 09113 6,676.99 09t21 3,69r.99 09/05 2,429.28 09/14 7.199.79 09/24 3,46't.24 09 /06 1 1 ',l.38 09/17 1.429.12 09/26 6,7 65.60 09/07 2.3s1 .?3 09i r 8 6.537 .12 09/27 8,041.07 09/r 0 2.307 .82 09/19 2.454.99 09DA 7,896.O7 8.B.1 Packet Pg. 43 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND Bankof Am erica'7 P.0. Box 15 4 Wilmington, DE 19850 OCLEANO SERVICES LLC 5281 BUCKINGHAT\,I RD FORI MYERS, FL 33905-7409 Your Business Fundamentals Checking for October '1, 2018 to October 31, 20'18 OCLEANO SERVICES LLC Account summary Beginning balance on October l, 20'18 Deposits and other credits 12,435.31 Withdrawals and other debits -8,360.78 Checks -6,36s.r 6 Service fees -r18.00 Ending balance on October 3l, 2018 S5,487.s0 Business Advantage Customer service information ,, i.g88.BUSrNEss (r.888.287.4637) t bankofamerica.com I Bank of America, N.A. P.O. Box 251 l8 Tampa, FL 33622-51 l 8 Account number;9577 # of deposits/credits: 7 # of withdrawals/debitsi 5l # of items-previous cyclel: 7 # of days in cyclei 3i Average ledger balance: S2,9'l 0.30 1 lncludes checl,s poiddeposited itefis&other debits s7 ,896.07 PULL:E CYCLE:53 SPEC 0 DELTVERY:P TYPE: IMAGE:A BC:F!Pase 1 of 6 8.B.1 Packet Pg. 44 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND OCLEANO SERVICES LLC I Account #9577 October 1,2O18 to October 31.2018 IMPORTANT INFORMATION: BANK DEPOSIT ACCOUNTS How to Contact Us - You may call us at the telephone number listed on the front of this statement. Updating your contact information - We encourage you to keep your contact information up-to-date. This includes address, email and phone number. If your information has changed, the easiest way to update it is by visiting the Help & Support tab of Online Banking. Deposit agreement - When you opened your account, you received a deposit agreement and fee schedule and agreed that your account would be governed by the terms of these documents, as we may amend them from time to time. These documents are part of the contract for your deposit account and govern all transactions relating to your account, including all deposits and withdrawals. Copies of both the deposit agreement and fee schedule which contain the current version of the terms and conditions of your account relationship may be obtained at our financial centers. Electronic transfers: ln case of errors or questions about your electronic transfers- lf you think your statement or recelpt is wrong or you need more information about an electronic transfer (e.g., ATM transactions, direct deposits or withdrawals, point-of-sale transactions) on the statement or receipt, telephone or write us at the address and number listed on the front of this statement as soon as you can. We must hear from you no later than 60 days after we sent you the FIRST statement on which the error or problem appeared. - Tell us your name and account number. - Describe the error or transfer you are unsure about, and explain as clearly as you can why you believe there is an error or why you need more information. - Tell us the dollar amount of the suspected error. For consumer accounts used primarily for personal, family or household purposes, we will investigate your complaint and will correct any error promPtly. If we take more than I0 business days (1 0 calendar days if you are a Massachusetts customer) (20 business days if you are a new customer, for electronic transfers occurring during the first 30 days after the first deposit is made to your account) to do this, we will provisionally credit your account for the amount you think is in error, so that you will have use of the money during the time it will take to complete our investigation. For other accounts, we investigate, and if we find we have made an error, we credit your account at the conclusion of our investigation. Reporting other problems - You must examine your statement carefully and promptly. You are in the best position to discover errors and unauthorized transactions on your account. lf you fail to notify us in writing of suspected problems or an unauthorized transaction within the time period specified in the deposit agreement (which periods are no more than 60 days after we make the statement available to you and in some cases are 30 days or less), we are not liable to you and you agree to not make a claim against us, for the problems or unauthorized transactions. Direct deposits - lf you have arranged to have direct deposits made to your account at least once every 60 days from the same Person or company, you may call us to find out if the deposit was made as scheduled. You may also review your activity online or visit a financial center for information. O 2018 Bank of America Corporation Bank of Amorica, N.A. Membor FDIC and Equal Housing Lendor Paee 2 of 6 8.B.1 Packet Pg. 45 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND Bankof Am erica'Z Your checking account OCLEANO SERVICES LLC I Account *577 I October l, 2Ol8to October 31, 2018 Deposits and other credits Description -MOBILE FL 10/04/18 FLOOR INTERIOR S DES:VENDOR PMT lD:[(XX/rYrXX INDN:0OOOOCLEANO SERVICES CO ID:SXXXXXXX]XX CTX 1,677.80 r 0/i 0/1 8 BKoFAMERTCA [/OBtLE l0/10 3674669954 DEPOSIT -T,4OBILE FL s00.00 10t12/1A FLOOR INTERIOR S DES:VENDOR PMT ID:$CXXICOCCX INDN:@OooCLEANO SERVICES CO I D:SXXX'/IYrX/./rX CTX 2,510.50 10/17 /1 A BKOFA|VIERlCA MOBILE 10/17 3680042486 DEPOSIT .t\.4OBlLE FL 1,000.00 10/23t18 BKOFATVIERTCA MOBTLE t0/23 36841 18680 DEPOSTT -[,4OBILE FL 1,000.00 10/25/18 FLOOR INTERIOR S DES:VENDOR PMT ID:XXXXXJ(XXX INDN:0OOOOCLEANO SERVICES CO lD: SXICCXXX/.1(X CTX 5,247.O7 Withdrawals and other debits 5r 2,43s.37 10/01/r 8 GEICO DES:PREM COLL |D:6AB6BNN3X0KOE E INDN:FERNANDA EVELLIS SANTO CO lD:3530075853 PPD -27 7 .69 10/a2/1a WC Penalty WEB DES:WEB PAYMNT lD:62239498 lNDN:ocleano services CO 1Dr4522050131 -95.72 r 0/03/18 FPBCRCARD DES:INTERNET lD: WEB/TXXXXX:XXX INDN:FERNANDA SANTOS CO lD:341 1894456 WEB -185.00 10/03/1 8 sYF MC DES:TRU EPAY lD:l694645678 INDN lD:913014200'1 WEB 524363r 0r6392308 CO -t 84.00 r 0/03/1 8 HOI/E DEPOT DES:ONLINE PMT lD:1 32767003459846 INDN:FERNANDA E SANTOS lD:CITICTP WEB CO -147 .OO 10/03/r 8 BARCLAYCARD US DES:CREDITCARD ID:)fr)0C(XXXX INDN:FERNANDA SANTOS ROSA CO lD:2510407970 WEB -103.00 10/04/1A INTUIT PAYROLL S DES:QUICKBOOKS ID:X/JOCO XX INDN:OCLEANO SERVICES LLC CO lD:1722616679 CCD -1,850.50 10t04/1a PAYPAL DES:ECHECK ID:PAYPALEC88 WEB lD42222ALt7 )ZXU INDN:FERNANDA ROSA CO -r 00.00 continued an the oext poge Bank of America Business Advantage Your Digital Tip of the tr4 onth LIFE / BEITER CONNE(IED Sign up for online alerts today' Stay up to date on your balances, and receive alerts when transactions have posted and when your Payments are due. Log in or enroll at bankofamerica.com/smallbusiness and click on Alerts in the Activity Center rYou meyeleatto receivealertsvia text oremail Bank ofAmericadoes notcharge for lhis service butyour mobilecarrieis message end data rates may apply Delivery of aleris may be affec ted or delayed by your mobile .arliers coverage. O20I8 Bank of Americ a torporation ARTCJRPG I SsM 0318-0017.8 Pase 3 of 6 Date 10/03/tB BKOFAN.4ERICA MOBTLE 10/03 3669142642 DEPOSIr s00.00 Total deposits and other credits 8.B.1 Packet Pg. 46 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND OCLEANO SERVICES LLC I Account f 577 | October l, 2018 to October3'1, 2Ol8 Withdrawals and other debits - continued Date Descrlot on 't0/09/18 WOFCSET DES:AUTO LOAN lD:00000O003923961 INDN:FERNANDA E SANTOS ROSA CO lD:1 592238832 PPD -695.51 10/09/r 8 ACHMA VISB DES:BILL PYMNT lD:O884419 INDN:FERNANDA 'SANTOS lD:OOOO7518OO WEB '1 0/09/ r 8 TIMELINE BUSINES DES:ACH lD:s330903620 CCD lD,239-344-t 417 INDN,OCLEANO SERVICES LLC CO -50.00 10/15/18 IRS DES:USATIN(PYMTID:225868820790698 INDN:OCLEANOSERVICESLLC CO lD:3387702000 CCD -459.00 'to/ 15/ 1 8 SEAR5 ONLINE DES:PAYMENT lD:]32767010581889 INDN:FERNANDA S RoSA CO lD:CITICTP WEB -100.00 WOFCSET DES*UTO LOAN ID:OOOOOOOO3O'I0779 INDN:FERNANDAE SANTOS ROSA CO lD:1592238832 PPD -563.r 3 10/25/14 Banana Visa DES:BR EPAY lD:171O318239 INDN: lD:913014200'l WEB 4479931087795613 CO -'t54.54 10/29/14 Sams Club IVC DES:SAMS EPAY lD:'l710318986 INDN lD:9130142001 WEB 5213331221615025 CO -59r.46 10/29/18 GEICO DES:PREM COLL ID:6AB6BNN3X0KOE E INDN:FERNANDA EVELLIS SANTO CO lD:3530075853 PPD -27 7 .69 10/30/18 FLA DEPT REVENUE DEs:CUT lD:CXXXXJ{XX/iX CCD lD:62794115 INDN:OCLEANO SERVICES LLC CO -81.00 Card account # XXXX XXXX XXXX 3550 r0/01/r8 CHECKCARD 0929 SUNPASS.ACC19897942 888-86s-s3s2 FL24431068272083216022999 RECURRING CKCD 4784 XXXXXXXXXXXX355o XXXX XXXX XXXX 3550 -25.00 to/01/18 cosTco WHSE #0 t0/01 #000597844 PURCHASE cosTco WHSE 50351 FORT MYERS FL -225.76 10/o2t18 CHECKCARD 1002 AN TOYOTA SCTON FORT M 702-871-7000 FL24692168275100464814635 cKcD 5sr r xxxxxncfixxx3sso xxxx xxxx xxxx 35so -7 00.7 6 10/o3/18 cHECKCARD r002 MARKEL FrRST COMp 888-500-3344 NE 244921582760277s',]376600 CKCD 5300 xxxxxxxxxxxx3sso xxxx )cfix x$fr 3550 -298.00 10109/18 CHECKCARD ]OO5 TIMELINE BUSINESS CENTE FORT MYERS FL).4247608279500815569823 CKCD 8931 XXXXXXXXXPC(355o XXXX XXXX XXXX 3550 -200.00 r 0/09/18 -24.07 10109118 cHECKCARD 1008 SUNPASS.ACC19897942 888-865-5352 FL 2443',t068281083232361941 CKCD 4784 DOCU)Cfi)CUX355O XXXX XXXX XXXX 3550 -25.00 r0/r 0/r 8 CHECKCARD 1009 WAWA 5200 0005200r LEHTGH ACRES FL 24164078282637000482147 cKcD 5542 XXXXXTSXXXX3S5o Xx)C( XXXX XXXX 3550 -47.06 10/17 /18 CHECKCARD r 01 5 SHELL OIL s7s424A6600 FORT MYERS FL24316058289548874013771 CKCD s542 XXXXXXXXXXXX355o XXXX XXXX XXXX 3550 -44.O1 10/22t18 CHECKCARD l02r SPEEDWAY 06s82 FORT MYERS FL2422443829510102387692s CKCD 5542 XXXXXX[CqXX355o XXXX XXXX XXXX 3550 -45.63 10/25t18 cHECKCARD 1024 CENTURYLINK SIMPLE 800-201 -4099 LA 24445008298600094288184 CKCD 48 t4 XXXXXXXXXXXX355o XnCX XXXX XXXX 3550 -45.00 10t29118 CHECKCARD 1026 SPEEDWAY 06582 FORT MYERS FL242244383OO1O102495162I CKCD 5542 XDCfiXXXXXXX355o XXXX XXXX XXXX 3550 -43.35 Subtotal for card account # XXXX XXXX XXXX 3550 Card account H XXXX XXXX XXXX 5524 1O/O1/18 CHECKCARD 0929 CHIPOTLE #2285 FORT [,,|YERS F124431O582732O0I88201 I l7 CKCD 5814 x$cxxxxxxxxxss24 xxxx xxxx xxxx 5524 -51,727 .64 -18.93 '10/05/18 CHECKCARD '1004 EARTH ELEMENTS FORT MYERS FL24431O6A277O9104I OOOO5] CKCD s26r xxxxxxxxxxxx5524 xxxx xxxx xxxx ss24 PaEe 4 0f 6 -67.31 codtinued on the nert poq. co -31 4.1 6 i0/19/18 CHECKCARD 1008 7-ELEVEN 34154 FT MYERS FL 24299108281001 586374679 CKCD 5542 )xxxxx$0fixx3550 rc(xx xxxx xxxx 3550 8.B.1 Packet Pg. 47 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND Bankof Am erica'Z Your checking account OCLEANO SERVICES LLC I Account f 77 October '1, 20]8 to October 3'1, 20lB Withdrawals and other debits - continued r 0/05/18 CHECKCARD 1004 CHTPOTLE f2285 FORTMYERS FL244310682782@188200528 CKCD 5814 xxxxxxxxxxxx5524 xxrc( xxxx xxxx 5524 -t t.B9 i0/09/r8 CHECKCARD ,]005 Joey D's Marco lsland MARCO ISLAND FL 24426298280018020724984 CKCD 5812 XXXXXICUXXXX5524 XXXX XXXX XXXX 5524 -18.54 10/09118 CHECKCARD 1OO5 RACETRAC 2358 OOO2358O NAPLES cKcD 554',r XXXXXXXXXXXX5524 XXXX XXXX XXXX s524 FL 241 6407 827 991 40851 82796 -6.49 I O/09/t I CHECKCARD 1006 Crossroads Liquor LEHIGH ACRES FL2M2629A2AOOI7I34666123 CKCD 5921 XXXXXXXXXXXX5s24 XXXX XpC( XXXX 5524 -7 4.19 10t12118 CHECKCARD 10t 1 BOSTON |\,iARKET 0269 FT. MYERS FL 244450082850009',] 7490932 CKCD 5814 XXXXXXXXXXXXs524 XXXX XXXX XXXX 5524 -23.11 t 0/19/r B CHECKCARD 1017 RACETRAC',I99 00001990 LEHTGH ACRES FL 2416401829197 4412162915 cKcD 5541 XXXXXXXXXXXX5524 XXXX X)Cfi XXXX 5524 -13.06 t 0/19/t 8 CHECKCARD IOIS EUROPEAN AIVIERICAN BAKER FORT MYERS FL 24269798292001122162909 CKCD s8r 2 XXXXnCfiXXXX5524 XXXX XXXX XXXX 5524 -14.44 r 0/19/18 CHECKCARD ']OI8 MARATHON PETRO'I04778 CAPE CORAL FL 24299108291@3734693172 cKcD 554r XXXXXXXXXXXX5s24 rcO(x )0fiX XnCX s524 -13.17 10/r9/18 CHECKCARD 1 0r 8 JTMMY JOHNS 2295 CAPE CORAL FL24269798292@1 1 22763089 CKCD 5814 XXXXXXXXXXXXss24 )CfiX XDCX Xffi 5524 -9.20 10/22/18 CHECKCARD ',ro',r 9 PUBLTX #',rr47 CAPE CORAL FL 2444500829300099',1646003 CKCD 54', XXXXXXXXXICC(s524 XXXX XXXX )m,C( 5s24 -4.7 6 10/22/14 CRACKER BARREL 1O/2O #OO0554743 PURCHASE CRACKER BARREL # FORT N,IYERS FL -21 .23 10l2v1a CHECKCARD '1023 Crossroads Llquor LEHIGH ACRES FL24426298297O17 035'l 77965 CKCD 592r XXXXXXXX$CXXs524 XXXX )XXX XXXX 5524 -74.19 10/25/1A CHECKCARD 1O24 7 -ELEVEN 27273 SANIBEL )cxxxxxxxxlcxx5524 xx)c( xxxx xxxx 5524 FL 2429910A297 004948267 211 CKCD 5541 10/26/18 CHECKCARD 1025 DUNKIN #3490 r 9 Q35 NAPLES 5Bt 4 XXXKXXXXnCU5524 X[C( XXXX XXXX 5524 F L 24431 068299838000262r 6r CKCD -9.38 10/30/18 CHECKCARD 1029 DUNKIN #3490r9 Q35 NAPLES 58I4 XXXXX}CUXXXX5524 XXXX XXXX XXXX 5524 FL 24431 068303838000265044 CKCD -7.O7 t 0/31/r 8 CHECKCARD 1O3O DUNKIN #3490]9 Q35 NAPLES 58r 4 XXXXXXXX,{XXX5524 XXXX XDC( XnCX 5524 FL 24431 068304838000265746 CKCD -12.91 q"hi^+rl f^' e;.4;r.^,r^t 1l YYYY YYYY YYYy <qz -<a.'a. '7 a Total withdrawals and other debits Checks Date Check #Date Check # -58,360.78 Amount 10/03/1A t 148 -4,095.16 10/17 /18 I149 -2,270.OO Total checks Total # of checks -s6,35s.r 6 2 Pase 5 of 6 8.B.1 Packet Pg. 48 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND OCLEANO SERVICES LLC I Account #'77 I Odober l,2Ol8 to October 31,2O18 Service fees The Monthly Fee on your Business Fundamentals Checking account was waived for the statement period ending 09/28,/18. A check mark below indicates the requirementis) you have met to qualify for the l\,4onthly Fee waiver on the account. { 5250* rn new ner purchases on a linled Business debit card 5250+ in new net purchases on a linked Business credit card 53,000+ minimum daily balance in primary checking account S5,000+ average monthly balance in primary checking account S15,OOO+ combined average monthly balance in linked business accounts enrolled in Business Advantage Relationship Rewards For informatiofl on how to open a new product, link an existing service to your account, or about Business Advantage Relationship Rewards please call l.88B.BUSlNESS or visit bankofamerica.com/smallbusiness. Date Transaction description 10/o4t1a CHECK ORDEROOOT5 DE5:FEE PMT INFO: PRODUCT(S): I I l.3l lD:1GWW4948 S&H: 0.0O FL TAX: 6.69 -t 18.00 Total service fees Note your Ending Bolonce olreody reJlects the subtroction of Sevice Fees. Daily ledger balances Date aalance (5) Date Balance(s) Date -5r 'r 8.oo Balance {S) t 0/01 7.348.69 10112 3 ,097 .92 1 0/23 1,540.29 10/02 6.552.21 r0n 5 2.638.92 10/25 6,510.42 10/03 2,040.05 10/r 6 2,538.92 10t26 6,501.04 10/04 1,649.35 10t17 1.224.91 10t29 s,s88.54 r 0/05 1.570.r s 10/19 6r r .9r 'r0/30 5,500.47 1 0/09 158.19 10t22 544.29 r 0/31 5,487.50 10/r 0 6tt.t3 Pas-a 5 of 6 8.B.1 Packet Pg. 49 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND Bankof Am erica'7 PO. Box 15284 Wirmington, DE 19850 Your Business Fundamentals Checking for November '1, 20] 8 to November 30, 2018 OCLEANO SERVICES LLC Account summary Beginning balance on November l , 201 8 Deposits and other credits 8,506.90 Withdrawals and other debits -9,296.72 Checks -630.00 Service fees -0.00 Ending balance on November 30, 2018 s4,067.68 Business Advantage Customer service information 0'r.888.BUStNEss (r.888.287.4637) t bankofamerica.com g Bank of America, N.A. P.O. Box 251 l8 Tampa, FL 33622-5] 18 Account number 9577 # of deposits/credits: 7 # of withd.awals/debits: 58 # of items-previous cycler:6 # of days in cycle: 30 Average ledger balan ce: 52,297 .77 1 lncludes check poiddeposited items&other debits OCLEA1IO SERVICES LLC 5281 BUCKINGHA[,4 RD FORT MYER5, FL 33905.7409 ss,487.50 PULL:E CYCLE:53 SPEC] o DELI!€RY: P TYPE: IMAGET A Bcr FL 8.B.1 Packet Pg. 50 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND OCLEANO SERVICES LLC I Account,]71 November 1, 2018 to Novernber 30, 201B IMPORTANT INFORMATION: BANK DEPOSIT ACCOUNTS How to Contact Us - You may call us at the telephone number listed on the front of this statement. Updating your contact information - We encourage you to keep your contact information up-to-date. This includes address, email and phone number. lf your information has changed, the easiest way to update it is by visiting the Help & Support tab of Online Banking. Deposit agreement - When you opened your account, you received a deposit agreement and fee schedule and agreed that your account would be governed by the terms of these documents, as we may amend them from time to time. These documents are part of the contract for your deposit account and govern all transactions relating to your account, including all deposits and withdrawals. Copies of both the deposit agreement and fee schedule which contain the current version of the terms and conditions of your account relationship may be obtained at our financial centers. Electronic transfers: ln case of errors or questions about your electronic transfers- lf you think your statement or receipt is wrong or you need more information about an electronic transfer (e.g., ATM transactions, direct deposits or withdrawals, point-of-sale transactions) on the statement or receipt, telephone or write us at the address and number listed on the front of this statement as soon as you can. We must hear from you no later than 60 days after we sent you the FIRST statement on which the error or problem appeared. Tell us your name and account number. Describe the error or transfer you are unsure about, and explain as clearly as you can why you believe there is an error or why you need more information. Tell us the dollar amount of the suspected error. For consumer accounts used primarily for personal, family or household purposes, we will investigate your complaint and will correct any error promptly. lf we take more than 10 business days (10 calendar days if you are a Massachusetts customer) (20 business days if you are a new customer, for electronic transfers occurring during the first 30 days after the first deposit is made to your account) to do this, we will provisionally credit your account for the amount you think is in error, so that you wilt have use of the money during the time it will take to complete our investigation. For other accounts, we investigate, and if we find we have made an error, we credit your account at the conclusion of our investigation. Reporling other problems - You must examine your statement carefully and promptly. You are in the best position to discover errors and unauthorized transactions on your account. lf you fail to notify us in writing of suspected problems or an unauthorized transaction within the time period specified in the deposit agreement (which periods are no more than 60 days after we make the statement available to you and in some cases are 30 days or less), we are not liable to you and you agree to not make a claim against us, for the problems or unauthorized transactions. Direct deposits - lf you have arranged to have direct deposits made to your account at least once every 60 days from the same person or company, you may call us to find out if the deposit was made as scheduled. You may also review your activity online or visit a financial center for information. O 2018 Bank of America Corporation Bank of America, N.A. Msmber FDIC and Equal Housing Lends. PaPe 2 of 6 8.B.1 Packet Pg. 51 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND Bankof Am efica'Z OCLEANO SERVICES LLC I Account # Deposits and other credits Your checking account 9577 | November i , 201 8 to November 30, 2Ol 8 Date Descriptaon Amount 1 r/08/'r8 FLOOR INTERIOR S DES:VENDOR PMT lD:/JCfi/J0OiX INDN:@OOOCLEANO SERVICES CO ID:SXXIXXXXX CTX r 50.00 11/r3l18 BKOFAMERtCA N,TOBTLE 11/13 3674738069 DEPOS|T -[,O8ILE FL 1,000.00 11/16/18 BKOFAMERICA MOBILE 11/16 36774927 09 DEPOS|T -[,4OBILE FL 1,000.00 11/19/18 BKOFAMERICA ATM IIiI9 #OOOOO9O87 DEPOSIT BELL TOWER FORTMYERS FL 700.00 11/21/18 BKOFAMERTCA MOBILE 11/21 3680964123 DEPOS|T TMOBILE FL 1,000.00 11/23/18 TILE lT lNDU44l9 DES:NET PAY lD: INDN:OCLEANO SERVICES LLC, CO lD:DXXXXXXXXX PPD 1,876.90 1 1 /27 /18 BKOFAN,4ERtCA t\,4oBtLE 1 1 /27 3684903707 DEPOS|T .t\,4OBlLE FL 2,780.00 Total deposits and other credits Withdrawals and other debits Date s8,so6.90 WC Penalty WEB DES:WEB PAYMNT lD:64418182 lNDN:ocleano services CO lD:4522050131 -95.72 r r /05/18 ACHMA V|SB DES:BILL PYMNT lD:6787279 INDN:FERNANDA -SANTOS lD:000O751800 WEB CO -306.89 r r /05/18 TJX Rewards MC DES:TJX EPAY lD:]71 774738'l INDN lD:9,]301420o'l WEB 524356150422492A CO -124.98 I t/05/18 HOME DEPOr DES:ONLINE PMT lD:'l I 2793685499420 INDN:FERNANDA E SANTOS lD:CITICTP WEB co -65.00 11tO5118 WOFCSEI DES:AUTO LOAN lD:000O00003923961 INDN:FERNANDA E SANTOS ROSA CO 10r1592238832 PPD -695.51 1 r /06/'18 BARCLAYCARD US DES:CREDITCARD ID:XXXXIXXViX INDN:FERNANDA SANTOS ROSA CO lD:2510407970 WEB -650.00 1 1/O6/t 8 TIMELINE BUSINES DES]ACH lD:s330903620 CCD lD'239-344-7417 INDN:OCLEANO SERVICES LLC CO -50.00 11/O7 /18 INTUIT PAYROLL S DES:QUICKBOOKS |D:X/IX/.DC(XX INDN:OCLEANO SERVICES LLC CO lDl722616679 CCD -1,850.50 11/13/18 FPB CR CARD DES:INTERNET lD: WEBXXXXXXXXX INDN:FERNANDA SANTOS CO lD:341 r 894456 WEB -'t50.oo lnclusion on $e Advisory Panei subject to qualifications.ssM{4-t&m52 0r I ARHK6I55 LIFE / BETTER CONNECTED Pase 3 of 6 11/O2t1B What's on your mind? Business owners like you can join the Bank of America" Advisory Panel to help us understand what you like and don'r like. Enrer code SBDD at bankofamerica.com/AdvisoryPanel to learn more and join. eontkued on the nert Nge Bank of America Business Advantage 8.B.1 Packet Pg. 52 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND OCLEANO SERVICES LLC I Account #9577 I November 1, 2018 to November 30. 2O18 Withdrawals and other debits - continued 'I t/13/t B PAYPAL DES:ECHECK ID:42Z22AMG)VYZ6INDN:FERNANDAROSA ID:PAYPALECS8 WEB co -'120.00 'I 1/15/18 -459.00 1t/r 9/18 WOFCSET DES:AUTO LOAN ID:OOOOOOO03O1O779 INDN:FERNANDA E SANTOS ROSA CO lD:1592238832 PPD -563.r 3 11/19/18 SEARS ONLINE DES:PAYMENT lD:12280236303503'l INDN:FERNANDA S ROSA CO ID:CITICTP WEB -450.00 11/25/14 Sams Club MC DES:SAMS EPAY lD:]735063778 INDN ID:9'130142001 WEB 5213331221615025 CO -605.02 11/26/18 sYF MC DES:TRU EPAY ID:I735070266 INDN: lD:9]30142001 WEB 524363r 0r 6392308 CO -250.00 11/29/14 GEICO DES:PREM COLL |D:6AB6BNN3XOKOE E INDN:FERNANDA EVELLIS SANTO CO lD:3s30075853 PPD -27 7 .65 Card account # XXXX XXXX XXXX 3550 11/02/18 CHECKCARD 103r SHELL OtL 575424A66@ FORTMYERS FL 2431605830ss48881032376 cKcD 5542 XXXXXXXXXXXX355o XXXX XXXX XXXX 3s50 -44.30 'l't/05/18 CHECKCARD r 104 ROCKET SHINE CAR WASH FORT MYERS FL 245 t2398308013965840672 cKcD 7542 XXXXXXXXXXXX355o XXXX XXXX XXXX 3550 -16.00 'I ',l106/18 CHECKCARD I i04 SHELL OtL 57542488606 FORT MYERS FL 2431 605830954879701 2898 CKCD 5542 XXXXXXXXXXXX35sO XXXX XXXX XXXX 3550 -43.21 I1/06/IB THEHOMEDEPOT 11/06 #000226185 PURCHAsE THE HOME DEPOT#O FORTMYERS FL -r 28.88 11/08/']8 THE HOME DEPOT IIl08 #000778716 PURCHASE THE HOME DEPOT #O FORTMYERS FL -73.64 11/O9/14 CHECKCARD 1107 SHELL OtL 57542488606 FORT i/yERS FL 2431 605831 254888801 51 36 cKcD 5542 XXXXXXXXXXXX355o XnC( XXXX XXXX 3550 -47.21 'l']/r3/i8 TRACTOR S 2395 11112 #OOO520842 PURCHASE TRACTOR S 2395 S0 FTMEYERS FL -117.59 'I t/13/18 CHECKCARD I I 12 FCRUN,4 GENL AGCY/GL.FWCI 860-399.3694 FL 2444500831630047 7984800 CKCD 6300 XXXXDCffXXXX3S50 X(XX XXXX XXXX 3550 -r 63.50 .]1/I3l]8 THE HOI\,,IE DEPOT 1I /13 #OOOOI7283 PURCHASE THE HOME DEPOT #8 FORT IVIYERS FL -53.61 11/14/18 CHECKCARD 1 ',r r 2 SHELL OtL 5754252A807 FORT MYERS FL 2431605831 7548858020848 cKcD 5542 XXXXXXXXXXXX355o XXXX XXXX XXXX 3550 -14.81 11/14/18 -43.99 1rlr5/18 V|OC GA0004 r ',rl t5 #000479000 PURCHASE r 37rO SOUTH TAN/IA 80CAGRANDE FL -172.74 I I/t 9/18 CHECKCARD 1 I r 6 SUNOCO 06r r s95803 FORT MYERS FL240220783210160002333s r CKCD 5542 XXXXXXXXXXXX355o XXXX XXXX XXXX 3550 -30.00 'r 'tl'r9/ r 8 CHECKCARD i I 16 LOWES #00582r FORT MYERS FL 246921 683201 0023s938478 CKCD 5200 xxxxxxxxxxxx355o xxxx xxxx xxxx 3550 -127 .16 11 /23118 cHECKCARD i 122 SUNPASS*ACC19897942 888-865-5352 FL 2443106832608330"1483700 cKcD 4784 XXXXXXXXXrcCC55o XXXX XXXX XXXX 3s50 -25.00 11/23/18 LOWES #2221 11/23 #OOO323279 PURCHASE LOWES #2221 FORTMYERS FL 11/26/18 cHECKCARD r r 23 CENTURYLTNK Slr\rPLE 800-201-4099 1A2444500a3286001 31330084 CKCD 4814 XXXXnC0CSXX355o XXXX XXXX XXXX 3550 11 /27 /14 CHECKCARD ] 126 SPEEDWAY 06598 LAKE WORTH FL 24224438331102009824372 CKCD 5542 XXnCfinC(XXX355o XXXX )CfiX XXXX 3550 -38.42 Subtotal for card account # XXXX XXXX XXXX 3550 ?aee 4 of 6 -sr,256.62 .ontidPd on the nen poge IRS DES:USATAXPYMT ID 225A71920372438 INDN:OCLEANO SERVICES LLC CO lD:33877020OO CCD CHECKCARD 1 ',l ',r2 SHELL OIL 57542489307 FORT MYERS FL 2431605831 7548833053831 CKCD 5542 XXXXXXXXXXXX355O XXXX XXXX XXXX 3550 -71 .56 -45.00 8.B.1 Packet Pg. 53 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND Bankof Am erica'?Your checking account OCLEANO SERVICES LLC I Account #\577 November 1, 2018 to November 30, 2018 Withdrawals and other debits - continued Card account # XXXX XXXX XXXX 5524 1rl01n8 CHECKCARD 1031 DUNKTN #349019 Q3s NAPLES s8r 4 xxxxxxxxxxxx5524 xxxx xxxx xxxx s524 FL 24431 068305838000266438 CKCD -7.O7 11/O2/18 CHECKCARD 1 ']01 CHEVRON OO4772I MARCO xxxxxxxxxrcg5524 xncx xxxx xxxx 5524 FL 24592r 68305 r 00650274986 CKCD 5541 -5.65 'I t/05/18 CHECKCARD 1 103 SHELL OtL 5754248A408 FORT MYERS FL 24316058308548878048671 CKCD 5541 XXXXXXXXXXXX5S24 XXXX XXXX XXXX 5524 -'r 9.86 r r /06/18 CHECKCARD I I05 EUROPEAN AMERICAN BAKER FORT MYERS FL 242697983r 0001r 013 r7r ']l CKCD 58',t2 XXXXXXXXXXXX5524 XXXX XXXX XXXX 5524 11 tO1 t18 -4.00 'r 1/08/r 8 CHECKCARD 1 r 06 SHELL OtL s7542488606 FORT MYERS FL 243 i 605831 1 54887701 881 I cKcD 5541 XXXXXXXXXXXX5524 X$C( XXXX XXXX 5524 -5.99 1 1/09/r 8 CHECKCARD 1108 BJs WHOLESALE #0191 FORT MYERS FL 2444500831 3000928565090 cKcD 5300 xxpcfixxxxxxss24 xxxx xxxx xxxx 5524 -190.79 11 /13/18 CHECKCARD r r 08 SHELL OtL 57542488606 FORr MYERS FL 2431 60s83 1 3548923028481 cKcD 5541 XXXXXXXXXXXX5524 XnC( XXXX XXXX 5524 -5.57 11/13/18 CHECKCARD |r09 SHELL OIL s7s42488606 FORr MYERS F124316058314548008017',]76 cKcD 554 t XXXXXXXXXXXXs524 XXXX X(xX XXXX 5524 -3.17 11 /13/18 CHECKCARD ']i09 SPORT CLIPS - FL38I . C FORT MYERS FL 242697983145002361 58056 cKcD 7230 XXXXXXXXXXXXs524 XXXX XXXX XXXX 5524 -32.00 11/14/14 CHECKCARD I I I3 EUROPEAN AMERICAN BAKER FORT N'YERs FL 24269798318001127242816 CKCO 5812 XXXXXXXXXXXX5S24 XXXX XXXX XXXX 5s24 -1 1.09 11/16/18 CHECKCARD 1 ',l 15 SQ -TOr\rMy pEppERS ptzzA LEHTGH ACRES FL 24692168319100531682443 cKcD 58',12 XXXXXXXXXXXX5524 XXXX XXXX XXXX 5524 -15.99 11/19/18 CHECKCARD 1 '] 16 THE HOME DEPOT #0276 FORT MYERS FL 24610438321010177592909 cKcD 5200 xxxxxxxxxxxx5524 x$c( xxxx xxxx 5524 -146.60 11/19/18 CHECKCARO r ',t16 SQ "TOMMY pEppERS PIZZA LEHIGH ACRES FL 246921 683201 001 28684049 cKcD 58]2 XXXXXXXXXXXX5524 XXXX X(xX XXXX 5524 -8.47 11 /19/18 -t t 8.oo 'I t/19/18 CHECKCARD I I18 BRICKYARD MICRO BREWERY BOCA RATON Ft 241008583229000r 9897125 CKCD 5812 XXXXXXXXXXXXs524 XXXX XXXX XXXX ss24 -95.94 't t/19/18 CHECKCARD 1 I 18 LATINOS MEAT MARKET, IN DEERFIELD BEAFL242753983229OOOI82OO5I 7 cKcD s4r r xxxxxxxxxxxx5524 xxp( xxxx xxxx 5524 -289.93 11/20/18 CHECKCARD i I t 9 PUBLIX #578 FT LTYERS FL24445008324001047419059 CKCD 541 1 XXXXXXXXXXXXs524 XXXX XXXX Xx)C( 5524 11/21/18 -3.92 11/23/18 CHECKCARD I120 THE HOME DEPOT #8444 FORT MYERS FL 2461 043832 50 t 0 t 78099694 CKCD 52OO XXXXXXXXXXXXss24 XXXX X(xX XXXX 5524 -'1 1.66 11/26/18 CHECKCARD 1124 SPEEDWAY 06422 LEHTGH ACRES FL2422443832910 r023s464s2 CKCD 5541 XXXXXXXXXXXX5524 XXXX XXXX XXXX 5524 -27.O2 11/27 /18 CHECKCARD 1I26 GOODYEAR RUBBER PRODUCT 772-422.4672 FL 24394698330027 01803682 r CKCD sO85 XXXXXXDTCfiXX5S24 XXXX XXrX XKfi 5524 -304.79 q!,hr^frl F^r .^.4 ,rrnnt !YY YYYY YYYY <q'4 (1 ?'r4 7at -59,296.72Total withdrawals and other debits Paoe 5 0f 6 -t 0.00 CHECKCARD I i06 MBTA PAY BY PHONE BOSTON MA 24445008310500442554093 CKCD 7523 XXXXXXXXXXXX5s24 X$C( XXXX XXXX 5524 CHECKCARD']'II8CARRABBAS6017DELRAYBEACHFL246921683221OO143252127CKCD 5812 XXXXXXXXXXXX5524 XnC( XXXX XXXX ss24 -9.19 CHECKCARD r r 19 SHELL OIL 57s42448606 FORT MYERS FL 243 r 605832454886305',t 508 cKcD 5541 XDCUXXXXXXX5524 X)oC{ rc(XX XXXX 5524 8.B.1 Packet Pg. 54 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND OCLEANO SERVICES LLC I Account #;77 I November'1,2018 to November 30,2o18 Checks Date Che.k #Date Check # 1 ',tlot /t8 I 150 -3s0.00 11/16/18 Ir51 -280 00 Total checks Total # of checks -5630.OO 2 Balance (S) Service fees The Monthly Fee on your Business Fundamentals Checking account was waived for the statement period ending I O/31/18. A check mark below indicates the requirement(s) you have met to qualify for the Monthly Fee waiver on the account. ,/ 5250+ in new net purchases on a linked Business debit card 5250+ in new net purchases on a linked Business credit card 53,000+ minimum daily balan€e in primary checking account 55,0o0+ average monthly balance in primary checking account S 15,000+ combined avera8e monthly balance in linked business accounts enrolled in Business Advantage Relationship Rewards For information on how to open a new product, link an existing service to your account, or about Business Advantage Relationship Rewards please call l.SB8.BUSlNESS or visit bankofamerica.com/smallbusiness. Daily ledger balances Date Balance (S) Date Balance(s) Date '1 1/01 s,]30.43 r 'r /09 852.30 11/20 10.82 11/O2 4,9a4.76 11i 13 1 ,206.86 11/21 1 ,066.90 1 1/05 4,452.03 11/14 1.136.97 11/23 2,835.s8 r 1/06 2,874.43 ll /1 5 505.23 11/26 r,908.54 11 /O7 1,019.93 1rl16 1.209.24 1't /27 4.345.33 1r/08 1,090.30 I ',ll19 80.01 11/29 4,Q61.68 8.B.1 Packet Pg. 55 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND Subcode:970135 Ordered:'121111201812:13:45CST Transaction Number: C502776489 Search lnquiry: Ocleano Services LLC/12350 WOODROSE CT/FORT I\,4YERS/FLl33907/USi Phone N/A t445621499 Model Description: Lnleiliscore Plus V2 Credit Risk Score: lntelliscore Plus Current lntelliscore Plus Score Premier Profile - OCLEANO SERVICES LLC Score and Risk Class Unavailable (999) H rh Fl :: li Lo rnl Risk ir 1t z-\5n 1n Ll lC' o rce o T,}P C T!