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CLB Agenda 02/17/2021COLLIER 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 February 17, 2021 9:00 AM Matthew Nolton, Chair Terry Jerulle, Vice-Chair Kyle E. Lantz Robert P. Meister, III Patrick G. White Michael E. Boyd Richard E. Joslin, Jr. Joseph M. Coleman Todd Allen 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 4.A. JANUARY 20, 2021 5. PUBLIC COMMENTS 6. DISCUSSION 6.A. COLLIER COUNTY CODE OF ORDINANCE SEC. 2-833 – ATTENDANCE REQUIREMENTS – FOLLOW-UP 7. REPORTS 8. NEW BUSINESS 8.A. ORDERS OF THE BOARD 8.B. BRIAN BUCZKO – REVIEW OF EXPERIENCE 8.C. ERIKA RAMIREZ – REVIEW OF EXPERIENCE 8.D. MARTA LILLIAN ALAS BONILLA – REVIEW OF EXPERIENCE 8.E. MARTA LILLIAN ALAS BONILLA – REVIEW OF EXPERIENCE 8.F. MIGUEL GRANA – REVIEW OF EXPERIENCE 8.G. RICARDO ROBLES GARCIA – REVIEW OF EXPERIENCE 8.H. CHRISTOPHER WORKMAN – WAIVER OF EXAMS 9. OLD BUSINESS 10. PUBLIC HEARINGS 11. NEXT MEETING DATE 11.A. WEDNESDAY, MARCH 17, 2021 Inquiries concerning changes to the Board’s Agenda should be made to the County Manager’s Office at 252-8383. 02/17/2021 COLLIER COUNTY Contractor Licensing Board Item Number: 4.A Item Summary: JANUARY 20, 2021 Meeting Date: 02/17/2021 Prepared by: Title: – Contractor Licensing Board Name: Michelle Ramkissoon 02/12/2021 8:07 AM Submitted by: Title: – Contractor Licensing Board Name: Tim Crotts 02/12/2021 8:07 AM Approved By: Review: Contractor Licensing Board Michelle Ramkissoon Review Item Completed 02/12/2021 8:07 AM Contractor Licensing Board Tim Crotts Review Item Completed 02/12/2021 9:01 AM Contractor Licensing Board Tim Crotts Meeting Pending 02/17/2021 9:00 AM 4.A Packet Pg. 3 January 20, 2021 - 1 - MINUTES OF THE COLLIER COUNTY CONTRACTORS’ LICENSING BOARD MEETING January 20, 2021 Naples, Florida LET IT BE REMEMBERED that the Collier County Contractors' Licensing Board, having conducted business herein, met on this date at 9:07 AM in REGULAR SESSION in Administrative Building " F," 3rd Floor, Collier County Government Complex, Naples, Florida, with the following Members present: Chairman: Matthew Nolton Vice Chair: Terry Jerulle Members: Kyle E Lantz Robert P Meister, III Patrick G White Richard E Joslin Jr Joseph M Coleman Todd Allen Excused: Michael Boyd ALSO PRESENT: Timothy Crotts- Contractors Licensing Supervisor Michelle Ramkissoon- Operations Supervisor, Contractors’ Licensing Office Michael Bogart- Collier County License Compliance Officer Kevin Noell, Esq- Attorney for the Contractor’s Licensing Office Sally Ashkar, Esq – Assistant Collier County Attorney 4.A.1 Packet Pg. 4 Attachment: AGENDA_IV_APPROVAL OF MINUTES-JANUARY 20, 2021(004) (15051 : JANUARY 20, 2021) January 20, 2021 - 2 - Any persons in need of the verbatim record of the meeting may request a copy of the audio recording from the Collier County Growth Management Department. 1. ROLL CALL Matthew Nolton, the Board Chairman called meeting to order at 9:07 AM. Roll call was taken; eight (8) members were present in BCC Chambers. A quorum was established; eight (8) voting members were present. Michael Boyd excused due to medical reason. Carried unanimously 8-0 2. AGENDA – ADDITIONS, CHANGES, OR DELETIONS: (NONE) 3. APPROVAL OF AGENDA: Patrick White moved to approve the Agenda. Vice Chairman Terry Jerulle offered a Second in support of the motion. Carried unanimously, 8 – 0. 4. APPROVAL OF MINUTES: A. DECEMBER 16, 2020 Vice Chairman Terry Jerulle pointed out an error on page 8 of the December 16, 2020 meeting. There is a 0 missing in the total amount of the fines, should be $2000 not $200. White motioned, Joslin seconded. Carried unanimously 8-0. 5. PUBLIC COMMENTS: (NONE) 6. DISCUSSION: • Timothy Crotts stated starting off the New Year, the staff would like to address attendance requirements. He stated they need a minimum of 5 to hold the quorum. By ordinance, he stated, they are required to hold at least 4 meeting per year. • Mr. Crotts also stated that any member that is not in attendance for one half of boards meetings, without an excused absence, shall be deemed to have given their resignation. • Mr. Crotts then stated if a board member is absent two consecutive times, without an approved absence, the chairman will need to submit in writing to the executive manager to the commission that the board member has failed to attend in a satisfactory excuse. • If there is an absence, it is up to the chairman to make the announcement if it is an excused absence at the meeting. 4.A.1 Packet Pg. 5 Attachment: AGENDA_IV_APPROVAL OF MINUTES-JANUARY 20, 2021(004) (15051 : JANUARY 20, 2021) January 20, 2021 - 3 - • Patrick White proposed to have the Mr. Crotts team research it further regarding in person or virtual attendance, Mr. Crotts agreed. • Mr. Crotts stated a board member will be deemed absent if they are not present for at least 75 percent of the meeting. The board will have to make the announcement when the person leaves and what the percentage of time they were there. • Patrick White suggested that the Chairman make the announcement when someone enters or leaves the meeting. Patrick White also asked what if someone files at 8b, which is conflict of interest, as to how that will be determined. The person can participate in the meeting but cannot vote, and the time will be counted. 7. REPORTS: Year End Reports • Mr. Crotts stated Contract License Renewals for 2019- 2020 were: 2799 regular renewed, 733 did not renew. • Also stated end of 2020 and beginning of 2021 were: 2811 regular licenses renewed, 504 did not renew. • A lot of renewal were done online. • There was an extra push by staff to remind people by email, regular mail, and phone calls. • They are looking to go more paperless this year. Kyle Lantz asked if Mr. Crotts had a list of the emails for the contractors, Mr. Crotts said he did. Mr. Lantz agreed it was a good idea. 8. NEW BUSINESS: A. Orders of the Board Chairman Matthew Nolton needed a motion for 8A, signing orders of the board. Patrick White motioned; Kyle Lantz seconded. Carried unanimously 8 – 0 (Note: The individuals who testified in the following cases under Item 8, “New Business,” were first sworn in.) B. GUERRA HERNANDEZ GERARDO: CONTESTING CITATION 10687/ 10688 • Patrick White suggested to have Mr. Gerardo contest both at same time, Chairman Nolton agreed that would be an excellent idea. • Both parties were asked if they agreed to do so, they both agreed. • James Reynolds, investigator with Collier county Contractor Licensing was sworn in. • Mr. Reynolds stated he received complaints on December 28 from the adjacent business to Martinizing Laundromat regarding unpermitted construction on site. Mr. Reynolds said he made contact with the owner. He stated he was having six machines moved out back. 4.A.1 Packet Pg. 6 Attachment: AGENDA_IV_APPROVAL OF MINUTES-JANUARY 20, 2021(004) (15051 : JANUARY 20, 2021) January 20, 2021 - 4 - • They contacted Mr. Gerardo and in meantime Mr. Reynolds took pictures and forwarded them to Mr. Crotts. Mr. Gerardo admitted he cut the pipes for around $200 and was asked if he had a license to do so. Mr. Gerardo stated he had mechanical license under his friend’s company, and after the county researched found he did not. • Mr. Gerardo said he had license and could show them, Mr. Reynolds said he only produced license that was under Sun Biz. Mr. Reynolds told him Sun biz was just a state registry. • Mr. Gerardo demanded citations be thrown out because he was not seen doing the work. • Mr. Reynolds set up a meeting for Guerra to meet with Mr. Crotts, which did not occur. • Mr. Crotts asked to speak. He said he called Mr. Gerardo on December 31 letting him know that cutting pipes needed to have permit, and that he was not licensed and only registered with Sun Biz. • Mr. Crotts asked if Mr. Gerardo cut pipe and he stated he did, and at that point Mr. Crotts asked for a W-2 from his employer, he never produced the W-2’s to Mr. Crotts. • Mr. Gerardo had no questions for the county and said he did not think what he did was a problem. • Mr. Gerardo stated he was helping a friend, and White questioned that he now says he is working for a contractor. • Patrick White asked Kevin Noell to look at the document. Mr. White said he has a receipt to operate a business, but no license. • Mr. Crotts called Fred Clum- asst chief building inspector to be sworn in. He was sworn in. Mr. Clump stated per violation Chapter 1, section 110.1- person still needs a mechanical license whether pipe is live or not, and there is no exemption for commercial work. • Patrick White said the citation seemed excessive, but the state cannot change the permit violation because it is the law. • Board agreed the citation for the license could be reduced from $1000 to $300 if he applies for a license, if he does not, he will need to pay the $1000. • Patrick White asked Mr. Gerardo if he understood and he agreed to get permit. • Kyle Lantz voted to uphold the citation, Mr. Joslin seconded, Mr. Jerulle thinks it is too much. • Patrick white asked Lantz and Joslin to withdraw their motion so Guerra can apply for license. • Mr. Crotts agreed to work with Mr. Gerardo to get him compliant to reduce citation from $1000 to $300. • The permit cannot be abated, so that will stay at $1000. • Patrick White stated to uphold the first citation and put the second citation on hold until Guerra completes the application process. A license does not need to be issued. He can still be approved or denied whether he passes exam or not. • Mr. Lantz and Mr. Joslin rescinded their motion. • Mr. White not satisfied with the motion. 4.A.1 Packet Pg. 7 Attachment: AGENDA_IV_APPROVAL OF MINUTES-JANUARY 20, 2021(004) (15051 : JANUARY 20, 2021) January 20, 2021 - 5 - • Mr. Jerulle motioned to uphold the no permit citation and to give him the application for citation 2 and complete within 45 days, and 45 days to pay fine. If Mr. Gerardo does not comply, the fine stays as is. Mr. Joslin seconded the motion. • Fred Clum suggested to uphold the permit fine, and for the second citation, says Mr. Gerardo should go before board again. • Mr. Jerulle said motion stands. • Mr. White asked to change compatible to the word completed. • Mr. Joslin seconds the motion. Carried out unanimously 8-0 FIVE MINUTE BREAK- 10:11 AM- 10:16 AM C. MR. NOLTON CALLS LIDUAN ABIN - Review of Experience • Mr. Crotts states respondent in front of the board for referral • Per Mr. Crotts, the respondent only has three years of experience, and the required amount is four years. • Mr. Crotts stated they asked him for W-2’s from T Metro Construction, and the W- 2’s they received were from T Metro Electric, that is why he was asked to come before the board. • Mr. Crotts asked that respondent not be issued the license. • Mr. Abin stated his father owns the company and is licensed in both the electrical and the construction. He also stated he started in the electrical, and that is why his W-2’s states T Metro Electrical. • Mr. Abin states he has been with the company since 2016. • Mr. Abin stated he can get his payroll to be changed from Electrical to Construction. • Mr. Abin stated he is the supervisor at his father’s company, but he wishes to start a company of his own. • Mr. Lantz asked Mr. Abin what he did at work, and Mr. Abin said he sees projects from start to finish. • Mr. Jerulle advised him to defer for another twelve months. Mr. Abin would like it now. Motion passed carried out 7-1 D. HUMBERTO MANUEL SANCHEZ: Review of Experience and Credit Report • Mr. Crotts stated respondent is seeking license that requires twenty-four months experience, and he has that. • Mr. Crotts states Mr. Sanchez needs to have a credit score of 660, but only has a 490. Report is reflecting delinquency with cars, credit cards, and phones. • Mr. Crotts states they do not want to approve the license. • Mr. Nolton stated the respondent has gone through the necessary experience. • Mr. White asked respondent what he intended to do with the license. Mr. Sanchez stated remodeling. • Mr. Jerulle stated he does not have enough experience there, but there were other licenses he could apply for. • Mr. White asked to continue, Mr. Sanchez agreed 4.A.1 Packet Pg. 8 Attachment: AGENDA_IV_APPROVAL OF MINUTES-JANUARY 20, 2021(004) (15051 : JANUARY 20, 2021) January 20, 2021 - 6 - • Mr. Nolton mentioned the bad credit. Mr. White stated he did not want to discuss that today. • Mr. Nolton stated that respondent needs to research what license he wants and to improve his credit. • Mr. Crotts recommended to withdraw. • Mr. White made a motion, Mr. Lantz seconded. Carried unanimously 8-0. • Kevin Noell- attorney asked Mr. Sanchez is he was ok with decision. Mr. Sanchez said he was. All in favor. Carried out unanimously 8-0 9. OLD BUSINESS: (NONE) 10. PUBLIC HEARINGS: (Note: The individuals who testified in the following cases under Item 10, “Public Hearings,” were first sworn in.) MR. NOLTON READ PROCUREMENT A. MANUEL E. BLANCO (DBA B&B Investment Development Corp): 2020 – 09 – Continued from December 16, 2020 Meeting – Misconduct – State Certified • Mr. Jerulle motioned to open public hearing. Mr. White seconded it. Carried out unanimously 8 - 0. Motion passes. • Michael Bogert- Collier County License Compliance Officer offers packet to board as evidence. • Mr. Bogert offered opening statement. He stated Manuel Blanco, a state certified general contractor license # 2017-00000737, is the owner of B & B Investment Development Corp. • Mr. Blanco contracted and received payment for a re-roof at 972 Coconut Circle East. Mr. Bogert states that Mr. Blanco has failed his obligation as a contractor, as well as causing multiple building code violations. It has been 2 years and 6 months since final payment. Mr. Bogert stated that there had been several attempts made to contact Mr. Blanco, and the permit remains expired. • Mr. Blanco said he was aware of the allegation and does not contest the allegations. He stated he hired someone to do it last year, however, he has had two strokes and can no longer work. He stated to Mr. Crotts outside that he is willing to get this one last thing for the customer, and that it is not fair to customer. He states he will do the project himself if it is the last thing he does. He hired someone last year to do it and they did not, while he was in hospital. • Mr. Blanco said he would need 45 days to open permit back up and close it out. • Mr. Crotts stated it has never been inspected. • Mr. White moved to find respondent guilty due to him not contesting. • Mr. Lantz seconded. Carried out unanimously 8-0. • Mr. White referred to board attorney Mr. Noell if they could table the hearing for sanctions for 60 days until subsequent meeting. 4.A.1 Packet Pg. 9 Attachment: AGENDA_IV_APPROVAL OF MINUTES-JANUARY 20, 2021(004) (15051 : JANUARY 20, 2021) January 20, 2021 - 7 - • Mr. White made a motion, Mr. Lantz seconded. Carried out unanimously 8-0. B. MARLENE MILLET (DBA Millet and Sons Tile Inc.): 2021- 01 -Misconduct • Mr. Joseph Coleman removed himself from the case due to conflict of interest. He has filed a form 8B with the attorney and submitted to minutes taker and filed with clerk. • Mr. Jerulle motioned to open, Mr. White seconded • Marlene Millet sworn in • Mr. Noelle confirmed Ms Millett was present when chairman read guidance and instructions for hearing. She stated she was. • Mr. Bogert submitted packet into evidence. Mr. White made a motion. Mr. Lantz seconded. Motion passed. • Mr. Bogert stated Ms. Millet was a Collier County licensed tile and marble contractor that was contracted to do bathroom renovation at 1461 Golden Gate East. License # C35990 • Mr. Bogert stated she renovated bathroom without permit and it was never inspected. • Ms. Millet said she is not contesting that and that they did it. She plans to surrender her license. • County calls property owner, Guillermo Chen. He stated there were property damages. • Mr. Chen was sworn in. • Mr. Chen stated after three months, he detected leaking again. Mr. Chen had to pay $1700 to have repaired. Saying respondent still owes $686 and that he paid $1000. • Ms. Millet said she has receipt from 9/20/2020 saying the $1000 was for the repair. • Mr. Chen stated Ms. Millets husband would pay balance on 10/15/2020. • Motions to accept evidence Mr. White, Mr. Lantz seconded. All in favor. Motion passes. • Mr. Crotts asked for $1000 fine on both counts to be paid in twelve months. He also asked that if respondent wants to regain license, to have to appear before board. • Mr. Crotts stated if respondent does not relinquish license, they get put on probation for two years, and revoked for 90 days. • Mr. Crotts asked for $686 to be paid in restitution to the homeowner within six months. • Mr. White made a motion, Mr. Joslin seconded. Carried out unanimously 7-0. • Ms. Millet agreed to pay $686 to homeowner within 30 days or license will be revoked. • Mr. White motioned for $1000 on each account to be paid within twelve months. Mr. Joslin seconded it. All in favor, motion passed. Mr. Jerulle asked the attorney if the instructions can be in writing instead of having Mr. Nolton read them. Mr. Noell responded they need to be notified and they are looking in to condensing it and having it signed. 11. NEXT MEETING DATE: Wednesday February 17, 2021 BCC Chambers, 3rd Floor - Administrative Building” F, Government Complex, 3301 E. Tamiami Trail, Naples, FL 4.A.1 Packet Pg. 10 Attachment: AGENDA_IV_APPROVAL OF MINUTES-JANUARY 20, 2021(004) (15051 : JANUARY 20, 2021) January 20, 2021 - 8 - There being no further business for the good of the County, the meeting was adjourned by order of the chair at 11:25 AM. COLLIER COUNTY CONTRACTORS' LICENSING BOARD ____________________________________ The Minutes were approved by the Chairman or Vice Chairman of the Contractors' Licensing Board on ______________, 2021, (Check one) "as submitted" [___] or "as amended” [___] 4.A.1 Packet Pg. 11 Attachment: AGENDA_IV_APPROVAL OF MINUTES-JANUARY 20, 2021(004) (15051 : JANUARY 20, 2021) 02/17/2021 COLLIER COUNTY Contractor Licensing Board Item Number: 6.A Item Summary: COLLIER COUNTY CODE OF ORDINANCE SEC. 2-833 – ATTENDANCE REQUIREMENTS – FOLLOW-UP Meeting Date: 02/17/2021 Prepared by: Title: – Contractor Licensing Board Name: Michelle Ramkissoon 02/12/2021 9:37 AM Submitted by: Title: – Contractor Licensing Board Name: Tim Crotts 02/12/2021 9:37 AM Approved By: Review: Contractor Licensing Board Michelle Ramkissoon Review Item Completed 02/12/2021 9:38 AM Contractor Licensing Board Tim Crotts Review Item Completed 02/12/2021 9:44 AM Contractor Licensing Board Tim Crotts Meeting Pending 02/17/2021 9:00 AM 6.A Packet Pg. 12 02/17/2021 COLLIER COUNTY Contractor Licensing Board Item Number: 8.A Item Summary: ORDERS OF THE BOARD Meeting Date: 02/17/2021 Prepared by: Title: – Contractor Licensing Board Name: Michelle Ramkissoon 02/12/2021 8:10 AM Submitted by: Title: – Contractor Licensing Board Name: Tim Crotts 02/12/2021 8:10 AM Approved By: Review: Contractor Licensing Board Michelle Ramkissoon Review Item Completed 02/12/2021 8:10 AM Contractor Licensing Board Tim Crotts Review Item Completed 02/12/2021 9:10 AM Contractor Licensing Board Tim Crotts Meeting Pending 02/17/2021 9:00 AM 8.A Packet Pg. 13 CONTRACTORS' LICENSING BOARD COTTIER COUNTY, FTORIDA ARAGO. CARLOS 3071 43RD ST SW NAPLES, FL 34116.8335 CLB Agenda Date Febtuatv 17.2421 DATE CHAIRMAN IV1ATTHEW NOLTON Print Name Attorney to the CLB KEVIN NOELL Contractor Licensing Supervisor Tll,,!OTHY CROTTS For Contractor Licensing Board . lf the '!sth day falls on a Saturday, Sunday or holiday, the entire fine must be paid no later than 4:00 P.[,4. on the County's next business day following that weekend or holiday Approved as to form and legal sufficiency ORDER TO PAY CIVIL PENATTY Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. '11527 CEUL20200012959 on '12103/20. to ARAGO. CARLOS. in the amount of $1.000.00, within 10 days of issuance of the Citation, THE PENATY HAS NOT BEEN PAID. Per Section 489.127(5) (gl, Florida Statutes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violator's address as noted on the Citation lf the penalty is not paid in full within 15. days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the filing of any such lien which remains unpaid, the Contractor Licensing Board may authorize the CoJnty Atlorney to foreclose on lhe lien 8.A.1 Packet Pg. 14 Attachment: AGENDA_VIIIA_ORDERS OF THE BOARD (15053 : ORDERS OF THE BOARD) CONTRACTORS' LICENSING BOARD COTIIER COUNTY, FTORIDA ORDER TO PAY CIVIL PENATTY Christopher Lee Johnston 9185 Ceieste Dr Unit 304 Naples, FL 34113 FebruaN 17.2021 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management DepartmenULicensing Section issued Citati on No.10681 CEU 1202000'13201 on 12l10/20, to Christopher Lee Johnston. in the amount of $1.000.00 , within '10 days of issuance of the Citation, THE PENALTY HAS NOT BEEN PAID. Per Section 489.127(5) (g), F/orlda Statutes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violator's address as noted on the Citation. lf the penalty is not paid in full within 15' days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any .eal or personal property owned by the violator. After 3 months from the tlling of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Altorney to foreclose on the lien. DATE CHAIRI\,,IAN ]\,4ATTHEW NOLTON Attorney to the CLB KEVIN NOELL . lf the 1sth day falls on a Saturday, Sunday or holiday, the entire fine must be paid no later than 4:00 P.M. on the County's next business day following that weekend or holiday Approved as to form and legal sufficiency CLB Agenda Date: Print Name Contractor Licensing Supervisor TIMOTHY CROTTS For Contractor Licensing Board 8.A.1 Packet Pg. 15 Attachment: AGENDA_VIIIA_ORDERS OF THE BOARD (15053 : ORDERS OF THE BOARD) CONTRACTORS' TICENSING BOARD CO[I.IER COUNTY, FTORIDA LOTURCO. ANGELO WILLIAI\,,I '1224 Allen St Fort Myers, FL 33916 CLB Agenda Date FebtuaN 17 ,2021 Pursuant to Seclion 489.'127, Florida Statutes, Operations and Regulatory [,4anagement Departmenulacensing Section issued Citation No. 1'1534 on l1120/20. to LOTIJRCO. ANGELO WILLIAM. in the amount of $'1.000.00, within '10 days of issuance of the Citalion, @. Per Section 489.127(5) lg), Florida Sfalutes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violator's address as noted on the Citation. lf the penalty is not paid in full within 15. days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the filing of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on the lien. DATE CHAIRMAN I\,4ATTHEW NOLTON Print Name Attorney to the CLB KEVIN NOELL Contractor Licensing Supervisor TIMOTHY CROTTS For Contractor Licensing Board . lf the 15th day falls on a Saturday, Sunday or holiday, the entire llne must be paid no later than 4:00 P.lr. on the County's next business day following that weekend or holiday Approved as to form and legal sutficiency ORDER TO PAY CIVIL PENALTY 8.A.1 Packet Pg. 16 Attachment: AGENDA_VIIIA_ORDERS OF THE BOARD (15053 : ORDERS OF THE BOARD) CONTRACTORS' tICENSING BOARD COLTIER COUNTY, FLORIDA Luis Boutista 5543 Laurel Ridge Lane #102 Naples, FL 34116 CLB Agenda Date Febtuary 17.2021 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory l\,4anagement DepartmenVLicensing Section issued Citation No. '11676 on 11i25/20. to Luis Boutista. in the amount of $1.000.00, within 10 days of issuance of the Citation, ftlE PENALTY HAS NOT BEEN PAID. Per Section 489.127(5) lg), Florida Stalutes, the violator is hereby ORDERED to pay that penalty in full within'15 days from the date of mailing a copy of the ORDER to the violator's address as noted on the Citation. lf the penalty is not paid in full within 15. days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the filing of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on the lien. DATE I\,IATTHEW NOLTON Print Name Attorney to the CLB KEVIN NOELL Contractor Licensing Supervisor TIMOTHY CROTTS For Contractor Licensang Board ' tf the '15th day falls on a Saturday, Sunday or holiday, the entire fine must be paid no later than 4:00 P.t4. on the County's next business day following that weekend or holiday Approved as to form and legal sufflciency ORDER TO PAY CIVII- PENALTY CHAIRMAN 8.A.1 Packet Pg. 17 Attachment: AGENDA_VIIIA_ORDERS OF THE BOARD (15053 : ORDERS OF THE BOARD) CONTRACTORS' TICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIT PENALTY CLB Agenda Date:F ebruarv 17 , 2021 Pursuant to Sect on 489.127. Florida Statutes Operations and Regulatory IVanagement Department/L censing Section issued Citation No. 11528 CEUL20200013202 on 12i10/20, to ORTIZ, JOSE, in the amount of $1,000.00 , within 10 days of issuance of the Citation, THE PENALTY HAS NOT BEEN PAID. Per Section 489.127(5) (g), F/onira Sfatutes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violator's address as noted on the Citation. lf the penalty is not paid in full within 15* days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the filing of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on the lien. DATE CHAIRI\,4AN I\,4ATTHEW NOLTON P. nt Name Attorney to the CLB KEVIN NOELL Contractor Licensing SuPervisor TIMOTHY CROTTS For Contractor Licensing Board ORTIZ. JOSE 307,1 43RD ST SW NAPLES, FL 34116 ' lf the 1sth day falls on a Saturday, Sunday or holiday, the enlire fine must be paid no later than 4:O0i.M. on the Countys next business day following thal weekend or holiday Approved as to form and legal sufficiency 8.A.1 Packet Pg. 18 Attachment: AGENDA_VIIIA_ORDERS OF THE BOARD (15053 : ORDERS OF THE BOARD) CONTRACTORS' TICENSING BOARD COTTIER COUNTY, FTORIDA ORDER TO PAY CIVIL PENATW Pascale, Christopher William 3638 Zion Park Ct. Naples, FL 34116 CLB Agenda Date:FebtuaN 17 ,2021 Pursuant to Section 489.'127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 11434 CEUL20200012955 on 12103/20. to Pascale. Christopher William. in the amount of 51.000.00, within 10 days of issuance of the Catation, THE PENALW HAS NOT BEEN PAID. Per Section 489.127(5) (g), Florida Slarutes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violator's address as noted on the Citation. lf the penalty is not paid in full within 15' days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the filing of any such lien which remains unpaid, the Contractor Licensing Board may authorize the Counly Attorney to foreclose on the lien. DATE CHAIR[.,4AN I\,4ATTHEW NOLT ON Prinl Name Attorney to the CLB KEVIN NOELL . lf the 15th day falls on a Saturday, Sunday or holiday, the entire fine must be paid no later than 4:OO P.M. on the Countts next business day following that weekend or holiday Approved as to form and legal sufficiency Contractor Licensing Supervisor TIMOTHY CROTTS For Contractor Licensing Board 8.A.1 Packet Pg. 19 Attachment: AGENDA_VIIIA_ORDERS OF THE BOARD (15053 : ORDERS OF THE BOARD) CONTRACTORS' LICENSING BOARD COTLIER COUNTY, FTORIDA ORDER TO PAY CIVIL PENATTY Rafaela Vega 2264 SW 36 Ave Fort Lauderdale, FL 33312 CLB Agenda Date FebruaN 17 , 2021 DATE [.,4ATTHEW LTON Print Name Attorney to the CLB KEVIN NOELL Contractor Licensing Supervisor TIMOTHY CROTTS For Contractor Licensing Board * lf the '1sth day ralls on a Saturday, Sunday or holiday, the entire fine must be paid no later than 4:00 i.M. on the County s next business day following that weekend or holiday Approved as to form and legal sufficiency Pursuant to Section 489.127, Florida Statules, Operations and Regulatory Management Department/Licensing Section issued Citation No. 10682 CEUL20200013495 on 12l'16/20. to Rafaela Veoa. in the amount of $1.000.00, within 10 days of issuance of the Citation, THE PENALTY HAS NOT BEEN PAID. Per Section 489.127(5) \g), Florida Statufes, the violator is hereby ORDERED to pay that penalty in full within '15 days from the date of mailing a copy of the ORDER to the violator's address as noted on the Citation. lf the penalty as not paid in full wathin 15'days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a laen against any real or personal property owned by the violator. After 3 months from the filing of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on the lien. CHAIRMAN 8.A.1 Packet Pg. 20 Attachment: AGENDA_VIIIA_ORDERS OF THE BOARD (15053 : ORDERS OF THE BOARD) CONTRACTORS' TICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIT PENALTY Richard Wall '1436 SE 29th St Cape Coral, FL 33904 CLB Agenda Date:Febr)aN 17 . 2021 Pursuant to Section 489.127, Floida Statutes, Operations and Regulatory Management DepartmenULicensing Section issued Citation No- 7240 CEUL20'120013220 on 08/31/12. to Richard Wall. in the amount of $300.00, within 10 days of issuance of the Citation, THE PENALTY HAS NOT BEEN PAID. Per Section 489.127(5) lgl, Florida Statutes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violator's address as noted on the Citation. lf the penalty is not paid in full within 15. days. lhis ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the filing of any such lien wh,ch remains unpaid. the Contractor Licensing Board may authorize the County Attorney to foreclose on the lien. DATE CHAIRI\,4AN Print Name Attorney to the CLB KEVIN NOELL Contractor Licensing Supervisor TIMOTHY CROTTS For Contractor Licensing Board I\,4ATTHFW Tr)N . lI the 1sth day falls on a Saturday, Sunday or holiday, the entire fine must be paid no later than 4:00 P.l\,'t. on the County's next business day following that weekend or holiday' Approved as to form and legal sufficiency 8.A.1 Packet Pg. 21 Attachment: AGENDA_VIIIA_ORDERS OF THE BOARD (15053 : ORDERS OF THE BOARD) CONTRACTORS' TICENSING BOARD COTTIER COUNTY, FTORIDA Rosando Boutista Cnrs 5543 Laurel Ridge Lane #102 Naples, FL 34116 CLB Agenda Date:F ebtuary 17 , 2021 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory l\,4anagement Department/Licensing Section issued Citation No. 11675 on 11/25120. to Rosando Boutista Crus. in the amount of $1.000.00, with in 10 days of issuance of the Citation, THE PENALTY HAS NOT BEEN PAIO. Per Section 489.127i.5) (g), Florida Slalules, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violator's address as noted on the Citation. lf the penalty is not paid in full within 15' days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the filing of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on the lien. DATE CHAIR[.,4AN MATTHEW NOLTON Pr nt Name Attorney to the CLB KEVIN NOELL Contractor Licensing Supervisor Tli,,lOTHY CROTTS For Contractor Licensing Board ' lf the 1sth day talls on a Saturday, Sunday or holiday, lhe entire fine must be paid no later than 4:00 P.l\r. on the County's next business day following that weekend or holiday Approved as to form and legal sufficiency ORDER TO PAY CIVIT PENALTY 8.A.1 Packet Pg. 22 Attachment: AGENDA_VIIIA_ORDERS OF THE BOARD (15053 : ORDERS OF THE BOARD) CONTRACTORS, LICENSING BOARD COLTIER COUNTY, FTORIDA Ruiz, Santos Abel Torres 7305 Greeley Rd Hyattsville, l\,4D 20785 CLB Agenda Date:F ebtuaw 17 , 2021 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management DepartmenULicensing Section issued Citation No. 6384 CEU120110011278 on 08/12111. to Ruiz. Santos Abel Torres. in the amount of 5300.00, within 10 days of issuance of the Citation, THE PENALW HAS NOT BEEN PAID. Per Section 489.127(5) (g), F/orda Slatutes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of lhe ORDER to the violatois address as noted on the Citation. lf the penalty is not paid in full within 15' days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the filing of any such lien which remains unpaid, the Contractor Licensing Board may authorize the CoLnly Attorney lo foreclose on the lien DATE I\,4ATTHEW NOLTON Print Name Attorney to the CLB KEVIN NOELL Contractor Licensing SuPervisor TIMOTHY CROTTS For Contractor Licensing Board . lf the '1sth day lalls on a Saturday, Sunday or holiday, the entire fine must be paid no later than 4:00 P.f\r. on the County's next business day following that weekend or holiday Approved as to form and legal sufficiency ORDER TO PAY CIVIL PENATTY CHAIRIVAN 8.A.1 Packet Pg. 23 Attachment: AGENDA_VIIIA_ORDERS OF THE BOARD (15053 : ORDERS OF THE BOARD) CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIT PENATTY Tasis, Obes 20113 Larano Loop Estero, FL 33928 CLB Agenda Date:Februarv, 17 2021 CHAIRI\,1AN MATTHEW NOLTON Print Name Attorney to the CLB KEVIN NOELL Contractor Licensing Supervisor TI[,,IOTHY CROTTS For Contractor Licensinq Board Approved as to form and legal sufficiency Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Departmenvlicensing Section issued Citation No. 6884. CEuL20120002510 on 02/16/12. to Tasis. Obes. in the amount of 5300.00, within 10 days of issuance of the Citation, THE PENALry HAS NOT BEEN PAD. Per Section 489.127(5) lg), Floida Statutes, the violator is hereby ORDERED to pay that penalty in full within 15 days from lhe date of mailing a copy of the ORDER to the violator's address as noted on the Citation. lf the penalty is not paid in full within 15. days. this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. Afler 3 months from the filing of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on the lien. DATE: . lf the 1sth day falls on a Saturday, Sunday or holiday, the entire fine must be paid no later than 4:00 P.M. on the County's next business day following that weekend or holiday. 8.A.1 Packet Pg. 24 Attachment: AGENDA_VIIIA_ORDERS OF THE BOARD (15053 : ORDERS OF THE BOARD) CONTRACTORS' TICENSING BOARD COTTIER COUNTY, FTORIDA ORDER TO PAY CIVIL PENATTY Taylor, MichaelW. 25333 Sandhill Blvd #C2 Punta Gorda, FL 33983 CLB Agenda Date:Febtary 17,2021 Pursuant to Section 489.'127, Flotida Statutes, Operations and Regulatory Management DepartmenVLicensing Section issued Citation No- 663 5 CEUL20l100'17840 on 12128111. lo Tavlot. Michael W , in the amount of $300-00.within 10 days of issuance of the Citation, THE PENALW HAS NOT BEEN PAID. Per Section 489.127(5) (g), Florida Statutes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violator's address as noted on the Citation. lf the penalty is not paid in full within 15' days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the flling of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on the lren. DATE CHAIRI\,4AN [.,IATTHEW NOLTON Print Name Attorney to the CLB KEVIN NOELL Contractor Licensing Supervisor TIMOTHY CROTTS For Contractor Licensing Board . lf the 15th day falls on a Saturday, Sunday or holiday, the entire fine must be paid no later than 4:OO P.M. on the County's next business day following that weekend or holiday Approved as to form and legal sufficiency 8.A.1 Packet Pg. 25 Attachment: AGENDA_VIIIA_ORDERS OF THE BOARD (15053 : ORDERS OF THE BOARD) CONTRACTORS' LICENSING BOARD COI.TIER COUNTY, FTORIDA ORDER TO PAY CIVIL PENATTY FebtuaN 17,2021 Pursuant to Section 489.'127, Floida Statutes, Operations and Regulatory Management DepartmenULicensing Section issued Citation No 769 5 CEU120t30010366 on 07/25/'13. to Tobar. Felix. in the amount of $300.00, within 10 days of issuance of the Citation, @. Per Section 489.127(5) (g), Florida Stalutes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violatois address as noted on the Citation. lf the penalty is not paid in full within 15. days, this ORDER may be recorded in the public records of Colljer County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the filing of any such lien which remains unpajd, the Contractor Licensing Board may authorize the County Attorney to foreclose on the lien. DATE CHAIRI\,4AN I,4ATTHEW NOLTON Print Name Contractor Licensing Supervisor TIT,,IOTHY CROTTS For Contractor Licensing Board Tobar, Felix 5951 W. 16th Lane Hialeah, FL 330'12 ' lf the 15th day falls on a Saturday, Sunday or holiday' the entire,ine must be paid no later than 4:00 P.l,l. on the County;s next business day following that weekend or holiday Approved as to form and legal sufficiency CLB Agenda Date: Attorney to the CLB KEVIN NOELL 8.A.1 Packet Pg. 26 Attachment: AGENDA_VIIIA_ORDERS OF THE BOARD (15053 : ORDERS OF THE BOARD) CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA CLB Agenda Date:Febtuary 17 , 2021 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory lvanagement Department/Licensing Section issued Citation No- 7962 EUL20130000274 on 01/09/13. to Torres. Daniel. in the amount of $300.00, within 10 days of issuance of the Citation, THE PENALW HAS NOT BEEN PAID. Per Section 489.127.5) lg), Florida Statules, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violator's address as noted on the Citation. lf the penalty is not paid in full within 15. days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any rea or personal property owned by the violator. Afler 3 months from the filing of any such lien which remains unpaid, the Conkactor Licensing Board may authorize the County Attorney to foreclose on the lien. DATE CHAIRI\,4AN MATTHEW NOLTON Prini Name Attorney to the CLB KEVIN NOELL Contractor Licensing Supervisor IIMOTHY CROTTS For Contractor Licensing Board Torres, Daniel 169 Santa Clara Dr. #4 NAPLES, FL 34113 ' lf the 15th day falls on a Saturday, Sunday or holiday, the entire line must be paid no later than 4:00 P.M. on the County's next business day following that weekend or holiday Approved as to form and legal sufficiency ORDER TO PAY CIVIT PENALTY 8.A.1 Packet Pg. 27 Attachment: AGENDA_VIIIA_ORDERS OF THE BOARD (15053 : ORDERS OF THE BOARD) CONTRACTORS' TICENSING BOARO COtt|ER COUNW, FLORIDA Tran, Corwin Kim 2800 N.W.56th Avenue, #B 405 Lauderhill, FL 33313 CLB Agenda Date FebtuaN 17 , 2021 OATE CHAIRIVAN Attorney to the CLB KEVIN NOELL Contractor Lacensing Supervisor TIMOIHY CROTTS For Contractor Licensing Board ' lf the 15th day falls on a Saturday, Sunday or holiday, the entire fine must be paid no later than 4:00 P.l\,,1. on the County's next business day following that weekend or holiday Approved as to form and legal sufficiency ORDER TO PAY CIVIT PENALTY Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Departmenvlicensing Section issued Citation No. 8129. CECV20130018104 on '12106/13. to Tran. Corwin Kim. in the amount of $300.00, within 10 days of rssuance of the Citation, THE PENALW HAS NOT BEEN PAID. Per Section 489.127(5) (g), Floida Statutes, the violator is hereby ORDERED to pay that penalty in Iull within 15 days from the date of malljng a copy of the ORDER to the violator's address as noted on the Citation. lf the penalty is not paid in full within 15" days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the flling of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on the lien- IUATTHEW NOLTON Print Name 8.A.1 Packet Pg. 28 Attachment: AGENDA_VIIIA_ORDERS OF THE BOARD (15053 : ORDERS OF THE BOARD) CONTRACTORS' LICENSING BOARD COTLIER COUNW, FTORIDA ORDER TO PAY CIVIL PENATTY Tran, Corwin Kim 2800 N.W.56th Avenue, #B 405 Lauderhill, FL 33313 CLB Agenda Date FebtuaN 17 . 