\a o This score predicis lhe like|hood of serious credit delinquencies for lhis business with n the next 12 monlhs This repon does not Include data elemenls statrstically proven to predict serious fulLlre delinquency Therefoae an lnlelliscore Plus score cannot be calculaled and lhe risk class rs unavailable. ?&perion Primary Address: 12350 WOODROSE CT FORT MYERS, FL 33907.4621 Credit Limil Recon'rmendation N/A i Risk Scores and Credit Limit Recommendation Derogatory Legal Origrnal Filings Days Beyon Tderm Company DBT Fraud Alerts HghRskAerlsFioancial Slability Risk Score unavailable lnformation on file nol proven to predicl financial slability risk lntelliscore Ptus Score unavailable Informalion on flle not proven to predicl serious future rlsk DBT unavailable Years on File: State of lncorporation Date of lncorporationi Business Type: ContacG: 0 (FrLE ESTABLTSHED 07 t2018) FL ot/30t2012 Profit OCLEANO Iu ROSA . MANAGER SANTOS ROSA FERNANDA . MANAGER Verification Triggers The primary Busrness Name, Address. and Phone Number on Experian File were reviewed lor High Risk indicators, no High Risk indicators were found Experian shows lhrs business as active{ Possible OFAC lvlatch:No OFAC match found Business Victim Statement:No vrctim stalement on file Business Alerts Active Business lndicator: Prernrer Proile - OCLEANO SERV CES LLC Business ldentillcation Number 445621499 I I I I 8.B.1 Packet Pg. 56 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND Credit Risk Scorer Financial Stability Rlsk Current Financial Stability Risk Score: Score and Risk Class Unavailable (999) H,th R sL Lor,r R is l-: -l L-l i5 1l This score predicls the likelihood of financial siabilily risk wilhin lhe next 12 months. lnforma|on on file rs nol proven lo predict financial slability flsk. Therefore a Financial Stability Risk score cannot be crealed Credit Limit Recommendation Nol available - This repod does nol include the data elements needed to create the credil limrt recommendation Credit Limit Recommendation This recommendation compares this busrness against similar businesses in lhe Experian busrness credit database. ll is based on trade information. industry, a9e of business and the lntellscore Plus The recommendalion is a guide The fina decisron musl be made based on your company s business policies loP € roF o Experian prides ilself on the depth and accuracy of the data matntained on our dalabases. Reporting your customer s payment behavio. to Experian wi// lurther slrengthen and enhance the pot4er of the inlormation available for making sound credit decisions. Give credil where credit is due. Cal 1-800-520.'122'1, option M for more information. End of report 1 of 1 repo.t The nfo/mat/oD herctn ts funtshed tn con dence lor your exc/usve use for /eglltmale bustness putposes and sha// nol be leproduced Nether Experan /nfonnalion Sa/ulions. /nc.. not lheisources ol dtstibulots h,ananl such infamalton nol shal/ lhey be ,ab/e for yau/ use ot reltence upon tl Payment Pedormance Current DBT: Not Availabie Predicted DBT I N/A Monthly Average DBT: 0 Highest DBT Previous 6 Months: 0 Highest DBT Previous 5 Quarters: 0 Payment Trend lndication: Payment trend indrcalor not available Total trade and collection (0): All trades (0): All collections (0): Continuous trade (0): 6 month averagei Highest credit amount eitended: Most frequent industry purchasing terms lnd!stry pr.rchasLng lerms not ava able Trade and Collection Balance DBT Range SO 0 No L-t-5 6-15 1f, + No 0 0 SO SO SO SO N/A N/A Legal Filings Bankruptcy: Tax Lien tilings: Judgment filings: Sum of legal filings: UCC filings: Cautionary UCC filings DBT for this business: Not Available lndustry Comparison lndustry DBT Range Comparison The cufient DBT of this business is Nol Available Corporate Registration THE FOLLOW NG NFORIVIATION WAS PROVIDED BY TI']E STATE OF FLOR|.A THE DATA ]S CURRSNT AS OF ] 2, ] 1/2018 State of Origan: FL Date of lncorporation: 01 I 3U241 2 Current Status: Actrve Business Type: Profit CharterNumber: 1120000139 Agent: T AiIEL NE BUS NESS CENTER LLC Agent Address: 8381 DAN ELS CENTER DR FORT |!4YERS FL Premrer Profle - OCLEANO SERV CES LLC L] 5 IL'] r".. O 8.B.1 Packet Pg. 57 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND W Merit Credit MERIT CREDIT EAS RETRIE1ED TBE ASOVE BUSINESS R-EPORT FOR LICENSING PURPOSES AS REeuEsrED By rHE BUsrNEss owNER/pRopRrEToR. puB],rc REcoRDs EoR THrs REpoRT HAVE BEEN CTIECED AND VERI!'IED AT TEE COUNTY (INCIUDING PINEII.AS ) , STATE AND FEDERA', LEVELS. Fa!r. A((urare & Se(ure PUBLIC RECORDS LE-ARNED: 0 IF IOU HAVE ANY QI'ESTIONS REGARDING THIS REPORT, PLEASE CONTACT MERIT CREDIT AT 800-3?1-3348 0R 239-27't -3202 . COI\4PANY NAME: OCLEANO SERVICES LLC FED ERAL lD: 45-4407022 CURRENT sTATUs: ACTIVE PRINCIPAL(s): OCLEANO M ROSA FERNANDA E SANTOS ROSA DATE I NCORPORATED : 0l/30 / 20L2 1- TITLE: MGRM TITLE: MGRM SOURCES OF INFORMATION: AXPERIAN BUSINESS INFORIATION SERVICES IRS LIEN SECTION COUNTY COURTHOUSE RECORDS 8.B.1 Packet Pg. 58 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND Detail by Entity Name F ondu Deoarlmenr ci Srale Name & Address Title MGR Page 1 of 2 O vrsroN oF CoRPoRAroNs .'L.a -rufit'"'g ' "i-':;fi':"'' ''1':'-'" - Deoartment ol Stale / Division olcomorailons / Search Records / p4!!IgLQ!!!-@!9! / Detail by Entity Name Florida Limited Liability Company ROCA GRANITE & CABINETS LLC Filino lnformation Document Number Ll7000161580 FEUEIN Number A2-2337321 Date Filed O7DA|2O17 State FL Status ACTIVE Principal Address 1245,1 METRO PKWi 108 FORT MYERS, FL 33966 Mailinq Address 1245,1 METRO PKWY 108 FORT IVIYERS, FL 33966 Reoiste.ed Aqent Namo & Address TIMELINE BUSINESS CENTER LLC 8981 DANIELS CENTER DR 208 FORT MYERS, FL 33912 Authorizod Person(s) Oetail CASTRO-ALVAREZ, ALDEMAR 12451 METRO PKWY 108 FORT MYERS, FL 33966 Title MGR ROSA, OCLEANO IVI 12451 METRO PKWY 108 FORT MYERS, FL 33966 Tiue MGR http://search.sunbiz.org,{lnquiry/CorporationSearch,/SearchResultDetail?inquiry.type:Entit... 1211712018 8.B.1 Packet Pg. 59 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND Detail b"v Entity Name Page 2 of 2 ROSA, FERNANDA 1245,1 METRO PKWY 108 FORT IVIYERS FL 33966 Annual Reports Report Year 2018 Filed Date 04118t2018 Document lmaoes O4/18/2018 - ANNUAL REPORT View image in PDF format Mew image in POF tornrat http://search.sunbiz.org,{lnquiry/CorporationSearch,/SearchResultDetail?inquirytype=Er]Lir...72l17l2018 8.B.1 Packet Pg. 60 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND Electronic Articles of OreanizationFor Florida Limited Liability Company Article I The name of the Limited Liability Company is: ROCA GRANITE & CABINETS LLC Article II The street address of the priacipal offrce of the Limited Liabitty Company is: 12451 METRO PKWY 108 FORT MYERS, FL. 33966 The mailing address of the Limited Liability Company is: 12451 METRO PKWY 108 FORT MYERS, FL. 33966 Article III The name and Florida street address of the registered agent is: TIMELINE BUSINESS CENTER LLC 8981 DANIELS CENTER DR 208 FORT MYERS, FL. 33912 L17000161580 FILED 8:OO AM Julv 28.2O17Sei. Of State nccooper Having been named as registered agent and to accept service ofprocess for the above stated limiled liability company at the place designated in this certificate. I hereby accepl the appohtnent as registered agent and agree to act in this capacity. I fur*ler asree to comply with the provisions of all statutes rJlatng to the proper and complete ierformance oTmy duties, dnd I am fainiliar wift and accept the obligations of my position as registered agent. Registered Agent Signature: ISMALL CARDOSO 8.B.1 Packet Pg. 61 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND Article IV The name and address of person(s) authorized to manage LLC: Title: MGR ALDEMAR CASTRO-ALVAREZ 12451 METRO PKWY 108 FORT MYERS, FL. 33966 Title: MGR OCLEANO M ROSA 12451 METRO PKWY 108 FORT MYERS, FL. 33966 Title: MGR FERNANDA ROSA 12451 METRO PKWY 108 FORT MYERS, FL. 33966 Signature of member or an authorized representative Electonic Signature: AIDEMAR CASTRO-ALVAREZ L17000161580 FILED 8:00 AMJulv 28.2017Sei. Of State nccooper I am the member or authorized reoresentative submittins these Articles of Orsanization and affrm that tre facts stated berein are tue. I am aware that false infoniation submitted in a document to the Departnent of State constitutes a third deqree felony as provided for ir s.817.155. F.S. I understand the requirement to file an annual reporl between"January lit anh May I st ir the calendar year following formatiod of fte LLC and every year thereafter to maintain "active" status. 8.B.1 Packet Pg. 62 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND 2018 FLORIDA LIMITED LIABILITY COMPANY ANNUAL REPORT DOCUMENT# L1 70001 61 580 Entity Name: ROCA GRANITE & CABINETS LLC Current Principal Place of Business: ,12451 I\4ETRO PKW\' 108 FORT MYERS. FL 33966 Current Mailing Address: 12451 METRO PKWY '108 FORT MYERS, FL 33966 FEI Number: 82-2337321 Name and Address of Current Registered Agent: Certificate of Status Desired: No FILED Apr 18, 2018 Secretary of State cc5116584443 TII\4ELINE BUSINESS CENTER LLC 8981 DANIELS CENTER DR 208 FORT I\4YERS, FL 33912 US The above named enw submits this statement for the pueose ol changing its registercd ofrice or rcgisteted agent, ot both, in the Slate of Floricla. SIGNATURE: Electronic Signature of Registered Agent Authorized Person(s) Detail : Title [rGR Name CASTRO-ALVAREZ, ALDEMAR Address 12451 |\,1ETRO PKWY 108 City-State-Zipr FORT MYERS FL 33966 Date 1l{e Name Address City-State-Zip MGR ROSA, OCLEANO I\,4 1245,1 METRO PKWY ,108 FORT MYERS FL 33966 Title Name Address City-State-Zip MGR ROSA. FERNANDA 12451 |\,1ETRO PKW/ 108 FORT MYERS FL 33966 he6by cedify thal lhe kfonalioh kdicatad on l/l,is Epod ot supplenent l rcpotl is tue d acdate d th.t ny el.ctlonic sigoatue shat hew the sane tegal efrect as n mada lndat oak; that I aa a mnaging nadbet or nanaga ol the hled liabiity.ndpady q lhe receivet or buslee eapMd n erecub Alis rcpon as tqui@d by Cha$et 605, Ftotida St,tutes; and th.t hy hame aryears abo@, ot on an anachadt w h all othe.lke edpoqded. SIGNATURE: FERNANDAS. ROSA MANAGER 04/1A12018 Electronic Signature of Signing Authorized PeEon(s) Detail Date 8.B.1 Packet Pg. 63 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND CoRD-CERTIFICATE OF LIABILITY INSURANCE COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: oat29t2a18 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 COVER.AGE AFFORDED BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTTTUTE A CONTRACT BETWEEN THE |SSU|NG TNSURER(S), AUTHORTZED REPRESENTA,TIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: lf the certificate holder is an ADDITIO NAL INSURED, the policy(ies) must be endorsed. lf SUBROGATTON tS WAMD, subject to the terms and condilions of the policy, certain policies may require an endorsement. A statement on this certiticate does not confer rights to the certificate holder in lieu of such endorsem ent(s) [4etro lnsurance Agenry '1527'l S Mccregor Blvd Ste 3 Ft. lvlyers FL 33908 Paula Soler PHONE 239-466-8600 agents@metroinsurancefl .com tNsuRER(S) AFFORDTNG COVERAGE tNsuRER A . Frank Winston Crum lnsurance Co 11600 INSUREO Roca Granite & Cabinets LLC 1245'1 l\4etro Parkway Ste 108 & 107 Fort l\4yers FL 33966 tNsuRER B. I\,4arkel lnsurance Company INSURER D INSURER E INSURER F THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW LNDICATED, NOTWITHSTANDING ANY REOUIREI\,IENT, TERM OR CONDIT HAVE BEEN ISSUED TO THE INSURED NA]VED AAOVE FOR THE POL]CY PERIOD ION OF ANY CONTRACT OR OTHER DOCUMENT W]TH RESPECT TO WHICH THIS CERTIFICATE I\,,IAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERIVS,EXCLUSIONS AND CONDITIONS OF SUCH POL|CIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, TYPE OF INSURANCE E]ACH OCCURRENCE 51,000,000 5 100,000 MED EXP $ 5,000 PERSONAI & ADV NJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 PRODUCTS. COIMP/OP AGG $ 2,000,000 COMMERCIAL GENERAL UABILITY cLArMs-MAoE ffi o""r* GEN'L AGGREGATE LIMITAPPLIES PER:f l PRo- --lL ] JECT L I LOCPOL CY OTI-]ER: GtF Ll02421 02 1111712018 11t1712019 5 LE L]MIT 5 BODILY INJURY (PerpeBon)$ BoD LY INiURY (Per accidenl)$ $ SCHEDULED AUTOS NON.OWNED AUTOS AUTOIMOBILE LIABILITY HIREO AUTOS ALL OWNED AUTOS $ EACI] OCCURRENCE $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS-MADE AGGREGATE $ DED RETENT ON $ E,L, EACH ACCIDENT $ 500,000 E,L DISEASE EA EMPLOYE s 500,000 B WORKERS COMPENSATION AND EM PLOYERS' LIABIUTY ANY PROPRIETOR/PARTNER/EXECUT]VE OFFICEFTMEITTBER EXCLUOED? N MWC0073715-03 01113t2A18 01113t2019 E.L. DISEASE - PoLlcY I lrLlrT s 500,000 OESCRIPTTON OF OPERAIIONS / LOCATIONS /VEHICLES (ACORD 1Ol, Additional Remarks Schedute, may b. atr.ched if moe space is requircd) Tile, Stone, Marble Work - lnterior Femanda Santos-Rosa and Ocleano M Rosa are exempt from WC coverage_ CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION DATE THEREOF, NOTTCE WLL BE DELIVERED INACCORDANCE wlTH THE POLICY PROVISIONS.Collier County Contractors Licensing Board E-mail: contractorslicensing@colliergov.net 2800 N Horseshoe Dr. Naples FL 34104 AL'-IHORIZED REPRESENTATIVE L-tt/ o 1988-20'14 ACORD CORPORATTON. A rights reserved ACORD 25 (2014l01)The ACORD name and logo are registered marks of ACORD LIIVITS I Y 8.B.1 Packet Pg. 64 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND JII,4MY PATRONIS CHIEF FINANICAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION - " CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW - - CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law EFFECTIVE DATE: 1011812017 EXPIRATION DATE: 10/18/2019 PERSON: SANTOS-ROSA FERNANDA FE1N: 822337321 BUSINESS NAME AND ADDRESS: ROCA GRANITE & CABINETS LLC 12451 METRO PKWY# 1 08 FORT MYERS FL Ceramic Tile, lndoor Stone, Marble. or l\,losaic Work IMPORTANT: Pursuant lo Chapler 440.05(14), F.S., an of{icer of a coporation who elects exemption from this chapter by filing a certificate of etection under this section may not recover benefils or compensation under this chapter. Pursuant to Chapler 440.05('12), F-S., Certificaies oa election to be exempt._. appty only within the scope of the business or trade listed on the notice of election to be exempt- Pursuanl to Chapter 440.05(13), F.S., Notices of eteclion lo be - exemptand certific€tes of eleclion to be exempt shall be subject lo revocation if, al any time afterthe filing ofthe notice orihe issuance ofthe certificate, theperson named on the notice or certificate no longer meets the requirements of this section tor issuance of a certificate. The departmefll shall revoke a certifc€le al any time for failure of the person named on the certificate to meet the requirements of this section. ouEST|oNS? (8s0)41 3-1609 33966 SCOPE OF BUSINESS OR TRADE: DFS-F2.DWC.252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08.13 8.B.1 Packet Pg. 65 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND JII\4MY PATRONIS CHIEF FINANICAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION . - CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW - - CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempl irom Florida Workers' Compensation law. EFFECTIVE DATE: 1011812017 EXPIRATTON DATE: 10/18/20.t9 PERSON: ROSA OCLEANO FE;N: 822337321 BUSINESS NAME AND ADDRESS: ROCA GRANITE & CABINETS LLC 12451 METRO PKWY 108 FORT IVYERS FL 33966 SCOPE OF BUSINESS OR TRADE: Ceramic Tile, lndoor Stone, [,4arble, or Mosaic Work DFS.F2.DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTTONS? (850)413-1 609 IMPORTANT: Pursuant io Chapter 440.05('14), F.S., an officer of a corporation who elects exemption from this chapter by fiting a certiflcate of etection under this section may not recover beneflts or cornpensation under this chapter. Pursuant to Chapter rt4O.O5(12), F.S., Cerlificaies oietectjon to be exempt... applyoniy within the scope of the business or kade lisled on the notice of eleclion to be exempt. Pursuant to Chapter 440.05{13), F.S., Notices of election to be exempt and certificaies of election to be exempt shallbe subjecl to revocation if, al any time after the llling ofihe notice o;the issuance ofthe certificate, theperson named on the notice or certificate no longer meets the requiremenls oflhis seclion for issuance of a certificate. The department shall revoke acertiflcale at any time for failure of the person named on the 6ertific€te lo meet the requirements of this section. 8.B.1 Packet Pg. 66 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND JIMMY PATRONIS CHIEF FlNANICAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION T - CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW - - CONSTRUCTION INDUSTRY EXEMPTION 12451 METRO PKWY 108 FORT MYERS FL SCOPE OF BUSINESS OR TRADE: Ceramic Tile, lndoor Stone, Marble, or Mosaic Work EXPIRATION DATE: 10/19/20.19 ALDEMAR 33966 |MPORTANT]PJrsuant lo Chapter 440 05(14). F.S., an otficer ot a corporationmls secton may not recover benefits or compensation under this chapier purs only within the scope ofthe business or trade listea on te notice ofiieitionlJexempt and certificales of election to be exempt stratt Oe suUlea to revoiationperson named on the notice or certificaie no longer meets thd requiremenii oi,certificate at any time for failure of the person nameA on tne certiiicate to meei who ele^cts eremption f.om thls chapter by fiting a certificate ol eleclion .rnderJanr to Chapter 2t40.05(12), F.S.. Certificales of eieciion to be eremot. aooiv o-e exempt pursuant lo Chapter 440.05(13), F.S., Notrces of etechon roOi',n,_al any time after the fiiing of the notice or the issuance of me cenincife, themls seclton tor issuance of a certificate The department shall revoke athe requjrements ofthis section. DFS-F2-DWC-252 CERTIFICAIE OF ELECTION IO BE EXEMPT REVISED 08-13 oUESTtONS? (850)413_1 609 This certifies that the individual listed below has elected to be exempt from Florida workers, compensation law. EFFECTIVE OArE 10ti9t2Ti7 PERSON: CASTRO-ALVAREZ FE|N: 822337321 BUSINESS NAME AND ADDRESS: ROCA GRANITE & CABINETS LLC 8.B.1 Packet Pg. 67 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND ll,i.rl-ltffi Page 1 of 4 FL 08/31n8 883-01-01-00 50469 23 C 001 30 S 66 002 ROCA GRANITE & CABINETS LLC 12451 METRO PKWY STE 108 FORT MYERS FL 33966-8317 Contact us For 0B/31 /201 B BBT.com New BB&T Credit Cards Now Available Whether you want to go low interest, earn cash back or make travel more rewarding, we have a credit card to fit your lifestyle. Our new BB&T Spectrum Cash Rewards and BB&T Spectrum Travel Rewards credit cards eam rewards on the things that matter to you such as everyday purchases, travel expenses and more. Or, if a low interest card is what you need, the BB&T Bright credit card is always a bright idea. Apply online at BBT.com or visit your local BB&T financial center. BB&TMember FDIC. Credit cards are sLrbjecl to creditapproval 61 1333i:l|.:,"'.'"' BBET r BUSINESS VALUE 5OO CHECKING Account summary Your previous balance as o|.0713112018 4500 $5,350.60 Checks - 28.830.40 Deposits, credits and intercst + 44,900.53 Your new balance as of 08/31/2018 Checks DATE CHECK # AMOUNT{$) = $14,817 .20 CHECK #AMOUNT($ )DATE CHECK #AMOUNT($)08/01 1136 350.00 08/13 1144 1,000.00 a8t22 1152 850.0008t02 1137 840.00 08/15 1145 'l,400.00 08/03 1138 2,962.40 08/13 1',t46 248.0008/03 1139 1,500.00 0at17 1147 420.00 08128 '1'155 240.0008/08 114A 1.050.00 08t14 1148 5,000.00 08t28 1156 1,683.0008i09 1141 280.00 08/13 1'149 3,280.00 08t28 1157 800.0008/09 1142 1.000.00 08/'15 11s0 1,500.00 08t28 1158 373.1408/'t0 1143 560.00 08t20 1151 2,103.86 Total checks = $28,830.40 Other withdrawals, debits and service charges DATE DESCRIPTION An ouNT($) 08/01 DEBIT CARD PURCHASE SHELL OIL 57542488 07-30 FORT MYERS FL 8343 40.2708/01 DE BIT CARD PURCHASE DOLLAR GENERAL #17 07.30 FORT MYERS FL 8350 17.3108/01 DEB IT CARD PURCHASE THE HOME DEPOT #02 07.30 CAPE CORAL FL 8350 44.97O8IO1 DEBIT CARD PURCHASE THE HOME DEPOT #02 07.30 CAPE CORAL FL 8343 77.0808/01 DEBIT CARD PURCHASE GEICO -COI\4MERCIAL 07-31 MACON DC 8368 300.6008/01 DEBIT CARD PURCHASE LOWES #00592- 07.31 CAPE CORAL FL 8343 42.3808/01 INTERNET PAYMENT ELEC PYMT FPL DIRECT DEBIT 8065438460 WEBI 16.7208/01 INTERNET PAYMENT ELEC PYMT FPL DIRECT DEBIT 5601862161 WEBI 67 .94 0032650 continued IPACElOF4 Your account statement Other withdrawals, debits and service charges - 6,603.53 720 .00 08t23 1 1 s3 670.00 08t27 1154 8.B.1 Packet Pg. 68 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND r BUSINESS VALUE 5OO CHECKING ^ DATE DESCRIPTION 4500 (continued ) AMOU NT(S) 08/01 INTERNET PAYMENT ELEC PYMT FPL DIRECT DEBIT 5337392285 WEBI 164.17 OAIO2 DEBIT CARD PURCHASE SHELL OIL 57542446 O7-3'I FORT MYERS FL 8350 54.98 08/02 DEBIT CARD PURCHASE THE HOME DEPOT #02 07-31 CAPE CORAL FL 8343 33.26 O8IO2 DEBIT CARD PURCHASE CHEVRON 0051657 08-01 DEERFIELD BEA FL 8350 41.38 08/03 DEBIT CARD PURCHASE THE HOME DEPOT #02 08.01 CAPE CORAL FL 8343 47.51 08/03 DEBIT CARD PURCHASETHE HOME DEPOT#69 08-01 CAPE CORAL FL 8343 74.24 08/03 DEBIT CARD RECURRING PYMT INTUIT -QB ONLINE 08-02 800.286-6800 CA 8368 26.95 08/06 DEBTT CARD PURCHASE HOMEADVTSOR,TNC 08-03 877-947-3639 CO 8350 343.17 08/06 ACH CORP DEBIT ONLINE PMT BANK OF AI/ERICA OCLEANO SERVICES LLC CUSTOMER ID cKF585212824POS 300.00 08/07 DEBIT CARD PURCHASE MARATHON PETRO1496 08-06 LAKE ALFRED FL 8350 38.40 08/07 ACH CORP DEBIT Property lAscentiumoapitalALDO SERVICES, CORP CUSTOMER lD 01000000'1018121 78.12 08/07 ACH CORP DEBIT LEASE RENT Ascentiumcapital ALDO SERVICES, CORP CUSTOMER lD 010000001018120 628.75 08/08 DEBIT CARD PURCHASE LOWES #00592- 08-07 CAPE CORAL FL 8343 148.32 08/08 DEBIT CARD PURCHASE LOWES #00592- 08-07 CAPE CORAL FL 8343 31.04 O8iO8 DEBIT CARD PURCHASE LOWES #00592- 08-07 CAPE CORAL FL 8343 42.38 08/08 DEBIT CARD PURCHASE LOWES #00592- 08-07 CAPE CORAL FL 8343 34.90 08/08 DEBIT CARD PURCHASE WAWA GAS STOREOOOs 08-07 CAPE CORAL FL 8343 91 .64 08/09 DEBIT CARD PURCHASE Omicron Supphes F 08-07 Fort Myers FL 8350 rrJ.OU 08/09 DEBIT CARD PURCHASE THE HOME DEPOT 268 08-07 CAPE CORAL FL 8343 97.43 08/09 DEBIT CARD PURCHASE LOWES #00592- 08-08 CAPE CORAL FL 8343 71.57 08/09 DEBIT CARD PURCHASE LOWES #00592- 08-08 CAPE CORAL FL 8343 9.97 08/09 DEBIT CARD PURCHASE LOWES #00592- 08-08 CAPE CORAL FL 8343 20.40 O8/1O DEBIT CARD PURCHASE SHELL OIL 57542488 08-08 FORT MYERS FL 8350 54.98 O8/10 DEBIT CARD PURCHASE FUZZY'S TACO SHOP 08-09 FORT IVYERS AL 8350 16.94 08/10 ACH CORP DEBIT INVOICE GROUP MANAGEMENT ROCA GRANITE & CABINET CUSTOMER ID H372211 519.38 O8/13 DEBIT CARD PURCHASE HOMEADVISOR,INC 08.10 877-947-3639 CO 8350 213.21 08/13 DEBIT CARD PURCHASE 7-ELEVEN 37088 08-'10 FORT lr.,lYERS FL 8350 52.12 08/13 DEBIT CARD PURCHASE THE HOME DEPOT 268 08.11 CAPE CORAL FL 8343 240.69 08114 DEBIT CARD PURCHASE LOWES #00592- O8-13 CAPE CORAL Ft 8343 20.61 O8114 DEBIT CARD PURCHASE-PIN 08.,I4.18 FT MYERS FL 8343 UNITY GENERAL DISTRIBU 75.27 O8/15 DEBIT CARD PURCHASE THE HOME DEPOT #02 O8-13 CAPE CORAL FL 8343 9.10 O8/15 MERCH FEE BB&T MERCH SVCS ROCA GRANITE & 2001157130 39.90 O8/16 DEBIT CARD PURCHASE EXXONI\,4OBIL 9756 08.14 CAPE CORAL FL 8343 49.11 OAI17 DEBIT CARD PURCHASE-PIN O8-16-18 FT I\,4YERS FL 8343 UNITY GENERAL DISTRIBU 8.75 08117 DEBIT CARD PURCHASE GRAINGER 08-16 877-2022594 IL 8343 57.61 O8I2O DEBIT CARD PURCHASE SHELL OIL 57542488 O8-16 FORT I\,,IYERS FL 8343 38.00 O8I2O DEBIT CARD PURCHASE MARATHON PETRO1O47 O8-18 CAPE CORAL FL 8343 6.00 O8I2O DEBIT CARD PURCHASE UBER TRIP 5V2UU 08-18 HELP,UBER.COM CA 8368 5.77 OAI2O DEBIT CARD PURCHASE UBER TRIP HFMsH 08-18 HELP,UBER.COM CA 8368 6.49 OBl20 INTERNET PAYI,IENT ONLINE PMT HOME DEPOT 112727366490929 420.O0 OAI22 DEBIT CARD PURCHASE SHELL OIL 57542488 08-20 FORI MYERS FL 8343 80.00 1,076.99 08i23 DEBIT CARD PURCHASE THE HOME DEPOT #02 08-21FORT MYERS FL 8343 40.20 08123 DEBIT CARD PURCHASE SHELL OIL 57542488 08-21 FORT I\.,IYERS FL 8343 50.78 08124 DEBIT CARD PURCHASE SHELL OIL 57542488 08-22 FORT MYERS FL 8343 08128 DEBIT CARD PURCHASE VISION ACE HDWE 08-27 FORT MYERS FL 5220 4.87 08128 DEBIT CARD PURCHASE UNIry GENERAL DIST 08.27 239-288.5210 FL 8343 97.87 OAI29 DEBIT CARD PURCHASE SHELL OIL 57542488 08-27 FORT MYERS FL 5220 50.78 OAI29 DEBIT CARD PURCHASE SHELL OIL 57542488 08-27 FORT MYERS FL 5220 14.03 OAI29 DEBIT CARD PURCHASE SHELL OIL 57542488 08-27 FORT I\,4YERS FL 5220 50.78 08129 DEBIT CARD PURCHASE WAWA STORE 5160005 08.28 FORT IUYERS FL 8343 51.04 O8i3O DEBIT CARD PURCHASE VISION ACE HDWE 08-29 LEHIGH ACRES FL 5220 29.4208/31 DEBIT CARD PURCHASE SHORE-LINE FLOORIN 08.30 FORT MYERS FL 5220 35.9808/31 DEBIT CARD PURCHASE LEE CO PERMIT PAYM 08.30 239479.8512 FL 5617 90.00 = $6,603.53Total other withdrawals, debits and service charges IPACE2OF4 08122 ACH CORP DEBIT INVOICE GROUP MANAGEMENT ROCA GRANITE & CABINET CUSTOMER ID H373s00 8.B.1 Packet Pg. 69 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND tj ,i: i-j_tttffi Page 3 of4 FL 08/31/18 . BUSINESS VALUE 5OO CHECKING Deposits, credits and interest DATE DESCRIPTION ;00 (continued) AMOUNTlS) 08/01 BB&T 24 CHECK DEPOSIT 08-01-18 17:45 AK42 PAGE FIELD COMMONS FT MYERS FL 2 840.00 08/07 BB&T 24 CHECK DEPOSIT 08-07-18 09:33 AK43 LEE CO-VERANDAH FT MYERS FL 2,000.00 08/08 DEPOSTT BB&T MERCH SVCS ROCA GRANTTE & CUSTOT\,4ER tD 461682001157130 2001'157130 20.00 08/08 BB&T 24 CHECK DEPOSIT 08-07-'18 20:36 AK10 LEE COUNTY-DEL PRADO CAPE CORA 6,246.00 08/09 DEPOSIT BB&T MERCH SVCS ROCA GRANITE & CUSTOMER ID 461682001,]57,130 200,1157130 1,925.00 08i09 BB&T 24 CHECK DEPOSIT 08-09-18 '14:55 AK44 LEE CO-COLONIAL BLVD FI MYERS 4.572.50 08/10 LRt\4 CLATMS ADJ CR SrG-201808083765 u3.17 O8/10 DEPOSIT BB&T MERCH SVCS ROCA GRANITE & CUSIOMER ID 46168200,1157130 2001157130 403.75 O8/13 MOBILE DEPOSIT 1,500.00 O8/13 MOBILE DEPOSIT 6,600.00 08114 DEPOSIT BB&TMERCH SVCS ROCA GRANITE & CUSTOMER ID 461682001157130 2001157130 403.75 08114 BB&T 24 CHECK DEPOSIT 08-14-18 11:26 AK42 PAGE FIELD COMMONS FI MYERS FL 7,594.60 08/16 LRt\,4 CLAI\IS ADJ CR StG-201808142907 213.21 OBl21 |\iIOBILEDEPOSIT 2,680.00 08121 MOBILE DEPOSIT 5,236.00 oal23 LRN4 CLATMS ADJ CR StG-20180821'1075 5.77 Ogl23 LRI\il CLAIMS ADJ CR SIG-201808211074 6.49 08123 LRM CLAIMS ADJ CR SIG.2O180821 1076 10.29 OAI27 I\,4OBILEDEPOSIT 2,300.00 Total deposits, credits and interest = $44,900.53 .PACE3OF4 8.B.1 Packet Pg. 70 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND Questions, comments or errors? For general questions/comments or to report errors aboutyour statement ot account, please call gB&T Phone24 at 1-800-BANK BBT (t-800-226-5228)24 hours a day,7 days a weelc BB&TPhone24 Client Service Associates are availabte to assistyou from 6 a.m. until midnitht ET. You may aho contact your local BB&T financiaL center. To locnte a BB&T financlal cenrer in your a.ea, please visit BBl.com. Electronic fund transfers In case of errors or quealions about your electronia fund transfers, if you think your statement or re(eipt is wrong or ifyou need more information about atransfer on the statement or receipt, contact us as soon as possible. you may write to us at the following address: BB&T Liabiliry Risk Management P.O. Box 996 Witson, NC 27894-0995 You may afso cat{ BB&T Phone24 at 1-800-BANK BBT or visit your Local BB&T financial center. We must hear from you no tater than sixty (60) days after we sent you the FIRST statement on which the error or probtem appeared. please provide the fotlowing information:a Your name and account numberr Describe the e(or or transfer you are unsure abolt, and explain in detail why you believe this ts an error or whyyou need more informationr The dollar amount of the suspected error We wilt rnvestigate your compiainvconcern and promptiytake corrective action. tf we take more than ten (10) business days to complete our jnvestigation, your accountwilL be credited for the amountyou think is in error, minus a maximum of S5O if we have a reasonable basi5 to believethatan unauthorized eiectronic funduansfer has occurred. This witL provideyou with accesr toyour funds during the time it takes u5 to complete our investitation. You may have no lEbility for unauthorized Check Card purchases, subject to the terms and conditions in the curr€nt BB&T Electronic Fund Transler Agreemenl and Disclosures. lf you have arranged for direct deposit(s) to your account, please call BB&T Phone24 at 1-800-BANK BgT to verjfy that a deposit has been made, wilt automaticalty be imposed on the account's outstanding "Average daily balance_,, The INTEREST CHARGE is calcular€d by applying the "Daily periodK rjre,,to the "Average daily balance" of your account (including current lransactions) and muttiplying rhis Ii8ure bythe number of days in the bi ing cycle. To gerthe,,Average daily baiance," we take the beginnint account balance each day, add any new advances or debits, and subtract any p4ments or oedits and the last unpaid IiIIEREST CHARGE. This gives us the daity batance. Then we add a[ of the daily balances for the bilting cycleand divide the total by the number of days in the biltina (ycle. This gives us the "Average daity batance_" Billing rights summary ln caae of erroas or questions about youa ConstantCredlt st6t6m€nt lf you think your statement is incorrect, or if you need more information about a Constant Credit transaction on your statement, ptease call 1,800-BANK BBT or visit your local BB&T financial center. To dispute a payment, please write to us on a separatesheetof paperatthefotlowing addressi BankCard Services Division P.O. Box200 Wilson, NC 27894-0200 We must hear from you no later than sixty (60) days after we sent you the FTRST statement on whichthe error or problem appeared. you maytetephoneus, but doing so witt not preserye your rights. ln your letter, please provide the foltowing information:r Yout name and accountnumber. Describe the error or t ansfer you are unsure about, and erptain in detail why you believe this is an error or why you need more informationr The doltar amount ofthesuspected error Durint our investigation process, you are not responsible for paying any amount an questioniyou are, however, obugated topaythe items on your statemeni that are not in question. While we investigate your question, we cannot report you as detinquent or tate anyaction to cotlectthe amount in qLtestion. lvlember FDIC Mail-in deposits lf you whh to maiLa deposrt, pleasesend a deposit ticket and check toyour local BB&I frnancial center li your periodic statement shows transfers that you did not make, teil us at once_ lf you do not inform us widtn sixty (60) days after the statement was mailed to you, you may not get back any moneyyou lost after sixty (60)days. Thiswittoccurif we can prove that we could have stopped someone from taking the money if you had informed us in time. lf a good reason kept you from lnforming us, we wiit extend the trme periods. lmportant information about your Constant CreditAccount Onceadvances are madefrorn your Constant CreditAccount, an INTEREST CHARGE Visit BBT.corn to locate the BB&T financial center closest to you d cash.Please do n Change of address lfyou need to change youraddress, please visityour tocalBB&Tfinanc alcenter or caLl BB&T Phone24 at 1-800-BANK BBT (1-Boo-226-SZz8). How to Reconcile Your Account and Other Debits (Section AOutstandinChecks Date/Check #Dat€/Check # 1. Lin the new balanc€ ofyour account f.om your latest statement he.e 2 Record any outstandrng deDits (checks. check card ourciaser. ATM wrthdrawals. e{ertronic ransactio.s, etc ) in se.iion n. necoiO the transadion date. the che(k nunber or type of debrt and the debit amount. Add up atlof the debits, and;nterthe sum here: 3. Subtract the amount in ttne 2 above fromthe amount in [ine.l above and enter the total herei 4. Record any outstanding credits jn section B. Record the tranSaction date, credit type and the credit amount. Add up at ofthe credits and enter the sum her€:Outstandin and Other Credits (Section B) Da DatAdd the amolnt in line 4 to the amount in Une 3 to find your balance. Enterthe sum here. This amount should matchthe bulance in your register. For more information, please contact your local BB&T BBT.com, or contact BB&T Phone24 at 1-8OO-BANK B relationship manager, visit 8r (1-8o0-226-s228). .pAcE40F4 8.B.1 Packet Pg. 71 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND Page 1 of4 FL 09/2811A 883-01-01-00 50469 14 C 001 30 S 66 002 ROCA GRANITE & CABINETS LLC 12451 METRO PKWY STE 108 FORT MYERS FL 33966-8317 Your account statement Contact us For 0912812018 BBT.com Three Great Business Credit Cards The Choice is Yours No matter your preference, there's a BB&T business credit card to meet your needs! Save on interest with the low annual percentage rate BB&T Bright@ for Business credit card; eam cash back on the things you buy for your business every day with the BB&T Spectrum Cash Rewards for Business credit card; or make travel purchases more rewarding with the BB&T Spectrum Travel Rewards for Business credit card. Visit BBT.com/SmallBusinesscards or your local BB&T financial center to learn more. BB&T, Member FDIC. Credit cards are issued by Branch Banking and Trust and are subject to credit approval F (8oo) BANK-BBT orEl ieooi zzs-szze BB{IT r BUSINESS VALUE 50O CHECKING 4500 Account summary Your s balance as of 08/31/2018 14,817.20 Checks 899.00 Other withdrawals, debits and service charges - 22,244.70 Deposits, credils and interest + 41,828.32 Your new balance as ot o912812018 = $10,501.82 Checks DATE CHECK #Ar\ro u NT (s )DATE CHECK #AMOUNT($ )DATE CHECK #AMOU NT($ )09/10 1159 5,000.00 09/07 1164 600.00 09121 1'169 4,452.00 09/04 '1160 2,962.40 09/10 1165 1,200.00 09t17 1170 800.00 09/04 '1161 1,000.00 09/07 1166 700.00 09t17 1171 796.00 09/05 1162 290.00 09112 1167 2,115.10 09i28 * 1173 558.50 09112 1163 2,925.00 09/13 1168 500.00 " indicates a skip in sequential check numbers above this item Other withdrawals, debits and service charges DATE DESCRIPTION Total checks = $23,899.00 AI\rO U NT ($ ) 09/04 DEBIT CARD PURCHASE SHELL OIL 57542488 08-30 FORT MYERS FL 5220 54.98 09/04 DEBIT CARD PURCHASE MICCOSUKEE SERVICE 0941 FT LAUDERDALE FL 5220 40.00 09/04 DEBIT CARD PURCHASE SHELL OIL 57542488 09.01 FORT IVYERS FL 5220 14.64 09/05 DEBIT CARD PURCHASE SHELL OIL 57542488 09.03 FORI MYERS FL 5220 54.58 09/05 DEBIT CARO PURCHASE WAWA STORE 5160005 09.04 FORT I\,IYERS FL 8343 55.40 09/05 DEBII CARD PURCHASE VENEZIA KITCHEN CA 09-04 IVEDLEY FL 5220 724.66 09/06 DEEIT CARD PURCHASE SHELL OIL 57542488 09.04 FORI MYERS FL 5220 54.'18 09/06 DEBIT CARD RECURRING PYI\,4T INTUIT -QB ONLINE 09.05 800-286-6800 CA 56'17 26.95 09/06 DEBIT CARD PURCHASE UNITY GENERAL DIST 09.05 239-288-5210 FI 5220 30.97 continued TPACEIOF4 EITl+JTffi llr-l 8.B.1 Packet Pg. 72 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND i BUSINESS VALUE 5OO CHECKING DATE OESCRIPTION 4500 (continued ) AI\,{OUNT{$) 09/06 ACH CORP DEBIT Property lAscentiumcapitalALDO SERVICES, CORP CUSTOMER lD 010000001068813 78.12 628.7 5 09/06 ACH CORP DEBIT ONLINE PMT BANK OF AMERICA OCLEANO SERVICES LLC CUSTOMER ID cKF5852'12824POS 3,000.00 O9IO7 DEBIT CARD PURCHASE CHIPOTLE #2285 09-06 FORT IUYERS FL 5220 27 .72 09/10 DEBIT CARD PURCHASE Omicron Supplies F 09-06 Fort Myers Fl 5220 Ogi 1O DEBI CARD PURCHASE SHERWIN WILLIAMS 7 09.07 FT MYERS FL 5220 O9/10 DEBIT CARD PURCHASE THE HOME DEPOT #69 09-07 CAPE CORAL FL 5220 O9/10 INTERNET PAYMENT ELEC PYMT FPL DIRECT DEBIT 8065438460 WEBI 17 .54 O9/10 INTERNET PAYMENT ELEC PYMT FPL DIRECT DEBIT 5601862161 WEBI 80.38 O9/10 INTERNET PAYMENT ELEC PYMT FPL DIRECT DEBIT 5337392285 WEBI 130.54 O9/,11 DEBIT CARD PURCHASE EMPIRE STONES GROU O9-10 FORT MYERS FL 5220 5,000.00 09112 DEBIT CARD PURCHASE SHELL OIL 57542488 O9-,IO FORT MYERS FL 5220 52.38 09112 DEBIT CARD PURCHASE THE HOME DEPOT 697 09.10 CAPE CORAL FL 8343 362.33 09112 DEBIT CARD PURCHASE 7-ELEVEN 34160 O9-10 CAPE CORAL FL 8343 55.38 09112 BB&T 24 CASH WITHDRAWAL 09.12-18 5617 CYPRESS LAKE FT, MYERS FL 100.00 O9/13 DEBIT CARD PURCHASE SHELL OIL 57542489 O9-1 '1 FORT I\4YERS FL 5220 52.18 O9/13 DEBIT CARD PURCHASE 7-ELEVEN 23962 09.11 MARCO ISLAND FL 5220 14.08 Ogi 13 DEBIT CARD PURCHASE THE HOME DEPOT#69 O9-11 CAPE CORAL Ft 8343 117.45 O9/13 DEBIT CARD PURCHASE SHELL OIL 57542488 09-11 FORT I\,IYERS Ft 5617 42.95 O9/13 ACH CORP DEBIT MERCH SVCS BBT MS EOUIP TPG ROCA GRANITE & CUSTOIVER ID 20648057 457.11 09114 DEBIT CARD PURCHASE THE HOME DEPOT#69 O9-12 CAPE CORAL FL 8343 43.70 09114 DEBIT CARD PURCHASE THE HOME DEPOT #84 09.12 FORT I\4YERS FL 5220 138.81 09114 PAYMENT HOME DEPOT 3779 ROCA GRANITE AND CABIN 614.05 09117 DEBIT CARD PURCHASE SHELL OIL 57542488 O9-13 FORT MYERS FL 5220 40.00 09117 DEBIT CARD PURCHASE SHELL OIL 57542488 O9-13 FORT MYERS FL 5220 50.34 09117 DEBIT CARD PURCHASE VENEZIA KITCHEN CA 09-14 N,4EDLEY FL 8343 1,628.01 09117 MERCH FEE BB&T I\4ERCH SVCS ROCAGRANITE& 2001157130 126.33 O9/18 DEBIT CARD PURCHASE TILE OUTLEIS OF AN4 OS17 FORT MYERS FL 5220 59.95 O9/18 DEBIT CARD PURCHASE CHEVRON 0304425 O9-17 CAPE CORAL FL 8343 49.78 09/18 DEBIT CARD PURCHASE LEEWAYSVCCTRVIOLAT 0$17 www.leewayvi FL 5617 5.00 09/18 ACH CORP DEBIT INVOICE GROUP MANAGEMENT ROCA GRANITE & CABINET CUSTOMER ID H377715 1,445.26 09/19 DEBIT CARD PURCHASE Omicron Supplies F 09-17 Fort Myers FL 5220 09i 19 DEBIT CARD PURCHASE Omicron Supplies F 0917 Fort Myers FL 5220 236.91 O9/19 DEBIT CARD PURCHASE SHELL OIL 57542488 O$17 FORT IUYERS FL 5220 51.98 O9/19 DEBIT CARD PURCHASE SHELL OIL 57542488 O+17 FORT IUYERS FL 5220 22.25 09/19 DEBIT CARD PURCHASE GEICO -COMMERCIAL O9-18 MACON DC 5617 239.92 O9/19 DEBIT CARD PURCHASE ADVANCE AUTO PARTS O9-18 FORT MYERS FL 5220 54.04 47.74 O9I2O DEBIT CARD PURCHASE WEB GRANITE SUPPLI 09.19 239-3620456 FL 5220 385.31 O9I2'I DEBIT CARD PURCHASE VISION ACE HDWE 09-20 FORT I\,,IYERS FL 8343 10.97 09121 DEBIT CARD PURCHASE UNITY GENERAL DIST 09-20 239-288-5210 FL 8343 09121 DEBIT CARD RECURRING PYMT SOS INVTY 888-545. 09-20 WWW.SADDLEOAK TX 5617 09124 DEBIT CARD PURCHASE SHELL OIL 57542488 09.22 FORT MYERS FL 5220 47 .82 09124 DEBIT CARD PURCHASE-PIN 09.22.18 MEDLEY FL 8343 VENEZIA KITCHEN CABINE 519.06 09125 DEBIT CARD PURCHASE LEE COUNTY CD-PW B 09-24 FORT I\,4YERS FL 5617 90.00 09/25 DEBIT CARD PURCHASE STITCHES BY WALTER 09-24 FORT I\,4YERS FL 8343 64.00 09126 DEBIT CARD PURCHASE SHELL OIL 57542488 09.24 FORT I\,4YERS FL 5220 51.78 09126 DEBIT CARD PURCHASE STAPLES OO1'1 09.24 FORT IVYERS FL 5220 09126 DEBIT CARD PURCHASE T.ELEVEN 32620 09.25 CAPE CORAL FL 8343 58.12 09127 DEBIT CARD PURCHASE PROCRAFT CABINETRY 09-25 615.5280399 TN 5617 4,198.24 09127 DEBIT CARD PURCHASE LOWES #0236'I - 09-26 CAPE CORAL FL 5220 44.14 O9I2A DEBIT CARD PURCHASE SHELL OIL 57542488 09-26 FORT [.4YERS FL 5220 54.98 09128 DEBIT CARD PURCHASE IHE HOI\iIE DEPOT #69 09.26 CAPE CORAL FL 5220 31.72 = $22,244.70Total other withdrawals, debits and service charges tPACEZaF4 09/06 ACH CORP DEBIT LEASE RENT AscentiumcapitalALDO SERVICES, CORP CUSTOMER lD 010000001068812 49.29 53.00 O9I2O DEBIT CARD PURCHASE SHELL OIL 57542488 09.18 FORT MYERS FL 5220 256.50 8.B.1 Packet Pg. 73 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND E:j.:+jj!t F*ffiLrlt!G Page 3 of 4 FL a9/2A118 r BUSINESS VALUE 5OO CHECKING Deposits, credits and interest DATE DESCRIPTION )4500 (continued) AM O U Nl($) 09I04 MOBILE DEPOSIT 1,100.00 O9/04 MOBILE DEPOSIT 6 100.00 09/05 DEPOSIT BB&T MERCH SVCS ROCA GRANIIE & CUSIOMER ID 461682001157130 2001157130 3,750.00 O9/06 COUNTER DEPOSIT 6,000.00 O9/10 COUNTER DEPOSIT 220.O0 09/11 BB&T 24 CHECK DEPOSIT 09-11-18 12:01 AK09 LEE CO-CAPE CORRAT PKY CAPE CO 12,550.00 09112 BB&T 24 CHECK DEPOSIT O}12-,18 12:29 AGsO CYPRESS LAKE FT. MYERS FL 750.00 09117 MOBILE DEPOSIT 000.00 09117 I4OBILE DEPOSIT 1,660.00 09/18 DEPOSIT BB&TMERCH SVCS ROCA GPANITE & CUSTOI\,IER lD 46'1682001157130 2001157130 3,545.00 09/19 SETILEMENT AMERICAN EXPRESS ROCA GRANITE6O93295525 CUSTOMER ID 6093295525 6093295525 2,630.00 09121 DEBIT CARD RETURN UNITY GENERAL DIST 09-20 239.288-5210 FL 8343 23.32 09128 DEPOSIT BB&TMERCH SVCS ROCA GRANITE & CUSTOMER ID 461682001157130 200,1157.130 1 500.00 Total deposits, credits and interest =s41,828.32 TPACE3OF4 8.B.1 Packet Pg. 74 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND Questions, comments or errors? For Seneral questions/comments orto report errors aboutyour statement or account, please catt BB&T Phone24 at 1-800-BANK BBT (1-800-226-5228)24 hours a day,7 days aweelc B8&T Phon e2 4 Client Service Arsociates are ava ilab(e to ass ist yoLr from 6 a.m. untit midnight ET. YoLr may also contact your local BB&T financiat center. To locatea B B &T finan cial center in your area, please visit BBT.com. Electronic fund transfers ln case of errors or questions about your electronic fund kansfers, if you think your statement or receipt is wrong or if you need more information about atransfer on the statement or receipt, contact us as soon as possible, You may write to us at the lolLowing address: BB&T Liability Risk Management P.O. Box 996 Wilson, NC 27894-0996 You may also catt BB&T Phone24 at 1-800-BANK BBT or visit your local BB&T financial center. We must hear from you no later than sirty (60) days after we sent you the FIRST statement on which the e(or or problem appeared. Please provide the following informationia Your name and accoun! numberr Describe the error or transfer you are unsure about, and explain in detait why you believe this is an error or whyyou need more informationr The dollar amount of the suspected error We witl investiSate your compla in rcon cern an d promptly take corrective action. lf we take more than ten (10) business days to comptete our investigation, yo!r accountwitl be credited for theamountyou think is in error, minus a maximum of 550 if we havea reasonable basis to betrevethat an una!thorized elecfonic fundtransfer has occ!rred. This witt provide you with access to your funds durinB the time it takes us to complete our investigation. You may have no liabiljty for unauthori2ed Check Card purchases, subject to the terms and conditions in the current BB&T Electronic Fund Transfer Agreement and Disclosures. lf you have arranted for direct deposit(s) to your account, please call BB&T Phone24 at 1-800-BANK BBT to verify that a deposit has been made. lf your periodia statement shows transfers that you did not make, tell us at once. lf you do not inform us within sixty (60) days after the statement was maited to yoll, you may not tet back any moneyyou tost after sixly (60)days. This wi[ occur if we can prove that we could have stopped someone from taking the money if you had informed us in trme- lf a good reason kept you from informing us, we will extend the tilne periods. lmportant information about your Constant Credit Account Once advanaes are made from your Conrtant CreditAccount, an IIITEREST CIIARGE Member FDIC witl automaticatly be imposed on the account's outstanding "Average daity batance." The INTEREST CHARGE is catculated by applying the "Daily periodic rate" to the "Average daity balance" of yoLrr account (including current transactions) and mLrttiptying this figure by the number of days in the bitling cycle. To getthe "Average daily batance," we take the beginning account balance each day, add any new advances or debits, and subtract any pa)rments or credits and the Last unpaid INTEREST CHARGE. This give5 Lrs the daily batance. Then we add atL of the daily batances for the billing cycle and divide d1e total bythe number of days in lhe billing cycle. This gives us the "Averate daily balance." Billing rights summary ln case of errors or quesllons aboulyour Constant Credil statemont lf you think your statement is incorrect, or if you need more information about a Constant Credit transaction on your sratement, please catt 1-800-BANK BBT or visit your locat BB&T financial center. To dispute a payment, please write to us on a separate sheet of paper atthe foltowing address: Bankcard Services Division P.O. Box 200 Wilson, NC 27894-0200 We must hear from you no later than sixt, (60) days after we sent you the FIRST statement on which the error or problem appeared. You may teLephone us, but doing so will not preserve your rightr. ln your letter, ptease provide the following information:I Your nameand accountnumberr Describe the error or transfer you are unsure about, and explain in detait why you betleve thi5 is an error or why you ne€d more informationI The dotlar amount of the suspected enot During our investigation process, you are not responsible for paying any amount in question;you are, however, obligated to paythe items on your statement that are not in question. Whilewe investi8ateyour question, we cannot report you as delinquent or take anyaction to cotlect theamount in questron. Mail-in deposiG lfyou wish to mait a deposit, please send a deposit ticket and check to your local BB&T finanaial center. Visit BBl.com to locate the 88&T financiat center closest to yo!. Please do not send cash. Change of address lf you need to dange your addres5, please visityour Local BB&Tfinancial center or catL BB&1 Phone24 at 1-800-BAN( BBT (1-800-226-5?28). How to Reconcile Your Acco!nt Outstanding Checks and Other Debits (Section A) List the new baLance of)our accountfromyour latest statement hete: Date/Check # 2. Record any outstanding debits (checks, check card purchases, ATM withdrawats, electrooic transactions, etc.) in section A. Record the transaction date, the check numberor type ofdebit and the debil amount. Add up att ofthe debits, and ente.the sum here: 3- Subtract the amount in line 2 above from the amount in [ine '] above and enter the tolal here: 4. Record any outstanding creditt ln 5ection B Record the transaction date, credit type and the credit amount. Addupattofthecredits and enterthesum herei Outstanding Deposits and Other Credits (Section B) 5. Add the amount in line 4 to the amount in line 3 to find your batance. Enterthe 5um here. This amouotshoLrld matchthe balance inyour register. Date,/Type For more information, ptease contad your locat gB&T relEtionship manager, visit BBT.com, or contact BB&T Phonez4 at 1-800-BANK BSr (l-800-226-5228). IPACE4OF4 -_________------ f -r- f l F_ 8.B.1 Packet Pg. 75 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND riit:iJJ_ttffi PaBe 1 of 6 FL 10/31/18 883-0i-01-00 50469 9 C 001 30 S 66 002 ROCA GRANITE & CABINETS LLC 12451 METRO PK\ryY STE 108 FORT MYERS FL 33966-8317 Your account statement For 1013112018 Contact us tr F (800) BANK-BBT orI9l iaooizzo-szzeBBT.com October is National Cyber Security Awareness Month BB&T remains vigilant in fighting cybercrime and educating our clients on how to protect against cyber threats. Here are a few tips to help your business stay safe online: . Update the security software and operating system on all your internet-connected devices. ! Secure your Wi-Fi network.. Train employees on cyberthreats and how to protect company data.r Create strong, unique passwords and change them often.r Be,/vare of fraudulent requests to initiate payments or obtain account information and passwords. r Stop and think before clicking links or opening attachments in emails, instant messages and online posts. r Use alerts and review your accounts for suspicious activity. Learn more security tips at BBT.corn/Security BB&T Member FDIC r BUSINESS VALUE 500 CHECKING Account summary Your previous balance as of 09i 28/2018 4500 $'10,s01.82 Checks - 11,762.40 Other withdrawals,debits and service charges - 18,996.26 Deposits, credits and interest + 43,178.12 Your new balance as of 10/31/2018 = $22,921.28 Ar\ro u NT($ )DAIE CHECK # Checks OATE CHECK #AMOUNT($ )DAT E CHECK #AMOUNT($) 10t01 1174 600.00 10to4 1177 3,000.00 10t17 1180 1,000.00 10i09 1175 2,962.40 10t10 1178 1.500.00 10t23 * 1182 1,000.00 10t02 1176 500.00 10/10 1179 500.00 10/31 * 1186 700.00 * indicates a skip in sequential check numbers above this item Other withdrawals, debits and service charges DATE DESCRIPTION = $11.762.40 AMOUNT($) ,10/01 DEBIT CARD PURCHASE THE HOME DEPOT #02 O9-28 FORT MYERS FL 5220 Total checks .PACIlOF5 10/01 DEBIT CARD PURCHASE STAPTES OO11 09-27 FORT I\,'IYERS FL 5617 454.62 10/01 DEBIT CARD PLJRCHASE TILE OUTLEIS OF AM 09.28 FORT I\,IYERS FI 5220 68.79 10i01 DEBIT CARD PURCHASE THE HOME DEPOT #69 09.28 CAPE CORAL FL 8343 43.35 30.68 continued BBEil 8.B.1 Packet Pg. 76 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND . BUSINESS VALUE 5OO CHECKING DATE DESCRIPTION )4500 (continued ) AMOUNT($) 1O/01 DEBTT CARD PURCHASE LEE COUNTY REPROGR 09.28 FORT IIIYERS FL 5617 68.90 10/01 DEBIT CARD PURCHASE VISION ACE HDWE 09-28 FORT I\TYERS FL 5617 10/0,1 DEBIT CARD PURCHASE THE HOME DEPOT #02 09-29 FORT MYERS FL 8343 36.28 1OiO1 INTERNEI PAYIUENT ELEC PYMT FPL DIRECT DEBIT 8065438460 WEBI 19.04 1O/01 INTERNET PAYMENT ELEC PYN,4T FPL DIRECT DEBIT 5337392285 WEBI 152.56 |OIO2 DEBIT CARD PURCHASE SHELL OIL 57542486 09-30 FORT MYERS FL 5220 54.38 1OIO2 DEBIT CARD PURCHASE-PIN 1O-O'1-lSFORTMYERS FL 5617 COSTCO WHSE #0351 126.97 10to2 ACH CORP DEBIT INVOICE GROUP MANAGEI\4ENT ROCA GRANITE & CABINET CUSTOMER ID H379879 1,290.94 1O/03 DEBIT CARD PURCHASE SHELL OIL 57542488 1O-01 FORT MYERS FL 5220 40.50 1O/03 DEBIT CARD PURCHASE MARATHON PETRO2298 1O-02 FORT I,IYERS FL 8343 1O/03 DEBIT CARD PURCHASE LEE COUNW REPROGR 1O-02 FORT MYERS FL 5617 127.20 1O/03 DEBIT CARD RECURRING PYI\4T INTUIT -QB ONLINE '10.03 800-286-6800 CA 5617 26.95 10i04 DEBIT CARD PURCHASE Omicron Supplies F 10-02 Fort Myers FL 8343 31.80 1OIO4 DEBIT CARD PURCHASE VISTAPR"ViSIAPTiNI 10.04 866-8936743 MA 5617 102.67 10104 ACH CORP DEBIT ONLINE PMT BANK OF AMERICA OCLEANO SERVICES LLC CUSTOMER ID cKF585212824POS 744.46 ,10/05 DEBIT CARD PURCHASE THE HOME DEPOT 276 '10-03 FORT MYERS FL 8343 340.94 '10/05 DEBIT CARD PURCHASE LEEWAYSVCCTRVIOLAT '10-04 www.leewayvi FL 5617 14.00 1O/09 DEBIT CARD PURCHASE SHELL OIL 57542488 10.04 FORT I\,IYERS FL 5220 53.98 1O/09 DEBIT CARD PURCHASE THE HOME DEPOT #69 1O-05 CAPE CORAL FL 8343 18.63 1O/09 DEBIT CARD PURCHASE TIMELINE BUSINESS ,10.05 FORT I\,,IYERS FL 56'17 200.00,10/09 DEBIT CARD PURCHASE IN 'MERIT CREDIT,10-05 239-2773202 FL 5617 124.O0 1OiOg DEBIT CARD PURCHASE SHELL OIL 57542486 '1045 FORT MYERS FL 5617 40.12 1O/09 DEBIT CARD PURCHASE SHELL OIL 57542488 1O-05 FORT MYERS FL 5220 53.98 1O/09 DEBIT CARD PURCHASE THE HOME DEPOT#02 '10-06 CAPE CORAL FL 8343 9.98 1O/09 DEBIT CARD PURCHASE SHELL OIL 57542488'10-06 FORT I\,,IYERS FL 5220 44.01 10i 09 DEBTT CARD PURCH ASE P\ZZA\UT 22570002 '10-06 239-9364871 Fl 5220 1O/09 DEBIT CARD PURCHASE 7-ELEVEN 32312 10.08 FORT IUYERS FL 8343 57 .23 10/09 ACH CORP DEBIT COLLECTION AMERICAN EXPRESS ROCA GRANITE6O93295525 CUSTOMER ID 609329552s 6093295525 7.95 10/09 ACH CORP DEBIT Property I AscentiumcapitalALDO SERVICES, CORP CUSTOMER lD 010000001 12'1415 78.12 10/09 ACH CORP DEBIT LEASE RENT Ascentiumoapital ALDO SERVICES, CORP CUSTOMER lD 010000001'121414 628.75 1O/1O DEBIT CARD PURCHASE SHELL OIL 57542488 1O-08 FORT I\,1YERS FL 5220 53.98 10111 DEBII CARD PURCHASE EIIIPIRE STONES GROU ,10.11 FORT T/YERS FL 5220 2,000.00 10111 DEBIT CARD PURCHASE EMPIRE STONES GROU 1O-11 FORT MYERS FL 5220 2,000.00 10/11 ACH CORP DEBIT AXP DISCNT AMERICAN EXPRESS ROCA GRANITE6O93295525 CUSTOMER ID 6093295525 6093295525 76.11 10112 DEBIT CARD PURCHASE THE HOME DEPOT #02 1O-lOCAPECORAL FI 8343 23.O4 1O/15 DEBIT CARD PURCHASE.PIN 10.12.,18 FORT MYERS FL5617WALSAM'SCLUB 741890 230.23 10115 DEBIT CARD PURCHASE-PIN ,10-12-18 FORT MYERS FL 5617 COSTCO WHSE #0351 42.42 10115 DEBIT CARD PURCHASE-PIN 1O-12-18 FORT MYERS FL 5617 COSTCO WHSE #0351 10.55 10115 DEBIT CARD PURCHASE VISION ACE HDWE 1O-12 FORT MYERS FL 8343 71.14 1O/15 DEBIT CARD PURCHASE SHELL OIL 57542488 10.13 FORT MYERS FI 5220 53.78 1O/15 DEBIT CARD PURCHASE 7-ELEVEN 3229610.14 FORT MYERS FL 8343 52.20 10115 MERCH FEE BB&T IVERCH SVCS ROCA GRANITE & 2OO'1157130 10116 DEBIT CARD PURCHASE GEICO 'COMMERCIAL 10-15 MACON DC 5617 479.84 10/16 DEBIT CARD PURCHASE LEEWAYSVCCIRVIOLAT 10-15 www.leewayvi FL 5617 5.00 1O/16 DEBIT CARD PURCHASE TILE OUILETS OF AM '10-15 FORT IUYERS FL 5220 1O/,16 DEBIT CARD PURCHASE TILE OUTLETS OF AM 1O-15 FORT MYERS FL 5220 42.93 10i 16 ACH CORP DEBIT INVOICE GROUP MANAGEMENT ROCA GRANITE & CABINET CUSTOMER ID H382131 1 ,285.94 10117 DEBIT CARD PURCHASE TILE OUTLETS OF AM 10.16 FORT I\4YERS FL 5220 3,867.12 10117 DEBIT CARD PURCHASE IILE OUTLETS OF AM 10-16 FORT I\'IYERS FL 5220 10.70 '10/18 DEBIT CARD PURCHASE SHELL OIL 57542488 10.16 FORT MYERS FL 5220 52.98 '10/18 DEBIT CARD PURCHASE MARATHON PETRO2298 10.17 FORT MYERS FL 8343 57.00 10/'19 DEBIT CARD PURCHASE THE HOME DEPOT #02 1O-17 CAPE CORAL FL 5220 52.5810t22DEEIT CARD PURCHASE SHELL OIL 57542488 10-18 FORT MYERS FL 5220 .PACE2OF5 continued 10.14 53.40 28.77 1O/15 DEBIT CARD PURCHASE THE HOME DEPOT #02 1O-l3FORTMYERS FL 8343 34.82 8.B.1 Packet Pg. 77 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND Page 3 of 6 FL r 0/31n8 . BUSINESS VALUE 5OO CHECKING DATE DESCRIPTION 500 (continued) Arv ou N T($) 10122 DEBIT CARD PURCHASE SHORE-LINE FTOORIN 1O-19 CAPE CORAL FL 8343 124.44 10122 DEBIT CARD RECURRING PYMT SOS INVry 888-545- ,10-20 WWW.SADDLEOAK TX 5617 39.95 10122 DEBIT CARD PURCHASE MCDONALD'S F4534 10-20 FORT [,4YERS FL 5220 26.74 10122 DEBIT CARD PURCHASE SHELL OIL 57542488 ,10-18 FORT MYERS FL 5220 39,00 10123 DEBIT CARD PURCHASE THE HOME DEPOT #O210-21CAPE CORAL FL 5220 2.94 10123 DEBIT CARD PURCHASE HOMEADVISOR.INC 10-22 877-547.3639 CO 5617 596.38 10123 DEBIT CARD PURCHASE CIRCLE K # 07685 10-22 N FORT i\4EYERS FL 5617 45.22 10124 DEBIT CARD PURCHASE SHELL OIL 57542488 1G.22 FORT I\.4YERS FL 5220 55.50 10124 DEBIT CARD PURCHASE EXXONMOBIL 9766 10-22 FORT IVYERS FL 8343 54.14 150.50 10124 DEBIT CARD PURCHASE STITCHES BY WALTER ,10-23 FORT I\4YERS FL 8343 112.00 10125 DEBIT CARD PURCHASE SHELL OIL 57542488 1O-23 FORT I\,4YERS FL 5220 10/26 DEBIT CARD PURCHASE SHELL OIL 57542488 10.24 FORT MYERS FL 5220 48.32 10126 DEBIT CARD PURCHASE 7-ELEVEN 32296 1O-24 FORT I\,4YERS FL 8343 42.30 10126 DEBIT CARD PURCHASE CHEVRON 0047721 1O-25 MARCO FL 5220 30.81 10129 DEBIT CARD PURCHASE SHELL OIL 57542488 1G25 FORT MYERS FL 5220 50.98 9.17 10129 DEBIT CARD PURCHASE CHEVRON 004772,1 10-26 MARCO FL 8343 29.56 10129 DEBIT CARD PURCHASE 7-ELEVEN 23962 1O-27 MARCO ISLAND FL 8343 20.24 10129 DEBIT CARD PURCHASE SHELL OIL 57542488 1O-27 FORTMYERS FL 8343 47.87 10/30 ACH CORP DEBIT INVOICE GROUP MANAGEMENT ROCA GRANITE & CABINET CUSTOMER ID H384311 1,285.94 10131 DEBIT CARD PURCHASE SHELL OIL 57542488 10.29 FORT MYERS FL 5220 39.31 Total other withdrawals, debits and service charges Deposits, credits and interest DATE DESCRIPTION = $18.996,26 Ar\,{ouNT(s) 1O/05 DEPOSIT BB&T IVERCH SVCS ROCA GRANITE & CUSTOMER ID 461682001157130 2001,157130 5,971.45 1O/09 MOBILE DEPOSIT 2,137.50 1O/09 MOBILE DEPOSIT 2,137.50 1O/15 MOBILE DEPOSIT 8,000.00 10117 DEBIT CARD RETURN TILE OUTLETS OF AM 10.15 FORT I\4YERS FL 5220 34.82 10t17 LRM CLATMS ADJ CR SIG-201810151793 2,000.00 10t17 LRM CLA\,4S ADJ CR SIG-201810151795 2,000.00 10122 MOBILE DEPOSIT 10123 BB&T 24 CHECK DEPoSIT 10-2318 08:55 AK42 PAGE FIELD COI\4MONS FT IVYERS FL 1 '1,455.85 Total deposits, credits and interest = $43,178.12 .PACE3OF6 Hfi#fi ,IOI24 DEBIT CARD PURCHASE FCRUM GEN AGCY/GL- 10.22 860.399-3694 FL 5617 10129 DEBIT CARD PURCHASE DUNKIN #349019 O35 10.26 NAPLES FL 8343 9,441.00 8.B.1 Packet Pg. 78 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND Questions, comments or errors? For general questions/comments or to report errors about your statefient oraccount, please catl BB&T Phone24 at'1-800-BANK BBT (1-800-226-5228) 24 hours a day, 7 days aweek. BB&T Phone24 Ctient Service Alsociates are avaitable to assistyou from 6 a.m. untit midniSht €T. You may atso contactyour {ocalBB&T flnanciaL center. To locate a BB&T financiaL center in your area, please vilit BBT.com. Electronic fund transfers ln case of errors or quest ons about your electronic fund transfers, if you think your slatement or receipt i5 wrong or if you need more information about atransfer on the statement or re.eipt, contact us as soon as possibte, You may write to us at the following address: BB&T Liability Risk Management P.O. Box 995 Wilson, NC 27894-0996 You may also caLl BB&T Phonez4 at 1-800-BANK BBT or visit your local BB&T financiaL center. We must hear frorn you no later than sixty (60) days after we 5ert you the FiRST statement on which the error or problern appeared. Please provide the fotlowing information:I Your name and accountnLrmber. Describe the error or transfer you are unsure about, and explain in detait why you betievethis is an error or whyyou need more information. The dollar amount of the suspected error Wewi{[ investiSateyour complainvconcern and promptlytake corrective action- lf we take rnore than ten (10) business days to complete our investigation, your accountwill be credited ior theamountyou think is in error, minus a maximum of 550 if we havea reasonabte basis to betleve thatan unalthorized electtonic fund transfer has occurred. This wilt provideyou with access toyourfunds during the time it takes us to complete our investigation. You may have no liability for unauthorized Check Card purchases, subjed to the terms and conditions in the current BB&T Electronic Fund Transfer A8reement and Disclosures. lf you have arranSed for direct depositis) to your account, please call BB&T Phone24 at 1-800-BAN( BBT to verify that a deposit has been made lf your periodic statement shows transfers that you did not ma*e, te[[ us at once. lf you do not inform us within sixty (50) days after the statement was mailed to you, you may not get back any moneyyou lost after sixty (60)day5. Tlis willoccur if we can prove that we coutd have stopped someone from taking the money if you had informed us in time. lf a good reason kept you from informing us, we wilt extend the time periods- lmportant information about your Constant Credit Account Once advances are made fromyour Constant CreditAccount, an INTEREST CHARGE Member FDIC witt automaticatly be impo5ed on the acaount's outstanding "Average daily balance." The INTEREST CHARGE is catculated by applying the "Daily periodic rate" to the "Averate daily balance" of your accoLrnt (includin8 current transactions) and muttiptyinS this figure by the number of days in d1e biliing ryde. To get the "AveraSe daily batance," we take the beginning account batance each day, add any new advances or debits, and subtract any payments or credits and the last unpaid INIEREST CHARGE. This Sives us dre daily batance. Then we add alt of the daily batances for the bitting cycle and divide the totat bythe number of days in the bitling cycte. This gives us the "AveraSedaily balance." Billing rights summary ln case of orrors orquestions about you r Constant Credit stat6ment lf you think your statement is incorrect, or if you need more tnformation about a Constant Credit transaction on your statement, please call l-800-BANK BBT or visit your locat BB&T financial center. To dispute a payment, pLease wite to us on a separate sheet of paper at the fotlowing address: BankCard Services Division P.O. Box 200 Wilson, NC 27894-0200 We must