2021 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management DepartmenVLicensing SecUon issued Citation No. 8'128 CEUL20130018284 on 12106/13. to Tran. Corwin Kim. in the amount of 3300.00, within 10 days of rssuance of the Citation, THE PENALW HAS NOT BEEN PAID. Per Section 48S.127(5) (g), Floida Statutes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violator's address as noted on the Citation. lf the penalty is not paid in full within 15. days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the filing of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on the lien. DATE CHAIRMAN I\,4ATTHEW NOLTON Pr nt Name Attorney to the CLB KEVIN NOELL Contractor Licensing Supervisor TIMOTHY CROTTS For Contractor Licensing Board ' lf the 1sth day falls on a Saturday, Sunday or holiday, the entire fine must be paid no later than 4:00 P.M. on the County's next business day following that weekend or holiday Approved as to form and legal sufficiency 8.A.1 Packet Pg. 29 Attachment: AGENDA_VIIIA_ORDERS OF THE BOARD (15053 : ORDERS OF THE BOARD) CONTRACTORS' TICENSING BOARD COLTIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENATTY Trevino, Lucio 3160 Golden Gate Blvd Naples, FL 341'17 CLB Agenda Date:FebtuaN 17 , 2021 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory [.4anagement DepartmenVLicensing Sectron issued Citation No. 7002. CEUL20120006082 on 04/20/'12. to Trevino. Lucio. in the amount of $500.00, within 10 days of issuance oftheCitation'@,PerSection489.127(5)(g),Florida Slatutes, the violator is hereby ORDERED to pay that penalty in full within '15 days from the date of mailing a copy of the ORDER to the violator's address as noted on the Citation. lf the penalty is not paid in full within 15- days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the liling of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on the lien. DATE CHAIRI\,1AN I\,4ATTHEW NOLTON Print Name Attorney to the CLB KEVIN NOELL Contractor Licensing Supervisor TII\,,IOTHY CROTTS For Contractor Licensing Board ' lf the 15th day falls on a Saturday, Sunday or holiday, the entire fine must be paid no later than 4:00 P.[,4. on the County's next business day following that weekend or holiday Approved as to form and legal sufficiency 8.A.1 Packet Pg. 30 Attachment: AGENDA_VIIIA_ORDERS OF THE BOARD (15053 : ORDERS OF THE BOARD) CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA TRUJILLO, CRISPIN 4825 GREEN BLVD NAPLES, FL 341,16-5045 CLB Agenda Date:Febtuary 17 , 2021 Purcuant to Section 489.127, Florida Statutes, Operations and Regulatory I!4anagement DepartmenULicensing Section issued Citation No. 6967, CEUL20120006822 on 05/03i 12. to TRUJILLO. CRISP lN, in the amount of 5300.00 , within 10 days of issuance of the Citation, f!.E-!EIATILEAS_!qLSEE!14D. Per Section 489.127(5) (g), F/oida Statutes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violator's address as noted on the Citation. lf the penalty is not paid in full within 15' days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the filing of any such lien which remains unpald, the Contractor Licensing Board may authorize the County Attorney to foreclose on the hen. DATE CHAIRI\,4AN N4ATTHEW NOLTON Print Name Attorney to the CLB KEVIN NOELL Contractor Licensing Supervisor TIMOTHY CROTTS For Contractor Licensinq Board ORDER TO PAY CIVIL PENALTY ' lf the 15th day falls on a Saturday, Sunday or holiday, the entire line must be paid no later than 4:00 P.M. on the County's next business day following that weekend or holiday. Approved as to form and legal sufficiency 8.A.1 Packet Pg. 31 Attachment: AGENDA_VIIIA_ORDERS OF THE BOARD (15053 : ORDERS OF THE BOARD) CONTRACTORS' LICENSING BOARD COTTIER COUNTY, FLORIDA ORDER TO PAY CIVIT PENALTY Urquilla Sosa, Leonidas 6261 SW 5th St Margate, FL 33068 Febtrary 1/ , 2021 Pursuant to Section 489.'127, Florida Statutes, Operations and Regulatory i.4anagement DepartmenVLicensing Section issued Citation No. 7771 CEU L2013001092'l on 08/06/'13. to Urquilla Sosa. Leonidas. in the amount of $300.00, within 10 days of issuance of the Citation, THE PENALW HAS NOT BEEN PAID. Per Section 489.127(5) (g), Florida Slalutes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violatols address as noted on the Citation. lf the penalty is not paid in full within '15- days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the filing of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on lhe lien CHAIRMAN [,4ATTHEW NO LTON Print Name Contractor Licensing Supervisor TIMOIHY CROTTS For Contractor Licensing Board . lf the 1sth day falls on a Saturday, Sunday or holiday, the entire fine must be paid no later than 4:00 P.M. on the County s next business day following that weekend or holiday Approved as to form and legal sufficiency CLB Agenda Date: DATF' Anorney to the CLB KEVIN NOELL 8.A.1 Packet Pg. 32 Attachment: AGENDA_VIIIA_ORDERS OF THE BOARD (15053 : ORDERS OF THE BOARD) CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FTORIDA ORDER TO PAY CIVIL PENATTY Uscanja, JoelZamudia 2330 51 Ter. S.W. Naples, FL 34116 CLB Agenda Date Fe*raN 1l, 2021 Pursuant to Section 489.127, Florida Stalutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 6926. CEUL20120003759 on 03/13/12. to Uscania. Joel Zamudia. in the amount of 5300.00, within 10 days ofiSSUanceoftheCitation,@,PerSection4B9,127(5) (g), Florida Stalutes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violator's address as noted on the Citation. lf the penalty is not paid in full within 15. days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the flling of any such lien which remains unpaid, the Contractor Licensinq Board may authorize the County Attorney lo foreclose on the lien. DATE CHAIRMAN MATTHEW NOLTON Pr nt Name Atlorney to the CLB KEVIN NOELL Contractor Licensing Supervisor TIMOTHY CROTTS For Contractor Licensing Board ' lf the 1sth day falls on a Saturday, Sunday or holiday, the entire fine must be paid no later than 4:00 P.M. on the County's next business day following that weekend or holiday Approved as to form and legal sufficiency 8.A.1 Packet Pg. 33 Attachment: AGENDA_VIIIA_ORDERS OF THE BOARD (15053 : ORDERS OF THE BOARD) CONTRACTORS' TICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIT PENATry Vancil, Lee 5651 Rattlesnake Hammock Rd. #305C Naples, FL 34113 CLB Agenda Date February 17,2021 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management DepartmenULicensing Section lssued Citation No. 6498, CECV20110011279 on 08/12ill. to Vancil. Lee. in the amount of $300.00, within 10 days of issuance of the Citation, THE PENALTY HAS NOT BEEN PAID. Per Section 485.127(5) lg), Florida Statules, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violator's address as noted on the Citation. ll the penalty is not paid in full within 15'days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the filing of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on the lien. DATE CHAIRI\,4AN MATTHEW NOLTON Print Name Attorney to the CLB KEVIN NOELL Contractor Licensing Supervisor TII\,4OTHY CROTTS For Contractor Licensing Board . lf the 'l5th day falls on a Saturday, Sunday or holiday, the entire Iine must be paid no later than 4:00 P.l\,4. on the County's next business day following that weekend or holiday Approved as to form and legal sufficiency 8.A.1 Packet Pg. 34 Attachment: AGENDA_VIIIA_ORDERS OF THE BOARD (15053 : ORDERS OF THE BOARD) CONTRACTORS' LICENSING BOARD COTLIER COUNTY, FLORIDA Vancil, Lee 5651 Rattlesnake Hammock Rd. #305C Naples, FL 34113 CLB Agenda Date FebruaN 17 ,2021 Pursuant to Section 489.127, Florida Stalutes, Operations and Regulatory Management DepartmenVLicensino Sectlon issued Citation No. 6497, CEUL201'10011276 on 08/12l11. to Vancil, Lee, in the amount of $300.00 , within 10 days of issuance of the Citation, @. Per Section 489.127(5) \g), Florida Statules, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violator's address as noted on the Citation. lf the penalty is not paid in full within '15' days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the flling of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on the lien- DATE CHAIRMAN MAITHEW NOLTON Print Name Attorney to the CLB KEVIN NOELL ' lf the 15th day falls on a Saturday, Sunday or holiday, the entire fine must be paid no later than 4:00 P.lr. on the County's next business day following that weekend or holiday Approved as to form and legal sutficiency ORDER TO PAY CIVIL PENALry Contractor Licensing Supervisor Tll\,,lOTHY CROTTS For Contractor Licensing Board 8.A.1 Packet Pg. 35 Attachment: AGENDA_VIIIA_ORDERS OF THE BOARD (15053 : ORDERS OF THE BOARD) CONTRACTORS' TICENSING BOARD COI.TIER COUNTY, FTORIDA ORDER TO PAY CIVIL PENAI.TY CLB Agenda Date:FebtuaN 17.2021 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 6496, CEUL20'l t 001 '1271 on 08/12l11. to Vancil, Lee. i n the amount of S300.00 , within 10 days of issuance of the Citation,THE PENALry HAS NOT BEEN PAID. Per Section 489.127 15) lg), Ftorida Statutes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violator's address as noted on the Citation. lf the penalty is not paid in full within 15'days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the filing of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on the lien. CHAIRMAN I\IATTHEW NOLTON Print Name Attorney to the CLB KEVIN NOELL Contractor Licensing Supervisor III\,IOIHY CROTTS For Contractor Licensinq Board Approved as to form and legal sufficiency Vancil, Lee 5651 Rattlesnake Hammock Rd. #305C Naples, FL 34113 DATE: ' lI the 15th day falls on a Saturday, Sunday or holiday, the entire line must be paid no later than 4:00 P.M- on the County's next business day following that weekend or holiday. 8.A.1 Packet Pg. 36 Attachment: AGENDA_VIIIA_ORDERS OF THE BOARD (15053 : ORDERS OF THE BOARD) CONTRACTORS' TICENSING BOARD COLTIER COUNTY, FLORIDA ORDER TO PAY CIVIT PENATTY Vardoulias, Demitrious 28'17 Capistrano Way Naples, FL 34'105 FebruaN 17.2021 Pursuant to Section 489.127, Floida Statutes, Operations and Regulatory Management Department/Licensing Sect on issued Citation No. 8191 CEU L20'130017056 on 1'l118/13. to Vardoulias. Demitrious , in the amounl of $500.00 , within 10 days of issuance of the Citation, THE PENALW HAS NOT BEEN PAID. Per Section 489.'127(5) (gl, Florida Stalutes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violator's address as noted on the Citation. lf the penalty is not paid in full within 15t days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the flling of any such lien which remains unpaid, the Contractor Licensing Board may authorize the Counly Atlorney to foreclose on the lien. DATE C HAIRN4AN I\,IATTHEW NOLTO N Pr nt Name Attorney to the CLB KEVIN NOELL Contractor Licensing Supervisor TII\,IOTHY CROTTS For Contractor Licensing Board CLB Agenda Date: ' lI the '1sth day falls on a Saturday, Sunday or holiday, the entire fine must be paid no later than 4:00 P.t4. on the County's next business day following that weekend or holiday. Approved as to form and legal sufficiency 8.A.1 Packet Pg. 37 Attachment: AGENDA_VIIIA_ORDERS OF THE BOARD (15053 : ORDERS OF THE BOARD) CONTRACTORS' TICENSING BOARD CO[I.IER COUNTY, FTORIDA ORDER TO PAY CIVIL PENATTY ' lf the 15th day falls on a Saturday, Sunday or holiday, the entire fine must be paid no later than 4:00 P.M. on the County's next business day following that weekend or holiday CLB Ag enda Date: FebMaw ll,2021 Pursuant to Section 489.'127, Florida Statutes, Operations and Regulatory l\,4anagement DepartmenVLicensing Section issued Citation No. 6774. CEUL201l0017'189 on 12112111.loVaz. Abaao. in thc amqllnt of $300.00, withln 10 da ys of issuance of the Citation, @. Per Section 489.127(5) (g), Flotida Statufes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violator's address as noted on the Citation. lf the penalty is not paid in Iull within '15t days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the filing of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on lhe lien. DATE CHAIRI\,,lAN I\,4ATTHEW NOLION Pr nt Name Attorney to the CLB KEVIN NOELL Contractor Licensing Supervisor TII\,IOTHY CROTTS For Contractor Licensing Board Approved as to form and legal sufficiency Vaz, Abraao 284 Giraffe Dr N. Fort Myers, FL 33917 8.A.1 Packet Pg. 38 Attachment: AGENDA_VIIIA_ORDERS OF THE BOARD (15053 : ORDERS OF THE BOARD) ORDER TO PAY CIVIT PENALTY Velchansky, Milan John 2550'1 Trost Blvd. #1469 Bonita Springs, FL 34135 CLB Agenda Date:Fehruatv 17, 2021 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory l\ranagement Department/Licensing Section issued Citation No. 6507. CEl,JL201 '100'17589 on 12120111, to Velchanskv. lllilan ohn, in the amount of $300.00 , within 10 days of issuance of the Citation, THE PENALW HAS NOT BEEN PAIO. Per Section 489.127(5) (g), F/orira Slalules, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violatols address as noted on the Citation. lf the penalty is not paid in full within 15- days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the flling of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on lhe lien. DATE C HAI R I\,,IAN N,IATTHEW NOLTON Print Name Attorney to the CLB KEVIN NOELL Contractor Licensing Supervisor III\,4OTHY CROTTS For Contractor Licensing Board ' lf the 1sth day falls on a Saturday, Sunday or holiday, the entire fine must be paid no later than 4:00 P.M. on the County's next business day following that weekend or holiday Approved as to form and legal sufficiency CONTRACTORS' TICENSING BOARD COLTIER COUNTY, FTORIDA 8.A.1 Packet Pg. 39 Attachment: AGENDA_VIIIA_ORDERS OF THE BOARD (15053 : ORDERS OF THE BOARD) CONTRACTORS' LICENSING BOARD COTLIER COUNTY, FLORIDA ORDER TO PAY CIVIT PENAI-TY CLB Agenda Date:February 17 ,2021 Pursuant to Section 489.127, Floida Statutes, Operations and Regulatory Management DepartmenULicensing Section issued Citation No. 7777 CEUL20130011181 on 08/09/13. to Velez. Rodin. in the amount of $300.00, within 10 days of issuance of the Citation, @. Per Section 485.127(5) (9), Florida Statules, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violator's address as noted on the Citation. lf the penalty is not paid in full within 15. days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the filing of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on the lien. DATE CHAIRMAN t\4A Pr nl Name Attorney to the CLB KEVIN NOELL Contractor Licensing Supervisor TIMOTHY CROTTS For Contractor Licensing Board Velez. Rodin 10821 Gladiolus Dr Ft. Myers, FL 33908 . lf the 1sth day falls on a Saturday, Sunday or holiday, the entire fine must be paid no later than 4:00 P.M. on the County s next business day following that weekend or holiday' Approved as to form and legal sufficiency 8.A.1 Packet Pg. 40 Attachment: AGENDA_VIIIA_ORDERS OF THE BOARD (15053 : ORDERS OF THE BOARD) CONTRACTORS' LICENSING BOARO COLLIER COUNTY, FLORIDA CLB Agenda Date:F ebtuaw 17 . 2021 Pursuant to Section 489.'127, Floida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 6440.CEUL2o'i t 001 1939 on 08i25/'11. to Waddell. David Conrad. in the amount of $300.00 , within 10 days of issuance of the Citation, THE PENALTY HAS NOT BEEN PAIO. Per Section 489.127(5) (g), Florida Statutes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy ol the ORDER to the violator's address as noted on the Citation. lf the penalty is not paid in full within 15' days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the filing of any such lien which remains unpaid, the Contractor Licensing Board may authorize the Counly Attorney to foreclose on the lien. DATE I\,4ATTHEW NOLTON Print Name Contractor Licensing Supervisor TIMOTHY CROTTS For Contractor Licensing Board ' lf the 15th day falls on a Saturday, Sunday or holiday, the entire fine must be paid no later than 4:00 P.[,4. on the County's next business day following that weekend or holiday Approved as to form and legal sufficiency ORDER TO PAY CIVIL PENATTY Waddell, David Conrad 423 Ellis St N. Ft Myers, FL 33903 CHAIR[,4AN Attorney to the CLB KEVIN NOELL 8.A.1 Packet Pg. 41 Attachment: AGENDA_VIIIA_ORDERS OF THE BOARD (15053 : ORDERS OF THE BOARD) CONTRACTORS' LICENSING BOARD COTLIER COUNTY, FLORIDA ORDER TO PAY CIVIT PENATTY Waring, Robert 93 gth St Bonita Springs, FL 34134 F ebtraty 17, 2021 DATE Print Name Attorney to the CLB KEVIN NOELL Contractor Licensing Supervisor TIMOTHY CROTTS For Contractor Licensing Board ' lf the 15th day falls on a Saturday, Sunday or holiday, the entire fine must be peid no later than 4:00 P.N,'!. on the Countys next business day following that weekend or holiday Approved as to form and legal sufficiency CLB Agenda Date: Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Departmenulicensing Section issued Citation No. 6450. CEU L201'100'10901 on 08/05/ll. to Warino. Roberl. in the amount of t500.00, within 10 days of issuance of the Citation, THE PENALW HAS NOT BEEN PAID. Per Section 489.127(5) lg), Florida Stalufes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violator's address as noted on the Citation. lf the penalty is not paid in full within 15' days. this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the filing of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on ihe lien. CHAIRMAN I\,4ATTHFW 8.A.1 Packet Pg. 42 Attachment: AGENDA_VIIIA_ORDERS OF THE BOARD (15053 : ORDERS OF THE BOARD) CONTRACTORS' TICENSING BOARD COLTIER COUNTY, FTORIDA ORDER TO PAY CIVIL PENATW Waring, Robert 93 gth St Bonita Springs, FL 34134 Feb,tuary 17 , 2021 Pursuant to Section 4B9.'127, Floida Statutes, Operations and Regulatory Management DepartmenvLicensing Section issued Citation No. 6481 CECV2o110010266 on 07/26/1'1, to Warinq, Robert, in the amount of $300.00 , within 10 days of issuance ofthecitation'@.PerSection489.127(5)(g)'Florida Slalutes, the violator is hereby ORDERED to pay that penalty in full within 15 days frorn the date of mailing a copy of the ORDER to the violator's address as noted on the Citation. lf the penalty is not paid in full within 15' days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the filing of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on the lien. DATE CHAIRMAN I\IATTHEW NOLTON Print Name Attorney to the CLB KEVIN NOELL Contractor Licensing Supervisor TIMOTHY CROTTS For Contractor Licensing Board ' lf the 1sth day falls on a Saturday, Sunday or holiday, the entire.flne must be paid no later than 4:00 P.l\,'1. on the County;s next business day following that weekend or holiday Approved as to form and legal suificiency CLB Agenda Date: 8.A.1 Packet Pg. 43 Attachment: AGENDA_VIIIA_ORDERS OF THE BOARD (15053 : ORDERS OF THE BOARD) CONTRACTORS' LICENSING BOARD coLLtER COUNTY, FLORTDA ORDER TO PAY CIVIT PENALTY Waters, Timothy A. 80 Valencia Road Winter Garden, FL 34787 CLB Agenda Date:Febtuary 17 , 2021 Pursuant to Section 489.127, Flodda Statutes, Operations and Regulatory lvlanagement Departmenvlicensing Section issued Citation No. 7292. CEUL20120014156 on 09/18/12. to T.T, & C. Landscapinq lnc. / Waters. Timothv A.. in the amount of $!q9:19q, within 10 days of issuance of the Citation, THE PENALTY HAS NOT BEEN ?