hear from you no later than sixly (50) days after we 5ent you the FIRST statement on which the error or problem appeared. You may telephone us, birt doing so will not preserve your rights. ln your {ener, please provide the following information:a Your name and account number. Describe the error or transfer you are unsure about, and explain in detait why you believethis is an error or why you need more information. The dollar amount of lhe sJspected erro- During our investigation process, you are not responsible for paying any amount in question;you are, however, obligated to pay the items on your statement thataTe not in question. Whife we investigate your question, we cannot report you as delinquent or take anyaction to collect the amount in question. Lrail-in deposits lfyou wish to maila deposit, pleasesend a deposit ticketand check to your locat BB&T financial center. Vjsit BBT.com to locate the BB&T financiai center closest to you. Please do not send cash. Change of address if you need to chan8e your address, please vis]tyour locat BB&T financlal center or catl BB&T Phone24 at 1-800-BANK 8BI 0-800-226-5228). How to Reconcile Your Ac.ount Outsta nding Checks and Other Debits (Section A) Date/Check # 2. Record any outstanding debits (checks, che(k card purchases, ATM withdrawals, electronic transacllons, etc.) in iedion A. Record !he transaction dale, the check numberortypeofdebitand the debit amount Add up atlof the debits, and enterthe sum here: 3. Subtract the amount rn line 2 above from the amount in line 1 above and enter the total here: 4. Record any outstanding credits in section 8. Record the transaction date, credit type and the credit amoLrnt. Add up allofthe credits and enter the sum her.Outstanding Deposits and Other Credits (Section B) 5. Add the amount in tine 4 to the amount in iine 3 to find your balance. Enterthe sum here. This amount shouLd match the balance in your regirter. Date/Type Date/Type For more information, please contact your locat BB&T retationship manager, visit BBT.com, or contact B8&T Phon€24 at 1-800-BAN( 88I (1-8oo-226-5228). IPACE4OF5 -1. List the new balance ofyour accounl trom your tatest statement here:f -r-- T--tT- It_ 8.B.1 Packet Pg. 79 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND Premier Profile - ROCA GRANITE & CABINETS LLC Subcode: 9701 35 Oideredi 1210412A18 14 44 22 CST Transaction Number: C502763477 Search Inquiry: ROCA GRANITE CABINETS LLC/12451 METRO PKWY STE 108/FORT l\TYERS/FL/33966/US /Phone N/A/432561255 Model Description: lntelliscore Plus V2 t&perion Primary Address: 12451 l\lETRO PKWY STE 108 FORT I\,1YERS, FL 33966.8317 Credit Risk Score: lntelliscore Plus Current lntelliscore Plus Score: 31 roc Q 'rcc $ roe O Risk C Iass: 3 The risk ciass groups scores by fisk nto ranges of simiar perforn'rance Range 5isthe highestrsk .ange 1 sthe lowest risk Credrt Lrmit Recommendation $1,400 .:t ' Fraud Alerts lntellisco.e Plus Company DBT High Rrsk A eds 31 Score range: 1 - 100 percentile Risk Scores and Credit Limit Recommendation Financial Stability Rrsk Derogatory Legal Originai F ngs MEDIUM RISK DBT Unavailable MEDIUI\4 TO HIGH R]SK Years on File: State of lncorporation: Date ol lncorporation; Business Type: Co ntacts: 1 (FrLE ESTABLTSHED 11t2017) FL 07t28t2017 Profit CASTROALVAREZ ALDEMAR - I\,IANAGER SIC Code: BRICK, STONE & RLTD CONSTRUCTTON |\,1ATLS - 5032 NAICS Code: Brick Stone, and Related Construction lvlater al lvlerchanl Wholesalers , 423320 Number of Employees: 4Sales: $3.812.000 OCLEANO M ROSA - I\4ANAGER ROSA FERNANDA - I\,lANAGER Verification Triggers The primary Busrness Name Address and Phone Number on Experian File were reviewed for Hrgh RiSk ind cators. no High Risk indicators were found Business Alerts Active Business lndicator:Experian shows this bUsiness as active Possible OFAC Match No OFAC match found Business Victim St tement:No victim statement on file Premier Prolile - ROCA GRANITE & CABINETS LLC GABINETS LLC Business Name I I rcr $ 8.B.1 Packet Pg. 80 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND Prem er Prof le - ROCA GRANlTE & CABINETS LLC 2t 4 31 Hiqh P.iik Lo,,a Risk 0 18 5D t5 1D r-l This score predicts the likelihood of serious credit delinquencies for this business within the oext 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 > RISK ASSOCIAIED WITH THE COMPANY'S INDUSTRY } COMPANY,S BUSINESS TYPE > NUI\,4BER OF EI\,IPLOYEES lntelliscore Plus Quarterly Score Trends Qua rt e rly Score Trends lndustry Risk Comparison 30% of businesses indtcate a hrgher liketihood of severe delinquency The lntelhscore PlLrs Quarterly Score Trends prov de a view of the likelihood of detinquency over lhe past 12 months for this business The trends wiil indlcate rf the score improved, remained stable. fluctuated o. declined over the last l2 months. Risk C lass: 4 100 80 60 40 2t1 0 I - r .t'cu fR ,.t lil' \s\" r.J6 .,a?.\do'J . No score average avaijable for this qua.ter Credit Risk Scqre: Financial Stability Risk Cu.rent Financial Stability Risk Score:7 High RiiL Lol\' I taU. L-l I lr-l Il 65 1 :|-t Financial Stability Risk Quarterly Score T.ends This score predicts the likelihood of flnanciat stability risk within the next 12 months The score uses tradeline and collections information, public filings as well as otner variables to predict future risk. Higher scores indlcate lower risk. Factors lowering the scoae ! [-ACK OF ACTIVE TRADES } RISK ASSOCIATED WTH IHE BUSINESS TYPE } EMPLOYEE SIZE OF BUSINESS The risk class groups scores by risk into ranges of similar perfo.mance Range 5 is the highest flsk, range 1 rs the lowest risk lndustry Risk Comparison 6% of businesses indicate a higher likelihood of financia stabilrty risk. I I I I ..1 I I 8.B.1 Packet Pg. 81 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND Quarterly Score Trends Dtc'?'ca| !\rRrr\r'l+ \e\., Fur., -6e 'l*c\ roe @ rcc Q 100 8o 60 40 20 0 " No score average avai able for thts quaater Credit Limit Recommendation credit Limit Recommendation Thrs recomrne^datrcn compares this bus ness against s mr ar busrnesses I the Exoer an bLis ness 51 4OO credrt database lt ls based on lrade information. ndLrstry age oJ buslness and the lnte iscore Pus The recorirmeadaton sa gurde Thefinat decrs on must be rnade based on you: ccmpai\, s busrness polic es. Corporate Registration THE FOLLOWING INFORMATiON WAS PROVIDED BY THE STATE OF FLORIDA THE DATA lS CURRENT AS OF 1210.i/2018 State of Origin: FL Date of lncorporation]. 47 1 281241 7 Current Status: Act ve Business Type: Profit CharterNumber: L170001615 Payment P-i:rformance Current DBT: Nol Available P.edicted DBT: N/A Monthly Average DBT: 0 Highest DBT Previous 6 Months: 0 Highest DBT Previous 5 Quarters: 0 Payment Trend lndication: Payment trend indicator nol avatlable Trade and Collection Balance Total trade and colle;tion (0): All trades {0): All collections (0): Coniinuous trade (0): 6 month average: Highesl credit amount extended: Most frequent industry purchasing terms: lnduslry purchasrng teams not available DBT Rdnge rr-5 6-15 16+ No 0 0 $0 0 No $0 $o s0 $0 N/A N/A Legal Filings Bankruptcy: Tax Lien filings: Judgment filings: Sum of legal filings: UCC filings: Cautionary LJCC filinqs lndustry Comparison lndustry DBT Range Compa.ison The current DBT of lhrs business is Not Available DBT for this business: Not Available Premrer Profile - ROCA GRANITE & CABINETS LLC :)t 1 i I I rne Frrancral Stabrlrly Risk Ouarterty Score I -e'1ds I orovide a v,ewof lhe lkelthood ol l,.rancra. srabrhty rsk Iove'the pasl 12 montls'or lh.S bus ress The t.ends wrlt I r'rdrcate,f the score tmproved. remarned slaole. I fluchrated or dect,.led over the last t 2 monrhs I I 8.B.1 Packet Pg. 82 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND Agent: Agent Addressl TII\,1ELINE BUSINESS CENTER LLC 8981 DANIELS CENTER DR FORI IVIYERS FL roF g Summary of lnquiries Business Category OEC18 NOV18 OCT18 SEP18 AUG18 JULIE JUN18 MAY18 APR18 BUR EAU Totals 1 roF o Experian prides itse/f on the depth and accuracy of the data maintained on our databases. Repotxng your customer,spayment behavior to ExPerian will further stengthen and enhance the power of the information availaile for making soundcredit decisions. Give credit where credit is due. Cal 1-800-520-1221, op on *4 for more informatlon. End of repo( 1 of .t reood fhe /nfomation herein /s futnished /n confidence fa/ yott.exclus/ve /nformaltan So/utpns /nc. t)ortheisources ol dtslnbutors ulananl use lor /egtflmale buslness pulposes andsha// not be reproaluced Nelthe/.Expenan such nfa/matton not shall they be //ab/e for your use or lehance upon jt @ Erperian 2018 All rights reserved. Privacv ooticy Experian and the Experian marks hereif are service marks or regislered trademarks of Experian Premrer Profile - ROCA GRANITE 8 CAEINETS LLC 8.B.1 Packet Pg. 83 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND W Merit Credit Fasl. A.c ura te & Secure MERIT CREDIT I]AS RETRIEVED THE ABO\TE BUSINESS REPORT FOR LICENSING PURPOSES AS RTQUESTED BY THE BUSINESS OWNER/PROPRIETOR. PUBLIC RECORDS FOR IHIS RE PORT HA\,EBEEN CHECKED AND IIERIFIED AT THE COUNTY (INCII]DING PINELI.AS) I STAIE AND FEDERAL LEVELS . PUBLIC RECORDS LEARNED: O SOURCES OF INFORMAPION: EXPERIAN BUSTNESS INFORMATION SERVICES IRS LIEN SECTION COU}UY COURTHOUSE R.ECORDS IF YOU HAVE ANY QUESTIONS REGARDINE THIS REPORT, PLEASE CONTACT MERIT CREDIT AT800-371-334 B OR 239-271-3202 . 1- COMPANY NAME: ROCA GRANITE & CABINETS ILC FEDERAL lD: 82-2337321 CURRENT STATUS: ACTIVE PRINCIPAL(5): ALDEMAR CASTRO-ALVAREZ OCLEANO M ROSA FERNANDA ROSA DATE INCORPoRATED: 07 /28/zAU TITLE: MGR TITLE: MGR TITLE: MGR 8.B.1 Packet Pg. 84 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND e'r Qot t*tl1t Growth Management Depaftment Planning & Regulation Operations Dil'ision Licensing Section December 31 , 2018 Fernanda E Santos Rosa 5281 Buckingham Road Fort Myers, FL 33905 RE: Second Entity Application lt/s. Fernanda E Santos Rosa, You have been added to the agenda for the Contractor Licensing Board meeting on Wednesday, JANUARY 16, 2019. Please attend the meeting so the board may review your submitted application and ask you questions regarding your Second Entity Application. The meeting is held at 9:00am at the W. Harmon Turner Building (Bldg. F, Admin. Bldg.), 3299 Tamiami Trail. E., Naples, FL 34112in the Commissioner's Meeting Room on the 3'd floor. There is a security checkpoint you will need to go through, so please allow enough time to make it to the meeting. Sincerely, Lilla Davis Administrative Supervisor Contractor Licensing Collier County Growth Management Department 2800 North Horseshoe Drive Naples, FL 34104 Growtir Managem enl Deparlment'contractor Lrcensing '2800 Noft Horseshoe D ve'Naples, Ftorlda 341 M.239-252-2400'www.coIieroov. ner lf you have any questions or concerns, please call (239) 252-2431 or you may email me at contracto rslicensing@co lliercou ntyf l.gov. 8.B.1 Packet Pg. 85 Attachment: FERNANDA ROSA – ROCA GRANITE AND CABINETS – SECOND ENTITY (7720 : FERNANDA ROSA – ROCA GRANITE AND 01/16/2019 COLLIER COUNTY Contractor Licensing Board Item Number: 8.C Item Summary: LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW OF CREDIT Meeting Date: 01/16/2019 Prepared by: Title: – Contractor Licensing Board Name: Lilla Davis 01/08/2019 4:55 PM Submitted by: Title: Supervisor - Operations – Contractor Licensing Board Name: Everildo Ybaceta 01/08/2019 4:55 PM Approved By: Review: Contractor Licensing Board Lilla Davis Review Item Completed 01/10/2019 12:13 PM Contractor Licensing Board Michael Cox Review Item Skipped 01/10/2019 3:07 PM Contractor Licensing Board Everildo Ybaceta Meeting Pending 01/16/2019 9:00 AM 8.C Packet Pg. 86 EY Cow"tty COLLIER COUNTY CONTRACTORS' LICENSING BOARD JANUARY 16, 2019 9:00 A.M. LEDYAR DIAZ _ REVIEW OF CREDIT LEDYAR DIAZ is coming before the board today to review his Company Credit Report and to be approved for the Garage Door lnstallation Specialty Contractor License. The company Mr. Diaz is applying to have the license for is ATLAS DOOR & GATE, lNC. They have been in business since 2008 in Miami-Dade County Garage door installation contracfor requires 12 months experience with a passing grade on a business and law test and means any person who is qualified to install, repair, adjust or extend garage doors. Ordinance 2006- 46, as amended (1.6.3.7) 8.C.1 Packet Pg. 87 Attachment: LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW OF CREDIT (7725 : LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW OF Gontents Letter to go in Front of the Board Application Test Scores lndividual Credit Report Company Credit Report Sunbiz Documents IRS EIN Documents Resolution of Authorization Verification of Experience - All Forteza Garage Doors Verification of Experience - All State Garage Doors Verification of Experience - Atlas Door & Gate Affidavit of lntegrity & Good Character Lee County Business Tax Application Certificate of lnsurance & Workers Compensation Driver's License Ordinance Regarding Financial Liability Board Hearing lnformation 8.C.1 Packet Pg. 88 Attachment: LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW OF CREDIT (7725 : LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW To whom it may concern, My name is Ledyar Diaz I anr writing this letter to request a meeting with the Collier County board to dispute 9 claims that came out in our company ATLAS Door and Gates Credit Check. I was denied my license due to 9 items that appeared in the results and I would like to clispute why these 9 items does not affect the work ethic of our company or any reason as to denying my personal license. ltems 1 through 6 are all machines and property that were bought using the company credit and are all being paid off on time and without issue and some are finished being paid off. ltem 7 is a mistake that occurred a while back. We had just moved our company location and a letter requesting a payment for some taxes was sent to our old address and because we never received the letter on time we had to pay a smallpenaltybutthe penaltywas paid in fulland everythingwastaken care of on ourend. ltem number 8 was a company that was stating we owed them more than what we actually did so we hacl to take legal matters. We were compliant in paying them what was owed and never denied that we owed them money we simply didn't want to pay any additional fees that were not necessary and the other company was trying to push these fees on us. Once we came into an agreement in court everything was paid off and the case was dismissed. ltem 9 is a case where our company was doing some work in Tampa, Florida and a worker of ours filed a sexual harassment claim against another employee of ours. We had to get ourselves a lawyer as to make certain that no legal action was tal<en against us as we were not the ones that did any sort of improper actions towards any of our workers and the case is still being viewed because the worker has gotten several lawyers to try to win the case but she the claims that she is making and the evidence to back up the claim hasn't been enough to prove that anyone actually sexually harassed this worker. These are all the claims that were found but as stated before everything is being paid off on time without any issues or has been paid off already and the only claim against us that is still open is honestly heading in no particular direction. Thank you for your time. i\l.-n-{ Y s.{-1G\,2_-t-{-*u., C /q;,.(-*-<t . ,-/ u'e d /,f1 Cct,r,t r-11'ar'rr e^7' '"]/'L'*t' 2'1' fcr'Zci AHAC RODRIBUEZ r*Y coMMlsgloN * GG006368 EXPIRES June 27,2A2A 8.C.1 Packet Pg. 89 Attachment: LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW OF CREDIT (7725 : LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW OF Cana*fi}| Growth Management Depaftnent TYPE OF CERTIFICATE OF COMPETENCY: FIRM APPTICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 Phone - 239-252-2431'1-€1-j- Fax - 239-252-2469 cr \E - a+1q D General n Building n Residential [] Mechanical tr Roofing $230.00 $230.00 $230.00 $230.00 $230.00 E Electrician [] Plumber tr Air Conditioner I Swimming Pool E/Specialty $230.00 $230.00 $230.00 $230.00 $205.00 Specialty Trade @qgg,a Czrvccr - .ut]o' t\q I. APPLICANTPERSONALINFORMATION: Name Business Name: Dl. Middle lnitial Last --Jbak Address 7]Cr,u //or %" oeaza City Email:/ D//r Z /^*/, r-u, zip .SS # (Last 4 digits only);4H Driver's License # (Last 4 digits only):?GA Street State ) Telep w / 4?Date of Birth +pursuant to chapter l-19, Florida Statutes and Collier County Contractor Licensing Ordinance 2006-46 section 2.1.1., all applicants are reguired to submit their social security number (sSN) for the following purposest 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 l-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 l-19, Florida Statutes. FIRIV APPLICATION Rev 4112118 Page 3 of 15 8.C.1 Packet Pg. 90 Attachment: LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW OF CREDIT (7725 : LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW OF -.L--c,fiff,Qora*fi,31 Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 Phone - 239-252-2431 Fax - 239-252-2469 Grovrdfr Management Depadrnent e the names and telephone numbers of two persons who will know your wheProvid Name T II. NAME OF Business Name Db= wQ /y)v Name reabouts.&b, Telephone . ca 5 ,/" {/ +>a APPLICANT'S BUSINESS:*iiiV""M;7 c'a/" 7Za@ il/o7 77- a?a/2 Tel Em /,aaz< City State 7ip -TFederal lD Tax No .)0:2{" "q V4 Z III. FINANCIAL RESPONSIBILITY NOTE. lf you have answer YESto any of the questions below, you must attach a written explanation including the nature of the charges, dates, and outcomes, sentences of conditions imposed. You must also attach proof of payment, satisfaction of lien or judgement, bankruptcy discharge, or agreements for payment. "lf you have had a felony conviction, proof that your civil rights have been restored will be required prior to licensure. YES NO ALL APPLICANTS MUST ANSWER THE OUESTIONS BELOW: X Filed for or been discharged in bankruptcy within the past 5 years? X'Had a lien filed against you by the lnternal Revenue Service or Florida Corporate Tax Division? v Undertaken construction contracts or work that resulted in liens, suits, or judgments being filed? X Undertaken construction contracts or work that a third pafiy, such as a bonding or surety company, completed or made financial statements on? X lr/ade an assignment of assets in settlement of construction obligations for less than the debts outstanding? X Been convicted or found guilty of, or entered a plea of nolo contendere to, regardless of adjudication, a crime in any jurisdiction within the past 10 years?* Y Had claims or lawsuits filed for unpaid or past due accounts by your creditors as a result of construction experience? X Been charged with or convicted of acting as a contractor without a license, or if licensed as a contractor in this or any other state, been "subject to" disciplinary action by a state, county, or municipality? FIRI/ APPLICATION Rev 4112118 Page 4 of 15 Business Address: Street ? 8.C.1 Packet Pg. 91 Attachment: LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW OF CREDIT (7725 : LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW Growlh Management Deparhnent Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34.104 Phone - 239-252-2431 Fax - 239-252-2469 IV. EXPERIENGE VERIFICATION EDUCATION: List below and provide transcripts for any formal education you have obtained in the area of competency for which this application is being made: List below non formal education (on the job training) you have obtained in the area of competency for which this ion is being made in trtr+4oT rT)d/)u ac:/u/,'zt ar/ z-u/zlZ /a CU RRENT/PREVIOUS LICENSE : List below and attach copies any other certificates of competency/licenses you hold/have held in Collier County or any other jurisdiction. lnclude the license #, Type, and county you hold it in. AFFIDAVIT Under the penalties of perjury, I declare that I have read the foregoing application and the facts stated in it are true. (please print)of Applicant State of / /, rtT) a. County of l) +t,.i The foregoing instrument as acknowledg edbeforemethis 1&br"", a? NIVe^\ul ?bitr' by L e Jug-n t>;-...--who has produced D)LY!1 date1,"ruu,*-as identification @ing(appt'rcint)type of identification or known and did not take an oath NOTARY'S SEAL o fl FIRtV APPLICATION Rev 4/12l18 (StGNATURE O Page 5 of 15 / 8.C.1 Packet Pg. 92 Attachment: LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW OF CREDIT (7725 : LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW Growth Management Deparhnent Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 Phone - 239-252-2431 Fax - 239-252-2469 CERTIFICATION OF APPTICATION 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 behatf of the business organization sought to be licensed in all matters connected with its contracting business and that he has full auihority 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. Applicant {Z Name of Company Signature State of :f/d,'tbo County of "bct,! e The foregoing instrument as acknowledged before me this l^.'b o 0 NvJ**(v-r 2o ttr date by l"b,zz-who has produced Drirnr lt 7+qse as identification name of person acknowledging (applicant)type of identification or known and did not take an oath. (SIGNATURE OF NOTARY) NOTARY'S SEAL -L*c,fiff.,Cou*rtJ print FIRIil APPLiCATION R.e\, 4112118 Page 6 of 15 8.C.1 Packet Pg. 93 Attachment: LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW OF CREDIT (7725 : LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW OF Gro\ dh Management Deparknent Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 Phone - 239-252-2431 Fax - 239-252-2469 WORKMEN'S COMPENSATION AFFIDAVIT It is understood and acknowledged by the Collier County Contractors' Licensing Board and myself that if I fail to acquire, or maintain at all times effective Workmen's Compensation lnsurance it will result in the possible revocation of my Certificate of Competency. (please -L..c,fiff, I T AdarbzZ,,z/€- of Company BEFORE ME this day personalty appeared l.J Y who affirms and Applicant (please print) says that he has less than one employee and does not require Workmen's Compensation understands that at any time he employees one or more persons he must obtain said Workmen's Compensation lnsurance. State of F /o .iL. County of N o-&e . The foregoing instrument as acknowledged before me this Aovf ll'6. 2Ol8 br date \ r,'Y+rr I ttc*^! tt name of person acknowledging (applicant) and did not take an oath. type of identification or known ANri C Fii:'riiiGUEZ MY C0i!rl',/i';:;i)N # GG006368 EXPliiEt ;t.re 2f ,2020 (D oF NOTARY) NOTARY'S SEAL of by l.who has produced as identification FIRIU APPLICATION Rev 411218 Page 7 of 15 / 8.C.1 Packet Pg. 94 Attachment: LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW OF CREDIT (7725 : LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW OF GITS, LLC Examination Operations Division Providing the services and products to assist GovernnentAgencies to rnake infornred educated decisions Official Examination Score Report November 1,2018 Official Score Report: Candidate Information Name -I-ndyar Dtaz Candidate #:3297458AD Tbstine Site: Boca Ratorq FL Final Score Result: Jay E. Bowermeister President Business Procedwes Score:76Yo These results represent the gade that has been achieved on the above named examination(s) administered by Gainesville Independent Testing Service for Collier County, Florida on October 30,2019. If you have any flnther questions, please do not hesitate to contact rs. Sincerely, Po Box B31127ocara, Frorida 34483-112r-yoice(352)369-Gr-rs -Fax (3s2)3BZ_2443 800 997 2129 8.C.1 Packet Pg. 95 Attachment: LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW OF CREDIT (7725 : LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW OF CREDIT CHECK CONFIDENTIAL lndividual Credit Report Name DTAZ LEDYAR LAZARO Ordered By Customer :9999 Received 06 18 Completed:06 18 Address : 32 SW 132ND COURT M]A},II ,FL 33184 CREDIT SCORE: APPLICANT FICO SCORE:722 (scores range from 300 to 850) PUBLIC RECORDS: PUBLIC RECORDS HAVE BEEN CHECKED AT THE LOCAL, STATE AND FEDERAL LEVELS WITH THE FOLLOWING RESULTS AS OF 11106/18: CLEAR souRcErs/.. EXPERTAN rRAirSUrVrON CREDIT RECORD (Credit histo ry has been checked for a period of seven years or from op en date . ) High 30 60 90 BK OF AMER 922 0 DLA=r,0 / 18 SYNCB/WLMRTD 523 914LL25 4 9 DLA= 10 / 18 70/18 08/17 1s35 !437 AS AGREED0000000R01 13 I AS AGREED0 00 00 00 R01 0'7 r391 COMMENTS: ***oFAC NAME SCREEN ALERT - CLEAR*** OFAC (OFF]CE OF FOREfGN ASSET CONTROL) IS A FEDERAL AGENCY WHICH MAINTAINSA DATABASE OF TERRORISTS, DRUG TRAFFICKERS AND CRIMINAL ORGANIZATIONS. FRAUD RECORDS I]AVE BEEN SYSTEMATICALLY CHECKED BY THE ACCESSED BUREAUS. CHECKS FOR IDENTITY THEFT, FAKE SSN, DECEASED SSN AND OEAC DATABASE PERFORMED. GREDITOR PHONE DIRECTORY: BK OF AMER BC15 97 02 9 (800 ) 4 21- 2110 OTdeTed by: APPLICANT _ SEE NAME ABOVE Reporting Agency: Credit Check, lnc. - 3017 Exchange Court, Suite H, West Palm Beach, FL 33409 . (561) 616-5556 Social# : Applicant : lll-297 O 1"0/L8 03/1-8 s09 Total trade l-ines on this reoort: 2 RESIDENCE HISTORY: 32 SW 132ND CT, MIAIVII FL 33184 (09/L2/17) 8.C.1 Packet Pg. 96 Attachment: LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW OF CREDIT (7725 : LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW CREDIT CHECI(*CONFIDENTIAL Name:DTAZ LED LAZARO Customer: 9999 Page:2 CREDITOR PHONE DIRECTORY - continued: PO BOX 982238 EL PASO TX. 79998SYNCB/WLMRTD BC23506ON PO BOX 965024 ORLANDO FL. 32896 CRED]T CHECK Z 0630213 301"7 EXCHANGE COUR WEST- PALM BEAC FL. 33409 (877) 61,6-sss6 *** END OF REPORT *** Ordered by: APPLICANT - SEE NAME ABOVE Reporting Agency: Credit Check, lnc. - 3017 Exchange Court, Suite H, West Palm Beach, FL 33409 . (561) 616-5556 8.C.1 Packet Pg. 97 Attachment: LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW OF CREDIT (7725 : LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW OF CREDIT CITECI(,CONFIDENTIAL Date: tL / 06 / 78 Cust. No: 9999 Ordered By: 4226 Page: 1 (X) Corporation EIN: 26-2699763 Commercial Gredit Report Company: ATLAS DooR & GATE rNC Address:276 WEST 24TH STREET HIALEAH, FLORTDA 33010 elephone: (305) 463-9278 CIPALS: ?RES I DENT \ddress: iocial Security Number: itock Ownership: DIAZ, YACELYS 275 WEST 24TH STREET H]ALEAH, FLORIDA 33010 N/A /ICE PRESIDENT \ddress: iocial Security Number: itock Ownership: DIAZ, RAYDEL 276 WEST 24TH STREET HIALEAH, FLORTDA 33010 N/A N/A rICE PRES]DENT \ddress: iocial Security Number: itock Ownershi p DIAZ, LEDYAR L. 276 WEST 24TH STREET HTALEAH, FLORTDA 33010 N/A N/A \ddress iocial Security Number: itock Ownership: .TLAS DooR & GATE rNC was TNCORPORATED in the county of DADE, stn 05/28, 2008. The charter number is p08000052573. The regi 'rAZ, YACELYS of 276 WEST 24TH STREET, HTALEAH, FLORTDA 3301 EASED from N/A at N/A per month. The company employs N/A. IET WORTH: oN EILE WITH STATE atester 0. of ELORIDA, ed agent is Offices are he company maintains banking relations with BANK oF AMERTCA he officer handling the account is N/A - HIALEAH, FLORIDA i.eported for: appLrCANT - sEE NAME ABovE leported by: Credit Check, lnc. - 3017 Exchange Court, Suite H, West Palm Beach, FL 33409 . (561)616-5556 8.C.1 Packet Pg. 98 Attachment: LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW OF CREDIT (7725 : LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW SM CREDIT CHECK CONFIDENTIAL Commercial Credit Report )ompany: ATLAS DooR & GATE rNC Address:276 WEST 24TH STREET H]ALEAH, FLORIDA 33010 '7 ) STATE TAX LIEN FrLED 70 / 78 / 12, REDITOR: ELOR]DA DEPT OF REVENUE EE ATTACHED Date: Cust. No: Ordered By: Page: 7L/06/78 9999 4226 2 UBLIC RECORDS WERE CHECKED FOR MULTIPLE COUNW, FLORIDA. A SEARCH OF LOCAL, STATE, ND FEDERAL RECORDS HAS BEEN CONDUCTED WITH THE FOLLOWING RESULTS: AS OF 11106118: 1) UCC FILING NO. 207503622767, 05/01/75, SECURED PARTY: CORPORATION SRVC CO OLLATERAL: EQUIPMENT XPIRATION DATE z 05/07/20 2) UCC FILING NO. 20L50451-3701 , 0J /24/75, SECURED PARTY: CORPORATION SRVC CO OLLATERAL: CHATTEL PAPER XPIRATTON DATE: 07 /24/20 ERMTNATED 09/02/L5, UCC FTLTNG NO. 207504891198 3) UCC FILING NO. 201504826920, 08/26/15, SECURED PARTY: CORPORATION SRVC CO OLLATERAL: EQU]PMENT XPIRATION DATE : 0B/26/20 4) UCC EILING NO. 20L505269274, LL/03/L5, SECURED PARTY: FIRST GOLD BUYERS OLLATERAL: ASSETS XPIRATION DATE : L7/A3/20 5) UCC FILING NO. 20L60855112x, 08/22/L6, SECURED PARTY: CORPORATION SRVC CO OLLATERAL: GENERAL INTANGIBLES XPIRATION DATE z 08/22/2L 6) UCC FILING NO. 201804894905, 04/18/18, SECURED PARTY: MGR FINANCIAL SRVCS OLLATERAL: BUILDINGS XPIRATION DATE : 04/18/23 BK28319pG1008, $300.00, MrAMr-DADE CNTY CT PAID/RELEASED 06/ L8 /73 8) LAWSUTT FrLED 08/26/L4, CASE #201,4022160CA01, LAINTIFF: CONTROLLED PRODUCTS SYSTEMS CORP 9) LAWSUTT Ff LED 0B/0L/L], CASE #2077CAO'724]- ,LAINTIFF: JANET OLIVEROS ND OF PUBLIC RECORDS SEARCH *** Credit Profile *** Creditor Opened High DADE COUNTY C]RCU]T COURT DISM]SSED OB/07/16 HILLSBOROUGH CNTY CIRCUIT CT STILL PENDING Bafance Rating /e 8.C.1 Packet Pg. 99 Attachment: LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW OF CREDIT (7725 : LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW CREDIT CHECI(,CONFIDENTIAL Date: Lr / 06 / LB Cust. No: 9999 Ordered By: 4226 Page: 3 Commercial Credit Report Company: ATLAS DooR & GATE rNC AddreSS:276 WEST 24TH STREET HTALEAH, FLORTDA 33010 IETVIARKS: /A: NOT APPLICABLE/NOT AVAILABLE .EPORT WORKED BY RENEE ND OF REPORT. 