\!8. Per Section 489.127(5) (g), Floida Statutes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the dale of mailing a copy of the ORDER to the violator's address as noted on the Citation. lf the penalty is not paid in full within 15. days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the flling of any such lien which remains unpaid, the Conkactor Licensing Board may authorize the County Attorney to foreclose on the lien. CHAIRMAN I\4ATTHEW NOLTON Print Name Contractor Licensing Supervisor TIMOTHY CROTTS For Contractor Licensing Board . lf the 1sth day falls on a Saturday, Sunday or holiday, the entire fine must be paid no later than 4:00 P.M- on the County's next business day following that weekend or holiday Approved as to form and legal sufflciency DATE: Attorney to the CLB KEVIN NOELL 8.A.1 Packet Pg. 44 Attachment: AGENDA_VIIIA_ORDERS OF THE BOARD (15053 : ORDERS OF THE BOARD) CONTRACTORS' TICENSING BOARD COLLIER COUNTY, FLORIDA Westfall, David 238 SW 28th ter Cape Coral, FL 33914 CLB Agenda Date:FebruaN 17 , 2021 Pursuant to Section 489.'127, Florida Statutes, Operations and Regulatory l\,4anagement DepartmenULicensing Section issued Citation No. 7491 CEUL20130004615 on 03/28/'13, to Westfall, Oavid, in the amount of $300.00, within 10 da ys of issuance of the Citation, THE PENALW HAS NOT BEEN PAIO. Per Section 489.127(5) lgl, Floida Statutes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violator's address as noted on the Citation. lf the penalty is not paid in full within 15. days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the filing of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on the lien. DATE C HAIRI\4AN Print Name Attorney to the CLB KEVIN NOELL Contractor Licensing Supervisor Tlt\,'lOTHY CROTTS For Contractor Licensing Board . lf the 1sth day lalls on a Saturday, Sunday or holiday, the entire line must be paid no later than 4:00 P.M. on the County's next business day following that weekend or holiday Approved as to form and legal sufficiency ORDER TO PAY CIVIT PENALTY I\,4ATTHFW 8.A.1 Packet Pg. 45 Attachment: AGENDA_VIIIA_ORDERS OF THE BOARD (15053 : ORDERS OF THE BOARD) CONTRACTORS' [ICENSING BOARD COLTIER COUNTY, FLORIDA CLB Agenda Date Febtuary 17.2A21 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory L4anagement DepartmenULicensing Section issued Citet ion No. 815 6 CECV20130018085 on 12!9.4113, l9 Whitsett, Edward Lee, in the amount of $300.00 , within 10 days of issuance of the Citation, IEEeE!AIILEAqN9]!EEN_E!U9. Per Section 489.'t27(5) (gJ, Florida Statutes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violatofs address as noted on the Citation. lf the penalty is not paid in full within 15' days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the filing of any such lien which remains unpaid, the Contractor Licensing Board may authorize the Counly Attorney to foreclose on the lien. CHAIRMAN I\,1ATTHEW NOLTON Print Name Attorney to the CLB KEVIN NOELL Contractor Licensing Supervisor TIMOTHY CROTTS For Contractor Licensing Board . lf the 15th day falls on a Saturday, Sunday or holiday, the entire fine must be paid no later than 4:00 P.l\,,1. on the County's next business day following that weekend or holiday Approved as to form and legal sufficiency ORDER TO PAY CIVIT PENALTY Whitsett, Edward Lee 2550 14th Sl N Naples, FL 34103 DATE: 8.A.1 Packet Pg. 46 Attachment: AGENDA_VIIIA_ORDERS OF THE BOARD (15053 : ORDERS OF THE BOARD) CONTRACTORS' TICENSING BOARD COTTIER COUNTY, FTORIDA ORDER TO PAY CIVIL PENALTY CLB Agenda Date:Febtuary 17,2021 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management DepartmenVLicensing Section issued Citation No. 8155 CEU L201300'18059 on 12tO4t 1 3- to Whitsett. Edw a td Lee. in the amount of $300.00 , within 10 days ofissUanceofthecitation'@,PerSection4B9.127(5) tg), Florida Stalules, the violator is hereby ORDERED to pay that penalty in full within '15 days from the date of mailing a copy of the ORDER to the violator's address as noted on the Citation. lf the penalty is not paid in full within 15' days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the filing of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on the Ien. DATE I\,4ATTH Print Name Attorney to the CLB KEVIN NOELL Contractor Licensing Supervisor IIMOTHY CROTTS For Contractor Licensing Board Whitsett, Edward Lee 2550 '14th St N Naples, FL 34103 ' lf the 15th day falls on a Saturday, Sunday or holiday' the entire fine must be paid no later than 4:00'P.M. on the County s next business day following that weekend or holiday Approved as to form and legal sufficiency CHAIRIVAN 8.A.1 Packet Pg. 47 Attachment: AGENDA_VIIIA_ORDERS OF THE BOARD (15053 : ORDERS OF THE BOARD) CONTRACTORS' LICENSING BOARD COttIER COUNTY, FTORIDA Williams, Raymond A 6028 Black Dairy Rd Seffner, FL 33584 CLB Agenda Date:FebruaN 17 . 2021 Pursuant to Section 489.'127, Florida Statutes, Operations and Regulatory i,lanagement DepartmenULicensing Section issued Citation No. 8182 CEUL20't30015114 on 10123113. to Williams. Ravmon d A.. in the amount of $500.00.within 10 days of issuance of the Citation, THE PENALTY HAS NOT BEEN PAID. Per Section 489.127(5) (g), F/oflda Statules, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the OROER to the violator's address as noted on the Citation. lf the penalty is not paid in full within 15. days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the filing of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on the lien DATE CHAIRI\,,lAN [,4ATTHEW NOLTON Pr nt Name Attorney to the CLB KEVIN NOELL Contractor Licensing Supervisor TIMOTHY CROTTS For Contractor Licensing Board ORDER TO PAY CIVIL PENAI.TY . lf the 1sth day falls on a Saturday, Sunday or holiday, the entire fine must be paid no later than 4:00 P.l\r. on the County's next business day following that weekend or holiday. Approved as to form and legal sufficiency 8.A.1 Packet Pg. 48 Attachment: AGENDA_VIIIA_ORDERS OF THE BOARD (15053 : ORDERS OF THE BOARD) CONTRACTORS' LICENSING BOARD COTLIER COUNTY, FLORIDA ORDER TO PAY CIVIT PENATTY Williams, Raymond A. 6028 Black Dairy Rd Seffner, FL 33584 CLB Agenda Date FebruaN 17 , 2021 Pursuant to Section 489.127, Floida Statutes, Operations and Regulatory Management DepartmenULicensing Seciion ssued Citation No. 8059 CEUL201300'13'127 on 09/17i13. to Williams. Ravmond A.. in the amount of $500.00, within 10 days of issuance of the Citation, IIEEENAILIASLQaEEEN D. Per Section 489.'127(5) (g), F/orda Statutes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violator's address as noted on the Citation. lf the penalty is not paid in full within 15. days, this ORDER may be recorded in the public records of Collier County and thereafler shall constitute a lien against any real or personal property owned by the violator. After 3 months from the filing of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on the len DATE Attorney to the CLB KEVIN NOELL Contractor Licensing Supervisor TIMOTHY CROTTS For Contractor Licensing Board . lf the '15th day lalls on a Saturday, Sunday or holiday, the entire fine must be paid no later than 4:00 P.M. on the County's next business day following that weekend or holiday Approved as to form and legal sufficiency CHAIRI\,4AN I\,IATTHEW NOLTON Print Name 8.A.1 Packet Pg. 49 Attachment: AGENDA_VIIIA_ORDERS OF THE BOARD (15053 : ORDERS OF THE BOARD) CONTRACTORS' TICENSING BOARO COTTIER COUNTY, FTORIDA ORDER TO PAY CIVIL PENATTY Williams, Raymond A 6028 Black Da ry Rd Seffner, FL 33584 CLB Agenda Date:Februaw 17 , 2021 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory l\ranagement DepartmenULicensing Section issued Citation No. 8046 CEUL20130014797 oh 10/17113. to Williams. Ravmond A.. in the amount of $500.00, within 10 days of issuance of the Citation, THE PENALW HAS NOT BEEN PAID. Per Section 489.127(5) (g), F/orlda Statutes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violator's address as noted on the Citation. lf the penalty is not paid in full within '15' days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the flling of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on the lien. DATE CHAIRMAN MATTHEW NOLTON Print Name Attorney to the CLB KEVIN NOELL Contractor Licensing Supervisor TI[,lOTHY CROTTS For Contractor Licensing Board . lfthe 1sth dayfalls on a Saturday, Sunday or holiday, the entire fine must be paid no laler than 4:00 P.M. on the County's next business day following that weekend or holiday Approved as to form and legal sufficiency 8.A.1 Packet Pg. 50 Attachment: AGENDA_VIIIA_ORDERS OF THE BOARD (15053 : ORDERS OF THE BOARD) CONTRACTORS' TICENSING BOARD COLTIER COUNTY, FLORIDA ORDER TO PAY CIVIT PENALTY Williams, Raymond A 6028 Black Dairy Rd Seffner, FL 33584 CLB Agenda Date:FebtraN 17.2021 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 7696 CEUL20130010374 on 0 7 t25l ,|3- to Williams. Ravmon A-, in the amount of $500.00 , within 10 days of issuance of the Citation, THE PENALTY HAS NOT BEEN PAD. Per Section 489.127(5) \g), Florida Statutes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violalor's address as noted on the Citation. lf the penalty is not paid in full within 15' days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator- After 3 months from the filing of any such lien which remains unpaid, the Contractor Licensing Board may authorize the Counly Attorney lo foreclose on the lien. DATE CHAIRI\,1AN IVATTHEW NOLTON Print Name Attorney to the CLB KEVIN NOELL Contractor Licensing Supervisor TIMOTHY CROTTS For Contractor Licensing Board . lf the 15th day falls on a Saturday, Sunday or holiday, the entire fine must be paid no later than 4:00 P.M. on the County's next business day following that weekend or holiday Approved as to form and legal sufficiency 8.A.1 Packet Pg. 51 Attachment: AGENDA_VIIIA_ORDERS OF THE BOARD (15053 : ORDERS OF THE BOARD) CONTRACTORS' TICENSING BOARD COTTIER COUNTY, FTORIDA Williams, Raymond A 6028 Black Dairy Rd Sefiner, FL 33584 CLB Agenda Date:Fehtuary 17 , 2021 Pursuant to Section 489.'127, Florida Statutes, Operations and Regulatory Management DepartmenVLicensing Section issued Citation No. 7483 CEUL20130002372 on 02114113, to Williams, Ravmond A., in lhe amount of $300.00, wth n 10 d ays of issuance of the Citation,THE PENALTY HAS NOT BEEN PAID Pe. Sect on 489.'T27 (s) (g), F/orda Slalules, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violator's address as noted on the Citation. lf the penalty is not paid in full within 15. days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the vaolator. After 3 months from the filing of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Aftorney to foreclose on the lien. DATE CHAIRN,4AN I\,4ATTHEW NOLTON Print Name Attorney to the CLB KEVIN NOELL Contractor Licensing Supervisor TIMOTHY CROTTS For Contractor Licensinq Board ' lf the 15th day falls on a Saturday, Sunday or holiday, the entire fine must be paid no later than 4:00 P.l\,'1. on the County's next business day following that weekend or holiday Approved as to form and legal sufliciency ORDER TO PAY CIVIL PENAtry 8.A.1 Packet Pg. 52 Attachment: AGENDA_VIIIA_ORDERS OF THE BOARD (15053 : ORDERS OF THE BOARD) CONTRACTORS' LICENSING BOARD COTLIER COUNTY, FLORIDA ORDER TO PAY CIVIT PENALTY Williams. Camell David 525 Plumosa Ave Altamonte Spdngs, FL 32701 CLB Agenda Date:Febtuary 17 , 2021 Pursuant to Section 489.127, Florida Stalutes, Operations and Regulatory I\.4anagement DepartmenULicensing Section issued Citation No. 6951 CEUL20120004558 on 03/26/12. to Williams. Camell Oavid. in the amount of $300.00, within 10 days of issuance of the Citation, THE PENALTY HAS NOT BEEN PAIO. Per Section 48S.127(5) (g), Fiorida Statufes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violatois address as noted on the Citation. lf the penalty is not paid in full within 15' days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. Afler 3 months from the filing of any such lien which remains unpald, the Contractor Licensing Board may authorize the County Attorney to foreclose on lhe lien. CHAIRI\,44N I\,4ATTHEW NOLTON Print Name Contractor Licensing Supervisor TIIUOTHY CROTTS For Contractor Licensing Board ' lf the 15th day falls on a Saturday, Sunday or holiday, the entire fine must be paid no later than 4:00 P.M. on the County's next business day following that weekend or holiday Approved as to form and legal sufficiency DATE: Attomey to the CLB KEVIN NOELL 8.A.1 Packet Pg. 53 Attachment: AGENDA_VIIIA_ORDERS OF THE BOARD (15053 : ORDERS OF THE BOARD) ORDER TO PAY CIVIT PENALTY Willlams, Camell David 525 Plumosa Ave Altamonte Springs, FL 32701 CLB Agenda Date:February 17 , 2021 Pursuanl to Section 489.'127, Florida Stalutes, Operations and Regulatory Management DepartmenVLicensing Section issued Citation No. 6952 CEUL20120004559 on 03/26/12. to Williams. Camell David. in the amount of S300.00, within 10 days of issuance of the Citation, THE PENALTY HAS NOT BEEN PAID. Per Section 489.127(5) lg],, Florida Statules, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violator's address as noted on the Citation. lf the penalty is not paid in full within 15' days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the filing of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Anorney to foreclose on lhe lien. DATE CHAIRI\,,lAN ]\,4ATTHEW NOLTON Pr nt Name Attorney to the CLB KEVIN NOELL Contractor Licensing Supervisor TIMOTHY CROTTS For Contractor Licensing Board . lf the 1sth day falls on a Saturday, Sunday or holiday, the entire fine must be paid no later than 4:00 P.M. on the County's next business day following that weekend or holiday Approved as to form and legal sufliciency CONTRACTORS' TICENSING BOARD COLLIER COUNTY, FLORIDA 8.A.1 Packet Pg. 54 Attachment: AGENDA_VIIIA_ORDERS OF THE BOARD (15053 : ORDERS OF THE BOARD) CONTRACTORS' TICENSING BOARD COLLIER COUNTY, FLORIDA Wilson, Gary Dean 2840 4th Ave NE Naples, FL 34120 CLB Agenda Date:FebruaN 17 , 2021 Pursuant to Section 489.'127, Florida Statutes, Operations and Regulatory Management DepartmenULicensing Section issued Citation No. 6965, CEUL20120006657 on O5lO1l12. lo Wilson. Garv De . in the amount of $300.00 , within 10 days of issuance of the Citation, f!E_EE!4IIL!AS_IqLEEENjAQ. Per Section 489.127(5) (g), F/oflda Slatufes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violator's address as noted on the Citation. lf the penalty is not paid in full within 15' days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the flling of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney lo foreclose on the lien. DATE CHAIRI\,4AN MAITHEW NOLTON Print Name Attorney to the CLB KEVIN NOELL Contractor Licensing Supervisor TIMOIHY CROTTS For Contractor Licensing Board Approved as to form and legal sufficiency oRpER TO PAY ql4! Er\rAlIY ' lf the 15th day falls on a Saturday, Sunday or holiday, the entire flne must be paid no later than 4:00 P.l\.4. on the County's next business day following that weekend or holiday. 8.A.1 Packet Pg. 55 Attachment: AGENDA_VIIIA_ORDERS OF THE BOARD (15053 : ORDERS OF THE BOARD) CONTRACTORS' TICENSING BOARD COtt|ER COUNTY, FI.ORIDA ORDER TO PAY CIVIL PENALTY Wilson, Gary Dean 2840 4th Ave NE Naples, FL 34120 CLB Ag enda Date: Febtraty 17. 2021 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory l\,4anagement Departmenulicensing Section issued Citation No. 6966. CEUL20'120006658 on 05/01/'12. to Wilson. Garv Dean. in the amount of $300.00, within 10 days of issuance of the Citation, THE PENALW HAS NOT BEEN PAID. Per Section 489.127(5) (g), Flo da Sfatutes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy ol the ORDER to the violator's address as noted on the Citation. lf the penalty is not paid in full within 15. days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the flling of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on the hen DATE CHAIRMAN Attorney to the CLB KEVIN NOELL Contractor Licensing Supervisor TIMOTHY CROTTS For Contractor Licensing Board ' lf the 15th day falls on a Saturday, Sunday or holiday, the entire fine must be paid no later than 4:00 P.M. on the County's next business day following that weekend or holiday Approved as to form and legal sufficiency I\,4ATIHEW NOLTON Print Name 8.A.1 Packet Pg. 56 Attachment: AGENDA_VIIIA_ORDERS OF THE BOARD (15053 : ORDERS OF THE BOARD) Wilson, Gary Dean 2840 4th Ave NE Naples, FL 34120 CLB Agenda Date:F ebtrary 17 , 2021 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory N,lanagement Department/Licensing Section issued Citation No. 6964, CEU L20'120006656 on 05/01/12. to Wilson, Garv Dean. in the amount of $300.00, within 10 days ofisSUanceoftheCitation,@'PerSection489'127(5) (g), Florida Statutes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violatols address as noted on the Citation. If the penalty is not paid in full within 15t days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the filing of any such lien which remains unpaid, the Contractor Licensing Board may authorize the Counly Attorney to foreclose on the lien. DATE CHAIRI\,4AN MATTHEW NOLTON Print Name Attorney to the CLB KEVIN NOELL Contractor Licensing Supervisor TIMOTHY CROTTS For Contractor Licensing Board ' lf the 1sth day falls on a Saturday, Sunday or holiday, the entire fine must be paid no later than 4:00 P.M- on the County's next business day following that weekend or holiday Approved as to form and legal sufficiency CONTRACTORS' TICENSING BOARD COLLIER COUNW, FLORIDA ORDER TO PAY CIVIT PENALTY 8.A.1 Packet Pg. 57 Attachment: AGENDA_VIIIA_ORDERS OF THE BOARD (15053 : ORDERS OF THE BOARD) CONTRACTORS' TICENSING BOARD COtI.IER COUNTY, FLORIDA ORDER TO PAY CIVIL PENATTY Wjlson, Gary Dean 2840 4th Ave NE Naples, FL 34'120 CLB Agenda Oate:Februaw 17 , 2021 Pursuant to Section 489.'127, Floida Statutes, Operations and Regulatory Management Department/Lrcensing Section issued Citation No. 6963. CEUL20120006655 on OSl01l12, to Wilson, Gary Dean, in the amount of $300.00 , within 10 days of issuance of the Citation, THE PENALTY HAS NOT BEEN PAID. Per Section 489.127(5) (g), Fiorida Statufes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violator's address as noted on the Citation. lf the penalty is not paid in full within 15. days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the filing of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on the lien. DATE CHAIRMAN [,4ATTHEW NOLTON Print Name Attorney to the CLB KEVIN NOELL Contractor Licensing Supervisor TIMOTHY CROTTS For Contractor Licensing Board Approved as to form and legal suffaciency . lf the 15th day falls on a Saturday, Sunday or holiday, the entire fine must be paid no later than 4:00 P.M. on the County's next business day following that weekend or holiday. 