8.C.1 Packet Pg. 100 Attachment: LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW OF CREDIT (7725 : LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW zr02 W CFN: 20'130482642 BOOK 28683 P AGE 2294 DATE:06/18/201 3 1 1 :53:43 AM HARVEY RUVIN, CLERK OF COURT. MIA-DADE Cry Florida Department of Revenue Satisfaction and Release of Tax Lien DEPARIMENI OF REVENUE ATLAS DOOR & GATE INC 9905 NW ,I 16TH WAY UNIT 109 MEDLEY, FL 33178-1,I13 Tax Business Partner # Contract Object # FEIN Warrant # Corporate lncome Tax 3351936 00015433828 262699763 1 0000@297526 Re: Wanant issued under Chapter on 10t1812012 the Department of Revenue, State of Florida, which appears in the official records of Miami{ade County, Florida, in O.R. Book 28319 Page 1008 lnstrument # 20120744691 WHEBEAS, such warrant has been satisfied in full. THEREFORE, the Department of Bevenue, State of Florida, releases the above recorded lien and accordingly requests that the Clerk of the Circuit Court record this Satisfaction and Release of Tax Lien. WITNESS my hand and otficial seal in this City oJ Doral Miami-dade County, Florida, this 1Sth day ol June 2013 N,larshall Stranburg, lnterim Fxecijtive Directcr Department of Revenue, State of Florida This instrument by: Authorized Agent Please bill to: State of Florida, Department of Revenue MIAMI SERVICE CENTER 8175 NW 12TH STSTE 119 Doral, FL 33126-1828 DR.81 R. 10/10 22O,221 , Ftorida Statutes secured recordation ol a Warrant for Collection of Delinquent Corporate lncome Tax Tax, 8.C.1 Packet Pg. 101 Attachment: LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW OF CREDIT (7725 : LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW OF Credit Check, Inc. rsl @ creditcheckinc. com Tel. (561) 616-sss6 Fax (561) 616-5553 BUSINESS CREDIT REPORT X SEND REPoRT To to me for Atlas Door and Gate,l X CORPORATION/LLCNAME OF BUSINESS DBA (if applicable).... ADDRESS.... PHONE. PRINCIPALS: NAME:......................: RESIDENCE ADDRESS.: STOCK OWNERHIP 7o..: zt6 w 24 s1 PROPRIETORSHIP PARTNERSHIP Hraleah Florida 33010 305-463-9218 FEr# 262699763 Yacelys Diaz President 32 sw 132 ct 51o/o s,s.#..***-**-381 4 PRINCIPALS: NAME:......................: RESIDENCE ADDRESS. STOCK OWNERHIP 7o..: PRINCIPALS: NAME:........ RESIDENCE ADDRESS. STOCK OWNERHIP 7o..: s.s.#.. s.s.#.. IN WHAT COUNTY WAS-YOUR BUSINESS OPENED OR INCORPORATED? NAME OF BANK: Bank of America United States of America BANKLOCATION Htaleah FL ANY OUTSTANDING JUDGMENTS, BANKRUPTCY ORLIENS? I ] YES 1X1NO I hereby authorize CREDIT CHECK, INC. to develop and fumish a credit report for a Construction Industry license to be ,ffigardea ro the licensing board / address noted above: A4*_ Q.,* November 5, Signature Title Date PRICE: $ 80.00 Additional Copy For Review: $10.00 Risk Score $15.00 _Overnight Rush Service: $35.00 rotal: $80'00 METHOD OFPAYMENT:t I vrsA or 1\ uesreRCARD **** _**** -**** _27 52 Card # Three digit Security Code on back of Expiatiolll 10 122 Ledyar Diaz Printed Name as it appears on credit card of Cardholde 32 sw 132 ct Miami FL 33184 Billing Address as it appears on credit card statement T]'|-T F. TT'T.I E. 8.C.1 Packet Pg. 102 Attachment: LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW OF CREDIT (7725 : LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 239-252-2400 Growfi-r Management Deparknent COLLECTION O F SOCIAL SECURITY NUMBERS Date: APR|L12,2O1B To: Applicants for Certificate of Competency From Everildo Ybaceta, Contractor Licensing Supervisor Pursuant to Chapter l-19, Florida Statutes and Collier County Contractor Licensing Ordinance 2006-46Section 2.1 .1 ., all applicants are required to submit their socLl security number (SSN) for the followingpurposes: a) Assess applicant's ability to satisfy creditors by reviewing their credit history.b) Verification of applicant's test scores and information. our office will only use your SSN noted above for those reasons pursuant to Chapter l-19, FloridaStatutes, and as may otherwise be authorized by law. We are fully committed to safe-guarding and protecting your SSN and once collected, will be maintainedas confidential and exempt under chapter l-19, FloridiStatutes. FIRIU APPLICATION Rev 4112118 Page15of15 8.C.1 Packet Pg. 103 Attachment: LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW OF CREDIT (7725 : LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW OF Florida Deoartment of State DrvrsroN oF CoRPoRATloNs \ _ UIin!:)ia*.$i.rl. ..1 ' t -- U'! {l i':'lJ\} t,l i tv: ,litr;t:i iiu-. :,! i1,,t,:it: .tryl:lp Deoartment oi State / Division of Corporations / Search Records / Detail Bv Document Number / Detail by Entity Name Florida Profit Corporation ATLAS DOOR & GATE INC Filinq lnformation Document Number P08000052573 FEI/EIN Number 26-2699763 Date Filed 0512812008 State FL Status ACTIVE Last Event AMENDMENT Event Date Filed 0612112010 Event Effective Date NONE Principal Address 276 W 24TH ST HIALEAH, FL 33010 Changed: 0410812015 Mailinq Address 276 W 24TH ST HIALEAH, FL 33O,IO Changed: 0410812015 Registered Aqent Name & Address DIAZ, YACELYS 276 W 24TH ST HIALEAH, FL 33010 Name Changed: 05127 12010 Address Changed: 041081201 5 Officer/Director Detail Name & Address Title P DIAZ, YACELYS 276 W 24TH ST HIALEAH, FL 33010 t 8.C.1 Packet Pg. 104 Attachment: LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW OF CREDIT (7725 : LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW Title VP DIAZ, RAYDEL 276 W 24TH ST HIALEAH, FL 33010 Title VP DIAZ, LEDYAR L 276 W 24TH ST HIALEAH, FL 33010 Annual Reports Report Year 2017 2017 2018 Filed Date 04t23t2017 0611512017 04/23t2018 Document lmages O4l2312018 _ ANNUAL REPORT O4l23/2017 - ANNUAL REPORT 04/29/2016 - ANNUAL REPORT 07126/2015 _ AMENDED ANNUAL REPORT O4l08/2015 _ ANNUAL REPORT O4l29l2014 _ ANNUAL REPORT O4l10/2013 _ ANNUAL REPORT O4l21l2012 _ ANNUAL REPORT O4l1 9/201 1 _ ANNUAL REPORT 06/2112010 - Amendment O5/27l201 O - REINSTATEMENT 07/07/2008 - Amendment 05/28/2008 - Domestic Profit Florida Department of State, Division of Copora0ons View image in PDF format View image in PDF fomat View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format 8.C.1 Packet Pg. 105 Attachment: LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW OF CREDIT (7725 : LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW OF Electronic Articles of Incorporation For ATLAS DOOR & GATE INC The undersigned incorporator, lbr the purpose of forming a Florida profit corporation, hereby adopts the following Articles of Iacorporation: Article I The name of the corporation is: ATLAS DOOR & GATE INC Article II The principal place ofbusiness address: 5088 NW 74TH AVE MIAIVII, FL. 33166 The mailing address of the corporation is: 5088 NW 74TH AVE MIAMI, FL. 33166 Article III The purpose for which this corporation is organized is ANY AND ALL LAWFT-]'I- BUSINESS. Article IV The number of shares the corporation is authorized to issue is 100 SHARES @ $I0.00PAR VALLTE Article V The name and Florida street address of the registered agent is RAYDEL DIAZ 5088 NW 74TH AVE MIAMI, FL. 33166 P08000052573 FILED Mav 28. 2008 Se6. Of Statepalford 8.C.1 Packet Pg. 106 Attachment: LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW OF CREDIT (7725 : LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW OF I certi!, that I arn familiar with and accept the responsibilities of registered agent. P08000052573 FILED Mav 28. 2008 Se6. Of StatepalfordRegistered Agent Signature: RAYDEL DIAZ Article VI The name and address of the incorporator is: RAYDEL DIAZ 5088 NW 74TH AVE MIAMI. FL 33166 lncorporator Signature: RAYDEL DIAZ Article VII The initial offrcer(s) andlor director(s) of the corporation is/are: Title: P RAYDEL DIAZ 5088 NW 74TH A\D, MIAMI, FL. 33166 8.C.1 Packet Pg. 107 Attachment: LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW OF CREDIT (7725 : LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW OF 2 ATI,AS DOOR & G}ITE INC 5 08 8 I.I!,i ? 4TH AlrE MrpJ.(r, Et, 33156 For assiBtalrce You may sall 1rE at: a-400-829'4913 IF' YOU '{RITE, ATTA,O{ AHE STI'B AT TIIE END OF TIIIS N-OTICE. ,I'IE ASS]O{ED YOU TN N,IPIOYER IDB.TTfFICATION IiIUMBER Tha:i< you for applyiog f,o, a Enltr)loyer ldentificatioa Nunber (EIN) ' We a6sl9ned you EIN 26-2699i53. flrl-e- rir.I ilii iaentiiv i'o.., yo* buglneEs accou..ls, tax re1uns, and documents, eveD 1E you have no enployees ' PleaBe keep thj-s Dotice in your pennanent records . wher ftltng tax docxments, pa)4neEls, and related coryeEPondence / it i3 ?ery 1llF?rt9nt that you us" yoit ErN and. conEriete- name and addreEa exacEly ls showa above - Any variation n*y .L,r" a aelay iu proeeesGg, reEulE in incorrect irfo,,naLton.ln yEur account, or even .air". you to ue -assigiea n!cr" ihan olle EII{. If the informatioD is noc cgrcect ag E}ror"n a.bove r please make tf,e colrection usilg the aEgached tear ofi sEub and,eg\rfa 1t Eo us- Based oo bbe infomaltou recetvad from you or your repre€entatlve/ you must file El1e followlng form(s) by tlle date(s) shown. Fofin 941 to /11,/2008 Eorm 940 OL/31/2009 Form rr2o 03 /t5/ 2OO9 If you harE questionB about tlre f,orrq(g) or t}le due daEe(s) showr, you call call us at uhe phoai number 6r 1"T lEe !o uE aE the address shown at, the tc4) of thi6 !!oElce- ff you n6edhelp in dstermlnlng your arllual accoluttlng period (tax year) , 6ee rrubllcation 538, Accouttlrg PerTods end Methoda - We aseigaed you a tax classif,icaEj.cEt baEed oII lnfonBEion crbtained frorn you or your repfeeentat i+e, iC fS r6t a 1ega1 determlnatlon of your tax clagsiElca1Lon, and is no! fGd:-ng on the rRs- rf you 'rani a fegal detendnation of, your tax. classification, 1|ou rl!3y reoresi a private leteef ruling from Ehe Ins under the gulde1fuEs i4 Re'.enue Procedur€ 2oo'4-1, 2ot4-1 I.R.B. 1 (or sulerseding ReveEue procedi-Ee for Ehe year at ie6ue) - Note: Certatr tax clasetf,lcatlon electlone ce.rr be requested by fililg Form 8832, EtrEity Clas8lflcation ElecElor- See Form 8832 and ib; iDBtructlond for additional infor€tlon - IIIPORTB]TT INPOBIATION FOR 9 MRPORATIOII EITECXION: rf yon lEtend Eo elecE to fllE your reEurn as a ema1l buelness corPoration, elecElon- Eo flle a Fotm U2O-S BrusE be rnade witirin cerEait tsiYieframes and the corlroratrion must meet certain tests- Al't of Ehis iDformatlon is included in the trrsirucrions Eor Form 2553, E]ecEiorl by a Slnafl Buoi eEB Corporation. I!J ltTtlTrJ an W IRS ?i,;ffi HLg;ff .Sffi H"" crNClNNl-Tr OH 45999-0023 Date Of *ris noticer 05-29-2000 Enployer IdeDtlflcation }turnber : 26-2699763 Forn: SS-4 Nun oer of Chi6 noEice ! CP 575 A 8.C.1 Packet Pg. 108 Attachment: LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW OF CREDIT (7725 : LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW (IRS USE o}IIJY) 575A 05-29-2008 Arli. E 9999999999 SS-4 lf ,.(,u are required to depOBiL f,or employnents taxeg (Forms 94r, 943t 94ot g44t g4E,cT-I, or a042), excise UE>:es (Form '?2a) , ox lncome Eaxes (Form aa2o), you will receiwe al^lelcome package 6hortty, which includes iEstructions for making your depoeiteelectroDically thr:ough the ElecLronlc Fedela1 TaJ. payne-Irt SyEt&rL (EFTpSl - A parsonatrdentiflcation Nunrber (PIN) for EFl'pS !ri1l also be s-enc ro you r:nd.er separate cover.Pl'ease activate Ehe prN once you receiwe it, eve[ if you bawe requeeted the Eer'iceE of atax- professionaL or repregenlative. For more infornation about ERtpS, refer LoPublication 966, ETecEronic d)oices to pay ALJ- voar Federa2 I'axe.s and publlcaElon 4248,EFTP9 (ErochuYe) ' If you need to make a d.eposit before you receive your Welcorne Packagre,p-Lease_v1slt alr fRs EE-q)ayer agEiELance center Lo obtain a Fed.eral Tal Deposit coupon,Fo}-r]r 8109-8. To locate Ehe Eaxpayer assletance certte! neare6t. you, vlsli ghe IRs web ElteaE hlrp: //r^,ww- jjB.gc r/localconbacls,/-ind@x. hEml - Nore: you wllL nor bs a}le Eo obraan Form8109-8 by callillg r -8 0o - 829-TAXTERMS (1-SOO-e29-36?6). The IRs ia corrRitted Eo- helplng a1l ua@ayers eonqrly \ilith chetr tax filiIggbligations - r! you Eeed help c-orcIering yoir- reru.rrs- oi meeElng your tax obligatlong,Authorized e-811e Prov{dere, euch is neliriing Agents (payro11 sErwtca provtaeri; area\rall+]e to assisE. yDu. vlslt the rRs-web site-ac wwwl iis. gov for a rist. of companiesthat offer rRs e-file for bu6lnese producte and services, The rist prov-ides addrLsses,tselephone nunberF, aod Links ro Eheir Web 6iteB. . To obtain tax forlrlE and publieatione, including those referenced j-n this noEice/wislt our web Bite at wv. irsigov. If you do o"i fri.," acceEs to the l4ternet, call1-800-829-1676 (TI|y/XDD L-8OO-829-4059) or vlsit yolf, local IRs offlce. I PORTNIT BEMINDERs: * lsen ? coPy of tbiE aoEice ir your permaneat recordE. fb-iE rotice i€ iEsued qnlLc(le tsilre End th5 IRE irl11 not be able to generBt€ B dupltcaee copy i"" Vo!r. * Use Eh16 EIN and your naine exacrly aE they appear aC Uhe bop of thie notice on allyour fed.erat Eax forn6 . * Rafer tso tshits EIN on yo]]r tax-felated correspondence and d.ocuments. If- yOU ttave questionE abouu yaur EIl,], you can ca1]- us aL Ehe phone nunber Or wrl-le tOuE at the addresa showa at the to! of rhl' ;roErce, tf you urite, irease teai oii trrs Erurat.bhe bottom of EhIs noBice -and iend ir along otth ya; Iecier, il you do noi neea towrite ue, do not conrplete ard return the stubl ir.u"i-yo" for your coirperauicar. Keep this part for yor.rr recorde.cP 575 A (Rev_ 7-2007) Return ghis part with any cortreBpondenceso lre r0ay identsiEy your accalurt. pleasecorrect Et!!y errgra ia your name or address. lour Tilephco: Nurber BesE rime te CaIl INIERNAI] REVENI]E SERVICE CINCINMATI OH 45999- O023 I'L'l'l,l' l , l , , l ' l , , l , l , , l l ' , ' llrr " 'l,l,,ll,l,l,,l DATE OF THIS NOTI(3: 05-29-2009 EMPLOTER IDB{IIEICATION NIIMBR: 2 6 -2699?63 FORM: SS-4 NOBOD cP 575 A 9999999999 ATI,A,S DOOR & G.ATE INC 5088 NW 74mr elrE MTAMI, F'IJ 33166 8.C.1 Packet Pg. 109 Attachment: LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW OF CREDIT (7725 : LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW Growlh Management Deparbrrent ln accordance with collier county ordinance 2006-46, as amended, Company empowered to act on behalf of Company business has the authority to supervise construction undertaken by RESOLUTION OF AUTHORIZATION complete this form if multiple people own part of the company the license will be attached to.lf there is only 1 owner, then this form is not required for the appf icaiion. Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 Phone - 239-252-2431 Fax - 239-252-2469 SES icant Name 't to engage in contracting as It{..s in Collier County proposes to qualify for a Certificate of iompetency with company It is hereby agreed upon that we the undersigned ila r+MrS of Com Comppny where l-{ {' ,lpor oe$1-r O]j-^r- Off ice rs/Owners/Partn ers Company reso and rep resent to t[e collier county contractor's Licensing Board that the proposed qualifying agent, )is active in all matters connected with the company namedName /,e further resolve and represent that v' is legally Z@ plicant Name all matters connected with its contracting P artners Witness Off ice rs/Own ers/Partn ers Witness officers/owners/Partners of the above mentioned company need to sign on the left and a witness to the signature signs on the right. -,.State of /'/Ul\r..- . County of { The foregoing instrument as acknowledged before me this AA\,*'brf . by €J A^a ," a?- date briname of acknowledging (Officers/Owners) MY CCltlMiS'; ii)r'l f GG000368 Ej\:.ptiliji .,r, ; ?7, t030 {,!-,r I ,"gurr-g1 type of identification or known o NOTARY'S SEAL Resolution of Authorization Rev 4/12/19 ath who has produced (srGNA RE OF NOTARY) I 8.C.1 Packet Pg. 110 Attachment: LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW OF CREDIT (7725 : LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW C,Rft,Covtttt2l Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 239-252-2400Grow$r Management Deparknent APPLICATION FOR COLLIER COUNIY CERTIIICATE OF COMPETENCY ERIFICATION OF CONSIRUCTION EXPERIENCE Applicant's Name Certificate Category Requ 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 his/her 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.9., 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 coosidered sufficient to demonstrate required trade experience e person ve trade experience for the above.named applicanl must provide the following informati N ame Title // u ffi",Buslness Nam Business Address /L duties) inclu,>rZ &2 e No. (if applicable) TilzO uwrl pjffi City oO 0 State zip The appli cant by me from Applicant s tit e The pplica t's scope of work (specific ded Additional comments NOTE TO LICENSED CONTRACTORS: Falsifying any informatian ptovided herein may subjecl your license to revocation Under penalty of perjury, I declare that the facts stated here are true sig of providing the statemenl State of / o ,-t' t> County of )>e-le The foregoing instrument as acknowledged before me this by l-'is * fo-tuzn who has produced b., n .+9 t' ' AIN?,n \+t 2c t.: date t/t' / r'r.4oy" name of person acknowledging as identification and did not take an oath type of identification or known I'IOT3F.Y'S SEAL FlRIvl APPLICA flON ReY 4112118 (SIGNATU Page 10 of '15 8.C.1 Packet Pg. 111 Attachment: LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW OF CREDIT (7725 : LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW OF Detail by Entity Name Floricla Oepartnrent of State Page 1 of2 DivrsroN oF Conponltrons ',',t:i, :,': .,,,.' : .,t;..:,.1 DeDartnrent of State / Divisioo of Comorations / Search Records / Detail Bv Doctrflrent Nurnber / Detail by Entity Name Florida Profit Corporation ALL FORTEZA GARAGE DOORS, CORP. Filinq lnformation Document Number P06000090151 FEYEIN Number 20-8800180 Date Filed 071061200o State FL Status INACTIVE Last Event VOLUNTARY DISSOLUTION Event Date Filed 0711612018 Event Effective Date 0711612018 Principal Address 24OO WEST 2 AVE SUITE 2 HIALEAH, FL 33010 Changed: 0412512014 Mailinq Address 24OO WEST 2 AVE SUITE 2 HIALEAH, FL 33010 Changed: 0412512014 Reqistered Aqent Name & Address FORTEZA, LUIS A 24OO WEST 2 AVE SUITE 2 HIALEAH, FL 33010 Address Changed: 041251201 4 Officer/Director Detail Name & Address Title PD FORTEZA, LUIS A http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype:Entit... ll l2l12018 8.C.1 Packet Pg. 112 Attachment: LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW OF CREDIT (7725 : LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW Detail by Entity Name 24OO W 2 AVE 2 MlAMt, FL 33010 Annual ReDorts Report Year 2016 2017 201 8 Filed Date 04t2812016 04t17t2017 0311612018 Document lmaqes O3/16/2018 .- ANNUAL REPORT O4/1 7/201? .. ANNUAL REPORT O4i 28/2016 -- ANNUAL REPORT 04/29/201 5 .- ANNUAL REPORT O4l25i2014 _ ANNUAL REPORT Vielv irnage in PDF fornrat View image in PDF fornrat View inrage in PDF iormal View image in PDF formal View image in PDF format O4l2212010 -- ANNUAL REPORT 07/06i2006 * Don)estic Profil ir(id3 DEparunent ot sraiP, !r!!5ron af cortorsii.,ra Page 2 of 2 View image in PDF format Vlew image in PDF fonnal View image in PDF formal View image in PDF format View inrage in PDF fornrat VieYr' image in PDF ionnal View irnage in POF formal View image in PDF lormat http://search.sunbiz.org/Inquiry/CorporationSearch,/SearchResultDetail?inquirytype:Entit... | | l21l20l8 8.C.1 Packet Pg. 113 Attachment: LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW OF CREDIT (7725 : LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW OF Detail by Officer/Registered Agent Name Detail by Officer/Registered Agent Name Florida Profit Corporation AMERICAN EAGLE GARAGE DOORS, CORP Filinq lnformation Document Number P18000054071 FEI/EIN Number NONE Date Filed 0611512018 Effective Date OGl15l2O18 State FL Status ACTIVE Principal Address 24OO WEST 2 AVE 2 HIALEAH, FL 33010 Mailinq Address 24OO WEST 2 AVE SUITE 2 HIALEAH, FL 33010 Reqistered Agent Name & Address FORTEZA, LUIS A 24OO WEST 2 AVE SUITE 2 HIALEAH, FL 33010 Officer/Director Detail Name & Address Title PD FORTEZA, LUIS A 24OO WEST 2 AVE SUITE 2 HIALEAH, FL 33010 Annual Reports No Annual Reports Filed Document lmaqes fcnd. Oepacenr of ltate, Drvrsion o, Cn.fGtions Page 2 of 2 View image in PDF format http://search.sunbiz.org/lnquiry/CorporationSearch/SearchResultDetail?inquirytype:Offi... 1112112018 8.C.1 Packet Pg. 114 Attachment: LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW OF CREDIT (7725 : LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW OF c,ffi,.,Courtll Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 239-252-2400Growth Management Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY VER FICATION OF CONSTRUCTION EXPERIENCE Applicant's Name Z Certificate Category Requested The applicant is seeking a Collier County Certiflcate of Competency in the trade indicated above. As part of the application for this certificate, the applicant must verify his/her experience within this trade. You are being requested to provide information that wiil aid the applicant in meeting this requirement. You should verify time of active experience working as an apprentice or a skilled worker (e.9., 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 for the above-named applicant must provide the following information: Name 4 Title Aozz-r License No. (if applicable) BusinessAddress:2652il 7 5 Sr /abrl {L veak tLbrthl tr):41\'c 1) m C lo C City State z\p The Appl applicant wa€-ei"ployed by_me fro icant s titre: JvlCalA lvf A <:S t z<72; u€Z to The applicant's scope of work (specific d A<<;<letwz *fr<h nicia*:s anr| tSSrn"l 1@/e:+oJ1 s/at/,uUes) included Additional comments ( NOTE TO LICENSED CONTRACTORS: Falsifying any infomation provided herein may subject yout license to vocalion Under penalty of perjury, I declare that the facts stated here are true ofperson p the statementS The foregoing instrument as acknowledged before me this 0rosnr,o e./;u-l\who has produced lv 6ur*r of- l-ts rc,-,f,+- zl7, date ,Y* 17/o-re- name of person acknowledging as identification and did not take an oath by NO'TARY'S SEAL type of identillcation or known FlRf APPLICATION Rev 411211.A (SIGNA NOTARY) Page 10 of 15 Business Name: st"r. ot {la 'a ?> t^' county or b Pb s- 8.C.1 Packet Pg. 115 Attachment: LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW OF CREDIT (7725 : LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW Detail by Entity Name Flo.icla Decartnrent of State Annual Reports Report Year 2016 2017 2018 Page 1 of2 DtvtStO{ OF CCRFORAiIOmS --fl---. ':t!',' ,),.t:; tij .-l t )l-i'):J--:J')),-t :r': ,ii:, :,'! '.''!:1. , I i !\ , ;i.1 ;,. ,, ',.., Deoarlmenl of State / Drvisron of CorDoBtions / Search Records / Detail Bv Oocunrent Nurnber / Detail by Entity Name Florida Profit Corporation ALL STATE GARAGE DOORS AND SERVICES CORP Filinq lnformation Document Number P13000066615 FEUEIN Number 46-3421996 Date Filed 08/09/2013 State FL Status ACTIVE Principal Address 2852 W 75 ST HIALEAH, FL 33018 Changed: 0212312016 Mailinq Address 2852 W 75 ST HIALEAH, FL 33018 Changed: 0212312016 Reqistered Aoent Name & Address MACHADO, OROSMAN 2852 W 75 ST HIALEAH, FL 33018 Address Changed: 0212312016 Officer/Director Detail Name & Address Title P MACHADO, OROSMAN 2852 W 75 ST HIALEAH, FL 33018 Filed Date 02/23t2016 03t09t2017 02t0112018 http://search.sunbiz.org/Inquiry/CorporationSearclrsearchResultDetail?inquirytype:Entit... 1ll2l l20lg 8.C.1 Packet Pg. 116 Attachment: LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW OF CREDIT (7725 : LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW OF Detail by Entity Name Document lmaqes 08109i2013 - Domestic Profit View image in PDF format Page? of2 Fl.'!Ja Ce,rar?.en! rl 3tit?. Frrrsrnn.l L:rr'pcroinns in PDF formal View inrage in PDF format in PDF forrnal View image in PDF formal View image in PDF fornrat http://search.sunbiz.orgilnquiry/CorporationSearch/SearchResultDetail?inquirytype:Entit... 1l l2112018 8.C.1 Packet Pg. 117 Attachment: LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW OF CREDIT (7725 : LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW er <'rol,fia$ Growth Management Departrnent Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 239-252-2400 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY RIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Name Cedificate Cateqory Requesled The applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As pari of the application for this certificate, the applicant must verify his/her 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.9., as a wotker commanding the wage of mechanic or befter 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 for the above-named applicant must provide the following information: Business Name oo ? Title 4 License No. (if applicable)o 7z Business Address ( ta) S ulo rled kl The applicant Applicant's title S cty me from 0 O/2 Q/ o/o State zip to 'fr;;irra;;;'*'ryil <-- duties) included tt;Z-)A-z-\ Zer-/ //)..4 -7-?a/) P-22-t /-=-f lt Ad ditional comments NOTE TO LICENSED CONTRACTORS: Falsifying any information provided herein may subject yout license to rcvocation Under penalty of perjury, I declare that the facts stated here are true. State of //o ri L o'Signature of person ng the stalement County of b" ,! The foregoing instrument as acknowledged before me this fI A/t /e,n\"r. u d, / lZi,L,"-I 0)r'q-,,.r.who has produced date \ riyrz l t.cc,,,\( name ot person acknowledging as identification and did not take an oath by NOTARY'S SEAL type of identillcat on or known FIRL4 APPLICATION Rev 41121'la (SIGNATU ARY) Page 10 of 15 *,-" /t4kZ-L z,{ . llfztElzl' 8.C.1 Packet Pg. 118 Attachment: LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW OF CREDIT (7725 : LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW ET Coratfi.3l Growttr Management Depart-nent APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER rloe-iJu COUNTY OF D4D, k.tctqPo having been first duly sworn, state and affirm: I am a resident of D *O c County F!op,'J+(State) and have resided here for more than five (5) years During the last five (5) years I have known TJ J o,;(applicant). I have had the opportunity to observe his or her business and personal dealings and find him or her to be a person of honesty, integrity and good character. Signature 2e ko fu{,o,L"o Printed Name Address: zfrD N -r-t PL Street City State The foregoing instrument as acknowledged before me this A{v qLt'\'bsi3 daie ztp by name person acknowledging and did not take an oath AilA c Rcl;iiicuF-z MY COML4lSSiar'{ # GG006368 EXPlfigB r,c.?7,2020 6i NOTARY'S SEAL c,r1 who has prod ,""0 b n\.^r- l, 7,",*S-+ as identification type of identification FlRl\.4 APPLICATION Rev 4112118 (SIGNATURE O OTARY) Page 13 of 15 Contractor Licensing 2800 N. Horseshoe Dr- Naples, FL 34104 239-252-2400 STATE OF *r,\".L q aaor& retephone: 7fu f*n 'e 12- 8.C.1 Packet Pg. 119 Attachment: LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW OF CREDIT (7725 : LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW OF Cou*tt! Growth Management Departnent Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL34104 239-252-2400 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF VO-il- COUNTY OF 0 44A-- t,having been first duly sworn, state and affirm: *" )t-* Telephone )8,a frf ?7+A qlt\ ?t:tl I am a resident of County,(State) and have resided here for more than five (5) years.7 During the last five (5) years I have known Ar ,(applicant). I have had the opportunity to observe his or her business and personal dealings and find him or her to be a pe of , integrity and good character I Signature Printed Name Address y'oo tu 4tr-' Street 4.-G---L ?c zl,F City State zip 71 The foregoing instrument as acknowledged before me this l\ n,t by fr-k-n who has produced }) rrtn - L, a*t* name of person type of identification and did not take an oath. NOTARY'S SEAL date as identification it'/' cililMrs$igN f gGo0636E i: iipll'I.*s lune 27' 2920 r:.1{ x. ,,,. r',rbntcuez Fl RIvl APPLICATION Rev 41 121 1 8 Page 13 of 15 8.C.1 Packet Pg. 120 Attachment: LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW OF CREDIT (7725 : LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW OF 003767 667257 1 BUSINESS NAME/LOCATION ATLAS DOOR & CATE INC274 W 24TH ST HIAIEAH FL 33OIO Local Business Tax ReceipttVliam i_Dad" C:y l,ly, siut" "ii,"r,o,_THrs rs rrror e erLi _ oo rvoi piv , ,, f S ,;hf li ;U i.'Si'r".". r,',, rR A cro H RECEiPT NO. BENEWAL 6944756 RECETPT NO, RENEWAL 72saa74 i,ir";#,ff orLBUsrNEss : EXPIRES SEPTE MBER 30,2019Must be displayed at place of businessPursuant to County Code ChapterSA-Arr.9&.tO PAYMENT RECEIVEDBY TAX COLLECTOB $60.00 os/04/2018 OWNER ATLAS DOOR & CATE INC L/O YACELYS DIAZ PRES Worker(s) t 5 OWNER AILA5 DOOR & CAiE INC L/O YACELYS DIAZ PRES Employee(s) 2 CREDITCARD_1 8_065453 #ftit",i!]*Jiiii,*'i*]dli,,#r]i**1fl'#-*.i1,"'J;ifHIfi:',i!lJ#f;i",iii,ir,,],J&I,?i#iii", The BECEIpT N0. above must be displr*, * ",, ..,*"lJrl , Foimore inrormari*,,,,_ r,,_.r,*,JII^"Jff;l, de code Sec 8a_276. 004140 6983283 BUSINESS NAME/LOGATTON ATLAS DOOR & CATE INC276 W 24TH ST HIALEAH FL 33OI O Logpl Business Tax Re . Miami-Dade ( -rH I s s ;"", X l,lt,t",S,r.# F,Sfi lP t t' EXPIRES SEPTE M B ER 30, 2019Must be displ ayed at place of bu SI N ESSPursuant to County Cocie Chapter8A-Art.9&10 PAYMENT FECEIVED BY TAX COLLECTOR $45.00 oe/04/2018 CREDITCARD-I 8_065453 #ft[#]*Jif],",,1i",,]:.,h*,.,*:+il*ii*l*r*lJi],..ffiHi,fii,+llJ#Ii.,,iii*r.,iT,1,r.,?riii", The RECEIpT N0. above must be displayed on all "orr#r,t ,.t i"f es _ Miarni_Oade Code Sec Ba_276.For more information, visit www.miamidade.oov/taxcollector I I 8.C.1 Packet Pg. 121 Attachment: LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW OF CREDIT (7725 : LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW ,--.