8.A.1 Packet Pg. 58 Attachment: AGENDA_VIIIA_ORDERS OF THE BOARD (15053 : ORDERS OF THE BOARD) CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA Yates, George T. 23449 Old i,,leadowbrook (239)S47-s57s Bonita Springs, FL CLB Agenda Oate F ebtuary 17 , 2021 CHAIR[.,4AN MATTHEW NOLTON Print Name Attorney to the CLB KEVIN NOELL Contractor Licensing Supervisor TIMOTHY CROTTS For Contractor Licensing Board . lf the 1sth day falls on a Saturday, Sunday or holiday, the entire fine must be paid no later than 4:00 P.l\r. on the County's next business day following that weekend or holiday Approved as to form and legal sufficiency ORDER TO PAY CIVIL PENALTY Pursuant to Section 489.127, Floida Statutes, Operations and Regulatory Management DepartmenvLicensing Section issued Citation No. 6984. CEUL20120005620 on 04/11/12. to Yates. Georoe T.. in the amount of $300.00, within '10 days of issuance of the Citation, THE PENALW HAS NOT BEEN PAID. Per Section 489.127(5) (g), Florida Statutes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violatols address as noted on the Citation. lf the penalty is not paid in full within 15. days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the flling of any such lien which remains unpajd, the Contractor Licensing Board may authorize the Counly Attorney to foreclose on the len. DATE: 8.A.1 Packet Pg. 59 Attachment: AGENDA_VIIIA_ORDERS OF THE BOARD (15053 : ORDERS OF THE BOARD) CONTRACTORS' LICENSING BOARD COTLIER COUNTY, FTORIDA ORDER TO PAY CIVIL PENATTY Zacarias, David Guevara PO Box 8485 Naples, FL 34101 CLB Agenda Date:FebtuaN 17.2021 DATE I\,4ATTHEW NOLTON Print Name Attorney to the CLB KEVIN NOELL Contractor Licensing Supervisor TIMOTHY CROTTS For Contractor Licensing Board - lf the 1sth day falls on a Saturday, Sunday or holiday, the entare fine must be paid no later than 4r00 P.M. on the County's next business day following that weekend or holiday Pursuant to Section 489.127, Florida Slatutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 6419, CEUL201l0010937 on 08/05/11. to Zacarias. David Guevara. in the amount of $300.00, within 10 days of issuance of the Citation, THE PENALTY HAS NOT BEEN PAID. Per Section 489.127(5) (g), F/odda Slatutes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy oI the ORDER to the violator's address as noted on the Citation. lf the penalty is not paid in full within 15' days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal propedy owned by the violator. After 3 months from the filing of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on the lien. CHAIRMAN Approved as to form and legal sufficiency 8.A.1 Packet Pg. 60 Attachment: AGENDA_VIIIA_ORDERS OF THE BOARD (15053 : ORDERS OF THE BOARD) CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA Zamudio, Joel 2001 Sunshine Blvd Naples, FL 34112 CLB Agenda Date:Febtuary 17, 2421 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 7339, CEUL20120016992 on lo Za Joel in the amount of 0.00 within 10 days of issuance oftheCitation,@,PerSection489,127(5)(g)'Florida Statutes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of mailing a copy of the ORDER to the violator's address as noted on the Citation. lf the penalty is not paid in full within 15. days, this ORDER may be recorded ln the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the filing of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on the lien. DATE CHAIRI\,IAN MATTHEW NOLTON Print Name Attorney to the CLB KEVIN NOELL Contractor Licensing Supervisor TIMOTHY CROTTS For Contractor Licensing Board ' lf the 15th day falls on a Saturday, Sunday or holiday, the entire fine must be paid no later than 4:00 P.M. on the County's next business day following that weekend or holiday Approved as to form and legal sufficiency ORDER TO PAY CIVIL PENATTY 8.A.1 Packet Pg. 61 Attachment: AGENDA_VIIIA_ORDERS OF THE BOARD (15053 : ORDERS OF THE BOARD) CONTRACTORS' TICENSING BOARD COTTIER COUNTY, FTORIDA ORDER TO PAY CIVIL PENATTY Zuaso, Juan 409 Rose Ave Naples, FL 34119 CLB Agenda Date:F ebtuary 17 , 2021 Pursuant to Section 489.127, Florida Stalutes, Operations and Regulatory Management Department/L censing Section issued Citation No. 6529 CEU1201100't4811 on 10/21111. to Zuaso. Juan. in the amount of $300.00, within 10 days of issuance ofthe Citation, THE PENALTY HAS NOT BEEN PAID. Per Section 489.127(5) (g), Florida Statutes, the violator is hereby ORDERED to pay that penalty in full within 15 days from the date of majling a copy of the ORDER to the violator's address as noted on the Citation. lf the penalty is not paid in full within '15' days, this ORDER may be recorded in the public records of Collier County and thereafter shall constitute a lien against any real or personal property owned by the violator. After 3 months from the filing of any such lien which remains unpaid, the Contractor Licensing Board may authorize the County Attorney to foreclose on the lien. DATE IVATTHEW NOLTON Print Name Attomey to the CLB KEVIN NOELL Contractor Licensing Supervisor TII,IOTHY CROTTS For Contractor Licensing Board . lf the 1sth day falls on a Saturday, Sunday or holiday, the entire fine must be paid no later than 4:00 P.i,,l. on the County's next business day following that weekend or holiday CHAIRMAN Approved as to form and legal sufficiency 8.A.1 Packet Pg. 62 Attachment: AGENDA_VIIIA_ORDERS OF THE BOARD (15053 : ORDERS OF THE BOARD) 02/17/2021 COLLIER COUNTY Contractor Licensing Board Item Number: 8.B Item Summary: BRIAN BUCZKO – REVIEW OF EXPERIENCE Meeting Date: 02/17/2021 Prepared by: Title: – Contractor Licensing Board Name: Michelle Ramkissoon 02/12/2021 8:13 AM Submitted by: Title: – Contractor Licensing Board Name: Tim Crotts 02/12/2021 8:13 AM Approved By: Review: Contractor Licensing Board Michelle Ramkissoon Review Item Completed 02/12/2021 8:13 AM Contractor Licensing Board Tim Crotts Review Item Completed 02/12/2021 8:58 AM Contractor Licensing Board Tim Crotts Meeting Pending 02/17/2021 9:00 AM 8.B Packet Pg. 63 BRIAN JAMES BUCZKO – REVIEW OF EXPERIENCE Contents: 1. CLB Notification 2. Complete and Notarized Application 3. Verification of Testing Scores 4. Credit Report – Applicant 5. Florida Company Documents • Sunbiz Filing • Articles of Organization 6. Employer Identification Number 7. Statement of Ownership 8. Verification of Construction Experience – Three (3) forms 9. Notarized Affidavits Verifying Construction Experience – One (1) letter 10. Affidavits of Integrity and Good Character – Two (2) Letters 11. Certificate of General Liability Insurance 12. Driver License 13. DBPR (Department of Business and Professional Regulation) summary page 8.B.1 Packet Pg. 64 Attachment: AGENDA_VIIIB_BRIAN BUCZKO_REVIEW OF EXPERIENCE (15054 : BRIAN BUCZKO – REVIEW OF EXPERIENCE) Growth Management Division Planning & Regulation February 10, 2021 BUCZKO, BRIAN JAMES 4261 1ST AVE SW NAPLES, FL 34119 REVIEW OF EXPERIENCE BUCZKO, BRIAN JAMES You have been added to the agenda for the Contractors Licensing Board meeting on (Wednesday, February 17, 2021. The meeting is held at 9:00 a.m. at W. Harmon Turner Building (Bldg. F, Admin. Bldg.), 3299 Tamiami Trl. E., Naples, FL 34112 in the Commissioner’s Meeting Room on the 3rd floor. If you have any questions, please contact our office at (239) 252-2418 or email Michelle.Ramkissoon@colliercountyfl.gov Sincerely, Michelle Ramkissoon Supervisor - Operations Licensing Section Growth Management Division Operations and Regulatory Management Division 2800 N Horseshoe Dr. Naples, FL 34104 8.B.1 Packet Pg. 65 Attachment: AGENDA_VIIIB_BRIAN BUCZKO_REVIEW OF EXPERIENCE (15054 : BRIAN BUCZKO – REVIEW OF EXPERIENCE) 7e'r Qor.t*l,t1t Go,vlir iilaragerrEnt D€patneri Ee,elnrE ocr .l I 2020 Bf: ....................... m D Contractor Lrcensing 2800 N. Horseshoe Dr. Naples, FL 34'104 Pho^e - 239-252-2431 F ax - 239-252-2469 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY CERTIFICATE OF COIVIPETENCY Qnao -a7cIS p1M -11&b ' This application must bo typ€w.itt€n or legjbly printod. The applicalion fee must be paid upon approval and ls taOT retundable. All checks should b€ mad6 payable lo: Collier County Boad ol County Commistloners, For furthgr information, consull Collier County Ordinance No.2006-46, as am6nded. TYPE OF CERTIFICATE OF COMPETENCY: Speciafty Trcde I. APPLICANTPERSONALINFORMATION: tr Electrician tr Plumber tr Air Conditioner .Kswimming Pool tr Specialty <-2"1 Ctn" B Br,o"t $230.00 $230.00 $230.00 $230.00 $230.00 $230.00 $230.00 $230.00 $230.00 $205.00 ?r..l.oName Business Name (l',t ?".\ ?,o LLC Address q zbt 'L d ,?5rUI fl-3'/ tt ? Emaill ofirr-el,k \f0 -e0.u .pu6uanrto ch.pter !19, flo.ida sraror.s and GolliEcountyconrr.dorti..niint o.din.nce 2006-45 s.Gtion 2.1.1.,.11.pp|i(.nl5 aI. r.quir.dlo subdn rhet. wi:t ecu.iry numb.r {ss ) tor lhe lotrdinr purpo*r: a) &3.tr .ppll(.nts .bilitv to etitrY cr.ditort by revi.*ina therr .redii hl.torv. b)v..m..rion ot.ppti.an/r test *016.nd inforu on, our ofli.. wirr ont useyolrssx mred.bore lor thor. e.sont pu6!.nttoch.pre. !19, Florid.sEfure5,andasm.yolhei.eb.aorhori4dbyl.w,w€ar.lully.6mhin€dror.f.-gu.rdinS..dprot.ctin'youlssl{.ndon...oll..t€d,wlll b. n.inr.ired a. confid..ri.l .nd .r. m pl mdet Ch.pt.rl'19, rloid. St,ur.s. Teleph ""., 231- 3s l- 5s jo Date of Birth Z -73 'SS # (Last 4 digils only 68 bo Driver's License # (Last 4 digits only)os?-o Firm. Applicalon doo( Rev 4/06/2020 Page 3 ol 15 tr General tr Building tr Residential E Mechanical tr Roofing 8.B.1 Packet Pg. 66 Attachment: AGENDA_VIIIB_BRIAN BUCZKO_REVIEW OF EXPERIENCE (15054 : BRIAN BUCZKO – REVIEW OF EXPERIENCE) Cor.rttq Groli/ih t"lanagernent Departrn$t Contractor Lrcensing 2800 N. Horseshoe Dr. Naples, FL 34104 Pho e - 239-252-2431 Fa, - 23+252-2465 APPLICATION FOR COI.IIER COUNTY CERTIFICATE OF COMPETENCY Provide lhe names and telephone numbers Name Telep none,234- 21j- l?o l II. NAME OF APPLICANT'S BUSINESS 13u.-b..o of lwo persons who will Name your whereabouts lJrr.l^€ Telephone ,27?-111 -q?zE Business Name :+<- ?-l ?to, Luc- Business Address: 'tzb t I t A* S*t R- 3q//7 Telephone Emarl: u 5l-S{1 0 LL r 0 .46.,r^- Federal lD Tax No.8s - osz-8qqo III. FINANCIALRESPONSIBILITY YES NO ALL APPLICANTS MUST ANSWER THE OUESTIONS BELOW: Filed for or been discharged in bankruptcy wilhin the pasl 5 years? Had a lien filed against you by the lnternal Revenue Service or Florida Corporale Tax Division? Undertaken constructaon 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 stalements on? irade an assignment of assets in settlement of construction obligations for less than the debts outslanding? "/ Been convicted or found guilty of, or entered a plea oI nolo contendere lo, regardless of adjudication, a crime in any j!risdiction wlhin the past 10 years?t Had claims or lawsuits filed for unpaid or past due accounts by your creditors as a result of construction experience? ,6een chargod wilh or convicted ofacling as a contractor without a license, or if licensed as a contractor in lhis or any olher state, been "subject to" disciplinary action by a state, county, or municipality? Firm_Application.docx Rov 410612020 Page 4 ol15 NOTE. lf you have answer yES lo any ol the queslions below, you must attach a written explanation including the nature of the chatges, dates, and outcomes, sentences of condilions imposed. You must also attach proof of payment, satisfaction of lien orjudgement, bankruptcy discharge, or agreements for payment. 'lfyou have had a felony conviction, proofthat your civilrights have been restored wjll be required piorlo licensure. 8.B.1 Packet Pg. 67 Attachment: AGENDA_VIIIB_BRIAN BUCZKO_REVIEW OF EXPERIENCE (15054 : BRIAN BUCZKO – REVIEW OF EXPERIENCE) Qor.ttrxY Grc^ dh i"4anagement Deparfn€r( Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 Phone - 239-252-2431 F ax - 239-252-2469 APPTICATION FOR COII-IER COUNTY CERTIFICATE OF COMPETENCY IV. EXPERIENCEVERIFICATION EDUCATION: List below and provide transcripts for any formaleducation you have obtained in the araa ofcompetency for which this applicalioh rs b6ing made: il rnt- List below non fomal education (on th6 job lraining) you havo obtained in the area of competency for which this applicalion is being made: 2 '(4t I P,$- {"w.'.^t ! ovr CURRENT/PREVIOUS LICENSE: Lisl below and attach copies any other certificates of competency/licenses you hold/have held in Collier County or any other jurisd iction. lnclude the license #, Type, and counly you hold it in- L,e^rr), 9<"llor <L33o bioo ("1t,</- Under lhe penalties of perjury. I declare that I have read the foregoing application and the facts stated in it are lrue B Q*-.Lllux Applicant (pleas€ pnnt) srarc or Ftoc.J.Counry "r Gll;<<' ,/ Thc foregong insfirment was acknowledged b€fore me by means of dphysical prescoce or tr onlinc nolarization or this Z/lray ot 5er}t-,ht,zo 'ZD .ry €cr.- L: Such person(s) Nolary Public must check applicabl€ box: # p.,*o"tty t no*n ro ."D has Foduced a currc driver license D has produced lNotlry Strl) -"ll:'' ''- 025 c 150 20 as identification. AFFIOAVIT Firn-Applicalion.docx Rev 4/06/2020 Page 5 of 15 8.B.1 Packet Pg. 68 Attachment: AGENDA_VIIIB_BRIAN BUCZKO_REVIEW OF EXPERIENCE (15054 : BRIAN BUCZKO – REVIEW OF EXPERIENCE) Qorlwxy Gro\ /tfr Nlanag€nEnt DeparfYErt Conlraclor Lrcensing 2800 N. Horseshoe Dr. Naples, FL 34104 Phone - 239-252-2431 Fax - 239-252-2469 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY CERTIFICATION OF APPTICATION The undsrsigned hereby makes application for Certillcate of Competency under the provisions of Collier County No. 2006-46, as amended, and und€r 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 c€rtifres that he is legally qualified lo act on behalf ofthe business organization sought to be licensed in all mafters connected with its conhacting business and lhal he has full authorily to supervise conshuction undertaken by himself or such business or organization and that he willcontinu€ during this registration lo be able to so bind said business organizataon. The qualified license holder understands that in all contracting matters, he/she will b€ held strictly accountable for any and all activities involving his license. Any willful falsification ofany information contained herein is grounds for disqualmcatjon. ,1'1 1 ,'l5nqA 5u,zlr-. /lll. ?.\ ?ro,LLr- Starc of Flocr&*County or G[\.-r fr"t- r."."*" * O online notarization on thisachowlcdged before me by means ofThe forcgoing instrument was P€ay or (-{rfz--}rr , :o 30,bv Bcl^"-. D, rz:t -o Such/pcrsoo(s,I\otary Public musr check applicable bor' Ef ate personally hown ro me tr has prcduced a current driver licensc O has produced (Not$y Seal) as idcntification Notary Signature: l:,.a ,rT c c'cc 025 6". :i2D Firm_Application.docx Rev 4/06/2020 Page 6 of 15 Notary Signaturc: 8.B.1 Packet Pg. 69 Attachment: AGENDA_VIIIB_BRIAN BUCZKO_REVIEW OF EXPERIENCE (15054 : BRIAN BUCZKO – REVIEW OF EXPERIENCE) Cott*rll.t Grotl/lh i.'lanag€rnent Deparfn€rn Contractor Licensing 2800 N. Horseshoe Dr. Naples. FL 34104 Phone - 239-252-2431 Fa\ - 239-252-2469 APPLICATION FOR COTTIER COUNTY CERTIFICATE OF COMPETENCY WORKMEN'S COMPENSATION AFFIDAVIT It is underslood and acknowledged by the Collier Counly Contractors' Licensing Board and myself that if I fail to acquire, or maintain at alltimes eff€ctive Workmen's Compensalion lnsurance itwillresult in the possible revocation of my Certificale of Competency. Bno', B.'.1^ Appli€nl (pl6ase prinl {l,L 7*l Pr''r, tLt- BEFORE ME this day personally appeared sis 1)6no^ l1rt.l'o Appli@nt (pr6e p.inl) says that he has less than one employee and does not require Workmen's Compensation underslands that al any lime he employees one or more persons he must obtain said Workmen's Compensation lnsurance. Sraic of F\o.i County or C[\iar- acknowledged before mc by mealls of @.bv Ba,an B-x-zv-s Such pcrson(s) Notary Public must check applicable box: E/are personally known ro ne tr has produccd a current driver licensc The foregoing instrumeDt was @itdy or! oH--t"a . zo tr has produccd (Notrry Seal) Kriut p,"no"" o, oonline nohrizrtion on rtris Nolary Signature .:.rllii::r:, +i,Arii H '+ti;:,i.r"J sondod s n !s ON cc 25 202 Fim-..Applicalion.do(.t Rev 410612020 Page 7 d 15 8.B.1 Packet Pg. 70 Attachment: AGENDA_VIIIB_BRIAN BUCZKO_REVIEW OF EXPERIENCE (15054 : BRIAN BUCZKO – REVIEW OF EXPERIENCE) GITS, LLC Examination Operations Division Providing rh6 sotuiG and prcducls to assisr tuvemment Agenci€s b hak. inlonn€d educsled ds.isi6s. Official Examination Score Report August 3l, 2020 Olicial Score Repon: Candidate Information: Name Brian Buczko Candidare #: 707305908 Testinq Site: Fort Myers, FL Final Score Rcsult: These results admitristercd 28.2020. I Business Procedures Score:82% repres€nt the grade that has been achieved on the above named examination(s) by Gainesville Independent Testing Service for Collier County, Florida on August Ifyou have any funher questions, please do not hesitate to contact us Sincerely, lV{/'*",''"L/" Jay E. Bowermeister President PO Box 831 127 Ocala, Florida 3,t483-1 127 - Voice (352) 36$GITS - Fax (352) 387'2'143 aoo 997 2129 8.B.1 Packet Pg. 71 Attachment: AGENDA_VIIIB_BRIAN BUCZKO_REVIEW OF EXPERIENCE (15054 : BRIAN BUCZKO – REVIEW OF EXPERIENCE) GITS, LLC Examination Operations Division Prcvidinglhe seryi@s ahd producls lo assisl Govemment Agencies lo make inlo.med sducatsd de.isions Official Examination Score Report September 14, 2020 Ollicial Score Report: Candidate Information: Name - Brian J. Buczko Candidate #: 707305908 Testing Site: Fon Myers, FL !'trdflt 0frr x Final Score Result: ResidentialPoolContractor Score:80% These results r€present the grade that has been achieved on the above named examination(s) administered by Gain€sville lndependent Testing Service for Collier Couty, Florida on September I l, 2020. Ifyou have any funher questions, please do not hesitate to contact us. Sincerely. lb/,{/.,,*,4'*.;/a Jay E. Bowermeister President PO Bor 831127 ocara, Fronda344a3-1127 -Voice (352J 35+GITS Fax (352)387-2443 800 9972129 8.B.1 Packet Pg. 72 Attachment: AGENDA_VIIIB_BRIAN BUCZKO_REVIEW OF EXPERIENCE (15054 : BRIAN BUCZKO – REVIEW OF EXPERIENCE) ('r<!.|i, R .S---.lr.rrlirtt! Phone: 850-5394000 Fax:866€51-5145 Email: cc@unitedcrs.com www.UnitedCRS.com 4583-A Capital Circle NW Tallahassee, FL 32303 M FROM NATIONAL RECORDS Septemb€r 24, 2020 SOCIA! SECURITY NU BER CURRENI ADDRESS REPORTED: 0212016 4261 Sr. 1St AV., NAPLES FL, 34119 REPORTED: 03l2013 8508 IAURE! IAI(ES BV., NAPTES rL. 34119 2330 LEAESHINE IN., NAPLES EI. ]4119 EMPI,OYI'ENT DATA REPORTED POSITION:PROERTY MGR DATE VERIIIED:02l20!9 IAERIA BANI( POSITION: PROPERIY NANAGEIIENT DATE VERIFIED:04/2012 rHE SUB]ECT'S TOTAL FILE HISTORY PUBIIC RECORDS: OCOIIECTIONS: 0 1AADE ACCTS: 31 CREDIT INQUIRIES. ] CURXINT NEGATIVE ACCTS: 1 PR'VIOUS NEGATIVE ACCTS: 2 PREVIOUS TI!{ES NEGATIVE: 2 EMPLOYUEN'TINOUIRIES: I RXVOr-VrNG ACCTS: 20 INS1A!1,!{ENT ACCTS : 6 XORTGAGE ACCTS: 4 OPEN ACCTS: 1 s 378K s 3l1K 5415X PAST DUE s0 $o s0 s99?9 5 611 $ 1011 s0 s414 9sL33K FICO CLASSIC SCORE CREDIT INFORMATION JPXCB CIXD B 26OKOOI RIVOIVING ACCOUNT FLEXIALE SPENDING CREDIT CIXD VERIF'D O9l2020 BAI,ANCE: 52276 AUTHORIZED ACCOUNT oPENED 0712017 rrOST OrfED. $9379 CREDIT !I!,IIT: 56000 PAST DUE: SO STATUS AS OF 09/2020 CURREN?, PAID OR PAYING aS aGREED IN PRIOR ]? MONTIIS FROU DATE VERIFTD L TII{E/S ]O DAYS I,ATE PAYMENT PATTERN: 111I1111111111111211l,l,11 755 Page I ol5 PERSONAL CREDIT REPORT a DSTA ACYS D 2A5TOO1 REVOLVIIG ACCOIMT CHAAGE ACCOUNI VERIEID 09/2020 aAlANcE: S0 IIDIVIDUAL AccoUNT aPEIED l2/2A12 MOST OflED: 5983 CREDIT lrlrrT: 51200 PAID OET 06120T8 PAST DDE:SO ST'T('S AS Of. 0612018 CURRENTJ PAID OR PAYING AS AGREED 8.B.1 Packet Pg. 73 Attachment: AGENDA_VIIIB_BRIAN BUCZKO_REVIEW OF EXPERIENCE (15054 : BRIAN BUCZKO – REVIEW OF EXPERIENCE) MONTH/S F'RO!'1 PAYMENT PA'TTERN I 1 1 1 T T 1 1 1 1 1 1 1 1 1 1 T 1 1 1 1 L L L I 1, 235041J REVOLVTNG ACCOON1 CHARGE ACCOUNT VERIE.D O9l2020 BATANCE: 90 INDIVIDUAI ACCOI,'NT OPENED 0312016 XOST OTED' $353I CREDIT I,I!,IIT: 56400 PAID OEF O8l2019 PAST DUE:90 STAfIJS AS OE 08/2019 CURiENT; PAID OR PAYING AS AGREED 1N PRIOR 43 MONIII/S 'ROM DATE VERIEID NEVER IATE PAYI.IENT PATTETN : 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 v 1Y(200! PIACED EOR COLLECTIOII YERIF'D 09/2O2O BAIANCE: 910629 OPENED 0]/2019 MOST OfED: $O cl,osED 06/2020 PAsr DUE: $99?9 S'TATUS AS OE 06/2020 CO!!EC?1oN INDIVIDUAI, ACCOOiII CB/JCNXW C 1NZSOIO REVOLVING ACCOONT CI]ARGE ACCOUNT VERIE'D 09/2020 BAIANCE: 90 INDIVIDUAI ACCOorl,t OPENED O4l20T1 MOST Oi'ED: $048 CREDI'T IIUIT: S2O?O PAID OFF O4l2020 PAST DUE:SO STAfUS AS O! O4l2020 CURXXNTJ PAID OR PAYING AS AGREED IN PRIOR 48 T.'ONTE/S FROM DATE VERIF'D NEVER ',ATEPAYMENT PATTERN:1111111111111M11111111 CBNA B 292'031 REVOIVING ACCOONT CREDI'T CARD VERIE'D O9l2020 BAI,ANCE: SO INDIVIDUAI, ACCOUIIT O?ENED 12/2012 uoST orEO: S1?17 CREDIT IIUIT: S2300 PAID OFF 03/2019 PAST DUE:$O STATUS AS OF 06/2019 COBIINT; PAID OR PAYING AS AGREED IN PRIOR 43 I4ON?I1/S FROM DATE VERIEID NEVER LATE payMENT PATTERN: 11,I r 1111r 111111111111111 B 1DTV223 REVOLVIIG ACCOUIIT FLEXIBIE SPENDIIG CREDIT CARD INDIVIDUAI ACCOUIT CREDIT IIi{IT: S5000 VERIT'D O9l2020 BAI3NCE: 5O oPEnED 05/2002 MOST Or{ED: 95111 PAID OEE 05/2020 PAST DIrE:$0 STATUS AS OF O5l2020 CURRENT, PAID OR PAYJNG AS AGREED UONTH/S r,ROM EIAN EIN SVC B 2?49001 REVOLVING ACCOUNT .LEXIBIE SPENDING CREDIT CARD VERIF'D 03/2020 BAIANCE: 50 INDIVIDUAI ACCOON? oPENED 10/2009 uosr o ED: 55120 CREDIT LIxIr: $5100 PAID OFE 1!