-acbe*f cERTIFIGATE oF LtAtslLITY lNsuRANcE 'TllTftr \-tt vbl\rrr rv' THI.S CERTIFICATE !S IssUED AS A MATfER OF INFORHATION ONLY AHD COI'IFERS NO RIGHTS UPON THE CERTIFICATE HOLDER' THIS cERTrFlcArE DoEs HoTAFFTR$rArvELy on rueieiivEuierr,rer.ro, sxrEdD di*rrri rxE covERAGE AFF'RDED BYrHE PoLlclEs BELow. THrs cERTrFrcArE oF tNsuRAHce ooes r.ror corusnrurE e coilfh'edi i:irwiEal rHE lssulNc lNsuRER{sl' AUr}loRlzED xEpni-ieni*nvE oR PRoDucER, AND THE CERTIFIcATE HoLoER' , rrr., rErB n, ...IMPoRTANT:lltftecz[tificatelrolder13ilADDiTloNALINSURED,tslGpdicy(ie'}mUSthaveADDlTloNALINSUREDprouisionsorbeendoNed. lr SUBRocAnoN ls wAtvED, subject to tfte tenns and caDdilioRs'ot ti," p.xi"v, ""ttuin pollcle3 mEy requirs an endorsement A statesnerit on thiscerfificatEdoernotcoEfer'ightstotnecertilicateholderlnieuof5uchsndorsomen(S}.PR.DU.ER l8ilEf ':::- - ' ;-r"o*lfu*,,, taoil se+eAs fS[. *"r (305) s84-177e Orange lnsurance Services gfrllt' u*u' Ir*,1"*rr^"*u -,n221 E' 9th street roo[Lst mdeilarry73@gmait'com Hialeah, FL 33010 ---ry-q$gB-s)AFF--o*Bcrry9 royE8lqE- '- ' f-'At--q'{' - phone (305) 8B+SS1S Fax (305) 8&4-1779 *r*o, Unl1iJ Sp*i"tity lnsurance Company 12531 *isuRED I a^ \rus/ uv-- ,nrr"r* *, Ascendant commerciai lnsuranc€ ,1923 Atlas Door & Gate lrrc TNSUREF c : cornerce & lndustry lniurance company 19410 276wesi24thstret ffi}I- ** - I exvnirro n OillllEDB LI AT,ToSONLY r] HIREDLJ AUTOS ONLY D DEscRlptON oF opERATtoNS, LocATloNs I vEHtcLEa (A$ach acoRD 101, Addtdonal 8effi*s schedule, if mdB sP'ce ls requicd) WINDOWS AND DOORS INSTALLERS CERTIFICATE HOLDER CANCELLAXON 09v15/2018 09/15/2019 BoD'tY]Ir'lRlJ::racdcry*) s - PROPERfYDAIiAGE s (PFr acidqlt) DED s 500'00 EAcl{occuRRENcE s 5'000'000'00 09n6/2018 09/25/2019 AGGREGATE s 5'000'000'@ s r--1 PER r-l oTl-t'LJ STATUTE LJ EI E L EACH ACCIDENT EL orsEASE-EAEMPIqYEEq - -E.L OISEASE . POLTCY LhtlT $ AUTHORIzED fl ,EPRESEHTATME CORP0RATIOH. All rights rcserved g i3?53u,'o T"l NoNowNEDu Arl-ros oNLY Vlcor-l cA45247-1 EtsU035414087c uuil UIIBRELLALIEB f] OccUn ExcEss LIAB n c. r*s-nreoe o.o D RE:fENrloNs WORKERS CSIIPENSAUOTI AND EUPLOYERS LIAEILITY ANY PROPRIETORJPART$IE RIEXF-CUTIVE OFFICER'f,4EI'rBER EXCLUDED? (liard.tory in NH] lf ys, Gesslb€ ur.d6r DESCRIPTION OF OPERATIONS Eelcv Y/lr NIA , SHOULD A!{Y OF THE ABOVE DESCRTBED PQLICIES BE CANCELLED BEFORE iiii exrrxairou DArE THEREoF, NorlcE wtLL BE DEuvERED tH AiCORC"qfl CE WITH TI{E POUCY PROVISIONS.COLLIER COUNTY CONTRACTOR LICENSING BOARD 2600 N HORSESHoE Dr NAPLES, FL 33104 @ The ACORD 25 {2$16103} QF a rd logo atrs reglsterad rnarks of ACORI INDICATED. M nx CERNFICATE NUI"IBER: A'BLSUER INSR WVD Y Y SI1',i022A228386 lNSR LTR REVISION rfifiH8,"ffii r*8#Bli19r Ltillrs s 1,0@,000-00 MED ExP tAnY orE P€Bm) FERSONAL'& ADV IIiJURY GENERAL AGGR€GATE PRODU6T8. COMP/OP AG€ !o,q9o:9-o 5,000.00 09/2612018 09/26/2019 FL 33010- lNsuREn_Fi_ POLICY NUIIEEAN'PE O5}NSURANCE I cr,ul,rs+eoe [i occun GEN'L AGGREGATELffTT APPLIIS PER: Drouc, I5F& I.* C I $ $ s t 1,000,000.00 2,000,000.00 2,000,000.00 I otrsn 8.C.1 Packet Pg. 122 Attachment: LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW OF CREDIT (7725 : LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW CERTIFIGATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) THIS CERTIFICA'TE IS ISSU ED AS A MATTER OF NFORMATION o NL AN D CONFERS N o RIG HTS UPON THE GERTIFICA TE HO L DE R.THIScERTIFICATEDOESNOTAFFIRMATIVELORNEGA.TIVEL AME ND,EXTEND OR ALTER THE COVERAG E AF FO RDED BY THE POLICtESBELOW.THIS c ERTI F'tcATE OF INSU RAN CE DOES NOT CONSTITUTE A CONTRACT BETWEEN TH E ISSUING I NSU RER(S),A UTHORIZEDREPRESENTATIVEORPRODUCER,AN D THE CERTIFICA,TE HOLDER. MPORTANT:the certificate holder IS an INSURED,the must have ADDITIO RE D provrsrons or betfSUBROGATIONISWAIVED,subject to the terms and conditions of the policy certain policies may require an endorsement.A statementthiscertificatednotconfertothe onoescertificateholderInlieuofsuch PRoDUcER SUNZ lnsurance Solution c/o lmpact Staff Leasino. 1315 W lndiantown Ro5d Jupiter, FL 33458 iib,. lD: (lmpact) Second Floor # A: INSURED lmpact Staff Leasinq. LLC. 1315 W. lndiantown-Rd. Second Floor Jupiter FL 33458 INSURER B : INSURER C INSURER D : INSI,JRER E : INSURER F : COVERAG CERTI NUMBER:REVISION NUMBER: THAT INDICATED, MAY TH ISJ CERTIFYTO ETH POLI CIES OF LISTED BELOW BEENHAVE EDISSU TO THE NSURED NAM ABOVE FOR POLICYTHE ODPERI DINOTWTHSTAN ANYNG REQUIREMENT,TERM CONOR OFDITION ANY CONTRACT OTHEROR DOCUMENT WTH TORESPECT THWHICH ISFICA'CERTI MATE BE ORISSUED PERTAIMAY THEN,NSURANCE BYAFFORDED POLICIESTHE DESCRIBED HEREIN SUBJIS TOECT THEALL TERMS,ANDEXCLUSIONS OFCONDITIONS SUCH POLICIES.SHO!\iNLIMITS BEENHAVE BYREDUCED PAID CLAIMS. TYPE OF INSURANCE LIIMITS EACH $ MED EXP $ INJURY $ TE $ AGG $ COMMERCIAL GENERAL LIABILITY GEN'L AGGREGATE LIMIT APPLIEStr[-l pno-I I JECIPOLICY CLAII\4S.MADE OCCUR PER: LOC $ $ BODILY INJURY (Per person)$ BODILY INJURY (Per accident)$ $ AUTOMOBILE LIABILITY ANY AUTO OV1JNED AUTOS ONLY HIRED AUTOS ONLY SCHEDUTED AUTOS NON.O\^/NIED AUTOS ONLY $ OCCURRENCE UMBRELLA LIAB EXCESS LIAB OCCUR E,L. EACH $1 E,L, DISEASE -s A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER,/EXECUTIVE Y/NtrtnNH) N/A wcPEo000004608 'r-0000'r 8t15t2018 8t15t2017 8115t2018 E,L,LIIVIT 99r"l1g-9 provided forall leased employees but not subcontractors of: Aflas Door & Gate lnc.Client Effective : 1'l l21t20 13 DESCRtpT|ON OF OpERATTONS / LOCATTONS / VEHTCLES (ACORD 10'1, Additlonal Remarks Schedule, may be attached if more space is required) c TEH CAN ACORD 25 (2016/03) o 1988-201s AcoRD The ACORD name and logo are registered marks of ACORD SHOULD ANY OF THE ABOVE DESCRIBED POLIGIES BE CANGELLED BEFORETHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED INACCORDANCE WITH THE POLICY PROVISIONS. COLLIER COUNTY qo_I_!TRACTOR L|CENSI NG BOARD 28OO N. HORSESHOE DR. NAPLES FL 34104 /ru ryAUTHORlzED REPRESENTATIVE Glen J Distefano J 45238033 | Impact Staff Leasing pEO 046 MASTER CERT I Kim Baumgalta I :I:a/S/ZO.S-| 11:04:{3 }}.,t (pST) | page 1 of 1 CORPORA TION. All rights reserved. 8.C.1 Packet Pg. 123 Attachment: LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW OF CREDIT (7725 : LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW OF *dilt, *%n*,FI D LEOYAR 32 lrllAtlll, ooB; I 8.C.1 Packet Pg. 124 Attachment: LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW OF CREDIT (7725 : LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW Collier County, FL Code of Ordinances Page 1 of2 Sec.22-184. - Standards for the issuance or denial of a certiflcate of competency. (al Contractors. The contractor licensing supervisor or his designee, shall issue a certificate of competency to the applicant if it appears, on the face of the application, as submitted by the applicant, that: (1) The application is complete in accordance with the requirements of this division; (2) The applicant possesses the experience required by sections 22-162 and 22- 1A), (3) The credit report submitted indicates no facts and circumstances which show a failure to pay contracting related bills promptly; (4) The applicant or qualifier meets the requirements for financial responsibility setforth in Rules 61G4-15.005 and 61G4-15.006, Florida Administrative code, as they may be amended from time to time; (5) The applicant meets one of the following criteria: a. The applicant has taken and passed an examination approved and recognized throughout the state, as p rovided for in section 22145.for the area of competency for which application has been made; or b. The applicant meets all licensing requirements provided for by this division; (6) All required affidavits have been submitted; (7) All required fees have been paid; (8) The applicant possesses a current county occupational license; and (9) The applicant or the qualifying agent is at least .t8 years of age. (b) Referral of application to contractor's licensing board for decision.lf it does not appear on the face of the application that the appricant has compried with the requirements of this article so as to be eligible for a certificate of competency, then the contractor licensing supervisor shall refer the application to the contractors' licensing board for a decision regarding approvar or deniar of the apprication. (c) when an application is referred to the contractors' licensing board, the board shall take testimony from the applicant and shall consider other relevant evidence regarding whether the application meets the requirements of this division. upon the evidence presented by the applicant and the contractor licensing supervisor, about:blank 8.C.1 Packet Pg. 125 Attachment: LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW OF CREDIT (7725 : LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW 61G4-15.005 Requirements for Certification and Registration. In order that the Board may carry out its statutory duty to investigate the hnancial responsibility, credit, and business reputation of a new applicant for certification or registration or a change of status of a certification or registration, an applicant shall be requted to forward the following to the Deparhnent for a review by the Board: (l) A credit report from any nationally recognized credit agency as defined in subsections 61G4-12.01l(13) and (14), F.A.C. (2) A financial statement, not older than 12 months, which shall contain information indicating the current assets, current liabilities, total assets, total liabilities, and total net worth, and which shall report all material financial changes occurring between the date ofthe flnancial statement and the date ofthe application. (3) AnsweE to the following questions on the application: (a) Has any bonding or surety company ever completed or made a financial seftlement upon any construction contact or work undertaken by any person named in paragraph (i) below or any organization in which such person was a responsible person as defned in paragraph O? Yes 0 No 0. (b) Are there any lawsuits or unpaid past-due bills or claims for labor, materials, or services, as a result of the construction operations of any person named in paragraph (i) below or any organization in which any such person was a responsible person as defned in paragaph O? Yes Q No 0. (c) Are there now any liens, suits, or judgments of record or pending against any person named in paragraph (i) below or any organization in which any such person was a responsible person as defined in paragraph O, as a result ofthe construction operations ofsuch person or organization? Yes 0 No 0. (d) Are there now any liens of record by the U. S. Intemal Revenue Service or the State ol Florida Corporate Tax Division against any person named in paragraph (i) below or any organization in which any such person was a responsible person as defined in paragraph O? Yes Q No 0. (e) Has any person named in paragraph (i) below or has any organization in which any such person was a responsible person as defined in paragraph () been adjudicated as banl<rupt within the past five years, or is any such person or organization presently in the process ofbankruptcy proceedings? Yes 0 No Q. (f) Has any person named in paragraph (i) below or has any organization in which any such person was a responsible person as defined in paragraph O ever been charged with or convicted ofacting as a contractor without a license, or if licensed as a conffactor in this or any state, been subject to disciplinary action by a state, county or municipality? lfyes, you must attach a copy ofany state, county, municipal or out-of-state disciplinary order or judgment. Yes 0 No 0. (g) Has any person named in paragraph (i) below or has any business organization in which aay such person was a member filed for or been discharged in bankruptcy within the past five years? If yes, you must attach a copy of the Discharge Order, Order Confirming Plan and ifa Corporate Chapter 7 case, a copy ofthe Notice ofCommencement. Yes 0 No 0. (h) Has any person in paragraph (i) below or has any business organization in which any such person was a responsible person as defined in paragraph O ever been convicted or found guilty of or entered a plea ofnolo contendere to, regardless ofadjudication, a crime in any jurisdiction within the past ten years? Ifyes, you must attach a copy of any such conviction or the order or judgment incorporating the finding of guilt or plea. Yes 0 No 0. (i) Required signatures: if an individual, the quali$,ing contractor; if a parhership, the quali&ing contractor and the partner(s); ifa corporation, the qualrying contractor, the president, vice-president, and secretary. fi) For purposes of this rule, "responsible person" includes any partner, officer, dtector, trustee, qua[rying contractor, or any person having managerial or supervisory role in a business organization as defmed in Section 489.105(13), F.S. Specirtc Authority 489.1 15(s), (6), 489. t 29(1), 489.132(5) FS. Law lmplemented 489. t t 3(1), 489.1 t 5(5), (6), 489.129(l), 489.1j2(5) FS. History- New l-10-80, Anended 4- 15-82, 9-5-82, j-21-83, Fornerly 2l E-|5.05, Anended 4-l8-86, 1-19-87, 7-l -87, I -26-88, I -139, 5-23-89, 6-5-90, 4-16- 92, Fornerly 21E-15.005, Amended 10-17-93, 7-18-94, 7-19-95, 4-24-96, 9-8-96, l0-31-96, 2-4-97, 8-2-98, 9-15-98, 4-5-00, l0-28-03, 10-23-05. 8.C.1 Packet Pg. 126 Attachment: LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW OF CREDIT (7725 : LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW 6lG4-15,006 Financial Responsibility, D€finition, Grounds for Denial. (l) For purposes of this rule, the phmse "furancial responsibility" is defined as the ability to safeguard that the public wiu not sustain economic loss resulting fiom the contractor's inability to pay his lawful contractual obtigations. (2) The financial responsibility grounds on which the Board shall refuse to qualiry an applicant shall include: (a) Failure to submit any ofthe items required by Rule 6lG4-15.005, F.A.C. (b) The existence, within the Past five years preceding the application, of an unsatisfied court judgment rendered against the applicant based upon the failure ofthe applicant to pay its just obligations to parties with whom the applicant conducted business as a contractor. (c) An unfavorable credit report or history as indicated by any ofthe documents submitted. (d) A determination by the Board that the applicant lacks the hnancial stability necessary to assure compliance with the standard set forth in subsection (l) of this mle. As guidelines for the determination of finarcial stability the Board shall consider t11e applicant's responses to the questions set forth in subsection 6lG4-15.005(4), F.A.C., and the applicant's financial statement submitted pursuant to subsection 6lG4-15.005(2), F.A.C. (3) The applicant's history of banlcuptcy is included in the statutory definition of financial responsibility and shall be considered by the Board; however, the fact that an applicant has been or is a debtor in bantsuptcy shatl not be the sole basis of the Board's determination to deny the issuance ofa license or a request for change of status to the applicant. Specirtc Authority 489.115(5), (6) FS. Law Implemented 489.115(5), (6) FS. Htstory-Net, 1-'630, Anended 5-4-80, Formerly 2lE-t5.06, 2lE- 1 5.006, Amended l 0-3 1 -96, I 1 - 1 3-97. 8.C.1 Packet Pg. 127 Attachment: LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW OF CREDIT (7725 : LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW Growth Management Department Planning & Regulation Operations Division Licensing Section December 1 8, 201 I LEDYAR L. DIAZ ATLAS DOOR & GATE INC 276W 24TH ST HIALEAH, FL 33010 RE: REVIEW OF CREDIT IMR. DIAZ, You have been added to the agenda for the Contractor Licensing Board meeting on Wednesday, JANUARY 16, 2019. Please attend the meeting so the board may review your submitted application and ask you questions regarding the credit report for your company. The meeting is held at 9:00am at the W. Harmon Turner Building (Bldg. F, Admin. Bldg.), 3299 Tamiami Trail. E., Naples, FL 341 12 in the Commissioner's Meeting Room on the 3'd floor. There is a security checkpoint you will need to go through, so please allow enough time to make it to the meeting. lf you have any questions or concerns, please call (239) 252-2431or you may email me at contracto rs I ice n si n g @co I I ierco u ntyf l. gov. Sincerely, Lilla Davis Administrative Supervisor Contractor Licensing CoIIier County Growth Management Department 2800 North Horseshoe Drive Naples, FL 34104 Growth Management Department'contractor Licensing '2800 North Horseshoe Drive-Naples, Florida 34104-239-2s2-2400-www.colliergov.net 8.C.1 Packet Pg. 128 Attachment: LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW OF CREDIT (7725 : LEDYAR DIAZ – ATLAS DOOR & GATE INC – REVIEW OF 01/16/2019 COLLIER COUNTY Contractor Licensing Board Item Number: 8.D Item Summary: LEONARDO GUERRA – A TO Z GARAGE DOOR SERVICES – REVIEW OF CREDIT Meeting Date: 01/16/2019 Prepared by: Title: – Contractor Licensing Board Name: Lilla Davis 01/09/2019 8:36 AM Submitted by: Title: Supervisor - Operations – Contractor Licensing Board Name: Everildo Ybaceta 01/09/2019 8:36 AM Approved By: Review: Contractor Licensing Board Lilla Davis Review Item Completed 01/10/2019 12:14 PM Contractor Licensing Board Michael Cox Review Item Skipped 01/10/2019 3:08 PM Contractor Licensing Board Everildo Ybaceta Meeting Pending 01/16/2019 9:00 AM 8.D Packet Pg. 129 ev Qownty COLLIER COUNTY CONTRACTORS' LICENSING BOARD JANUARY 16,2019 9:00 A.M. LEONARDO GUERRA - REVIEW OF CREDIT LEONARDO GUERRA is coming before the board today to review his Credit Report and to be approved for the Garage Door lnstallation Specialty Contractor License. The company [t/r. Guerra is applying to have the license for is A TO Z GARAGE DOOR SERVICES, INC DBA A2Z GARAGE DOORS. They are based out of Lee County and he first received this license with them on 1012512018. Garage door installation contracfor requires 12 months experience with a passing grade on a business and law test and means any person who is qualified to install, repair, adjust or extend garage doors. Ordinance 2006- 46, as amended (1.6.3.7). 8.D.1 Packet Pg. 130 Attachment: LEONARDO GUERRA – A TO Z GARAGE DOOR SERVICES – REVIEW OF CREDIT (7728 : LEONARDO GUERRA – A TO Z GARAGE Gontents Letter to go in Front of the Board Application Lee County Letter of Reciprocity lndividual Credit Report Sunbiz Documents IRS EIN Documents Verification of Experience - Alicea's Gate Motor Pro, lnc Affidavit of lntegrity & Good Character Lee County Business Tax Certificate of lnsurance & Workers Compensation Bond lnformation Driver's License Board Hearing lnformation 8.D.1 Packet Pg. 131 Attachment: LEONARDO GUERRA – A TO Z GARAGE DOOR SERVICES – REVIEW OF CREDIT (7728 : LEONARDO GUERRA – A TO Z GARAGE To: Collier County Board I Leonardo Guerra Request a hearing in Reconsideration of A2Z GARAGE DOOR permittance . I am fully insured and bonded I would greatly appreciate the opportunity to stand before you and explain and answer any question you may have. Since $# 6U\i wTl6,\&A Cor'^\5 -,P Uee I LEONARDO GUERRA. P.239-324-7359 8.D.1 Packet Pg. 132 Attachment: LEONARDO GUERRA – A TO Z GARAGE DOOR SERVICES – REVIEW OF CREDIT (7728 : LEONARDO GUERRA – A TO Z GARAGE NelsonColleen From: Sent: To: Subject: Leo Guerra < a2zgaragedoorsl-3 @g mail.com > Thursday, December 06, 2018 12:00 PM ContractorsLicensing Re: Automatic reply: 45322259.pdf Hi I would like to request a hearing with the board for my application approval. I've taken every precaution necessary I know my credit is low but who wasn't affected in the recession we just had I have made progress I paid off the Kia Sorrento that was turned in I've paid several debts and also I have bonded myself to ensure my work .. I'm bonded and insured. Please reconsider. On Thu, Nov 15,2018, 3:03 PM Contractorslicensing <Contractorslicen wrote: Thank you for your email, due to the high volume of incoming requests, it may take staff up to 72 hours to respond back to you. Thank you for your patience! Under Florida Law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by telephone or in writing. 1 8.D.1 Packet Pg. 133 Attachment: LEONARDO GUERRA – A TO Z GARAGE DOOR SERVICES – REVIEW OF CREDIT (7728 : LEONARDO GUERRA – A TO Z CRff.,Cor,ttttll C -halrc,xr Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 Phone - 239-252-2431 Fax - 239-252-2469 Growh Management Departrnent APPLICATION FOR COLTIER COUNTY CERTIFICATE OF COMPETENCY FIRM APPTICATION FOR COIIIER COUNTY CERTIFICATE OF COMPETENCY C-")OtE - aD\5 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. 2006-46, as amended. E General tr Building tr Residential I Mechanical D Roofing Specialty Trade $230.00 $230.00 $230.00 $230.00 $230.00 n Electrician n Plumber ! Air Conditioner ! Swipming Pool E€pecialty $230.00 $230.00 $230.00 $230.00 $205.00 Clc^-oq-e, -D:c,," Qo n-\u Cr(1\c' () r-- I. APPLICANTPERSONALINFORMATION: Name ko^rrr&*t 6.*,""* Business Name DtsA: Address: I\ I First *o 4_ R'\ch*ono\ A\rq S Middle lnitial Last nc- le\'q\^ Acffs f\_330,31- Street City 0 State zip Email 72- Telephone a3t-3N- i3tg r -i ^ Date of Birth: I I >5-/ Y O Drive/s License # (Last 4 digits only)oA.5Cl D CO't l lPuasuant to Chapter l-19, Florida StaEtes and Colller County Contractor LiceGint Ordinance 200645 Sec$on 2.1.1., all applicanti a.e required to submit their soEiel security nunber (SSr{) for the following purpos€s: a) A$err .ppticarit's abllity to iatist credltors by reviewing their 6edh hirtory. b) Veri06tlon of appllcanfr tert scores and info.madon. Our offi.e will ont uie your SSN noted above for those Eagoni puBuant to Chapter F19, Florlda Statutes, and as may odrerwlse be authorlred by law. We are fully commltted to safu{uarding and protecting your SSN and ome collected, will b€ maiirtained as confidentlal and exempt under OEpter I-19, Florida Statutas. tt X N<u'--r -+pp \rCu\ ot1 FIRM APPLICATION Rev 4/12l18 Page 3 of '15 TYPE OF CERTIFICATE OF COMPETENCY: *SS # (Last 4 digits only): ?tO L 8.D.1 Packet Pg. 134 Attachment: LEONARDO GUERRA – A TO Z GARAGE DOOR SERVICES – REVIEW OF CREDIT (7728 : LEONARDO GUERRA – A TO Z GARAGE c,ffi., cor.tttw Contractor Licensing 2800 N Horseshoe Dr. Naples, FL 34104 Phone - 239-252-2431 Fax - 239-252-2469 Growth Management Departrnent APPLICATION FOR COLTIER COUNTY CERTIFICATE OF COMPETENCY Provide the names and telephone numbers of two persons who will always know your whereabouts. tt"re, lzA.a o{or 8are..^ 3(Name Telephone -786- 6tt-rrqstr Teleph II. NAME OF APPLICANT'S BUSINESS: Business Name: DBA.. Business Address: i t I 2\ c hvr.(o,-.'.\ ,o\if q L.e.!licf, Ac(€!, fu, 3aa'] L Street City V / st"tel zip Tetephone: (7?i ) 3lq-\}sq Email Federal lD Tax No : 83)3 \ qq \ t III. FINANCIAL RESPONSIBILITY YES NO ALL APPLICANTS MUST ANSWER THE QUESTIONS BELOW: Filed for or been discharged in bankruptcy within the past 5 years? Had a lien filed against you by the lntemal Revenue Service or Florida Corporate Tax Division? Undertaken construction contracts or work that resulted in liens, suits, orjudgments being filed? . Undertaken construction contracts or work that a third party, such as a bonding or surety company, completed or made financial statements on? Made an assignment of assets in settlement of construction obligations for less than the debts outstanding? Been convicted or found guilty of, or entered a plea of nolo contendere to, regardless of adjudication, a crime in any jurisdiction within the past '10 years?. Had claims or lawsuits filed for unpaid or past due accounts by your creditors as a result of construction experience? , Been charged with or convicted of acting as a contractor without a license, or if licensed as a contractor in this or any other state, been "subject to" disciplinary action by a state, county, or municipality? NOTE. lf you have answer yES to any of the questions below, you must attach a written explanation including the nature of the charges, dates, and outcomes, sentences of conditions imposed. You must also attach proof of payment, satisfaction of lien orjudgement, bankruptcy discharge, or agreements for payment.*lf you have had a felony conviction, proof that your civil rights have been restored will be required prior to licensure. FIRM APPLICATION Rev 4t't2t'tB Page 4 ol 15 t)t \ tr l tr tr tr tr E_lz, 8.D.1 Packet Pg. 135 Attachment: LEONARDO GUERRA – A TO Z GARAGE DOOR SERVICES – REVIEW OF CREDIT (7728 : LEONARDO GUERRA – A TO Z GARAGE C o ^re'r Cor.t*rX! Growth Managernent Departrnent Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 Phone - 239-252-2431 Fax - 239-252-2469 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY IV. EXPERIENCE VERIFICATION List below non formal education (on the job training) you have obtained in the area of competency for which this application is being made: &^\e rn J. CURRENT/PREVIOUS LICENSE: List below and attach copies any other certificates of competency/licenses you hold/have held in Collier County or any other jurisdiction. lnclude the license #, Type, and county you hold it in. b\o f')t B OO Under the penalties of perjury, I declare that I have read the foregoing application and the facts stated in it are true. L.q.*'",*\,, G.*.,a^ Applicant (please print)Signature of State of Ttor i\4 Countv of 1 -o --Q t?Th by regorng r ent as acknowled ged before me this who has produced name of peBon (applicant) and did not take an oath. YomMllentanderSanh coMMlssloll I GG2463I3 UPIRE$ AloEt 7,2022 hndcdIhruArmibEY type of ide as identification NOTARY'S SEAL I FIRlr/l APPLICATION Rev 4/i2l18 (sl NOTAR}') Page 5 of 15 EDUCATION: List below and provide transcripts for any formal education you have obtained in the area of competency for which this application is being made: AFFIDAVIT So.i.ht".:t €\..i,n.^ G-c..rd< Dercr \ .\c hnno ( Se\[) '' ^ nn,*-' \o.,\rre{ 8.D.1 Packet Pg. 136 Attachment: LEONARDO GUERRA – A TO Z GARAGE DOOR SERVICES – REVIEW OF CREDIT (7728 : LEONARDO GUERRA – A TO Z GARAGE -z-cfrD.,Covt*txJ Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 Phone - 239-252-2431 Fax - 239-252-2469 GroMh Management Departrnent APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY CERTIFICATION OF APPTICATION 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 mntained herein is grounds for disqualification. I",rr,...J". 6,*v-V a Applicant (please print Name of Company L Signature ofApplicant State of: Ptr:c\ sq- County of:L*,q- The oing instrument as acknowledged before me this by who has produced hame of person (applicant) and did not take an oath. of YonabdHemadeSmB c0rilussloN , GG2ffin fi?IRES:Augst7,M Bondd Iho Ait'ofl t{oUY NOTAR' as identification NOTARY'S SEAL FIR[/] APPLICATION Rev 4/12l18 Page 6 of 15 8.D.1 Packet Pg. 137 Attachment: LEONARDO GUERRA – A TO Z GARAGE DOOR SERVICES – REVIEW OF CREDIT (7728 : LEONARDO GUERRA – A TO Z GARAGE c,fiff; cov*txy Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 Phone - 239-252-2431 Fax - 239-252-2469 Growth Management Departrr€nt APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPEIENCY WORKIVIEN'S COMPENSATION AFFIDAVIT It is understood and acknowledged by the Collier County Contractors' Licensing Board and myself that if I fail to acquire, or maintain at all times effective Workmen's Compensation lnsurance it will result in the possible revocation of my Certificate of Competency. Le,rno.J" 6 \]( (f(] Applicant (please print Signature of Applicant BEFORE ME this day personally appeared Lq O-ncrl-J o 6 u"o.".r who affirms and State of C\,rr iue County of L<_<_ e foregoing instrument as acknowledged before me this date who has produced DL name of person ing (applicant)type of by n as identification and did not ta NOTARY'S SEAL (st FlRl\,4 APPLICATION Rev 4/12l18 Page 7 of '15 ftTb 7 G,r,roqaborr b<nirzs fv'c Name of company U -? >..6>- Applicant (please print) says that he has less than one employee and does not require Workmen's Compensation understands that at any time he employees one or more persons he must obtain said Workmen's Compensation lnsurance. 8.D.1 Packet Pg. 138 Attachment: LEONARDO GUERRA – A TO Z GARAGE DOOR SERVICES – REVIEW OF CREDIT (7728 : LEONARDO GUERRA – A TO Z GARAGE cfiff", co Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 239-252-2400 utaw Growth Management Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY This certifies that l, member of STATEMENT OF OWNERSHIP S NAME print) (LlM LIABILITY COMPANY NAME) who has produced am a member or managing I own % of the units issued by the Limited Liability Company listed above. Affidavit of Applicant I certify under penalty of periury that the infomation eontained is a true and correct statement to the best of my knowledge. -€ Appl (please print) \c.,<v).ra Name of Company Ir-> rLC- State of fl,'l \& County of )--tr- Th foregoing instrument as acknowledged before me this ( S rg or known re ofApplicant by date 1 L, name of person ackno[ledging (applicant) as identification and did not take an oath NOTARY'S SEAL of ide Page I of '15 r,- FIRM APPLICATION Rev 4t12t18 8.D.1 Packet Pg. 139 Attachment: LEONARDO GUERRA – A TO Z GARAGE DOOR SERVICES – REVIEW OF CREDIT (7728 : LEONARDO GUERRA – A TO Z GARAGE fi',#rr,#wx BOARD OF COUNTY COMMISSIONERS John E. Mannrno Distict One Cecil L. Penderorass Districl Two Larry Kiker Dislricl Three Brian Hamman Disttbt Four Frank Mann Richard \rum. Wesch County Atlomey Donna Marie Collins Heaing Examinet November 02, 2018 COLLIER COUNTY CONTRACTOR LIC 28OO N HORSESHOE DRIVE Rooer Desiarlais County Managet NAPLES, FL 33942 LETTER OF RECIPROCIW This letter is to verify that Leonardo Guerra took the Prov examination, sponsored by Lee County. BUSINESS PROCEDURES: 78% DATE: 912512018 Garage Door Contractor DEEILe (G) I 177 (P): 86% DATE:911712018 lf you have any questions or if I can be of further assistance, please contact Contractor Licensing at (239) 533-8895. Sincerely, David Paschall Chief Code Enforcement Officer P.O. Box 398, Fort Myers, Ftorida 33902_0398 (239) 533-2111 - -. _ ^. . - l19r]9t address http/lvww.lee_county.com AN EoUAL oppoRTuNrry AFFIRMATIvE ecioru enapLoven flicltrrcp.rpt The applicant needed to prove 2 experience in the trade at the Licensing Board appearance. Leonardo Guena has had a Garage Door Contractor - GD Contractor License in Lee County since date 1012512018. 