/2019 PAST DUE:50 STATUS AS OF 11/20T9 CORXXNT; PAID OR PAYING AS AGREED IN PRIOR 48 XONTII/S FROM DAIE VERIF'ID NEVER LATE payr{ENT parrERn: L 1 I I L 1 1 1 1 1 1 1 1 1 t 1 1 1 1 1 1 1 I I SUNCOAST CU O 29OOOO1 LINE OT' CRf,DIT ACCOUNT IINE OE CBIDIT VERIETD 08/2020 BALANCE: 94535 INDIVIDUA! ACCOUNT oPENf,D 10/201! raosT o$ED: 96000 CREDIT llrrlr: 96000 PAST DUE: SO STATUS AS OT O8l2020 CURRENT; PAID OR PAYING AS AGREED Page 2 of5 DISCOVERBAN( B 9515003 REVOIVIIIG ACCOUNT CREDIT CARD VERIF'D 09/2020 AAINNCE: SA723 AUTIIORIZED ACCOI'NT opENED 03/2019 !{OST mED: t10525 CREDTT lrutT: 5!2500 PAST DUE:50 S?aTUs As oE 09/2020 CURRENT; PAID OR PAYING AS AGREED IN PRIOR 13 I{ONTH/S EROM DATE VERIFID NEVER IATE PAYUENT PATTERN: 11111I1111111 8.B.1 Packet Pg. 74 Attachment: AGENDA_VIIIB_BRIAN BUCZKO_REVIEW OF EXPERIENCE (15054 : BRIAN BUCZKO – REVIEW OF EXPERIENCE) IN PRIOR 43 MONTH/S |ROM DATE VERIF'D NEVER IATE PAYMENT PATTERN : 1 I I 1 I 1 I I 1 1 1 1 1 1 1 1 1 1 1 1 1 I t 1 SUNCOA5T CU O 293OOO1 INSTAII,I{INT ACCOONT VERIE'D 08/2020 BAI,ANCE: 513313 INDIVIDI]A! ACCOON1 opENED 03/2020 MOST O{ED: S15299 FAY T!!XS: 60 XONTHLY 5276 O3/2020 CURRENT: IN PRIOR 05 UONTI/S EROTI DATE VERIF'D NEVER LATE PAY!.IENT PATTER}I. 11111 FREEDOI{ UTG T 2C82OO1 UORTGAGE ACCOUN! CONVENTIONAL REA! ESTAIE I4IG VERIF'D 0a/2020 BAIANCE: 9311995 JOINT ACCOoNT opENED 01/2015 oS? OIED: 5373000 PAY TERI.S: 360 !{ONTSLY 5252?pAsI D,E: s0 S'TA'TUS AS OF 03/2020 CURRENt, PAID OE PAYING AS AGREED IN PRIOR 2a IONTH/S aRol,t DAIE VERIE'D PAYMENT PATTEAN: 111111111111111111111111 MUT OE OUAHA B 2C62AAI I,INE OE CREDIT ACCOUNT HOI{E EOUITY LOAN VERIE'D 08/2020 BAIANCE. $60828 i'OINT ACCOUNT OPENED 01/2017 IrOST OIED: 96166? CREDIT IIUIT: S65?00 PAST DUE:90 STATUS AS OE 08/2020 CSRAE}TT, PAID OR PAYING AS IGREEO IN PRTOR 43 !{ONIH/S FROI.tt DAIE VERI''D NEVER LATE PAYIENT PATTERN: 111111111111111111111111 H 1N23143 REVOLVING ACCOUNT CI,SD BY CRDT GRA}.ITOR CHARGE ACCOUNT VERIE'D 05/2020 BAIANCE: 90 AUTHoRIZED ACCOUNT opENED O3l2014 r.tOST OrlED: 52131 CREDTT I,IUrl: 53250 PAID OPP O3l2017 PAST DUE:$O STATUS AS OF 0412020 CURRENT; PAID OR PAYING AS AGREED IN PRIOR 43 UONIH/S FROIit PAYMEN'T PATTERN:Xl11111III11I11111111111 US BANX B 9564005 REVOIVING ACCOUNT ACCT CLSD BY CONSUI{ER CIIDIT CARD VERIE'D O4l2020 BAIANCE. SO JOINT ACCOUNT OPENED 0612004 I.IOST OTED: 54565 CREDIT I,IMIT. S{5OO PAID OFF O4l2020 PAST Duf,:so STATUS AS OE 03/2011 CURRENT; PAID OR PAYIIG A5 AGREED 1I'I PRIOR 4O IIONTIi/S FiOiI DATE VERIE'D IEVER IATE PAYMEIT PATTERN : 1 1 1 I I 1 1 1 1 1 1 I 1 I I t t I I I 1 1 1 1 SUNTRUST BX B 421A022 INST&LIIENT ACCOUN? CIOSED AUTOMOBIIE VERIETD 04/2020 BALANCE: $0 INDMDOAT, ACCOUNT OPENED O2l2019 MOST OflED: S17913 PAY TERUS: 60 I'ONTHLY SO CIOSED O4l2020 PAST DUE:90 STATUS AS OE 0412020 CURRENT; PAID OR PAYING AS AGREED IN PRIOR 14 UONTH/S FROT,, PAY!{ENT PA'T'TER}I:1111111I I I I111 NISSN INF IT Q 5O?T035 INSI'ILXENT ACCOUNT FIJI! TEru,'/BINC O$1!IG AUTO LEASE VERIF'D 02/2020 BAIANCE. $2216 JOINT ACCOONT OPENED O2l2007 I{OST OTED: 9286?I PAY TERMS: ]9 MONTHTY S?35 PAST DIrE:50 S?ATIJS AS Or. O2l2020 CURRENT, PAID OR PAYIIG As AGREED Itr PRIOR 48 UONTII/S PROI,I DA1E VERIE'D NEVER IATE PAYI,EIIT PATTERN . 1 1 1 1 1 1 1 1 1 1 I I I I I 1 1 1 1 1 1 1 1 I VERIE'D lOl2019 oPENED 07l2011 B 25r{3005 REVOIVINC ACCOUNT INDIVIDUA], ACCOUNT CRED!T I,IMIT: 52501 Page 3 ol5 8.B.1 Packet Pg. 75 Attachment: AGENDA_VIIIB_BRIAN BUCZKO_REVIEW OF EXPERIENCE (15054 : BRIAN BUCZKO – REVIEW OF EXPERIENCE) PAID OFF O5l20T5 FAS'T DUE:SO 0ll2013 CUR.RENI, PAID OR PAYING AS AGREED uotlTH/s FRor,r SYNCB/LOW I 235041.' REVO],VING ACCOUNT INAC11VE ACCOUNT CHARGE ACCOUNT VERIE'D 12l20T3 BALANCE: SO OPENED 03/2013 MOST OIIED: 5433 CREDIT ],IMIT: 95OO PAID OFF 07/2014 PAST DUE:90 STATUS AS O!' O3l2018 CORREN?; PAID OR PAYING AS AGREED uollfi/s FRoM PAYUENT PATTf,RN: 11111111I11111 LLLLLI1111 B 46QPOO3 UORTGAGE ACCOUNT coNvENllONA! RIAI, ESTATE !,rTG VERIE'D 04/2018 BALAICE: S0 iIOINT ACCOONT oPENED 01/2016 llOSI OrlED. 5378000 PAY TERUS: 360 riONTllLY S0crasDD 04/2013 PAST DUE: S0 STATUS As OE O4l2018 CURRENT, PAID OR PAYING AS AGREED IN PRIOR 26 XOIIIBS FROI., DATE VERIEID I TIUEIS 30 DAYS IATE PAYXENT PATTERN: 111111112X!1111111111r11 SYNCB/ONDC B 2350548 RXVOLVING ACCOUNT INACTIVE ACCOUNT CREDIT CARD VERIE'D 10/2017 BALANCE: 90 INDMDSAL ACCOONT opENED 03/2011 r40ST OFED: S1326 CRED1T lrMrT: 91024 PAID OrE 05/2015 PAST DUE:90 STATUS aS OE 06/2011 CoRRENT, PAIo OR PAYJNG aS AGREED I}T PRIOR 43 MONTfi/S FROM DATE VERIF'D NEVER I,ATE payrrENT parrERN : 1 1 1 I 1 1 1 1 1 1 1 1 1 I 1 1 t 1 I 1 1 1 1 1 CBNA D 292F031 REVOI,VING ACCOUNT CLSD BY CRDT G&ANIOR CHARGE ACCOUNT VERIFID 10/201? BAIANCE: SO INDIVIDUAT ACCOUNT oPEnED 1212010 UOS',r OSED: 5119 CRf,DTT r,rrrrT: S500 PAID OEI O1l2011 PAS'T DUE:SO O3l2013 CURRENT; IN PRIOR 43 UONTI{/S FRol{ PAYMENT PATTERN : 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 SYNCB/BANANA C 2350568 REVOIVING ACCOUNT INACTIVE ACCOONT CHARGE ACCOUNT VERII'D O9l2017 BALANCE: $O INDIVIDUA', ACCOUNT OPENED 01/2015 MOST OflED: 534? CREDIT I,IMIT: 51024 PAID OFE 04/2015 PAS? DOE:90 STAT0S AS OF O5l2017 CURRENT, PAID OR PAYING AS AGREED IN PRIOR 32 UONTIT/S FROI.I DATE VERIE'D NEVER TATE PAYMENT PATTETN : 1 1 I 1 1 I 1 1 1 1 1 1 1 1 I I 1 1 1 1 1 1 1 1 PROSPER F 2B!OOO1 INSTA11MENT ACCOUNTCI,OSED UNSECUREDvERIriD 01/201? BAIANCE: $0 IIDIVIDUAL Accounr oPEnED 05/2016 !,tOS,t O'ED: 510000 lAy TERXs. 60 MoNtltly S0cr,osED 0tl201? PAs,r DUE:SO STATUS AS OP O1l201? CORRENT, PAID OR PAYING AS AGREED IN PRIOR 08 tlolllfi/S FRO|I DAIE VERIE'D NEVER IiTE PAYITENT PATTERN: 111I I111 SYNCB/RTISTGO H 9992545 RXVOMNG ACCOUNT INACTIVE ACCOUNT vERIlrD 10/2016 BALANCE: 90 INDIVIDUA! ACCOUNT oPENED 06/2010 MOST OnED: S1449 CBIDIT LIMIT: 54000 PAID OFF O1l2013 PAS? DUE:SO STATUS AS OF 0212016 CURRENTI PAID OR PAYING AS AGREED IN PRIOR 43 MONTI{/S ERO!.I DATE VERIF'D NEVER LATE PAYI.IENT PATTERN : 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 INSTAILI'f,NT ACCOUNT Page 4 of 5 8.B.1 Packet Pg. 76 Attachment: AGENDA_VIIIB_BRIAN BUCZKO_REVIEW OF EXPERIENCE (15054 : BRIAN BUCZKO – REVIEW OF EXPERIENCE) VERIF'D 1112015 BALANCE: S0 I DIVIDUA! ACCOUNT OPEIED 05/2015 MOST OiED: S10000 PAY TERUS: 36 tONTttlY S0 cr,osED 11/2015 PAST DUE. S0 11/20I5 CURRENT, IN PRIOR 06 MONfH/S EROM DATE VEII''D IIEVER IATE F 2D7FOO1 !'ORTCACE ACCOUNT CLOSED CONVENTIONA! REAI, ESTATE tlTG VERIF'D 11/2015 BAIANCE: 90 INDMDUA! ACCOUNT OPENED 11/2014 MOST OIIED: 9264408 PAY TERMS: 360 MONTHIY 90 CLOSED 11/2015 PAST DUE:90 STATUS AS OF 11/2015 CURRENT, PAID OR PAYING AS AGREED IN PRIOR 03 UONTH/S FROIT' OA?E VERIP'D NEVER IATE PAYMENT PATTERN: T 1111111 CINTRAL LOAII B 5O4TOOI XORTGAGE ACCOUNT CLOSED FHA REAI ESTA'TE XOR'TGACE VERIE.D 11/201'I BAITNCE: SO INDIVIDUA! ACCOONT OPENED 08/2013 MOST OrlEDI 5251955 PAY TERUS: 360 MONTHLY SO cLosED 11/2014 PAST DUE: S0 STATUS AS OF 11/2014 CORRENT, PAID OR PAYING AS AGREED IN PRIOR 11 !{ONTH/S EROU PAYMENT PATTERN: 111111111t t AILY FINCL F 259231L INSTAILMENI ACCOUNT CIOSED VERIE'D 01/2013 BALANCE: 90 JOINT aCCOUNI OPENED 0412012 MOST OnED: 935352 PAY |ERMS: 72 UONTHLY S0 CI,OSED OT12013 PAST DUE:90 STATUS AS Or. O1l2013 CURRENT, IN PRIOR 03 I,IONTH/S FROM PAYIIENT PATTERN: 11111111 cB/vrcscRr c 16us001 REvolvrNG AccouNT CIARGE ACCOUN1 VERIE'D 03/2012 BAI,ANCE: 50 REI,ATIONSIIIP TERMINATED oPENEo 1111995 fiOST OSED: 5603 CREDTT lrMrT: 91500 PAST DUE:50 STATOS A5 OE O3l2012 CURRENT,. PAID OR IAYING AS AGREEO IN PRIOR 'IB UONTfl/S FROX payMEnr PATTERN:111111111111111111II1111 CAPIT'], ONE B 1DTVO41 REVOIVING ACCOUN? CRDT CARD IOST/STOLEN FIEXIBIE SPENDING CREDIT CARD VERIF'D 03/2011 BAIANCE: S0 INDIVIDUAL ACCOUIIf OPEIIED O5l2002 MOST OflED: 55111 CRf,DIT LII'ITI S1OOOO CLOSED O3l2011 PAST DUE: $O STATUS AS OF O3l2011 CURRENT; PAID OR PAYING AS AGREED IN PRIOR !8 UONTIT/S EROI.I DATE VERIFID NEVER IATE pAyr{ENT parlf,RN: 11111111L L 11111111111111 PUALIC RECORDS PUBLIC RECORDS HAVE AEEN CHECKED AT THE COI,NTY, STATE, ANO TEDRAL IEVEL.s RESULTS: NO PUaLIC RECOROS FOUND END OT R,EPORT Page 5 of5 8.B.1 Packet Pg. 77 Attachment: AGENDA_VIIIB_BRIAN BUCZKO_REVIEW OF EXPERIENCE (15054 : BRIAN BUCZKO – REVIEW OF EXPERIENCE) Detail by llntity Name Page I of2 ()c)jD(tia\1i\lu1J Detail by Entity Name Florida Lmited Lrab ty Company ELITE POOL PRO, LLC Ftltnq lnlomation D6.xmanlNumber L20000083710 FEI/EIN Number NONE Dat6 Fired 0311712420 Efiactive oate o3t2ol2a2o stats FL Status ACTIVE PrlncloeladdEss 4261 1ST AVE SW NAPLES. FL 34119 &!]!e-4!.gr9c! 4261 1ST AVE SW NAPLES FL 34119 R.oislorod Aoenl N.me A Addre$ BUCZKO ARAN 4261 1ST AVE SW NAPLES FL 34119 Aulhorlzod Pe60.lsl Detall AUCZKO. BRIAN 4261 1ST AVE SW NAPLES, FL 34119 A!!ud-89p949 NoAnnualReports Filed P9scr9!qE!s9! alltz2o2o F onda Lmied L ab lY htlp;//search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquiryrype:Entir... 10/23l2020 8.B.1 Packet Pg. 78 Attachment: AGENDA_VIIIB_BRIAN BUCZKO_REVIEW OF EXPERIENCE (15054 : BRIAN BUCZKO – REVIEW OF EXPERIENCE) Electronic Ar!!cles of OrganizationFor Florida Limited Liability Company Article I fhc n,rrnc,'l tlrc Limited Liabilin Companr is 1.]],I II.] I'ooI, PRO. I,I,C 1200000837t0 FILED 8:00 AM March 17. 2O2O Sec. Of State tscott Article II The sfeet address ofthe principal office ofthe Limited Liability Company is 4261 IST AVII SW N-APLES. FL. 34119 The mailing address ofthe Limit€d Liabitity Company is: 426t IST A\[ SW NAPI,ES, FL. 34I I9 Article III The name and Florida strect address ofthe registered agent is BRIAN BUCZKO 426I IST AlE SW NAPLES, FL. 34119 llaring hucn rrornud as rcgislcrcd agenl and to accept servrcc ofprocess for $c ahovc.lalcd limlteJ l,lhilrl\ r,'ll)pfl,ry al lhc place de.ignalcd in this ccrtificatc. I hcrcb] ae.epl lhc appoin[nenl as rcgi.LTed rgcfll cnd agr(\.i lL, acl in this capacill. Ifurtheragrcctoc,,nrplyui$theprotisiun.ofall slanrtc. rJlating l ' lho prl,pcr and complelc pcrlormance ofmy dutios. and I am lbmiliar uilh and accept thc ohligali,'nr,,l rnr pusition a. rcgislcred agcnt. Rcgistcrcd.,\gonl Signature: tsR1,4-\ BUCZKO 8.B.1 Packet Pg. 79 Attachment: AGENDA_VIIIB_BRIAN BUCZKO_REVIEW OF EXPERIENCE (15054 : BRIAN BUCZKO – REVIEW OF EXPERIENCE) Article IV the name and address ofperson(s) authorized to manage I-LC Title: AR BRIAN BUCZKO 4261 1S1' AVU SW NAPLES, TL. 34I I9 Article V The effective date for this Limited Liability Company shall be: 0312012020 Signature oi member or an autlorized representative Electronic Signaturer BRIAN BUCZKO L20000083710 FILED 8:00 AMMarch 17. 2O2O Sec. Of State tscott I am thc member or audnrized rcprcscnlarvc submittinq thcsc.Arhcles ofchqanrzrtion and affirm fial thc facrs slatcd hcrcrn aru truc. Iarn euarc thal falsc information suhmittcd in a alocumcnl to lhc Dcparment of Slale constitules a third degree felon\ as provided l'or in s.E I?.155. F.S. I undersland lhc rcquiremenl lo fileanannual rcpon hch^ccn Januar) IslandMa) lsl in lhe calcndar ycar ftrllowing lormation oftheLL( and every lear thereaffcr lo mainlain "a(live" slafu\. 8.B.1 Packet Pg. 80 Attachment: AGENDA_VIIIB_BRIAN BUCZKO_REVIEW OF EXPERIENCE (15054 : BRIAN BUCZKO – REVIEW OF EXPERIENCE) St Ins Sggg'L$,,#",5131;8*' CINCINNATI OH 45999-0023 Date of this notice: 03-25-2020 Etp]oyer rdenllfication Mxlber: 85-0528440 Form: SS-4 Nunlcer of this Dotice: cP 575 G ET,I"E P@L PRO Lrc EIITE POOL PRO* BRIAN J BUCZKO SOLE MBR 4261 1ST AVE SW NAP]-ES, EL 34119 For assistance you may calf us at: 1-800-82 9-4933 IF YOU WRITE, ATTACH THE STLIB AT TIIE END OF TIIIS NOOICE. WE ASSIGNED YOU AN EMPIOYER IDENTITICATION NUMBER Thank you for applylng for an Employer Identification Nurnber (EIN). we assigned you EIN 85-0528440. Thj.s EIN wiu identify you, your business accounts, tar. retulns, and docunents, even if you have no erployees. Please keep this notice in youl P€liEnent when filj.ng tax docuEnts, pa)rEnts, and lelated correspondedce, j.t is very irPortant that you use your EIN and colpfete name and actakess exactly as shown above. Any variatlon nlay cause a delay in processing, result in incorrect infornEtion in your account, o! even cause you to be assigred more than one EIN. If the infomation is no! correct as shown above, please make the correction us.ing the attached tea! off stub and return it to us. A linited lia.bilitsy company lrrc) rEy file Forn 8832, Entity Classificatiall Election, and elect to be classified as an association taxable as a corporation. If the u,c iseliqible to be treated as a corporation that meets certain tests and it will be electing S corporation status, it must tjiely file Form 2553, Efectian by a srla-l.l BusinessCorparatlon. The L.LC will b€ treated as a colporatj.on as of the effectlve date of the S coryoration efection and does not need to file Folm 8832. To obtain tax foms and publications, hcludlnq those referenced 1n thls notlce,visit our Web site at uw$.irs.gov. If you do not have access to the Internet, calf 1-800-829-3676 {rrY/rDD 1-800-829-4059) or visit your Loca] IRs office. I!|EORTIITT REIGItrBS: Keep a copy of this notice in your permanent records. l6la lotlc. i. irsu.d onJ.yoD. ti.D lttd th. IBS rlU no! b. .ble t gDa.rete t d{r].icat cqry lo! you. You nay give a copy of lhis docrment to anyone asking for proof of your EIN. Use this EIN and your name exactly as they appear at the top of this notlce on allyour federal tax foms. * Refe! to this EIN on your tax-related corlespondence and docrftents. If you have questlons a.bout your EIN, you can caII us at the phone nurnber or {rj,te tous at the address shorn at the top of this notice, If you srite, please tear off the stubat the bottom of this notice and send it along with you! tetter. if you do not need towrlte us, do not conp_Iete and leturn the s!ub, Your narne contlol. associated with this EIN is ELIT. you ,i]1 need ro Drovide rhisinforinatlon, along wltb your EIN, lf you fite your letulns electronically. ' Thank you for your coopefation. 8.B.1 Packet Pg. 81 Attachment: AGENDA_VIIIB_BRIAN BUCZKO_REVIEW OF EXPERIENCE (15054 : BRIAN BUCZKO – REVIEW OF EXPERIENCE) Qouttt3l Gro\ /th inao4errErt D€parffi Contractor Licensing 2800 N. Horseshoe Dr. Naples. FL 341M 239-252-2400 APPLICATION FOR COII-IER COUNTY CERTIFICATE OF COMPETENCY Bn*',,'T 8r".6This certifies that l, APPLICANIS NAME (please pnni) t l;l- ?".1?*Lv.--' srare or F\oc:cL,-County .i Co\ti.f am a member or managing member (LIMITEO LIry COMPANY NAME) loo % of the uniis issued by the Limit€d Liability Company listed abov6 Atfidavit of Applicant: I certify under penalty of perjury that the intormalion conlained ls a lrue and correct statement to the best of my knowledge. B"onB Applient(d6e pint) {11. 7*l R,, ns acknowledsed betbrc mc by means of Zo.by Br:.,-'T. B.lz:.r,- Sch s) Not ry Public musl check applicable box are p€rsonally known to me E has produced a currenr driver license Thc f-oregohg instrumcnt was !fllday or se{tt *kr, 20 tr has produced (Notary Seal) #ysical presence or o online notarization on this as idenlitication ERIC PAUL SCllUllT MY COM|nsstoN I GG 025109 ..$+ E\2C225 Fim Applicaton.docx R€v 4/06/2020 Page I of 15 STATEMENT OF OWNERSHIP Nolary SiSnature: 8.B.1 Packet Pg. 82 Attachment: AGENDA_VIIIB_BRIAN BUCZKO_REVIEW OF EXPERIENCE (15054 : BRIAN BUCZKO – REVIEW OF EXPERIENCE) Cortuty GrE, if' N4anagerrErt Depaatsnert Conlractor LicensirE 2800 N. Horseshoe Dr. Naples, FL 34104 235252-24@ APPIICATION FOR COTIIER COUNTY CERTIFICAIE OF COMPETENCY Cerlificate Category Roquested: The applicant b 6€6king a Collier County Cerdfcate of Compeiency in the lrade indicatod above. As pert of tho applicaton tor this certificate, th€ appllcant must voriry his/her expedenc€ wilhin lhis trade. You ar€ boing roquested to prcvido infomation thal will ak lh6 applicant in meeling this rcqukemenl You should v6ify lim€ ol activo oxpedence worldng es an apprentce or a skill€d worker (o.9.. as a wofter @mmanding lhe wage of mechanic o. betier in h€ trade). ]'lme seNed sol€ly in a supe isory or admlnistradve lole should b€ d6scdbed, but may or may not be considcrsd sulfioent to d€monslrato requiGd trade sxp€rience. The p€6on vedrlng uad€ oxperience ior lho abovs-named appllcsnt musl provide $e tollowlng lnformatlon: lCt fl|J VERIFICATION OF CONSIR,UCTION EXPEN.IENCE 8".-Lu k {vnla.-Busin6ss Nam6:n ,*.", 231- fit-to'1?Liconso No. (if applicabl6):tct 3 oo{o 7 3lz( Eql^, Ql * zoz t')^ohE ft_ 3rllo1 Str€€t Tho applicsnt was smployed by m6 iiom zip il lvr ttlw Applicant's tif€:N & The 0 scop€ of work (sf,€cific dutes)indud€d: I h(h^l ,1" ?{OTE TO LICE}|SED CONTRACTORS: Fels,ry,1',g any intomation providecl hercin mey Und€r pemlty of p€dury, I d6dar€ that ths facts statod h6rs er6 tru6 State of 4.,;providing the 6tatomonl o-County or C,tl: The foregoiDg insEument wrs ackrcwledged b€fore me by 6fly"i""t pro-"" * o onlinc Dot r'lzeriotr otr lhit )adty ot }.}ou"t -zo 'L),by F.tLeun -rA Such person(s) Notrry Public mu3r chcck sppliclble box: EI are personally Lnowr to mc tr hss prcduccd a currclt drivcr liceDse tr h8produccd as idcatifcstion (Not ry S.io Notary Signature...r"::i -., i:i Fi' l TTsclUtElc c23Sa6c0 20 Firm Applicalion.docx Rev ,U0612020 Page 1 1 of 1 5 Cily Addilional comm6nt3: WU license to tewcatioh- 8.B.1 Packet Pg. 83 Attachment: AGENDA_VIIIB_BRIAN BUCZKO_REVIEW OF EXPERIENCE (15054 : BRIAN BUCZKO – REVIEW OF EXPERIENCE) c,fifu,Cotttrtlt Contractor Licensinq 2800 N. Horseshoe Dr. Naples, FL 34104 239-252-2400Groldh N4anagement Deparfnent APPLICATION FOR COLLIER COUNTY CERTIFICA]E OF COMPEIENCY VERIFICATION OF CONSTRUCTION EXPE RIENCE Applicanls Name f.io. B".-lu Cerliticale Category Requested ?.:;d*^h.-Q P ) The applicant is se€king a Collier County Cedificat€ of Comp€tency in th6 trad6 indicated above. As part of lhe applicaiion lor this ce fcate, the applicanl musl v6iry his/hsr orp€nence wilhin this trade. You ars being roquested lo provide information thatwillaid the applicant in meeting this requirement. You should veriry time ol acdve expedonce working as an apprentice or a skilled wo*er (6.9,, as a wo ercommandlng the wage ofmechanic or bettor in the ilade). Tims serv€d solely in a supervisory or adminislralive role should be described, but may or may not be considered suffcient to demonstrale required lrade experience. The person vedfying t'ade exp€dence for th6 atove-flamed applicant must provide the following inlormationtoIn/a 110v <o ?tl ,/, Phona.23(- 5?i -Cz"r.License No- (il applicable):Ce,Lrsot z tL ( Busin$sAdd,€Bs: 1'l$t 'TraL Lnh. fu"rd( /)rd<l ft- 3r// o? / cit Ap The appLicanl was employed by 24 2ot5 (V\ So(' &-o /- 6\,ur ,,*' "+i,. {.,;L. Additional 6mmenls: IIOTE TO LICENSED CO TRACTORS: Falsiting any inlomratbn p@vtded Under penalty ofperjury, I declare that the facts stated here are true statc ot F\ocA*County or G\\ier Sign.tuE ol p€.son p@iding tF stitom€rn The foregoing instsumcnt was presence or tr online notarizstion on this !!$ay of 5ege,-!rz, z0 D. Bo czL--o Such pc.sotr(s) NotEy P'rblic must chcck applicablc box: darc pcrconally kno*n to me tr has produccd a curr.nt driver liccnsc tr has producld as idcntifcrtioa. (Not ry S.rD Notary Siglaore: fiSCLCE c2 69GGSSaoitli,i 2020 Firm_Applicalion.docx Rev 410612020 Page 11 0115 The applicanfs scop€ of work (specifc dut€s) included: 2o ,ay , 25 8.B.1 Packet Pg. 84 Attachment: AGENDA_VIIIB_BRIAN BUCZKO_REVIEW OF EXPERIENCE (15054 : BRIAN BUCZKO – REVIEW OF EXPERIENCE) c,fift,c,otrt,,xy Conlractor Licensing 2800 N- Horseshoe Dr. Naples, FL 34104 239-252-2400Gaov,/h Mana€Bmer[ Depart'rEnt APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPEIENCY VERIFICATION OF CONSTRUCTION EXPERIENCE ,ar-Lu Cerliticale Category Requested tqr, The applicant is seeking a Collier County Certjfcale of Cohpetency in lhe trade indicated above. As parl ofthe applicaiion for this cenificat€, the applicanl musl verify his/her expenence within this trade. You are being requested to provide intomation lhal will aid the applicant in meeting this requirement. You should verify time of aclive experienca wo ing as an apprentice or a skilled wo*er (e.9., as a worker commanding the wage ofmechanic or better in thelrade). Tim€ served solely in a supervisory or adminislralive role should be describ€d, bul may ormay not be considered sufficienl to demonstrate required trade e)eerience. The percon venrying trade experience for lhe above-named applicanl musl provide the following information Title Pru,/ License No. (if applicable) L,)J//x) zipSr€€t The applicanl w6s amployed by me from 2a/t ctv nt's scop€ of work (sp€cilic duties) included: ,U rL ,^t _t J O v"tL- t 4.u wa. tLr lhc NOTE TO LICEiISED CONTRACTORS: Falslrirg any intamation provided hercin nay subject your licensa to rovacation Under penalty ol pedury, I declaro thal the facts slated here are true Plandl, "*,iy of Co,tLrv p.ov d ng lhe stalemont State of was acknowledsed beforc nrc,Uv means qf hysical presetrce or tr online Dotarizition on thrs #l,t4n Hntt,lnl.by Such person(s) Norary Public musr check applicable box: Ezare personally l(nowo lo me tr has produced a cunent clnrer lcense tr has produced (Not.ry Serl) J-J as identification. Notary Signature: DONIA OFSOLI!l,r#3rion , GG ?6 !83 I ?022 Firm_Applicalion.docx Rev 4106nO20 Page 10 ol 15 90Jo 8.B.1 Packet Pg. 85 Attachment: AGENDA_VIIIB_BRIAN BUCZKO_REVIEW OF EXPERIENCE (15054 : BRIAN BUCZKO – REVIEW OF EXPERIENCE) A SUMMIT Pools, Inc. 185 31'. Street NW NaPles,FL34120 Phone 239-228'6125' Faxt 866-250'6494 www.SummitPoolsNaples.com To Whom it May Concern: This letter isto confirm that Brian Bucuko is tr.ined and comp€tent to b€ licenled. He ha!wo*ed as both a Foreman and Technician overseeing poolrenovations and regular maintenance br ourcompany since February 2018 to the present date. Baian has performed the following tasks on a regular basis while under ouremployment: wEEKLY POOI- MAINTENANCE: cleaning, poolchemistry, filter backfluthin& vacuuming of pool, evaluatiry pool equipment function on site. POOL EQUIPMENT REPAIRS AND REPTACEMENTS: Pumps, Heaters, LiShtin6 Filter Systems, Cartrldte Replacements, Auto Fill devices, and Automation Equipment Erian is also trained in POOI LEAK DETECTION. I consider Erian to be well qualified to operate a PoolService Business. Pleas€ feelfree to callwith any questions or concerns. Hugo ABUilar President Slncerely, 8.B.1 Packet Pg. 86 Attachment: AGENDA_VIIIB_BRIAN BUCZKO_REVIEW OF EXPERIENCE (15054 : BRIAN BUCZKO – REVIEW OF EXPERIENCE) CotrtrXy Glowth tvlanagerient Depafi nent Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34'104 239-252-2400 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF FLo"iAa couNry oF C a tli crt- O,'Un, ,1-1, Vy';*e , having b€en first duly sworn, stale and affirmiI, I am a resident of Cat{;ea-County,trL (State)and have resided here for more than fve (5) years During the lasl five (5) years I have known 'br\ a+'buLz.l'-o (applicanl). I have had lhe opportunity io observe his or her business and personal dealings and find him or her to be a person of honesty, irlegrity and good character A"lonieth Wilte ^ddrcss. 27+StanhoPe 6 rczL N4Vt PL 3+to4 County The foregoing instrument was acknowledged Telephone gqs- 6qc- n1s of Mphysrcal preseoce or O online noranzatron on $is ,) t*"- Srale of Fl o.:.rCllr.r @day ot <-tiH, L,".,20 2o,by bcfore me bv means A^-In.-'i.+l ^ Suc2)erson(s) Nolary Public mu$ check applicahle box' dare pe'onally l.lo*n ro me tr has produced a currenr dn\er lr.ense Notary Signature: tr has produced (Notrry Sed) Firm-Applicalion.docx Rev 4/06/2020 P9g€'14 of 15 cor.lr.lrssl ERIC 169025CG,tl 8.B.1 Packet Pg. 87 Attachment: AGENDA_VIIIB_BRIAN BUCZKO_REVIEW OF EXPERIENCE (15054 : BRIAN BUCZKO – REVIEW OF EXPERIENCE) C,RF",Contractor Licensang 2800 N. Horseshoe Dr- Naples, FL 34'104 235-252-2400 Cor,tttxy Grcwth Managernent Departrnent APPIICATION FOR COTTIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF trlorrda COUNTY OF Collror Carr,'O Ga.tnmonSnaui ng been first duly swom, state and affirm Co//ier F lor r'/a-(State) and have aesided here tor more than five (5) years During the last flve (5) yea.s lhave known 6r,on Auczko (applicant). I have had the opportunity honesty, intogrity and good character Cnrrto Address 30Ai Mrssron L:r /es FL 4lo mons statc of Fiori I o,County of Ar,l;nr The foregoing iDstsumcnt was achowlcdscd beforc mc by means of @ry of ic-o\<.b<2o zo,by C-<c,- Go^^*. Such ar€ pcr6onally lclo*Il to me O has produccd a curent abiver licciso #*,* oro"o"" * o ooliic rctarization on this as identification. Nolary Signature:;.:,.sciit TT lli G 025 ?0ll D has produced (Notrry Seal) Flrm,Applicalion.docx Rev 410612020 Page 14 ol 15 County, to obseNe his or her business and personal doalings and find him or h6r to b6 t a.pnon", lf !1-f Q!fu gPQ Notary Public must check applicable box: 8.B.1 Packet Pg. 88 Attachment: AGENDA_VIIIB_BRIAN BUCZKO_REVIEW OF EXPERIENCE (15054 : BRIAN BUCZKO – REVIEW OF EXPERIENCE) 1012112020 THIS CERTIFICATE IS ISSUED AS A MATTEB OT INFORMATION OI{LY AND CONFERS NO RIGHIS UPON IHE CERIIFICATE HOLDER, THIS CERfIFICATE DOES NOT AFFIRMATIVELY OR NEGAIIVELY AMEND, EXIEND OR ALfER THE COVERAGE AFFOROED BY THE POLICIES BELOW. THIS CEBTIFICATE OF INSURANCE OOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER{S}, AUTHORIZED REPRESENTATIVE OR PRODUCER, ANDTHE CERTIFICAIE HOLDER, lfthe ce.tificate holder is an ADDIIIONAL INSIJRED, the policylies) must have ADDITIONAL INSUBED provisions or be endoEed ll SUBROGATION lS WAIVEO, subj4t to the tems and conditions of the policy, certain policies my require an endo6erent. A statehent on this cenifcate does notconle.riqhts to the certifi.ate holder in lieu ot such endorsem€ntls). Br6kthrough hsurance Gr@p, hc 22TAIRPORT RD S NAPLES FL 34104 682 8563 {239) 206-8859 MUREna, Naullus lnsurance company ELITE POOL PRO LLC FL 341t9 CERTIFICATE OF LIABILITY INSURANCE CERTIFICATE NUMBENCOVERAGES REVISION NUMAER THIS IS TO CERTIFY THAT THE POLICIES OF INSUFANCE LISTED BELOW HAVE BEEN ISSUED TO TT]E INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWTHSTANDING ANY REOUIREMENT, TERM OF CONOITION OF ANY CONTRACT OR OTHER OOCUMENT WTH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSI]ED OR MAY PERTAIN IHE INSURANC€ AFFORDEO BY THE POLICIES OESCRIAED HEREIN IS SUBJECT TO ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BE€N REDUCE D BY PAID CLAIMS 3 1.000 000 r 100 000 r 5.000 3 1,000 000 r 2,000,000 10t20t2020NN1177311 1U20n021 BOOTY NJURY {Pq 'rtk) ols.RrPr ox oF o* Mr oNs bbw ^rloN/ErcE (rc@oror,M irllEts,&B4@) ANY OF TI]E AAOVE OESCRIAED POLICIES AE CANCELLEO BEFORE €XPINAION DATE THEREOF NOTICE WLL BE OELIVEREO II{ ROANCE WlrH THE POLICYPROVISO S, CANCELLATION 6 1988-2015 ACORD CORPORATION. Allrighls reserved acoRD 25 {201 RD name artd logo are registered marts of ACORD BODILY]UURV (Pd tEls) tr 8.B.1 Packet Pg. 89 Attachment: AGENDA_VIIIB_BRIAN BUCZKO_REVIEW OF EXPERIENCE (15054 : BRIAN BUCZKO – REVIEW OF EXPERIENCE) 8.B.1 Packet Pg. 90 Attachment: AGENDA_VIIIB_BRIAN BUCZKO_REVIEW OF EXPERIENCE (15054 : BRIAN BUCZKO – REVIEW OF EXPERIENCE) Coe*aty Growlh l,ranagement Depadndrt Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 239-252-2400 APPLICATION FOR COLLIER COUN]Y CERTIFICATE OF COMPETENCY COTTECTION OF SOCIAL SECURITY NUMBERS Oate: APRIL 06, 2020 To: Applicants for Certificate of Competency From: Timothy Crotts, Contractor Licensing Supervisor a) Assess applicant's ability to satisfy creditors by reviewing their credit history b) Verilication ofapplicant's tesl scores and information. Pursuant to Chapter l-19, Florida Statules and Collier County Contractor Licensing Ordinance 200646 Section 2.1.1., all applicants are required to submit lheir social security number(SSN) for the following purposes: 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-glarding and protecting your SSN and once collected, will be maintained as confidentialand exempt under Chapter l-19, Florida Stalutes. Firm_Applicalion.docx Reu 410612020 Page 15 ol 15 8.B.1 Packet Pg. 91 Attachment: AGENDA_VIIIB_BRIAN BUCZKO_REVIEW OF EXPERIENCE (15054 : BRIAN BUCZKO – REVIEW OF EXPERIENCE) 1t13Q421 DBPR- BUCzKo, BRIAN JAMES, RegLslered PooUSpa Conlractor Licensee Details Licensee Information Name: IYain Address: BUCZKO, BRIAN JAMES (P.lmary Name) 4261 1ST AVENUE SOUTHWEST NAPLES Florida 34119 COLLIERCounty License Mailino: LicenseLocation License lnformation License Type: Rank: License Number: Status: Licensure Date: Expires: Registered Pool/Spa contractor Application in Progress specialQualifications QualificationEffective Alternate Names view Related License lnformation view License Complah! 2601 Br.ir Ston. Ro.d, Tarl.h6s*. FL 31399 :: Email: !:9tleE!!];9d!g!l!!!!! :: Custoner Co.tact Ce.te.r as0.487.139s rhe stat. or rrorida rs .n A,c/EEo employ.. lgpJdoit zoo?-2o1o strt. or tbnd.. fd!!!y-g!a!gtl!! Under Bonda lau, ema'laddr4ses are publlc .ecords. Il you do not want yolr emirl &dEsr ..leased n respon* to a public{ecods reqlest, do not send electronrc mailto this€ntty, lnsterd,.ont.ct the oficc by pho6e or by tradltionrl mail.lt you have any quertronr, ple.re contact 350.437.1395. .ru6uant to s.<tion 455.27s(1), aodd. Statut.s,.ffedive odober 1, 2012. ll@n*.s lEenscd undcr ch.pt r 455, F,s. must provldeth€ D.p.rtm.nt witn.n.roil.ddre$ iI they h.v. one, Th. emails provld€d may be !*d for otticial communication nowever €mailaddrcsse are publir .ecord. Ir you do not wish to 3uoply. p€enal.ddrcss, please provideth. oep.rtment with.n email address whlcf can b. made avlilable to the publlc. hnps]rww mynondali@nse.@n/Licens6Oetail.asp?SlD=A d.9261 755189CO1409F97DC788D1 FA75Cg 111 8.B.1 Packet Pg. 92 Attachment: AGENDA_VIIIB_BRIAN BUCZKO_REVIEW OF EXPERIENCE (15054 : BRIAN BUCZKO – REVIEW OF EXPERIENCE) 02/17/2021 COLLIER COUNTY Contractor Licensing Board Item Number: 8.C Item Summary: ERIKA RAMIREZ – REVIEW OF EXPERIENCE Meeting Date: 02/17/2021 Prepared by: Title: – Contractor Licensing Board Name: Michelle Ramkissoon 02/12/2021 8:15 AM Submitted by: Title: – Contractor Licensing Board Name: Tim Crotts 02/12/2021 8:15 AM Approved By: Review: Contractor Licensing Board Michelle Ramkissoon Review Item Completed 02/12/2021 8:15 AM Contractor Licensing Board Tim Crotts Review Item Completed 02/12/2021 9:00 AM Contractor Licensing Board Tim Crotts Meeting Pending 02/17/2021 9:00 AM 8.C Packet Pg. 93 ERIKA M. RAMIREZ _ REVIEW OF EXPERIENCE 1. CLB Notification 2. Complete and Notarized Application 3. Verillcation of Testing Scores 4. Credit Report - Applicant and Business 5. Florida Company Documenls . Sunbiz Filing . Articles of Organization . 2020 Annual Report Filing 6. CivilAction Document 7. Employer ldentification Number 8. Florida Department of Revenue - Two (2) letters of Satisfaction of Tax Lien 9. Banking Statement - August 2020 & September 2020 10. Statement of Ownership 1 1. Resolution of Authorization l2.Verification of Construction Experience - Three (3) forms 13. Notarized Affldavits Verifying Construction Experience - Three (3) letters l4.Affidavits of lntegrity and Good Character- Two (2) Letters .15. Certificate of lnsurances '16. Driver License Contentsl 8.C.1 Packet Pg. 94 Attachment: AGENDA_VIIIC_ERIKA RAMIREZ_REVIEW OF EXPERIENCE (15055 : ERIKA RAMIREZ – REVIEW OF EXPERIENCE) Aw*y Growth Management Division Planning & Regulation Febtuary 10,2021 ERIKA RAMIRIEZ 222 COOLTDGE NAPLES, FL 34104 REVIEW OF EXPERIENCE ERIKA RAN,IIRIEZ. You have been added to the agenda for the Contractors Licensing Board meeting on Wednesday, Febtuary 17,2021. fhe meeting is held at 9:00 a.m. at W. Harmon Turner Building (Bldg. F, Admin. Bldg.), 3299 TamiamiTrl. E., Naples, FL 34112 in the Commissioner's Meeting Room on the 3rd floor. lf you have any questions, please contact out ollce al (239\ 252-2418 or email Michelle.Ramkissoon@colliercountll.gov Sincerely, Michelle Ramkissoon Supervisor Operations Licensing Section Growth l\4anagement Division Operations and Regulatory Management Division 2800 N Horseshoe Dr. Naples, FL 34104 8.C.1 Packet Pg. 95 Attachment: AGENDA_VIIIC_ERIKA RAMIREZ_REVIEW OF EXPERIENCE (15055 : ERIKA RAMIREZ – REVIEW OF EXPERIENCE) C Qor.rtttltlet' Grouni' i,,lan4errErll Deparnrent Contraclor Licensing 2800 N- Horsesho€ Dr. Naples, FL 34104 Phone - 239-252-2431 Fa\ - 239-252-2469 APPLICATION FOR COLTIER COUNTY CERTIFICATE OF COMPElENCY )ap -fl\6 IYPE OF CERTIFICATE OF COMPETENCY: /a/C - t77A ! General tr Building tr Residential - Mechanical tr Roofing ! Electrician $230.00 ! Plumber $230.00 tr Aar Conditioner $230.00 Aswimming Pool-B $230.00 ! Specialty $205.00 $230.00 $230.00 $230.00 $230.00 $230.00 ?3rro Pocl fi n:<rr',ag tLC I, APPLICANT PERSONAL INFORMATION Name E'#q Pl a-rsrc€3 Business Name ?e c rc> D .9!-\\ct ZZZ crDl,d o L cr\terif ." o A>t-.., r\ \ 'SS # (Last 4 digits only):to<l + Driveas L cense # (Last 4 digits only)Z 'P!4u.nlroChaple.r'19,F1o.'d.5t.rutcs.ndColli.rtou.tyContacto.Li.ersinEOrdin....2006-,15sedio.2.1.1.,all.pplk..tsar.r.qun.dto tubmil lh€ir to.i.r r.cu.itr nrmb.. (ssx) ld rhe lollowina purpox!: al A5reis .pplionfr .balitv to 3ately cr.dho.t bv r.vi.win! rh.n s.dh hirro.y. b)ve.ifiorion ol.pplionlr ren *or.t.nd inlo.E.tion. Our offic. willonly !s.your SSI{ nored.boE tor rhorc rcrons puBcant ro Chaprer I19, a6rida sratut.s, a a5 hry oth.dlse be .urhoriz.d bt l.r. w. .r. lully .ohmm€d ro el.-tu.rdlng .nd prctedlnt your SSx ...l on.. .oll.cred, wlll be mainlain.d .5 .onltd.nrlal and erenCt under Ch.pr€r 119, Florlda Starutes, Firm-Application.docx Rev 4/06/2020 Page 3 ot 15 CERTIFICATE OF COMPETENCY This applicalion must be typewritten or legibly printed. The application fee must be paid upon approval and is ilOT refundable. All checks should be made payable lo: Coliet County Board of County Commissioners. For further rnformalion, mnsull Coluer County Ordinance No. 2006-46, as amended. Specialty frade: Email: Terephone :-Z3f_rZxf&\L_ Dare or B,rrh --.!3h jrlL-1z!t- 8.C.1 Packet Pg. 96 Attachment: AGENDA_VIIIC_ERIKA RAMIREZ_REVIEW OF EXPERIENCE (15055 : ERIKA RAMIREZ – REVIEW OF EXPERIENCE) C,3F.,CoL*tqt Contractor Licensing 2800 N. Horseshoe Or- Naples, FL 34104 Phone - 239-252-2431 Fax - 239-252-2469 Grl)l Il' i,tanagement Depart_rEnt APPLICATION FOR COTTIER COUNTY CERTIFICATE OF COMPETENCY Provide lhe names and telephone numbers of lwo persons who will always know your whereabouts, tlame, Be.r {\r s A .1.,\ )o.-Nn "., - A\v-=,raJ: z?,1 - ezq3+Telephone ZV1- 6U559s\ II, NAME OF APPLICANT'S BUSINESS: Telephone Busrness Name J -o\ [l ci,IL B'rsiness Ad.lress 2ZZ 6'.r.r1'.3"e ?Lare \l.:o\es.TL Telep none: t 224 r ?2BzaB1 4\LerlYao t\c+".o\\Ci)i.a\ Fecleral lO Tax No 3ti - q\2 Ltr \ \ II I. FINANCIAL RESPONSIBILITY NOTE. lf you have answer fES to any of the questions below, you musl attach a written explanalion including lhe nature ol lhe charges, dates, and outcomes, senlences of condilions imposed. You must also aflach proof of payment, salrsfaction of lien orjudgement, bankruplcy discharge, or agreemenls tor payment. ^lf you have had a felony conviction, proof that your civil righls have been aeslored will be required p or to licensure. YES NO ALL APPLICANTS MUST ANSWER THE QUESTIONS BELOW: Filed for or been discharged in bankruplcy within the past 5 years? Had a lien filed agarnst you by the lnternal Revenue SeNice or Florida Corporale Tar oivision? ( Undertaken construction contracls or work lhat a lhird party, such as a bondrng or surety company, compleled or made financial stalements on? I\rade an assignmenl of assels in settlemenl of construction obligations for less than the debts outstanding? Been convicled or lound guilty of, or entered a plea of nolo contendere 1o, regardless of adjudicalion, a crime in any jurisdiction wilhin the past 10 years?' Had claims or lawsuils filed for unpaid or past due accounts by your credilors as a resull of construclion experience? Been charged with or convicted of acling as a contractor wilhout a license, or if licensed as a contraclor in this or any other stale been subject to" disciplinary action by a state, county, or municipality? Firm Application.docx R€v 4/06/2020 Page 4 ot 15 Email: lJndertaken conslruclion contracls or work that resulled in liens, suils, orjudgments being filed? 8.C.1 Packet Pg. 97 Attachment: AGENDA_VIIIC_ERIKA RAMIREZ_REVIEW OF EXPERIENCE (15055 : ERIKA RAMIREZ – REVIEW OF EXPERIENCE) C 1et Qountll G6^/1h ManagerrEnt D€partrrEnt Conlraclor Licensinq 2800 N. Horseshoe Dr. Naples, FL 34104 Phone - 239-252-2431 Fax - 239-252-2469 APPLICATION FOR COLTIER COUNTY CERTIFICATE OF COMPETENCY EDUCATION: Lrsl below and provide transcripts for any formal educatron you have oblained in lhe area oI compelency lor which IV. EXPERIENCE VERIFICATION thrs a licalion is being made a-r ar s -8 ta /oorc List below non formal educalion (on lhe job training) you have obtained in the area of competency for which this applicalion is being made: -.tL' /+n y'-l)r CURRENT/PREVIOUS LICENSE: Lrsl below and attach copies any other ce(ificates of competency/licenses you hold/have held in Colliea County or any other ju risdiction. lnclude the license *, Type, and counly you hold it in. C> f,le /Ter"a zol z=r bl. er o lS5 - crl €a.a C,/o{Ccr,t (, AFFIDAVIT Under lhe penalties of perjury, I declare lhal I have read the foregoing applicatron and the facts stated in rt are kV^ k**. Apprrenr (d6eaffi t)erronall) kno\r n k) mc I C-ollirBCounty of acknowledgcd bcfore Surh pcrson(s) Notary Publrc nrusr check lpphclble box 17'"r"&ft.hl. ,,,30.o'CRi sical presencc or tr online nolarization on this e C are (,^, {a" o,oa*"d n *,,enr driver license C ar rdcntrtl.rrtr)n. u/".tt\yw il1. Lv,) Nou.y Pud{ s!.k oi Frond. MyC@m,l.@G69!2.!7 {t6ti1,q I l'rl Firm_Applicalion.docx Rev 4/06/2020 Page 5 ol 15 8.C.1 Packet Pg. 98 Attachment: AGENDA_VIIIC_ERIKA RAMIREZ_REVIEW OF EXPERIENCE (15055 : ERIKA RAMIREZ – REVIEW OF EXPERIENCE) Corattll GrcMIir N,ianagenErt Departnenl Notary Signature: CERTIFICATION OF APPTICATION AV; rn.-\-+ ?auo=o ?--\ f'o;sh,o.r t\c Na.€ or a;ffiaiy &a, Q"-*^ sb;alure ol Appl'€.' Z Lnl(tetK ! r.c pcrsonrlly knosn to mc Counly ol' as acknowlcdgcd bclore 0 Hr( l'or,rtsoing insrtunrunr wllt"rr a{hleft zo &).ty uil,'Y "#';';r,l prcscnce or E online nolarization on this€z Such pcrson(s) Nomry Public must chcck lpp|crblc box 7(h* proaucea a.urr"nr driver license fl,*n,"a*"a (Norrrl SrNl) i.