8.D.1 Packet Pg. 140 Attachment: LEONARDO GUERRA – A TO Z GARAGE DOOR SERVICES – REVIEW OF CREDIT (7728 : LEONARDO GUERRA – A TO Z GARAGE 11t2t2015 httpsr/usa.experian.com/#/prinVexperian/201 81 0021 353031 1 34 t t aT a tex penon Credit Report Prepared For: LEONARDO GUERRA Experian Report As Ol: Ocl2,2018 https://usa.experian_co m/#l prinjt expeiant2}j8l OO2 1 35303 I I 34 1131 Personal & Confidential 8.D.1 Packet Pg. 141 Attachment: LEONARDO GUERRA – A TO Z GARAGE DOOR SERVICES – REVIEW OF CREDIT (7728 : LEONARDO GUERRA – A TO Z GARAGE 11t212018 LEONARD0 GUERRA - Experian Date of Report: Oct 2, 201 I https://usa.experian.com/#/prinUexperian/201 81 0021 353031 1 34 Credit Score t&Rerion. Good (6.. l'u"aooo $( 512 ', 300 gcoo scoRES Experian oata tolozlzotg 850 Learn More about FICO c Scores ) Your score is well below the average score of U.S. consumers and demonstrates to lenders that you are a risky borrower. What's helping your score? You have no positive factors impacting your Score. What's hurting your score? Negative ltems You have a serious delinquency or derogatory indicator, public record and/or collection on your credit report. Number of your accounts that were ever 60 days late or worse or have a derogatory indicator 6 accounts The presence of a serious delinquency or derogatory indicator @ and a derogatory public record O or collection @ is a powerful predictor of future payment risk. Most collections, public records and delinquencies stay on the report for no more than seven years - though there are certain items that could remain longer. As these items age, they will have less impact on the FlCOo Score. Satisfying the public record or paying off the collection will not remove the item from a credit report. And it will still be considered by a FICOo Score as long as it is reported. Virtually no FICO High Achievers @ have a 60 days late payment or worse listed on their credit report. Q ara Payment History You have one or more accounts showing missed payments or derogatory indicators. Number of your accounts with a missed payment or derogatory indicator 6 accounts The presence of missed and late payments or derogatory indicators @ on a credit report, including the number of late payments, how late they were and how recently they occurred, are correlated with future credit risk. Your FICOo Score was lowered due to the number of missed and late payments and/or accounts with derogatory indicators reported. As the number of accounts with delinquency or derogatory indicators decreases, they have less impact on a FICO@ Score. About9SToof FlCoHighAchievers@havenomissedpaymentsatall.Butofthosewhodo,themissedpaymenthappened nearly4yearsago, on average. summary Accounts collections Inquiries pubtic Records You recently missed a payment or had a derogatory indicator reported on your credit report Your most recent missed payment happened 2 Months ago https://usa.exp erian.coml#l prinVexperian/201 81 0021 3S303 1 1 34 Credit Score 23t31 8.D.1 Packet Pg. 142 Attachment: LEONARDO GUERRA – A TO Z GARAGE DOOR SERVICES – REVIEW OF CREDIT (7728 : LEONARDO GUERRA – A TO Z GARAGE 11t2t2018 LEONARDO GUERRA - Experian Date of Report: Oc|.2,,2018 https://usa.experian.com/#/pri nll experianl2018 1 0021 353031 1 34 Account Summary My Overall Credit Usage Credit Debt $209 t&Rerion. My Accounts Summary Open Credit Cards Open Retail Cards Open Real Estate Loans Open lnstallment Loans 1 Total credit S2oo 0 2 My Debt SummaryTotal Open Accounts Accounts Ever Late 14 Credit and Retail Card Debt 7 Rea[ Estate Debt lnstallment Loans Debt S2o9 $s7,777Collections Accounts Average Account Age Oldest Account 4 yrs 2 mos 12 yrs 2 mos Collections Debt $16,197 Total Debt Sr o4,r 83newest account My Hard Credit lnquiries My Public Records 11 100% Summary Accounts Collections Inquiries public Records Credit Scor e I https://usa.experian.com/#/printt expenanl2}l g1 002 1 3S3031 1 34 2t31 8.D.1 Packet Pg. 143 Attachment: LEONARDO GUERRA – A TO Z GARAGE DOOR SERVICES – REVIEW OF CREDIT (7728 : LEONARDO GUERRA – A TO Z GARAGE 111212018 LEONARD0 GUERRA - Experian Date of Report: Oct 2, 201 8 https://usa.experian.com/#/prinUexperian/201 81 0021 353031 1 34 Account Summary My Personal lnformation Personal Statement(s) No Statement(s) present at this time t&Rerion. Name LEONARDO GUERRA Also Known As LEONARDO GUERRA GUERRA LEONARDO REONADO GUERRA LEO GUERRA Birth Year '1980 Addresses .I11 RICHMOND AVE S LEHIGH ACRES, FL 33936.691 9 PO BOX 1 551 LEHIGH ACRES, FL 33970.1 551 360 EISENHOWER BLVD LEHIGH ACRES, FL 33974.3633 Employe(s) J N L TRANSPORTATION NOT PROVIDED Summary Accounts collections Inquiries pubticRecords creditscore I https://usa.experian.com/#/prinUexperian/201 B1 002 1 353031 1 34 3t31 8.D.1 Packet Pg. 144 Attachment: LEONARDO GUERRA – A TO Z GARAGE DOOR SERVICES – REVIEW OF CREDIT (7728 : LEONARDO GUERRA – A TO Z GARAGE 111212018 LEONARDO GUERRA - Experian Date of Report: Oct2,2018 https://usa.experian.com/#/prinUexperian/20'1 8'1 0021 353031 1 34 Open Accounts BAWIEW FINANCIAL LOAN 628000xxxxxxx t&Oarion. {Open ACCOUNT DETAILS Account Name Account # BAYVIEW FINANCIAL LOAN 62sOOOXXXXXXX Original Creditor Company Sold Account Type Conventional Real Estate Loan, Including Purchase Money First Date Opened Aug 1,2006 Account Status Open Payment Status Current, was past due 60 days Status Updated Balance s87,777 Balance Updated Apr 5,201 8 Original Balance s1 03,996 Monthly Payment S1,093 Past Due Amount Highest Balance Terms 348 Months CONTACT INFORMATION I+425 PONCE DE LEON BLVD CORAL GABLES, FL 33146 (800) 4s7-s1 0s PAYMENT HISTORY 201 8 Jan Feb Mar 60 30 30 lGl t zo+ Days Late APr @ Augtr Dectl Jultr Novtr DD May Juntrtl Sep OctDtr @o* APr Aug 2016 Feb l\,1arDtr Jun Jul 2017 MarJan Jan D APr @ Aug @ Dectr Jul @ Novtr Febtr Jun Octtrseptr OK OK OK Oct Nov Dec 30 @ Apr 1,201 I 30 60 90 30 Days Late 60 Days Late 90 Days Late FP Failed to Pay Negative [-l o.t. Unavailsble Responsibility Your Statement Comments Joint Account N https://usa.exp erian.coml#l prinUexperian/20 1 81 002 1 353031 I 34 Inquiries Public Crecllf S 4131 i Sumrnary Accounts (Open) Collections 8.D.1 Packet Pg. 145 Attachment: LEONARDO GUERRA – A TO Z GARAGE DOOR SERVICES – REVIEW OF CREDIT (7728 : LEONARDO GUERRA – A TO Z GARAGE 1112t2018 LEONARD0 GUERRA - Experian Date of Report: Oct 2, 20 1 I ACCOUNT DETAILS Account Name Account # Original Creditor Company Sold Account Type Date Opened Account Status Payment Status https://usa.experian.com/#/prinUexperian/201 81 0021 353031 1 34 CAPITAL BANK,N.A. 46219DOfiXXXXXXX CREDIT USAGE CAPITAL BANK,N.A. t&Rarion. ,Open High Credit Usage Keepang your account balances as low as possible can have a positive impact on your credit.4621 92XXXXXXXXXX Credit Card - Revolving Terms Feb 1, 201 I Open CONTACT INFORMATION i CHURCH ST STE 1 OO ROCKVILLE, MD 20850 (240) 283-0416 PAYMENT HISTORY 2014 Jan Feb Mar Current Status Updated Sep 1,201 I D OK OK Balance Balance Updated S2oe Jun Jul Aug @@ Nov DectrUSep 21,201 8 Oct Credit Limit Monthly Payment Past Due Amount $2oo S34 lrlol t zo+ oays Late Failed to Pay Negative 90 [-l0",. Unavailable 30 60 30 Days Late 60 Days Late 90 Days Late FP Highest Balance 5232 Terms Revolving Responsibility lndividual Your Statement Comments 105% N Suntntary Accounts (Open)Collections Inquiries PublicRecords CreditScore I https://usa.experian.coml#l prinUexperian/201 gi OO2 1 3S3031 1 34 5t31 8.D.1 Packet Pg. 146 Attachment: LEONARDO GUERRA – A TO Z GARAGE DOOR SERVICES – REVIEW OF CREDIT (7728 : LEONARDO GUERRA – A TO Z GARAGE 11t2t2018 LEONARD0 GUERRA - Experian Date of Report: Oct 2, 201 8 https://usa.experian.com/#/prinUexperian/201 81 0021 353031 1 34 Closed Accounts ACCEPTANCE NOW R06T60XXXXXXXXXXXXXXXXXX t&perion- Closed ACCOUNT DETAILS Account Name Account # Original Creditor ACCEPTANCE NOW RO6T6OXXXXXXXXXXXXXXXXXX Rental Agreement CONTACT INFORMATION 5501 HEADQUARTERS DR PLANq TX 75024 (888) 672-2411 PAYMENT HISTORY 2015 30 Company Sold 2014 trtlFeb Mar Account Type Mar Apr Jan @@tr Jul Aug May@Dtr Nov Dec SeptrD tl Feb Jun Octtr Jan May @ seP D APrE AugE DecE Date Opened Jan 1, 201 5 Jun Jultrtr Oct NovtrtrAccount Status Payment Status Status Updated Closed Paid, was past due 60 days Jul 1, 201 5 lG'l t 2o+ oays Late Failed to Pay Negative @o* Gol so oays Late Gi-loo oays Lat" FP NBalance Balance Updated Original Balance Monthly Payment Past Due Amount Highest Balance Terms Responsibility 90 Days Late ! Data Unavailable Jul 31,201 5 S1,8s3 18 Months lndividual Your Statement Comments Summaty Accounts (Closed)Collections Inquiries Score I OK OK 90 https://usa.experian.com/#/prinVexperian/201 81 O02 1 3S3031 1 34 Public Records Credit 6/31 8.D.1 Packet Pg. 147 Attachment: LEONARDO GUERRA – A TO Z GARAGE DOOR SERVICES – REVIEW OF CREDIT (7728 : LEONARDO GUERRA – A TO Z GARAGE 11t2t2018 LEONARDO GUERRA - Experian Date of Report: Oct2,2018 A ACCOUNT DETAILS Account Name Account # Original Creditor Company Sold Account Type Date Opened Account Status https://usa.experian.com/#iprinUexperian/201 81 0021 353031 1 34 BRIDGECREST 107006)oooofi CONTACT INFORMATION BRIDGECREST 73OO E HAMPTON AVE MESA, AZ 85209 (480) 81 3-s200 PAYMENT HISTORY 2018 Jan Feb Mar Auto Loan trtrtr Jun Jul t&R"tion. Closed i OTOO6XXXXXX Aug 1, 201 8 30 30 Sep Oct Nov DectrEtrtr o(16] r zor oays t-ate FP Failed to Pay Negative Apr'1,20'18 Closed OK OK 30 Days Late 50 Days Late 90 Days Late AU9tr Payment Status Repossession Status Updated Balance Balance Updated S1s,3s6 60 Aug 31, 201 8 90 {-l Data Unavailable 0riginal Balance 514,647 Monthly Payment Past Due Amount Highest Balance S97o Terms Responsibility Your Statement Comments OK N https://usa.experian.com/#/prinUexperian/20 1 B1 0021 35303 1 1 34 Collections Public Records Credit 7131 Suntmary Accounts (Ctosed) 44 Months lndividual 8.D.1 Packet Pg. 148 Attachment: LEONARDO GUERRA – A TO Z GARAGE DOOR SERVICES – REVIEW OF CREDIT (7728 : LEONARDO GUERRA – A TO Z GARAGE firu2x8 LEONARDO GUERRA - Experian Date of Report: Ocl2,2018 ACCOUNT DETAILS Account Name Account # Original Creditor Company Sold Account Type Date Opened Account Status Payment Status https://usa.experian.com/#iprinVexperian/201 81 0021 353031 1 34 FAMSA INC s42735X CREDIT USAGE FAMSA INC Unknown Credit Usage Credit usage could not be calculated for this account because either the balance and/or credit limit were not reported. : t&Oerion,. Closed s4273sX Revolving Charge Account Closed Paid, zero balance N/A CONTACT INFORMATION 2727 LBJ FWY STE 5OO DALLAS, TX 75234 (972) 280-00s2 PAYMENT HISTORY 2009 Jan Feb Mar Aprtrtl Jul AugDtr Nov Decntr ED May JuntrD Sep oct @tr Status Updated Balance Balance Updated Credit Limit Monthly Payment Past Due Amount Highest Balance Terms Sep 1,2009 Sep 30, 2009 OK 60 90 OK 30 Days Late 60 Days Late 90 Days Late [r zo-l i 2o+ Days Late FP Failed to Pay Negative l-l outu unavailable Revolving Responsibility lnd ividual 30 N Your Statement Comments https://usa.experian.com/#/prinVexperian/201 81 0021 3S3031 1 34 Inquiries 8/31 l^| sLtn)mary Accounts PublicRecoids CreditScore I 8.D.1 Packet Pg. 149 Attachment: LEONARDO GUERRA – A TO Z GARAGE DOOR SERVICES – REVIEW OF CREDIT (7728 : LEONARDO GUERRA – A TO Z GARAGE 11t2t2018 LEONARDO GUERRA - Experian Date of Report: Oc|2,2018 ACCOUNT DETAILS Account Name Account # Original Creditor Company Sold Account Type Date Opened Account Status Payment Status Status Updated Balance Balance Updated Credit Limit Monthly Payment Past Due Amount Highest Balance Terms Responsibility Your Statement Comments https://usa.experian.com/#/prinVexperian/201 81 0021 353031 1 34 GREEN DOT BANK 432719x)o000000fi CREDIT USAGE GREEN DOT BANK Fair Credit Usage Keeping your account balances as low as possible can have a positive impact on your credit. ?&perion. A Closed 43271 gXXXXXXXXXX Credit Card - Revolving Terms Nov '1, 201 5 Closed Charge.off Feb 1,2017 Sep 9,201 I Ssoo Szt o Revolving lndividual ', 420h CONTACT INFORMATION 840 ROUTE 33 MERCERVILLE, NJ 0861 9 (60e) 528-21 00 PAYMENT HISTORY 2018 Jan Feb Mar Apr 2017 Jan Feb Mar 90 2016 Jan Feb Mar May Jun Jul Aug Jul JUn JUI FPFPFPFPFP Jantr May D sep D APr D Augu Dec Martr Jultr Novtr Febtr Jun D Oct D OK OK FP Maytr FP FP OK Aug May @@ Jun OK OK OKFP OK 60 90 FP FP Oct Nov Dec Sep Oct Nov Dec Oct Nov Dec FP FP FP FP OK 6030 120+ Days Late Failed to Pay Negative Data Unavailable 201 5 OK -t?0 FPDays Late 60 Days Late 90 Days Late N https://usa.experian.com/#/prinUexperian/20 1 Bl 002 1 353031 1 34 9/31 ; Suntmary Accounts (Closed) Collections Inquiries PubticRecords Crectitscore i 8.D.1 Packet Pg. 150 Attachment: LEONARDO GUERRA – A TO Z GARAGE DOOR SERVICES – REVIEW OF CREDIT (7728 : LEONARDO GUERRA – A TO Z GARAGE 111212018 LEONARDO GUERRA - Experian Date of Report: Oct 2, 201 8 A ACCOUNT DETAILS Account Name Account # Original Creditor Company Sold https://usa.experian.com/#/prinUexperian/201 8 1 002 1 35303 1'1 34 MID ATLANTIC FINANCE C 299324)c( CONTACT INFORMATION MID ATLANTIC FINANCE C 4592 ULMERTON RD STE 2OO CLEARWATER, FL33762 (800) 793-9661 PAYMENT HISTORY 2018 t&R"rion. Closed 299324XX Jan Feb May @ septr Aprtr Augtr Dectr Apr @ Martr JUI Novtr trtr May Jun @tr Sep Ocltrtl 2017 Jan Feb Mar FP FP FP FP 2016 Jan Feb Mar Account Type Date Opened Account Status Auto Loan Jan 1, 201 5 Closed FP Jun Jul OK Oct Nov Dec FP JulJunJun Jul FP FP Maytr sepE FP FP FP FP FP FP FP Oct Nov Dec Oct Nov Dec Payment Status Status Updated Charg+off 201 Sep 1, 201 5 Jan Feb MarDtrt] Balance Balance Updated Aug 3'1, 201 I Szas May @ septr Original Balance Monthly Payment S4,443 OK 30 OK 30 Days Late 60 Days Lale 90 Days Late Gltzo+ oays Late Failed to Pay Negative FP Past Due Amount Highest Balance Terms S7B3 60 90 l-l ort. Unavailable 14 Months Responsibility Your Statement Comments lndividual FP FP FP FP FP N Summary Accounts (Cfosed)Collections Inquiries Pubfic Records Credit Score https:/iusa.experian.com/#/prinUexperian/201 81 002 1 35303 1 1 34 10/31 8.D.1 Packet Pg. 151 Attachment: LEONARDO GUERRA – A TO Z GARAGE DOOR SERVICES – REVIEW OF CREDIT (7728 : LEONARDO GUERRA – A TO Z GARAGE 111212018 LE0NARDO GUERRA - Experian Date of Report: Oc12,2018 ACCOUNT DETAILS Account Name Account # Original Creditor Company Sold Account Type Date Opened Account Status https://usa.experian.com/#/prinVexperian/201 81 002 1 353031 1 34 SANTANDER CONSUMER USA 300001 xxxxxxxxDo( CONTACT INFORMATION SANTANDER CONSUMER USA PO BOX 961 245 FT WORTH, TX 76161 (866) e23-e282 PAYMENT HISTORY 2017 2016 Jan Feb Mar Apr Jan Feb Mar t&perion. Closed 3OOOO1 XXXXXXXXXXX Auto Loan FP FP FP FPFPFP 201 5 Jan Feb Mar OK OKJan 1,201 5 Closed May Jun JulJun Oct @ Jul Nov Dectrtr May Jun Jul Aug May @@t]tr tr Sep Oct Nov Dec SepDDtrtr tr FP Aug @ Sep oct Nov Dec @Eil@@ Payment Status Paid, was past due 1 80 days or more Jun 1,2017 2014 Feb Mar Jun Jul Days Late Days Late Days Late Status Updated Jun 30, 201 7 Dtrtr APrtr Augn Oct Nov Dec OK [ii-l t 20+ oays Late FP Jantr May D seP D Balance Balance Updated Original Balance St 8,sso OKMonthly Payment Past Due Amount Highest Balance Failed to Pay Negative l-l o"t" Unavailable 72 Months Responsibility Your Statement Comments lndividual OK OK OK 30 N Terms httpsJ/usa.experian.com/#/prinUexperian/201 81 0021 353031 1 34 Inquiries 11t31 Accounts (Closed)Collections Public Records Credit Score 8.D.1 Packet Pg. 152 Attachment: LEONARDO GUERRA – A TO Z GARAGE DOOR SERVICES – REVIEW OF CREDIT (7728 : LEONARDO GUERRA – A TO Z GARAGE 11t2t2018 LEoNARDo GUERRA - Experian Date of Report: Oc12,2018 ACCOUNT DETAILS Account Name Account # Original Creditor https://usa.experian.com/#/prinvexperian/201 81 0021 353031 1 34 SUNCOAST CREDIT UNION 1 0000oxxxxxxx CONTACT INFORMATION SUNCOAST CREDIT UNION PO80X11904 TAMPA, FL 33680 1 00000xxxxxxx PAYMENT HISTORY t&e"rion. A Closed Company Sold Account Type Date Opened Account Status Deposit Related FP FP FPFP FPFP AugtrJuntr Oct Aug Maytrtr Dec SeptrE tr Jultr Novtr May Jun tr@ Sep OctDtr 2018 Jan Feb Mar 201 5 Jan Feb Mar Apr 2017 Jan Feb Mar Apr 2016 Jan Feb Mar Apr FP FP FP FP FP FP Dec JulJunJul Nov @ Oct Nov tr@ Aug MayEtr Dec SepEtrNov 1, 201 2 Closed Payment Status Charge-off 2014 Jan Feb Mar 2013 Feb Mar May i, 201 3 Jun Jul Aug $t,ztt Maytr sep Gil FP FP FP FP Jantl Maytr septr Aprtr Augtr FP FP FPFP FP FP Jun Jul Au9tr Jun Jul FP Oct Nov Dec Oct Nov Dec Oct Nov Dec Aug 31, 201 I FP FP FP So @) o* [ii'lrzo+ oays Lare Days Late Failed to Pay Negative FP 60 60 Days Late Days Late f] oata unavailable$1,277 1 Month lndividual FP FP FP FP FP FP FP FP FP FP N https://usa.experian.com/#/prinVexperian/201 81 002 1 353031 1 34 Collections Public Recorc/s Credit 12131 i 5utnmatl Accounts (Closed) Status Updated Balance Balance Updated Original Balance Monthly Payment Past Due Amount Highest Balance Terms Responsibility Your Statement Comments 8.D.1 Packet Pg. 153 Attachment: LEONARDO GUERRA – A TO Z GARAGE DOOR SERVICES – REVIEW OF CREDIT (7728 : LEONARDO GUERRA – A TO Z GARAGE 11t2t2018 LE0NARD0 GUERRA - Experian Date of Report: Oc12,2018 https://usa.experian.com/#/prinVexperian/201 81 0021 353031 1 34 Collections ARS ACCOUNT RESOLUTION 840071XX ?.&R"tion, A Closed ACCOUNT DETAILS Account Name CONTACT INFORMATION ARS ACCOUNT RESOLUTION 1 643 NW 1 36 AVE BLD H ST SUNRISE, FL 33323 (9s4) 321-ses7Account #840071 XX Original Creditor MEA - ELK GROVE Company Sold Account Type Date Opened Collection Department / Agency / Attorney Aug 1,2017 Account Status CIosed Payment Status Seriously past due date / assigned to attorney, collection agency, or credit grantor's internal collection department Status Updated Sep 1, 201 8 Balance S+sa Balance Updated Sep 7, 201 I Original Balance S+ss Monthly Payment Jan Feb Mar AprDtrtrtr May Jun Jul Augtrrtrtr Sep Oct Nov Dectrt]DD PAYMENT HISTORY 201a OK [il'] 120+ oays Late 30 OK 30 Days Lale 60 Days Late 90 Days Late FP Failed to Pay 60 90 l-l Data unavailable Past Due Amount Highest Balance Terms Responsibility Your Statement Comments S4s3 1 Month lndividual https://usa.experian.com/#/prinUexperian/201 B1 002 1 353031 I 34 Credit 13t31 Summary Accounts score l Collections 8.D.1 Packet Pg. 154 Attachment: LEONARDO GUERRA – A TO Z GARAGE DOOR SERVICES – REVIEW OF CREDIT (7728 : LEONARDO GUERRA – A TO Z GARAGE 11t2t2018 LEONARD0 GUERRA - Experian Date of Report: Oc|2,2018 ACCOUNT DETAILS Account Name Account # 0riginal Creditor Company Sold Account Type Date opened Account Status https://usa.experian.com/#/prinVexperian/201 8 1 0021 353031 1 34 COMMONWEALTH FINANCIAL D1 8460XXXXX CONTACT INFORMATION COMMONWEALTH FINANCIAL 245 MAIN ST DICKSON CIry, PA 1 85i 9 (8s5) 273-851 1 LEELAND ER SVCS PARTNERSHIP PAYMENT HIST9RY 2018 Jan Feb Mar t&earion. A Closed D1 846OXXXXX Collection Department / Agency / Attorney May 1, 201 8 Closed EED Maytr septr Apr D AugtrJun Jul FP Oct Nov Dec Payment Status Seriously past due date / assigned to attorney, collection agency, or credit grantor's internal collection department Status Updated Jun 1, 201 8 Balance Balance Updated Sep27,2018 Original Balance S7B9 Monthly Payment Negative Szes Gil so Days Late l-l o.t. unavaitabte OK 30 60 t]Dtr OK 30 Days Late 60 Days Late Fa 1 20+ Days Late lTil rrit"o to p"y N Past Due Amount (7ao 1 Month lndividual Highest Balance Terms Responsibility Your Statement Comments Accounts Collections Inquiries Public Records Credit Score https://usa.experian.com/#/prinUexperian/201 81 0021 35303'l 1 34 14t31 8.D.1 Packet Pg. 155 Attachment: LEONARDO GUERRA – A TO Z GARAGE DOOR SERVICES – REVIEW OF CREDIT (7728 : LEONARDO GUERRA – A TO Z GARAGE 1112t2018 LEONARDO GUERRA - Experian Date of Report: OcL2.,2018 ACCOUNT DETAILS Account Name https://usa.experian.com/#/prinUexperian/201 81 002 1 353031 1 34 JEFFERSON CAPITAL SYST 3371 3oXXXX CONTACT INFORMATION JEFFERSON CAPITAL SYST 1 6 MCLELAND RD SAINT CLOUD, MN 56303 (888) 7i 8-0048 VERIZON WIRELESS pAyMENT H;STORy Factoring Company D! Martr Jul APrtr !&perion. A Closed Account # Original Creditor Company Sold Account Type 3371 3oXXXX 201 I Jan Feb Jun Date Opened Jun1,2017 ClosedAccount Status Payment Status Seriously past due date / assigned to attorney, collection agency, or credit grantor's internal collection department Status Updated Jun 1, 201 8 Balance St,oot Balance Updated Sep 28, 201 8 Original Balance S1,601 Monthly Payment OK 30 60 90 FP Oct Nov Dec Au9tr trtr OK 30 Days Late 60 Days Late 90 Days Late FP lrzoltzor oays t-ate Failed to Pay Negative [-l o.t. Unavailable Past Due Amount Sr,60l Highest Balance Terms Responsibility 1 Month lndividual Your Statement Comments N hftps://usa.experian.com/#/prinVexperian/201 81 0021 353031 1 34 Inquiries 15t31 i )ummary Accounts lollections c Recoids Credit Score i 8.D.1 Packet Pg. 156 Attachment: LEONARDO GUERRA – A TO Z GARAGE DOOR SERVICES – REVIEW OF CREDIT (7728 : LEONARDO GUERRA – A TO Z GARAGE 11t2t2018 LEONARD0 GUERRA - Experian Date of Report: Oct 2, 201 I A ACCOUNT DETAILS Account Name Account Type Date Opened Account Status https://usa.experian.com/#/prinUexperian/201 81 0021 353031 1 34 PROCOLLECLTNC 404880XXXXXXXXX CONTACT INFORMATION t&R"rion. Closed STEEPLEWAY DOWNS APARTMENTS / PAYMENT HISTSRY 201 8 Jan Feb Mar FP FP DD Aprtr PROCOLLECT,INC 404880XXXXXXXXX Mat 1,2012 Closed 1 21 70 ABRAMS RD STE 1 OO DALLAS, TX 75243 (214) 341-7788 2017 Jan Feb Mar FP FP FP oct Nov Dec Aug May Jun Jul Aug Gil DDt]@ Jan Feb Mar Oct Nov Dec 6201 Collection Department / Agency / Attorney FP FPFP Maytr septr Jun Oct Nov Dectrtrtr Maytr septr Jun JulJul 201 5 Jan Feb Mar Apr FP FP FP 2014 Jan Feb Mar 2013 Jan Feb Mar Apr FP FP FP FP FP FP FP FP FP FP FP FP Payment Status Seriously past due date / assigned to attorney, collection agency, or credit grantor's internal collection department FP FP Status Updated Balance Balance Updated Original Balance Monthly Payment PaSt DUe Amount Highest Balance Terms Responsibility Your Statement Comments Summary Accounls May 1,2012 $1,91 2 Sep 1, 201 8 FP Oct Nov Dec FP FP OK Days Late 60 Days Late 90 Days Late I\4 aytr septr Jun Jul Jun Jul FP FP FP FP Augtr FP FP Oct Nov Dec Oct Nov Dec Oct Nov Dec JulJun FP FP FP D FP FPFPFP 2012 Jan Feb Mar Apr St,el 2 trtrtrtr May Jun Jul AugtrtrDtr septr OK 60 90 120 FP N 1 20+ oays Late Failed to Pay Negative Data Unavailable 1 Month lnd ividu al Account in dispute-reported by subscriber Collections Inquiries Public Records Credit Score FP FP https:/iusa.experian.comi#iprinVexperian/201 81 002 1 353031 1 34 to/J I Account # Original Creditor Company Sold 8.D.1 Packet Pg. 157 Attachment: LEONARDO GUERRA – A TO Z GARAGE DOOR SERVICES – REVIEW OF CREDIT (7728 : LEONARDO GUERRA – A TO Z GARAGE 11t2t2018 LEONARDO GUERRA - Experian Date of Report: Oct2,2018 https://usa.experian.com/#/prinUexperian/20 1 8 1 0021 353031 1 34 SECURITY CREDIT SERVIC 29464sX CONTACT INFORMATION 2653 W OXFORD LOOP oxFoRD, MS 386ss PAYMENT HISTORY 2014 FP FP OK t&eerion" A Closed ACCOUNT DETAILS Account Name SECURITY CREDIT SERVIC Account #29464sX Original Creditor TEMPOE LLC Company Sold Account Type Collection Department / Agency / Attorney Date Opened Nov 1, 201 7 ClosedAccount Status Payment Status Seriously past due date / assigned to attorney, collection agency, or credit grantor's internal collection department Status Updated Jan 1, 201 8 S239Balance Balance Sep 1 8, 201 I Updated Original Balance S23e Monthly Payment Past Due Amount Highest Balance 2017 Apr Jan Feb Mar Aprtr trtrtrtr Aug May Jun Jul Augtr Dtrtrtr Dec Sep Oct Nov Dectr trt]trtlNovtr Mar Jul Jan Febtrtr May Juntrtr Sep Oct @D 30 60 90 OK 30 Days Late 60 Days Late 90 Days Late Fil r zo* Days Late GEI r.it"o to e"y Negative [-l Data unavailable S23e Terms Responsibility Your Statement I Month lndividual Comments N https://usa.experian.com/#/prinUexperian/201 81 002 1 35303 1 1 34 Inquiries Public Credit 17t31 Sutttmaty Accounts Collections 8.D.1 Packet Pg. 158 Attachment: LEONARDO GUERRA – A TO Z GARAGE DOOR SERVICES – REVIEW OF CREDIT (7728 : LEONARDO GUERRA – A TO Z GARAGE 11t2t2018 https://usa.experian.com/#/prinVexperian/201 8'l 0021 353031 1 34 STUART LIPPMAN &ASSOCI 420037X CONTACT INFORMATION STUART LIPPMAN &ASSOCI 52147 E sTH sTSTE 110 TUCSON, AZ 8571 1 (s20) 881-se00 EXCELERATE LLC PAYMENT HIST9RY FP OK LEONARDO GUERRA - Experian Date of Report: Oc|2,2018 A t&Ration. Closed ACCOUNT DETAILS Account Name Account #420037X Original Creditor Company Sold Account Type Date Opened Collection Department / Agency / Attorney Account Status Ocr1,2017 Closed Payment Status Seriously past due date / assigned to attorney, collection agency, or credit grantor's internal collection department Status Updated Dec 1,2017 Balance s10,040 Balance Updated Dec 14,2017 Original Balance 57,723 Monthly Payment Past Due Amount Highest Balance Terms '1 Month lndividual Your Statement Comments 2017 APrtr Au9 D Dec Jan Feb Martrt]D May Jun JulDtrtr Sep Oct NovDtrtr 30 60 90 OK 30 Days Late 60 Days Late 90 Days Late lrr'l rzo* Days Late Gil r.it.a to p.y Negative l-l o.t. Unavailable Responsibility N https://usa.experian.com/#/prinVexperian/201 81 002 1 353031 1 34 Inquiries 18t31 l 1 Summary Accounts Collections Public Records Credit Score 8.D.1 Packet Pg. 159 Attachment: LEONARDO GUERRA – A TO Z GARAGE DOOR SERVICES – REVIEW OF CREDIT (7728 : LEONARDO GUERRA – A TO Z GARAGE 111212018 LEoNARDO GUERRA - Experian Date of Report. Oct 2, 201 8 ACCOUNT DETAILS Account Name https://usa.experian.com/#/prinVexperian/201 81 002 1 353031 1 34 SYNERPRISE CONSULTING 1303s7n CONTACT INFORMATION SYNERPRISE CONSULTING 5651 BRoADMooR ST MlssloN, KS 66202 (91 3) 262-68s0 PAYMENT HISTORY 201 8 APrtr OK OK F^l r zo* Days Late Days Late Days Late Days Late to Pay 51,t 63 1 Month lndividual t&earlon,. A Closed Account #1 30357XX Original Creditor MIDLAND EMERGENCY MANAGEMENT Company Sold Account Type Collection Department / Agency / Attorney Date Opened Jan 1, 201 I ClosedAccount Status Payment Status Seriously past due date / assigned to attorney, collection agency, or credit grantor's internal collection department Status Updated Aug 1, 201 I S1,163Balance Balance Updated Sep 1 4, 201 I Original Balance $i,163 Monthly Payment Jan D Maytr septr MarFebtrtr Jun Jultrtr oct Nov DecDDt] l-l o"t. Unavailable Past Due Amount Highest Balance Terms Responsibility Your Statement Comments https://usa.experian.coml#lpdnUexperian/201 81 002 1 353031 1 34 Public Records Credit 19t31 I summary Accounts Collections Inquiries score I 8.D.1 Packet Pg. 160 Attachment: LEONARDO GUERRA – A TO Z GARAGE DOOR SERVICES – REVIEW OF CREDIT (7728 : LEONARDO GUERRA – A TO Z GARAGE 11t2t2018 LE0NARD0 GUERRA - Experian Date of Report: Oc|2,2018 https://usa.experian.com/#/prinVexperian/201 81 0021 353031 1 34 lnquiries q DTCREDIT Apr 1 6, 201 I lnquiry Date Apt 2o2o Removal Date ALrtomobile dealers, used Business Type ?.&R"tion,, q NowcoM/G FoRcEAUTo sa lnquiry Date Apr15,2018 Apt 2020 Auto fi nancing companies P0 Box 2901 8 PHOENIX, AZ 85038 (800) 863-7483 Removal Date Business Type Contact lnformation 31 99 E CHARLESTON BLVD LAS VEGAS, NV 89.I04 (702) 823-438e Contact lnformation q DT cREDrr q RoADLoANs.coM lnquiry Date Oct23,2017 lnquiry Date Sep 25,2017 Removal Date Oct 2019 Removal Date Auto financing companies Business Type Sep 201 I Business Type Auto financing companies Contact lnformation PO BOX 2901 I PHOENtX, AZ 85038 (800) 863-7483 Contact lnformation 8585 N STEMMONS FWY DALLAS, TX 75247 (866) e23-e282 q BRowN & JoSEPH LTD lnquiry Date q DTCREDTT lnquiry DateJun 5, 201 7 Jun 201 9Removal Date Removal Date Apr 13,2017 Apr 201 9 Business Type Contact lnformation Other collection agencies Business Type Auto fi nancing companies PO BoX 290'18 PHOENIX, AZ 85038 (800) 863-7483 999 N PLAZA DR FL 4 SCHAUMBURG, IL 60173 (847)706-e56e Contact lnformation hftps://usa.exp erian.coml#l pilnVexperian/201 81 0021 3S3031'1 34 Inquiries 20t31 t1 Summary Accounts Collections Public Records Credit Score I 8.D.1 Packet Pg. 161 Attachment: LEONARDO GUERRA – A TO Z GARAGE DOOR SERVICES – REVIEW OF CREDIT (7728 : LEONARDO GUERRA – A TO Z GARAGE 11t2t2018 LEONARDO GUERRA - Experian Date of Report: Oc|2,2018 q NowcoM/sourHwEsrFLoRr lnquiry Date Removal Date Business Type Contact lnformation https://usa.experian.com/#/prinVexperian/201 8 1 0021 353031 1 34 q AMERTcAN cREorr AccEPT Nov 1 5,2016 lnquiry Date Nov 201 8 Removal Date Automobile dealers, used Business Type t&perion" 4'I02 CLEVELAND AVE FORT MYERS, FL 33901 (23e) 208-2301 Contact lnformation Nov4,2016 Nov 201 I Auto fi nancing companies 961 E MAIN ST SPARTANBURG, SC 29302 (866) 441-02s1 q uNrrEo AUTo cREDlr co lnquiry Date q NowcoM/cooDcARMAMoro Removal Date Nov 4, 201 6 lnquiry Date Nov 201 I Removal Date Nov 4, 201 6 Nov 201 I Automobile dealers, usedBusiness Type Contact lnformation Auto financing companies Business Type 107,I CAMELBACK ST STE 1 O NEWPORT BEACH, CA 92660 (e49) 224-1917 Contact lnformation 3426 PALM BEACH BLVD FORT MYERS, FL 3391 6 (239) 208-2267 q TPAYMENTTNc lnquiry Date Oct 1 3, 201 6 Removal Date Business Type Oct 201 I Credit card processors Contact lnformation 30721 RUSSELL RANCH RD S WESTLAKE VILLAGE, CA 91 362 (800) ss4-2777 Summary Accounts Collections Inquiries Public Records Credit Score https://usa.experian.com/#/prinUexperian/20 1 81 002 1 35303 1 1 34 21t31 8.D.1 Packet Pg. 162 Attachment: LEONARDO GUERRA – A TO Z GARAGE DOOR SERVICES – REVIEW OF CREDIT (7728 : LEONARDO GUERRA – A TO Z GARAGE 111212018 LE0NARDO GUERRA - Experian Date of Report: Oct 2, 201 8 https://usa.experian.com/#/prinUexperian/201 81 002 1 35303 1 I 34 Public Records t&Oerion. No public records https://usa.experian.com/#/prinUexperian/201 81 002 1 353031'l 34 Public Records 22t31 i Summary Accounts Collections Inquiries CreditScore I 8.D.1 Packet Pg. 163 Attachment: LEONARDO GUERRA – A TO Z GARAGE DOOR SERVICES – REVIEW OF CREDIT (7728 : LEONARDO GUERRA – A TO Z GARAGE C,outtt! Growfrl Management Depart-nent COTLECTION OF SOCIAL SECURITY NU Date: APRIL 12, 2018 To: Applicants for Certificate of Competency From: Everildo Ybaceta, Contractor Licensing Supervisor Pursuant to Chapter l-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 l-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 l-19, Florida Statutes. Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 239-252-2400 FIRIV APPLICATION Rev 4112118 Page 15 of 15 8.D.1 Packet Pg. 164 Attachment: LEONARDO GUERRA – A TO Z GARAGE DOOR SERVICES – REVIEW OF CREDIT (7728 : LEONARDO GUERRA – A TO Z GARAGE Detail by Entity Name Florida Profit Corporation ATOZ GARAGE DOORS SERVICES, INC Filing lnformation Document Number P1 8000087895 FEI/EIN Number NONE Date Filed 1012312018 Effective Date 0110112019 State FL Status ACTIVE Princip-al_lk&!rcss 111 RICHMOND AVE S LEHIGH ACRES, FL 33936 Mailing Address 111 RICHMOND AVE S LEHIGH ACRES, FL 33936 Registered Agent Name & Address GUERRA, LEONARDO, JR 111 RICHMOND AVE S LEHIGH ACRES, FL 33936 Officer/D irector Deta il Name & Address Title PTS GUERRA, LEONARDO, JR 111 RICHMOND AVE S LEHIGH ACRES, FL 33936 Annual Rep_erlg No Annual Reports Filed Document lmages No images are available for this filing. 8.D.1 Packet Pg. 165 Attachment: LEONARDO GUERRA – A TO Z GARAGE DOOR SERVICES – REVIEW OF CREDIT (7728 : LEONARDO GUERRA – A TO Z GARAGE 6D ms ?ft iffiH'ilS,'5i'. ;Xiff 3." CINCII\INATI OH 45999-0023 ATOZ GA.RAGE DOORS SERVICES INCZ LEONARDO GUERFA 1i1 RICHI\4OND .\!E S LEHIGH ACRES, FL 33936 Date of this notice: !0-25-ZOl8 L'npioyer Idencification Number : 83-2319416 Fcrm: SS-4 Number of rhis noiice: Cp S75 A For assiscance you may caJ_I us 1-800-829-4933 IF YOU WRITE, ATTACIi TilE STUB AT THE END OF ?HIS NOTICE dL. us at you s38, -/ Thank you Er-N 83-2-?194t6 . documents, even records . WE ASSIGNED YOU AN EI,IPLOYER IDENTIFICATION }i-UMBER for applying for an EmpJ_oyer ldenrifrcatj-on Number (EIN). We assigned youThis ErN wil'1 identlfy you, your business accounts, tax returns, andif you have no employees. please keep this notice in your permanent when filing tax documencs, Paliments, and rerated correspondence, i-c is very importantthat vou use vour ErN and complete name and acidress;";;ait-;;';;;;; above. Any variarionmav cause a delay j-n processing, resul-t in rncorrect rnforiration in your account, or evencause you to be assigned more than one ErN. rf =he infcrmation is not correct as shownabove, please make the correctj-on using che atcached tear off stub and reiurn it io us. Based on the i-nformaii-on received from vou or v6sa representative, you must frl-erhe foiloiving form(s) by the date(s) shown. Form i120 O4/t5/2OLg If you have questi-ons about the form(s) or t.he due date(s) shown, you can caJ_Ithe phone number or writ.e to us at the address shown a.' the top of this notrce. rfneed help in determrning your annua.l- accounting perrod tt-" y"!.i, ... publ:_cationAccounting Periods and Methods. lve assl-gned you a tax cl-assification based on informat.ion obtained from you or yourrepresentative' It i:-not a regal determinacion of your tax classificatron, and is nctbindinq on the rRS' rf you ra.,i a legar aut"rmin-iion of you;-a;;-;lassificaLion, you rnalzreguest a private-l-etter ruling from ihe rRS under the guidelinei in Revenue proceclure2004-l' 2004-l r'l:?' 1. (or suferseding Revenue-pioceoure for the year a.t issue). Nore:certain tax classification eletticns cin be requested by frring Form gg32, Entit\;c-lass:frcation Efection. see Form 8832 anci ir;-;;;..uctions for additionai informatr_on. III{PORTANT INE,OR!,BTION FoR s coRPoRATIoN ELECTToN: rf you intend to el-ect to file your return as a small- business corporation, anerectron to fire a Form 1120-s must 6e made vri-thin certain timeframes and thecorporation must meec certain tests. Al-1 of this information is incl-ucied in theinstructions for Form 2553, Election by a smatr Business corporiti-oi. 8.D.1 Packet Pg. 166 Attachment: LEONARDO GUERRA – A TO Z GARAGE DOOR SERVICES – REVIEW OF CREDIT (7728 : LEONARDO GUERRA – A TO Z GARAGE Groivth Management Deparhnent Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 239-252-2400 VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Nam Certif icate Category Requested The applicant is seeking a Collier County Certiticate of Competency in the trade indicated above. As part ol the application for this certificate, the applicant must verify his/her 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 rience for the above-named applicant must provide the following information -/ '' c,#ff.,Cotttlllt trade experience. The person veriiying trade expet Name: Arrr^ [b,,^Al*- "rT^*,Busin Phone Business Address Title License No. (if applicable):7183Wqqb I Lfit r..lre-t,[ qdt s+ R[aterl,r ^ ?l -, Z:r,t) Street The applicant was by me from Applicant's title: The applicant's scope of work (specific duties) included "t--------l f strt"zip to Additional comments NOTE TO LICENSED CONTRACTORS:. Falsifying any information provided herein may subject your license to revocation. Under penalty of perjury, I declare that the facts stated here are true. M- County of I...€ry The loregoing instrument as acknowledged before me this who has produced name of person acknowledging and did not NOTARY'S SEAL @idingthestatement by identification type of identification or FIRM APPLICATION Rev 4tiZt18 ARY Page12ol15 hl rs I state oi Ybr',rln I frn 8.D.1 Packet Pg. 167 Attachment: LEONARDO GUERRA – A TO Z GARAGE DOOR SERVICES – REVIEW OF CREDIT (7728 : LEONARDO GUERRA – A TO Z GARAGE ALICEA'S GATE MOTOR PRO, INC 1476 West 44th Street Hialeah, FL 33012 (305) e87 754e Whom It M Con This letter shall sen e as my recommendation for Mr. LEONARDO GUERRA. He has rvorked with me in the GARAGE AND INDUSTRIAL DOORS trade, in different job sites. on commercial and residential projects. for more than THREE 1,ears. He has a great deal of knorvledge in this trade. Mr. Guerra is an outstanding r.vorker. impeccahle. good attitude. ethic. and consistent moral bases. We have u,orked on many projects. and his rvork has alu,ays been of high quality. In my opinion is a very prottssional and hardrvorking man. If you have any questions concerning to this letter do not hesitate to contact me at the phone number above. J Alicea tc se 178500446 8.D.1 Packet Pg. 168 Attachment: LEONARDO GUERRA – A TO Z GARAGE DOOR SERVICES – REVIEW OF CREDIT (7728 : LEONARDO GUERRA – A TO Z GARAGE Cou*lt!Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 239-252-2400Growh Management Deparhnent AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF @\ COUNTY OF Laz J)having been first duly sworn, state and affirm I am a resident of Lu.--County,/Loriv*(State) and have resided here for more than five (5) years During the last five (5) years I have known feo,t*{fuoA*n*(applicant). I have had the opportunity to observe his or her business and personal dealings and find him or her to be a pe of honesty, integrity and good character Signature Tt Printed Name Address , .l?pg 9( 9l- S "ct f Street Utr-U Ura fu ffijL City date State 6Zf .StZ- zip The loregoing instrument as acknowledged before me this ll who has produced of person acknowledging T type of known Yordd llmardeSmtu mmBg0t{ rGGa46I3 ffilRE$Atgdl,Ml Boodd ltrr lrut llo8y as identification NOTARY'S SEAL FIRIV APPLICATION Rev 4112118 Page 14 of l5 t, (/ and did not take an oath. by 8.D.1 Packet Pg. 169 Attachment: LEONARDO GUERRA – A TO Z GARAGE DOOR SERVICES – REVIEW OF CREDIT (7728 : LEONARDO GUERRA – A TO Z GARAGE Coratfi.3l Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 239-252-2400Growth Management Departlent AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF /l-o.lnq COUNTY OF Lee having been first ly sworn, state and affirm resident of County,(State) and have resided here for During the last five (5) years I have known (applicant). I have had the opportunity to observe his or her business and personal dealings and find him or her to be a person of honesty, integrity and good character Signature Printed Name Address Street q1 City State zlp T 111 1r\ t513 The foregoing instrument as acknowledged before me this by date who has produced as identification name of person and did not take an oath Y YilSd tlfisde$EftE 0ilIlsslol rG825373 mlRt$tu$Etr,AZl Bondd Ihru lrrut lloW NOTARYS SEAL FIRIU APPLICATION Rev 4112118 ARY) Page 13 of 15 t, more than five (5) years. 8.D.1 Packet Pg. 170 Attachment: LEONARDO GUERRA – A TO Z GARAGE DOOR SERVICES – REVIEW OF CREDIT (7728 : LEONARDO GUERRA – A TO Z GARAGE Lee County Business Tax Account lnformation Business Account Description Mailing Address Year Account is paid cunent. Outstanding Balance Due as of 1?.11712018 A2Z GARAGE DOORS 111 RICHMOND AVE S LEHIGH ACRES FL 33936 (23e)324-1 35s '1901094 GARAGE DOOR INSTALLATION CONTRACTOR GUERRA LEONARDO 111 RICHMONDAVES LEHIGH ACRES FL 33936 Amount $0.00 Page 1 of2 About Us Contact Us Select Language v Questions? My Accoun { Taxes I Bqpinesses { Driver Licenses ,l Vehicles & Vessels ! Hunting Year 2019 1 match(es) Addilional Options: eNotifv Payments Made Processed 1?,4t2018 As Paid 121412018 Amount Paid $s0.00 Taxes Real Estate Taxes Tangible Taxes Delinquent Taxes Certificate Sale Busi nesses Guide & Application Professionals Specialty Permits Fees & Exemptions Driver License Document Requirements First Ime Drivers Commercial Drivers Fees Vehicles & Vessels Application for Title Florida Plates Florida lnsurance Helpful Links Hunting & Fishing Residency Requirements Fishing Licenses Hunting Licenses Exemptions Other Linl Career Opp Site Map Payment P( Terms of U: Website Disclaimer & Privaw Poliw CUSTODIAN OF PUBLIC RECOROS Office ofthe Lee County Ta Collector 2460 Thompson Street Fort MyeB, Florida 3390'l Phone: (239) 533-6000 ln a@dan@ wilh 2017-21, Laws of Ftorida / S 119, Ftoida Statutes We're community active!Follow us on Facebook!Sign up for Copyright 2018 Lee County Tax Collector, All Rights Reserved https://www.leetc.com/ncp/search_detail.asp?SearchType:Occllc&accounF1901094... l2lIT l2}lg 8.D.1 Packet Pg. 171 Attachment: LEONARDO GUERRA – A TO Z GARAGE DOOR SERVICES – REVIEW OF CREDIT (7728 : LEONARDO GUERRA – A TO Z GARAGE Lee County Tax Collector - Print Results Business Tax Account lnformation Page 1 of 1 Business Account Description Mailing Address Year Account is paid current. Outstanding Balance Due as ot 12J1712018 Year Processed As Paid Amount Paid 2019 12t4t2018 1214t2018 $50.00 '1 match(es) Additional Options: . eNotifv . Pavments Made A2Z GARAGE DOORS 111 RICHMOND AVE S LEHIGH ACRES FL 33936 (239)324-1 3s9 1 901 094 GARAGE DOOR INSTALLATION CONTRACTOR GUERRA LEONARDO 111 RICHMOND AVE S LEHIGH ACRES FL 33936 Amount $0.00 https ://www. leetc. com/ncp/search_detail. asp t2l17t20r8 8.D.1 Packet Pg. 172 Attachment: LEONARDO GUERRA – A TO Z GARAGE DOOR SERVICES – REVIEW OF CREDIT (7728 : LEONARDO GUERRA – A TO Z GARAGE CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DOIYYYY) 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: lf the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. lf SUBROGATION lS 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 Libertv Mutual lnsuranCe PO B5x 188065 Fairfield, OH 45018 PHONE/A/C No Ertl:800-962-7132 INSURER(S) AFFORDING COVERAGE NAIC # rNsuRER A : Ohio Securiry lnsurance Companv 24082 INSURED A to Z Garaoe Door Services DBA A2Z G5raoe Doors 111 Richmond Ave S Lehigh Acres FL 33936 INSURER B : INSURER C INSURER D INSURER E : INSURER F : GES 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. NOTWTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WTH 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 POLIGIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE rN qn POLICY NUMBER POLICY EFF lN4M/DO/YYYYI POLICY EXP IMM/DD/YYYY)LIMITS A COMMERCIAL GENERAL LIABILITY CLAIMS.MADE OCCUR LIIVIT APPLIES PER; PRO-Itr'T I I LUU BKS59'165143 9t14t2018 9t14t2019 EACH OCCURRENCE $ 1,000,000 DAMAGE IO RENTED PREITISFS fFa occurrencel $ 300.000 IVIED EXP (Any one person)$ 15.000 PERSONAL & ADV INJURY s 1.000.000 GENERAL AGGREGATE s 2,000,000 PRODUCTS . COMP/OP AGG $ 2.000.000 $ AUTOMOBILE LIABILITY ANY AUTO O\A/t'lED AUTOS ONLY HIRED AUTOS ONLY SCHEDULED AUTOS NON.OWNED AUTOS ONLY $ BODILY INJURY (Per person)$ BODILY INJURY (Per accident)$ 5 $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS.MADE EACH OCCURRENCE $ AGGREGATE $ DED RETENTION $$ WORKERS COMPENSATION ANO EMPLOYERS' LIABILITY Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/IVIEMBER EXCLUDED? (Mandatory in NH) lf yes, describe under DESCRIPTION OF OPERATIONS below N/A PER ISTATIITF I OTH- ER E.L. EACH ACCIDENT $ E.L. DISEASE. EA EMPLOYEE s E.L. DISEASE. POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 1 01, Addltlonal Remarks Schedule, may be attached lf more space is required) CERTIFICATE HOLDER CANCELLATION Collier Countv Contractor Licensing Board 2800 N Hors6shoe Dr Naples FL 34104 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE %D*ln<2 Taylor Price O 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 4s322259 | s916s143 I t8-t9 uaster certificaEe I raylor wice | :.7/9/2018 1:34:sB pM (Esr) | page 1 of 1 8.D.1 Packet Pg. 173 Attachment: LEONARDO GUERRA – A TO Z GARAGE DOOR SERVICES – REVIEW OF CREDIT (7728 : LEONARDO GUERRA – A TO Z GARAGE JIMMY PATRONIS CHIEF FINANICAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * " CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW " * CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law EFFECTIVE DATE: 10125t2018 EXPIRATION DATE: 10124t2020 PERSoN: LEONARDO GUERRA EMAIL: BIGBENSPITZAI@GMAIL.COM FEIN: 832319416 BUSINESS NAME AND ADDRESS: ATOZ GARAGE DOORS SERVICES INC 111 RICHMOND AVE S LEHIGH ACRES, FL 33936 SCOPE OF BUSINESS OR TRADE Door and Window lnstallation All Types Residential and Commercial ORTANT: Pursuant to Chapter 440.05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under section may not recover benefits or compensation under this chapter. Pursuant to Chapter 440.05(12), F.S., Certificates of election to be exempt... apply within the scope of the business or trade listed on the notice of election to be exempt- Pursuant to Chapter 440.05(13), F.S., Notices of election to be npt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certiflcate, the on named on the notice or certificate no longer meets the requirements of this section for issuance of a certificate. The department shall revoke a ficate at any time for failure of the person named on the certificate to meet the requirements of this section. ;-F2.DWC.252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08-13 QUESTTONS? (850)41 3-1 609 8.D.1 Packet Pg. 174 Attachment: LEONARDO GUERRA – A TO Z GARAGE DOOR SERVICES – REVIEW OF CREDIT (7728 : LEONARDO GUERRA – A TO Z GARAGE TRAT/ELERST POWER OF ATTORNEY Farmington Casualty Company Fidelity and Guaranty lnsurance Company Fidelity and Guaranty lnsurance Underwriters, lnc. St. Paul Fire and Marine !nsurance Company St. Paul Guardian lnsurance Company Surety Bond No. 106981385 St. Paul Mercury lnsurance Company Travelers Casualty and Surety Company Travelers Casualty and Surety Company of America United States Fidelity and Guaranty Company Principal: Obligee: Leonardo Guerra 1 1 1 Richmond Ave.,5 LEHIGH ACRES, FL 33936 Lee County Department of Transportation 1500 Monroe St. FORT MYERS, FL 3390'l KNOW ALL MEN BY THESE PRESENTS; That Farmington Casualty Company, St. Paul Fire and Marine lnsurance Company, 5t. Paul Guardian lnsurance Company, 5t. Paul Mercury lnsurance Company, Travelers Casualty and Surety Company, Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company, are corporations duly organized under the laws of the State of Connecticut, that Fidelity and Guaranty lnsurance Company is a corporation duly organized underthe laws of the State of lowa, and that Fidelity and Guaranty lnsurance Underwriters, lnc. is a corporation duly organized underthe laws of theStateofWisconsin(hereincollectivelycalledthe"Companies"),andthattheCompaniesdoherebymake,constituteandappointAndrea Rosen,oftheCityof Overland Parh State of KS, their true and lawful Attorney(s)-in-Fact, to sign, execute, seal and acknowledge the surety bond referenced above. lN WITNESS WHEREOF, the Companies have caused this instrument to be signed and their corporate seals to be hereto affixed, this 7th day of July, 2016. Farmington Casualty Company Fidelity and Guaranty lnsurance Company Fidelity and Guaranty lnsurance Underwriters, lnc. 5t. Paul Fire and Marine lnsurance Company St. Paul Guardian lnsurance Company St. Paul Mercury lnsurance Company Travelers Casualty and 5urery Company Travelers Casualty and Surety Company of America United States Fidelity and Guaranty Company State ofConnecticut City of Hartford ss. On this the 7th day of July, 2016, before me personally appeared Robert L. Raney, who acknowledged himself to be the Senior Vice President of Farmington Casualty Company, Fidelity and Guaranty lnsurance Company, Fidelity and Guaranty lnsurance Underwriters, lnc., St. Paul Fire and Marine lnsurance Company, St. Paul Guardian lnsurance Company, St. Paul Mercury lnsurance Company, Travelers Casualty and Surety Company, Travelers Casualty and Surety Company of America, and United States Fidelity and Guaranty Company, and that he, as such, being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing on behalf of the corporations by himself as a duly authorized officer. By: ney, ln Witness Whereof, I hereunto set my hand and official seal. My Commission expires the 30th day of June,2021.'CC\.* c. 3-:Jaa--q-* Marie C. Tetreault, Notary Public @ffiffi@ffi@@@ffi 8.D.1 Packet Pg. 175 Attachment: LEONARDO GUERRA – A TO Z GARAGE DOOR SERVICES – REVIEW OF CREDIT (7728 : LEONARDO GUERRA – A TO Z GARAGE Ihis Power of Attorney is granted under and by the authority of the following resolutions adopted by the Boards of Directors of Farmington Casualty Company, Fidelity and Guaranty lnsurance Company, Fidelity and Guaranty lnsurance Underwriters, lnc., St. Paul Fire and lvlarine lnsurance Company, St. Paul Guardian lnsurance Compan, St. Paul Mercury lnsurance Company, Travelers Casualty and Surety Company, Travelers Casua,ty and Surety Company ofAmerica, and United States Fidelity and Guaranty Compan, which resolutions are now in full force and effect, reading as follows: RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President, any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary may appoint Attorneys-in-Fact and Agents to act for and on behalfofthe Company and may give such appointee such authority as his or her certificate of authority may prescribe to sign with the Company's name and seal with the Company's seal bonds, recognizances, contracts of indemnity, and other writings obligatoryinthenatureofabond,recognizance,orconditional undertaking, and anyofsaid officers or the Board of Directors at any time may remove any such appointee and revoke the power given him or her; and it i5 FURTHER RESOLVED, that the Chairman, the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President may delegate all or any part of the foreqoing authority to one or more officers or employees of this Compan, provided that each such delegation is in writing and a copy thereof is filed in the office ofthe Secretary; and it is FURTHER RESOLVED, that any bond, recognizance, contract of indemnity, or writing obligatory in the nature of a bond, recognizance, or conditional undertaking shall be valid and binding upon the Company when (a) signed by the President, any Vice Chairman, any Executive Vice President, any Senior Vice President or any Vice President, any Second Vice President, the Treasurer, any Assistant Treasurer, the Corporate Secretary or any Assistant Secretary and duly attested and sealed with the Company's seal by a Secretary or Assistant Secretary; or (b) duly executed (under seal, if required) by one or more Attorneys-in-Fact and Agents pursuant to the power prescribed in his or her certificate or their certificates of authority or by one or more Company officers pursuant to a written delegation ofauthority; and it is FURTHER RESOLVED, that the signature of each of the following officers: President, any Executive Vice President, any 5enior Vice President, any Vice Presidenl any Assistant Vice President, any Secretary, any Assistant Secretary, and the seal ofthe Company may be affixed by facsimile to any Power of Attorney or to any certificate relating thereto appointing Resident Vice Presidents, Resident Assistant Secretaries or Attorneys-in-Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereot and any such Power ofAttorney or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by such facsimile signature and facsimile seal shall be valid and binding on the Company in the future with respect to any bond or understanding to which it is attached. l, Kevin E. Hughes, the undersigned, Assistant Secretary, of Farmington Ca5ualty Compan, Fidelity and GL.raranty lnsurance Company, Fidelity and Guaranty lnsurance Underwriters, lnc., 5t. Paul Fire and Marine lnsurance Company, St. Paul Guardian lnsurance Company, St. Paul Mercury lnsurance Company, Travelers Casualtyand Surety Company, Travelers Casualtyand Surety Company of America, and United States Fadelityand Guaranty Company do hereby certify that the above and foregoing is a true and correct copy of the Power of Attorney executed by said Companies, which is in full force and effect and has not been revoked. lN TESTIMONY wHEREOF, I have hereunto set my hand and affixed the seals of said Companies this I4 day of September, 2018. /^- a ft*- Kevin E. Hughes, Assistant Secretary To verify the authenticity of this Power of Attorney, call 1-800-421-3880 or conta(t us at www.travelersbond.(om, please refer to the above-named individuals and the details ofthe bond to which the power is attached. @@ffi@ffi@@@ffi 8.D.1 Packet Pg. 176 Attachment: LEONARDO GUERRA – A TO Z GARAGE DOOR SERVICES – REVIEW OF CREDIT (7728 : LEONARDO GUERRA – A TO Z GARAGE ,-. TRAYELERS J IMPORTANT NOTICE REGARDING COMPENSATION DISCLOSURE For information about how Travelers compensates independent agents, brokers, or other insurance producers, please visit this website: !w/w.travelers.com/w3c/legal/Producer_Compensation_Disclosure.html lf you prefer, you can call the following toll-free number: 1-866-904-8348. Or you can write to us at Travelers, Enterprise Development, One Tower Square, Hartford, CT 06183. ILT-'l037 Ed.01-09 Printed in U.S.A. @2009 The Travelers Companies, lnc. All Rights Reserved Page 1 of 1 8.D.1 Packet Pg. 177 Attachment: LEONARDO GUERRA – A TO Z GARAGE DOOR SERVICES – REVIEW OF CREDIT (7728 : LEONARDO GUERRA – A TO Z GARAGE Bond Number: Principal Name: 106981385 Leonardo Guerra TRAYELER5? Bond Execution lnstructions You have successfully completed your bond submission using Travelers Click@. We thank you for your business! Please review the following items before releasing the bond to your customer Surety Bond/Power of Attorney Execution Instructions: Sign the bond next to the pre-filled date. Any person listed on the Power of Attorney may sign as Attorney-in- Fact for Trayelers Casualty and Surety Company of America. Affix our corporate seal on or near the Attorney-in-Fact's signature using the steel seal. Special Lrstructions: Not Applicable Please use the bond number assigned to this transaction on all related documents. Do not use any other bond number issued to your office, including Reporting Slips and/or pre-assigned numbers previously provided. Send the original bond to the Principal (applicant) for signatures and delivery to the Obligee. Retain a copy for your records. You must either forward the following documents to Travelers or upload them now before exiting your online transaction: . A copy of the executed form, only tf it was not generated for you (i.e. a forrn was unavailable in our system or you used your own form); and/or . Any supporting documentation, if applicable. Travelers Bond Express 770 Pennsylvania Drive, Suite 110 Exton, PA 19341 Email : TravelersClick@travelers. com Fax: 866.785.2463 Billing Instructions: Agency Billed Bonds - Premium must be paid in accordance with your monthly accounting statement or account current agreement with Travelers. Please DO NOT remit payments to your local underwriting office. Direct Billed Bonds - Your customer will be billed directly by Travelers. It is imperative that premium is remitted promptly to avoid cancellation or collection action. Customer checks should include the bond number. Please DO NOT remit payments to your local underwriting office. Remittance Information: E-Pay: https://travelers.com./epay Pay by Phone: 1.800.252.2268 Regular Payments by Mail: Travelers Commercial Lines, Remittance Box 660317, Dallas, TI'75266-0317 Renewal Guidelines: This bond obligation is continuous and does not require any documentation at renewal a a a a a a s-7772 (t2lt0)Page I of I 8.D.1 Packet Pg. 178 Attachment: LEONARDO GUERRA – A TO Z GARAGE DOOR SERVICES – REVIEW OF CREDIT (7728 : LEONARDO GUERRA – A TO Z GARAGE r# =]I- LEE COLNTY SO LJ T [I \!'E S T T L O R I D.+.BOND NO: 10698138s RIGHT-OF-WAY CONSTRUCTION PERMIT BOND (Single: Permit Form) KNOW ALL MEN BY THESE PRESENTS,THAT Leonardo Guerra AS Principal, and the Travelers Casualty and Surety Company of America With its principal office at One Tower Square Hartford, CT 06183 as SURETY or OBLIGOR, are held and frmly bound unto the LEE COUNTY BOARD OF COUNTY COMMISSIONERS, COUNTY or OBLIGEE, in the penal sum of Ten Thousand Dollars, the payrnent of which will and truly be made, we do here by bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. Signed and Sealed this 14 day of September 2018 WHEREAS, the said OBLIGEE has granted or is granting to the said Principal, permission or permits to conduct work and/or construction within the County's right-of-way located at under Right-oflWay Permit No. NOW, THEREFORE, if said Principal shall fully indemniff the OBLIGEE against all losses arising by reason of its failure to comply with any of the laws, ordinances, resolutions or rules and regulations governing the RIGHTS-OF-WAY in the County, then this obligation shall be void, otherwise it will remain in full force and effect, PROWDED, HOIYEVER, that the SIIRETY shall have the right to terminate its liability hereunder by serving written notice upon the OBLIGEE thirty (30) days in advance its intention to do so. SUCH termination or cancellation shall not affect any liability incurred or accrued under the Bond prior to the effective date of such termination or cancellation; AND PROWDED FURTHER that no action, suit orproceeding shall be had or maintained against the SURETY on this instrument unless the same be brought or instituted, and process served upon the SURETY within twelve months after termination or cancellation of this Bond as set forth in the preceding paragraph. Leonardo Guerra Principal By: Travelers Casualty and Surety Company of America SuretyResident Agent By: Andrea Rosen 8.D.1 Packet Pg. 179 Attachment: LEONARDO GUERRA – A TO Z GARAGE DOOR SERVICES – REVIEW OF CREDIT (7728 : LEONARDO GUERRA – A TO Z GARAGE { I 8.D.1 Packet Pg. 180 Attachment: LEONARDO GUERRA – A TO Z GARAGE DOOR SERVICES – REVIEW OF CREDIT (7728 : LEONARDO GUERRA – A TO Z GARAGE Cotttt t:/ Growth Management Department Planning & Regulation Operations Division Licensing Section January 2,2019 LEONARDO GUERRA A2Z GARAGE DOOR SERVICES 111 RICHIUOND AVE LEHIGH ACRES, FL 33936 RE: REVIEW OF CREDIT tUR. GUERRA, You have been added to the agenda for the Contractor Licensing Board meeting on Wednesday, JANUARY 16, 2019. Please attend the meeting so the board may review your submitted application and ask you questions regarding the credit report for yourself . The meeting is held at 9:00am at the W. Harmon Turner Building (Bldg. F, Admin. Bldg.), 3299 Tamiami Trl. E., Naples, FL 34112 in the Commissioner's lt/eeting Room on the 3'd floor. There is a security checkpoint you will need to go through, so please allow enough time to make it to the meeting. lf you have any questions or concerns, please call (239) 252-2431 or you may email me at contracto rslicensin g@co I I iercou ntyf l. gov. Sincerely, T,illa Davis Ad m inistrative Supervisor Contractor Licensing Collier County Growth Management Department 2800 North Horseshoe Drive Naples, FL 34104 Growth Management Department'contractor Licensing.2800 North Horseshoe Drive.Naples, Floilda341o4"23g-252-2400-vrww.colliergov.net 8.D.1 Packet Pg. 181 Attachment: LEONARDO GUERRA – A TO Z GARAGE DOOR SERVICES – REVIEW OF CREDIT (7728 : LEONARDO GUERRA – A TO Z GARAGE 01/16/2019 COLLIER COUNTY Contractor Licensing Board Item Number: 11.1 Item Summary: WEDNESDAY, FEBRUARY 20, 2019 Meeting Date: 01/16/2019 Prepared by: Title: – Contractor Licensing Board Name: Lilla Davis 01/09/2019 8:40 AM Submitted by: Title: Supervisor - Operations – Contractor Licensing Board Name: Everildo Ybaceta 01/09/2019 8:40 AM Approved By: Review: Contractor Licensing Board Lilla Davis Review Item Completed 01/10/2019 12:15 PM Contractor Licensing Board Michael Cox Review Item Skipped 01/10/2019 3:09 PM Contractor Licensing Board Everildo Ybaceta Meeting Pending 01/16/2019 9:00 AM 11.1 Packet Pg. 182