*NorJ.y Puhr'c shb o, Fror dr My Cmfr!.'M GG e r 24 r 7 Nolary Firm_Applicalion.docr Rev 4/06/2020 Page 6 of 15 Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 Phone - 239-252-2431 F ax - 239-252-2469 APPLICATION FOR COTLIER COUNTY CERTIFICATE OF COMPETENCY The undersigned hereby makes application for Ce(ificate of Compelency undar the provisions of Collier County No. 2006-46, as amended, and under penalties of perjury. I declare lhal I have read the foregoing qualifier information and that the facts stated in il are true. The undersigned hereby certifies that he rs legally qualiled to act on behalf ofthe business organization sought to be licensed in all matters connected wrlh its conlracling business and that he has lull authority to supervise conslruction undertaken by himseltor such busrness ororganization and lhat he wjllcohtinue during this registralion to be able lo so bind said business organizalioh. The qualified license holder understands that in all contracting malters, he/she will be held strictly accoLrntable lor any and all activities involving his license. Any willful falsification of any information contained herein is grounds for disqualification. I 8.C.1 Packet Pg. 99 Attachment: AGENDA_VIIIC_ERIKA RAMIREZ_REVIEW OF EXPERIENCE (15055 : ERIKA RAMIREZ – REVIEW OF EXPERIENCE) Cor.wrXy Grol,!,lh ManagerrEnt Departnent conlracloa Licensing 2800 N. Horseshoe Dr Naples, FL 34'104 Phone - 239-252-2431 Fat< - 239-252-2469 ll is understood and acknowledged by lhe Collier County Conlractors' Licensing Board and mys€lf thal if lfail to acquire, or mainlain at alltimes effective Workmen's Compensation lnsurance it willresult in the possible revocalion ol my Cerlrficale of Comp€lency. -*-nYr^ 6...ice +- WORKMEN'S COMPENSATION AFFIDAVIT ?"'?-c r[c T;-v:- ?-*,,.*,- Applicanl (piease prinl) says lhel he has less than one employee and does not require Workmen's Compensation understands that al any time he employees one or more persons he must oblain said Workmen's Compensation lnsurance. BEFORE t!4E this day personally appeared Such pcrlon(s) Norary I'ublic musr chcck applicablc box ! are personally known to mc N has produced a curcnr driver Iiccnsc Th( Ltrccorn! rnslrunrlnt was acknowled Af u,,'-.' cakb il. .zufu).oy rcd belore,ne bv mc&d €{,Y.a fra of fpty.i"ut pr"r"n"" o, E online notanzarrcn on thrs ,tt le z [t*,*,", (Not'ry Serl) f as idcnrrficarion Nolary Signature i# &H#i*t{#' Firm-Applicalion.docx Rev 4/06/2020 Page 7 of 15 APPLICATION FOR COLTIER COUNTY CERTIFICATE OF COMPETENCY 4*,Lr,,,,,., c"llin\ 8.C.1 Packet Pg. 100 Attachment: AGENDA_VIIIC_ERIKA RAMIREZ_REVIEW OF EXPERIENCE (15055 : ERIKA RAMIREZ – REVIEW OF EXPERIENCE) GITS, LLC Examination Operations Division Providing lha $ryi@s a.d producb to a$i.l Govemm€nl Ag.ncies to mak6 infoirEd oduered deisDns Official Examination Score Roport April 29, 2019 Ollicial Score Report: Candidate Information: Name Erika Ramirez Candidate #: I3'7 47210R Testine Site: Fort MyeN, FL Iinal Scorc Result: Residential Pool Contractor Score: 767o These results represent the grade rhat has been achieved on the above named examinatioa(s) administerod by Gainesville Irdep€ndent Testing Sewice for Collier County, Florida on April 26, 20t9. If you have any firther questions, pleas€ do nol hesitate to contact us. Sincerely, Jay E. Bowemeister President PO Botr 631 127 Oc.L, Florid. 3aa&11 127 - Vd, (352) 3696tTS - F.r {352) 3a7-2a43 lm997 2',122 8.C.1 Packet Pg. 101 Attachment: AGENDA_VIIIC_ERIKA RAMIREZ_REVIEW OF EXPERIENCE (15055 : ERIKA RAMIREZ – REVIEW OF EXPERIENCE) 6t.;r,#v*tv BOARD OF COUNTY COMMISSIOT,IERS Apn|26,2019 ERIKA RAMIREZ 5025 SW 17TH AVE CAPE CORAL FL 33914 LETTER OF RECIPROCITY This letter is to verify that ERIKA RAMIREZ took the examination, Gainesville lndependent Testing Services sponsored by Lee County. BUSINESS PROCEDURES 76% DArE.2t12t2A14 Tile and lvlarble Contractor BGEILe (G) 1129 (P): 760 DATE: 2/1212014 lf you have any questions or if I can be of further assistance, please contact Contractor Lrcensing at (239) 533-8895 Sincerely, David Paschall Chief Code Enforcement Offlcer PO Box 398, Forl i,tye6 Flonda 33902-0398 (239)5312111 lntemel addleis htE /l|w le€-counly 6m AN EOUAL OPPORTUNITY AFFIRMATIVE ACTION EMPLOYER a /,..0<)*-'-" 8.C.1 Packet Pg. 102 Attachment: AGENDA_VIIIC_ERIKA RAMIREZ_REVIEW OF EXPERIENCE (15055 : ERIKA RAMIREZ – REVIEW OF EXPERIENCE) Three Bureau Credit Report Referenre # \ ll l6-i 5 9.l ii l'rIrortrl lulirrn] li(n, l0/r.l/2020 r:RIKA RA]\IIRfZ Report Drte: llr i 'lrlll o U.low is your pcsotul infomation 6 il3ppea6 inyour.redit file. This inlonnation includes your lcgal nmc, .urem and pr.vious addrcsses. cnrplo)menl inli'marion lnd orh.r delails 30G850 ERIK M NIALD(}NADO SANCBIiZ fIIIKA MAI,DONADO RAUIRI)Z ERII(A l9ll sw 25TH PL CAPE CORAI. FL 3r9l+5467 0v2020 ,lt5 sw aaTH IfR 3l9t+t0t4 0612011 5025 SW l TTH AVE (.APE CORAL, FL .13qa-6970 lt/2t14 Itllioll{R Pool,s I L( STI,F F\IPLOYfD o \bur Credrt Scorc N a reprc$nlatiotr ol you overall cr.dii b@1lh Most lendeE udliz some fom ofocdir scoring io help dercmine vour.redit |l( 0:" s.or( e0 3oltE5ll You h.v. on. or mE ecounts showing missd p.yoots or dftgr ory indicaloB. It. pKmc ofnG*d &d llL payncdts or dcmgdory irdioro6 otr ! cEdit Epdt hcluditrs th. trub.r of lat pcynors. how lale th.y vft ud how E@dy lh.y ecuE4 . coml.l.d slh tutr cr.dn nsk. You FICO@ ScoE *as lowded Cuc to thc nmbd ot miis€d &d latc payhhts ed/or eounts wilh doog.lory indi{(o6 Eponed. A. th. .umber of a.counts wnh d.linqucncy or dmgarory ndicabE d..rM, rh.y bav. l.s impld on a FICOA Sce. R.clnt .oll.ction .nd/or PR. Y@ hNe r E6i public rcord ed/o. collalio. on yow cEdit Epon. Th. @dcy or a dmsdory public 6dd (such a . brntnpry or l,r li6) or collectio. is a pow(tul pEdictor of ruture prym.nt nil. Nok, *isrying th. public dod or pying of lhc @lletm will nol ENv. th. no .nd it will slill be msiddcd by a rICOO S@E as lons d ir ir €Don d- As th6c ilms .9., lh.y h.v€ l.$ impacl on . FICO@ Scorc Most public l@rd6 dd .oll.clio.s stay on you Eport for no noF than Fv.n y6 - oDugh 08rc &. ccnain ikm thal could 8.C.1 Packet Pg. 103 Attachment: AGENDA_VIIIC_ERIKA RAMIREZ_REVIEW OF EXPERIENCE (15055 : ERIKA RAMIREZ – REVIEW OF EXPERIENCE) You havea scnous dclinqu.nc, dr ddog.rory indic.ror, p$lic rsord and/orcotlection on you €rcdit repon Ite p@encc of a *rious delinqucncyrr dercgarory itrdioror and a d.o8.tory public rco.d or @U*ioi is a poeerful prcdictor or furc p.y'n.or iirk. Mosl colldtiG, public l@ds dd d.linq*nc'cs stly on ih€ Epon ror no more tt& scvcn ye6 douah 0EE N an in nems ttd could ltmin longc As $c* il.ms !gc, th€y will hlve l6s ibp!.r o. th. FICO1i. ScoE. Salisrying lhe plbnc ecord or paying offrhe coll6xo. will nor rdove th. ilm 6om a cEdir Epon And it etll sxll be coB'd.Ed by a FICO' ScoE 6 lons d ir is apon d Rd.trl d*d p.ym.nl. You @cndy m,ssd a payncnl or nad a d.rcgarory i.dicator r.pon.d on your .rdh rcporr. Cm.lally spating, p@pl. who consisLndy pay lh.t bilk on tim..rc l$ dsry comparcd to p.opl. wrth B..dy misrd payme.ts. As mis.d paym.nrs ag.. rney nave Ic$ impd on a FICOD Scor€. The p6.n.e ofmised lat payfrdts or dmgarory i.dicaroB on a c.cdil Epon. including lh€ nuobr oflale palr€nrs, how lat lhey wcE &d how reoily thcy occuftd, de coftlat€d wirh fulur. crcdn dsk. Tl't $trG) on you MyS@elQ oedn rcFd (ui.e ln. FICO@ Sc@ mod.l) e pmvid.d 6 ! tool 10 h.lp you urdar.nd how lod6 @y view rn. &ta @n.rincd in your cEdn r.?orts od .valuar. you cr.dit risl. Wc previd. thc* s6 elcly for .duqtioMl purpca. MysconlQ &.s tror ofs crldiq delivery of rh6. soB &.s nol quliry you fo. ey l@. Ih. sritrB Dddd ,@ l.i&r et tuy bc diE@t rtr! l!. FICOO S@rc. Ar . Bull lhc *orc dd *oE f&1o6 wc hr!. d.livcrd tuy shov ditrdnc6 wh.n compaed lo tbe s.m .rd 3.@ f&bR produ.cd by yu l.!d.ls srira bod.l. Pl.4 .l5o udc6l'rd $ l.nd6 e nulriplc em6 of irfom.lion who und.lvnins t l@ dd mring ldding ddi$oB. CEdit $06 m jBi (E f..tor rhrt n.y b. E d !d ch larid will h,v. diff.Enr dt6i. dicy Mys.orclQ por des infomahoml mlsials alo.g wifi your .Rdrl EponG) and scorels) $e* batedaL m .duc.rioml in mlre ed i ended to bMden your undenrdd,ns orhow cEdit eodns wo.ts. Thcy should lor bc cof,sn.d a adv,cc,D hddling you fim.ial preblcms or nE}jtrg ftu ial dections. lfyou arc havm8 touble te.pi6g !p wrth your billpalmen6 or erpddcing orhq tinmcial ditrcullies. d6e onr&t a.od-ptufit cr.dir comclitr8 scnic€ for ssistance. Th.se nrarcrials rid rar cduoalional purposs o.ly. \c(olIll Ilislol r l9 6 l3 7 t0 3 $5r57.40 llr62.lx, O Belo* is an ov.Biew of you pttgt sd psr .ru\dn datus includiry op.n dd closed accounts and balance informarion. O lnfomation oi accouts you have opencd in th. pssl is displayed belos. 8.C.1 Packet Pg. 104 Attachment: AGENDA_VIIIC_ERIKA RAMIREZ_REVIEW OF EXPERIENCE (15055 : ERIKA RAMIREZ – REVIEW OF EXPERIENCE) ,.( tlt. t t\,\\( r\t (.r)Rt, Acocnrl: A.couot-IlT.. ac.orlr'ry!. - D.t.il. Brrc.!Cod.. A.c.uol Sr.tu.. Mo hly P.ym.nt. D.rc OFtr.d: 8.b...: \o. or Mo.th! (t.ioi)r Hlgh Cndft: Cr.dir l,imil: P.3t Du.: Ftth.nrStlru.: l,Nl R.portld: Codn.rr.: D.te L.si Adlvr: Dlle of L{t k}menl: I*GYerr prym.nl bl.tory INST ILMENT 155{.00 ttD3notg atc5lt.0o sl9 950.00 Currtrt, r$ p t due l0 dryr 09n!2070 06/0112020 @ TO .t l020 t0 20 20 20 t9 Mr. trb &n D(c Nov (rcl lltIrm \ \\ 1r\t)|R .o\sl.irlljR us.\ tl_,,h1,}l,, i,,r Ac.outrlt: A.ornl T!Pe: accounr Typ. - D.rtil: Btrrc.tr Code: a.c.unr st.lt!. ilonrhlr P.rm€nr: D.r.Op.n.d: Bttrn.c: \o. of Nlonrn! (lermr: tlighCEdll: Crcdll Lihlr: P.r Du.r P.yD.ntStttur: !,81R.port.d: Conn.nt3l D{te L8t A.riv.: Dite of Lrt Plynrnr: TwcYe.r D,ym.rt hi.tory Month Sep ArC Jul Jun Ye{r ,0 20 70 20 Elpcrirn Slxxt02xxxxxxxxJLxx L\ISIALLl|[NT taat.m llltonol9 t3?,717.00 ,38,171.00 Current, *$ D$t due !0 d.yi 09/10/2020 t)ec Nov Oct Sep ,{ug Jul 19 l9 t9 19 19 t920:lt t0:0 trh Jan Dcc \ov Oct o | (n\ l(,k ()x (,r i (rh 19 t9 llt t8 18 06/01/2020 trffi] 8.C.1 Packet Pg. 105 Attachment: AGENDA_VIIIC_ERIKA RAMIREZ_REVIEW OF EXPERIENCE (15055 : ERIKA RAMIREZ – REVIEW OF EXPERIENCE) .{nil.l\(. i1)ri!trrl (lr.dnor: ( ()\l( ^SI ) s.rtousll p$l duc drre /.ssigr€d ro rnornet,collerlo..S..ci: or.Rdlr gr.trlor&rpd:r Inr.m.l colldtlon d.pr.tn.rl l0/ /2020 AccoutrrI}Te: ,^ccounl ltpc - D.r.il: Bur.cu Cod.: Accounl Sl.tus: Itotrrnl! P.ym€nr: D.reODeled: Brl.trr€: \o. orMo.th. (r€rmr: Higt Cr.dir: Crcdir LiEil: PBt Du.: t07!8!xxxx COLLECTTON Colldllon D.p.rtn.nt / Ag.n.] / NoL.ii.fy'ngF20_IIIADE 09lt9a0t9 a322.00 s32l.0i) l)10 :0 20 :0 l0 10 IO (() 09/0112019 l8 -.t T*cli.r p.y.m.rt nartoo t0 t0 il@ 8.C.1 Packet Pg. 106 Attachment: AGENDA_VIIIC_ERIKA RAMIREZ_REVIEW OF EXPERIENCE (15055 : ERIKA RAMIREZ – REVIEW OF EXPERIENCE) f(lrl.a.\sl(,\,\l \l).r\l\l((, IIhirinrl(ladin,:({ltl.((,R{1.t:RIIIYS} arE.o Cod.: acoonl sl.l!r: Mon(bl! P.rd.rr: D:r OFn d: a.l..c: No. of Mo.ttr (i.mr): Hkt cndh: CEdll Lldtl P.rt Duc: 20{6t7X COLLECTION Collnaion D.p.rlm.rt / ag.r.y / Nobdsti,lrgFzo_TRADE toltgDota tt,076.m tt,076,0i, Senously p..t due d.te / rs.igred ro .ttomr!! .ollstior rgrrcli or crdn gntrror&cposis irt.rtr coll4tlon dep.rrm€ni 1ntu2D020 l0/0ri2018 l9 L.rr R.pon.d: Comh€rt3: Drft L.rl A.dre: Drle ofLril Prynerll TwGli* p.ym.ol hiilory Motrlh Ocr Sep A{g Ye.r 20 20 !0 f,rperl.n (l) r(r (r) 70 20 20 20 ,0 20 20 19 ( ir\!t. \l t \ B \\h t._\ll{l \\ (r) (r, lc0 l(1r lco co lco c() I c() I co I co (l) (:() ( () A.oltld. A.ourtIyF: A.coutrr n". - D.t ll: Burc.u Cod.: a.cou.l st.tu.: Mortnl! P.ym.nt: D.t. Op.r.d: B.l.n..: No. olMonrts ltemr: HiSb Cr.dil: Cred Llnlr: P.3r Duc: P.!nenlSl.lri: Lrlr Reponed: Conmerirl D.l. L$t,t.lh.l D.rc olL. P.yD.nr: T*GYcr. prymenl hkror' axxxx RfVOI,VING R.vohinq Ct.rl. Aaoutrr 05/29/2017 $516.00 $300.00 09/01/2018 S€p AuE Jol Jon M.y Apr M.r feb lE tE 18 18 t8 18 l8 l8 Jul Jun M.l Apr M.r l.h t7 11 l7 t1 t1 t1tri t7 @ @ 8.C.1 Packet Pg. 107 Attachment: AGENDA_VIIIC_ERIKA RAMIREZ_REVIEW OF EXPERIENCE (15055 : ERIKA RAMIREZ – REVIEW OF EXPERIENCE) ( l] t\l()Rt(.1(,t l\(' 8t0l23x REAL ESTATE ConY.ntlon.l R..l f.ltt. ljr!. !trcludirg PuEl.k Mo!.y Flnl Ac.ounlsrrtut: Monlhly Prlment: D.t€Op€rcd: Bd.n.e: \o. of Monrhs (rermr: Uisb Credir: Crcdir Limil: P.rt Due. P.r.'nErt Si.tus: l,.st Rcport.d: $1t7.000.00 Pli4 sr p$l du.llodri3 t2l2!r0t5 ac.ourrirfom lo.dhpul.dby .onrun.r u ld.r thc Frir crcdlr Reponing A.t t2l0r20t5 Jul l5 t5 t5 l5 t5 t5 I5 l5 l5 l5 l,l ll IJ I,l t.l l1 ll l.l l.l ll r10 i?0 'tnGYcor p"yn.nl haslorY -__! ao!D \t( ) I ()R ( Rt Dt I I 0\[l 5l07E2XX INSTAI,I,MENT Indlvldo.l lt/19t2014 $r!J85.0t) $.!1.5.10.00 ll P.sr Due: P.rm.nlSl [3: L.ri R€ported: Commenr: t0/0t/2020 T\rcYe.r p.)m..1 hirtory l0l0 lJ !0 l0 !0 ,0 l0 19 19 l9t0t0 0l/ut/20Il1 ls t,t Er-1"fi] 8.C.1 Packet Pg. 108 Attachment: AGENDA_VIIIC_ERIKA RAMIREZ_REVIEW OF EXPERIENCE (15055 : ERIKA RAMIREZ – REVIEW OF EXPERIENCE) I lllsf PRI.,\Ill R '] \\r\ 5l 78lt0x)a!(\)a\xxxx REVOLVIitG Cr.dll C.rd - Rd olrlrg Temi Ac.ourt l: Accounl I\?.: Ac.olol Tr-'pe - D.l.ll: Bu.cru Cod.: AccoutrrStrrus: Monthly P.ym.tt: D.re OpeEd: Brl,r..: \o. ol Monlt! (r.rn.): ulgbCndh: CrditLimir: P..r Du.: PryD€rtSl.tui: l-..t R€port d: Corb.trl.: D.te L8t A.rlte: D.r. ot L.rl Prym.!l: 0l/20/2015 5500.00 01/01/2015 t1 ll t1 t4 t4 ll t1 t.l t.l ll ll ll I]t.1 llt1tl {)R I ll t0 tl 60t 859X)a\XXX REVOLVINC R.voM!8 Cb..g. A.outrt Lquit!r Accou.lr: A.counrryp.: Ac.ount Ttp€ - Dd.il: EiCh Cr.dll:$106.00 s200,00 P.l.l *.r pBl du.60 drF 09n5t2020 lt/20/20t9 09/0,12020 IqG\i,r pa!n6r hisrorr-' l0 20 2ll 20 t0 ,0 t8 t820l0 @ 8.C.1 Packet Pg. 109 Attachment: AGENDA_VIIIC_ERIKA RAMIREZ_REVIEW OF EXPERIENCE (15055 : ERIKA RAMIREZ – REVIEW OF EXPERIENCE) Rf,AL ESTATE A..otrrt*: Accoutrr TtF: a(court fype - D.r.ll: Bur.tr Cod.: AccDunlStrtur: Monrhly Paym. : D.teOpened: Brbm.: Io. olMotrtt! (rcrrO: High Cndil: Cndft Limir: P.st Duc: P.yncnlSt.t!3: l,{ Reporred: Cond€trts: Drr. Lrsr Acthrr Drle otl-..1P.yhrtrr: st r 0-txt0.00 09t0r20t2 l2^8/1006 09/01/2012 TrGlc.rprrm.trr hiiro4 r(r I \to I ()lrs t. t\ r\( L 20t9l2xxxxxxxx INSTAILltEIiT 13?0.00 t2lMt20t9 ul,?9t.00 $r4,500.0r) 09130/2010 09/01/1020 n t1 tl r!ll ll tl 12 ll ll ll ll ll I lt II ltll 20 :0 10 :0 t0 :0 :0 .t ll-Gill i: L.ocic 8.C.1 Packet Pg. 110 Attachment: AGENDA_VIIIC_ERIKA RAMIREZ_REVIEW OF EXPERIENCE (15055 : ERIKA RAMIREZ – REVIEW OF EXPERIENCE) a()ll l l'(,l l() lal ( ()\'.1SS()(l l(riiin,l (''idiror: (:()\l[\l I l ll.r \() Ac.out *: Ac.oulr'IYD.I Acooll IlP. - D.bn: Bur.u Cod.: a..ourr sr.tu.. Motrthly P.ym.rt: DrreOpeNd: a.hn.e: No. olMorthr (iermo: Hkn C.ditl Crcdll Lioit: P..t Du.: P.tn.nt Si.t!.: L.it t.D.n d: ComD.trtr: Dra. lar a.dr.: D.l. of lJi hyu.!t: IrcY..r p.ym.nr bhtory ()ct Scp Aug Jul Jun t0/0tir0r0 fI s479.00 r.g.lly p.ld ltr full for l rn.r rt. ftllbdu.. t0/022020 0911412020 ,16l l,l6lLxl( INSIAI.LMENT Frtoring CoDp..y Nolr.drtdn8r TRADE ,0 20 !0 19 19l|+'1,0 20 ( \l,rl \l ()\l lr \\l\ I \ \ \ f- +---r-lc(, r() i A.counlr: Ac.o!trr IlP.: Accourl IYpe - Dclrll: Brrcru Cod.r AccoutrlSt.tur: Monrhly P.Ym.nr: D.t. oD.n.dr B.lrr..: ro. of Mo.lt! (lermr: HighCndn: Cr.dit Llmh: PBr Du.: P.yb.nr Sa.lti: L,.r Rqo.red: Comm.nts. D.t. L.rt Activc: D.r. of l,rNi Prymetrt: T*GYcr prym.ll hitrory 5l rE05L\X\XX REVOLVINC CEdlr C.rd - RoolvtD8 Terdr s!5.00 It2 2019 t125.00 1570.oo $911,.00 0o/0112 20 Aug Jul Jtrn Miy Ap. M.r I0 19 19 !9 t9 @ 20 20 20 u0 Feb Jatr D€c Nor ()ct 19 l9 l,r 18 lri t-r-l_] r\lotrrh \q, .\ug .tul ,Itrn \Lrr r0 20 ,0 20 ()l\:lrh x I'h ('6 oN ir LcAcod 8.C.1 Packet Pg. 111 Attachment: AGENDA_VIIIC_ERIKA RAMIREZ_REVIEW OF EXPERIENCE (15055 : ERIKA RAMIREZ – REVIEW OF EXPERIENCE) Accoulg: A..ornr Il!.: Accounr'hp. - Dct.il: Brrc.u Cod.: Ac.ouni Sl.io.: Ntonthlt P.tm.rt: D.re Opeoed: t.1.tr..: \o. ofMorth3 (t.rnr: Hkn Cr.dll: Crdlr l,l[it: P.rr D&. P.yh.nr Slrtur: l,8l R.porl.d: Cohn.n13: D.re L$t Actlve: D e otl-$r P.!ient: TheYc.r p.yn.trr hklory sl2lorxxx xxxx\ REVOLVING Credii C.rd - R.vohirg T.rms Autnoriz.d Un, 329.00 l0/0lr0 t627.00 45,479.m t7.lno.m 09t26/202,0 TSep Aug Jul J!tr Mry t0 20 20 20 20 t9 19 Moy Apr Mr Fcb t9 l8 t8 llt --t-0h "r\ i'r\ ok r,k (lr 0h |lh ',1\ ()r(lo( (rriotl(,Kil)l( ok l)K:ol( oNlol( ()l\l()t\ or\]()l\ \l \((),\\f( tlt t,l t.\t(,\ Hlst C..d!: ,tt205?xxxxxx Rf,VOLYIT_G C.edi. Cr.d - R.volvitrg T.rDs to.o0 lv21t2tl9 s81.00 145a.00 s50t.00 09/1712020 09/01/2020 20 20 20 --f 20 20 20 20 TVGYc.r prymol hi.lory Morth ScD Aug It.r 20 20 [rperi.tr ot\ r,i ()x l()( ()t( l()r( ot oh 0r\ t9 19 19 L-.*;l 8.C.1 Packet Pg. 112 Attachment: AGENDA_VIIIC_ERIKA RAMIREZ_REVIEW OF EXPERIENCE (15055 : ERIKA RAMIREZ – REVIEW OF EXPERIENCE) ( (r1t[.\r I I nr\h Pllll I Accoull r. A..ornr'IYp.: Accounrlyp.- Detrll: Burc.u Cod.: A..uunt Sl.tui: Moninly P.yn.trl: D.re opened: B.L!c.. No, of Monit. (iermd: Hlgb Credtu: Cr.dirLimit: Pr Do.: PrtmentSi.tus: 1,..t R.pon.d: (-oED..13: Dlrc L. ,{cll!c: D.tc ofl,.sr Prln.nll I$Gl.,r prraent tlrio'-1' Motrrh M.t Apr Mrr lcrr 18 l8 l8 frpdrn , |r\ ()l\ t( 5E563,)L$L\XX REVOL!'ING R.volving Ch. rg. Accou n I t2,0!7.00 05/05/20tE 05/0t i20llt l1 't1 t1 l1 t1 t7 t1 t7 t6 uh {rl( lol\ Loh loh IOl( I(,h ] ()l\J-ffit1 1 f @ t8 18 t?t1 t1 t1 !,N-1 or lor]j,r l(,K lo'( | A..ourl l: A.cou Type: Accounr tpe - Det.il: AuE.uCod.: A.cntr.tSr"tur: Morrhlv PrlDenr: D.t. oD...d: B.l.n(c: No. ofMonths (t€rms): HlBh Cndil: Crcdir Limir: pstDu€: P.yD.!l Sl.lu.l l,.n Repon.dr Comm€nt.: D.t. L..r a.tiv.r Dit. of l,r, P.yne.r: TnPY..r p.)her! hLtor! 47669tXL\XXXX REVOLYIl'C Revoli.S Cb.r8. A.coulr 09x,rri002 ll52.00 tlJo).00 l4 t! tr lar1lllj.l tr lr t,t lll]ll ll ll ll ll ll ll t2 tz t1 @ 8.C.1 Packet Pg. 113 Attachment: AGENDA_VIIIC_ERIKA RAMIREZ_REVIEW OF EXPERIENCE (15055 : ERIKA RAMIREZ – REVIEW OF EXPERIENCE) --+l0 t0 l0 l0/01/2012 l_l-oK loK r r -l l0 l0 ;r,,i1," ll{rifu\ 60t859Lj().XXX REVOL}'ING R.roMtrg Cb..t. A.cou.l A..otrrl l: A.@unl TIP: A..ouni tp. - D.t!ll: ErEro Co.lc: Ac.ounlSl.iur: Morthlv P.tm.nl. D.r. op.!.d: B.l..c. \o. olMonttr (l.rnr): Hicn Cr.dlt: Cr.dlt Llnlt: P8r lro.: P.in.nlSl.lu3: L.!r Rrport.d: CoDm.nli: Drl. LBt,{.dv.: Drrc of Lrlr P.rm.nl: TsGYe.r p.ynent hhtory g{.00 t200.00 0E80/2011 ll 03/0liI0l I t0 r0 T h \\t!t\t\R(;()l!\\l\ ,rx I ox ltrx-t T( ,L26a4XXXX NEVOLVING S..!nd Cndir C.rd - R.rolll.g a..o{ntr: A..omr n"c: Acou.r 'lip. - D.t.il: BoEtr Cod.r Ac.our St.rurl Itlotrlhlt P.yd.nr: Dtr. OFr.dr B.l.r..: No.ofMo tr(lerdr: Hlet Cr.dft: Crcdft Llmll. P.it Du.: P.yn.ntSl.tu.: L$t Report d: Conn.nli: D.te L.ra A.drc: D.t. ofL8t P.yDrnt. I*cl'e.r pryDcrt nbtory 10t26t201, @ t2 t2 t2 l2 llt2 t2 t2 tl t1 t2 _]_L -- ltlltlll l'cb Jrtr De. |lo\ ltt0 l0 @ s300.00 8.C.1 Packet Pg. 114 Attachment: AGENDA_VIIIC_ERIKA RAMIREZ_REVIEW OF EXPERIENCE (15055 : ERIKA RAMIREZ – REVIEW OF EXPERIENCE) o B.low arc ihe Mm.. ofpcoplc odor orSaiztions who hav. obtlincd a copy of your Crcdit Rcpon.lnquiries such a6 lllcs. can rcnaiD on your crcdii filc for uI ro two years. !IICROBILTCORPORATIOT' CRET)co llERCHA,\TS CRf, DIT AURf, A CREDCO NOWCO}I/WESILAKE FINANC C PITAL ONE AUTO FIN CDIVGERMAIN T'OYOTA FLACSHTP CREDIT ACCf,PT SAI'IIAND[R CONSUMf, R USA NOI}COM/II'ESILAKE FINA:{C CAPITAI-ONE ATJTo }'IN AILI' FITA\CIAL GLOBAL LENDIT_C SERVICE SI'\CO,\ST CRfDTIUNION \o\rco\t/c & f AUToSALE LOBEt, TI\ANCIAI, t_oBuL t_t\ANctAt, S\ \CB/oI,DNA\ I s!\(oasl CRIIIT UNION GI,OBAI, I-ENDINC SERVICI SA\TA\Df, R CONSUMI:R T]SA ALLY FTNANCIAL \OWCOMA f,STLAXf, FINANC ,TMERICA:I CRI]DIT ACCEPT CAPITAI, ONE AUTO '!NLEASf, & RENTAI, MGIIIT CO \owco\!-/c & F auTo SAI_D FLACSHIP CRf,DII ACCEPI U\I'I'ED AUTO CREDIT CO SA\TA.\DER CO\SUMER ISA ALLY FINA:ICtAT- A\IERICAN CREDITACCIPT CAPIIALONf, AUTO FIN Crcdil R.pon Brok.r. Auto Fin$dnt Comprnl.s Auto Firitr.irg Comp.ni.j Atrto Fi mitrgConprnies Automobile D..1.r., Ur.d Atrto Ftnr.lng Cohprnl$ Auto Finrncing Comprnie. rirrtrcc Co0pmi* ' non lp.cllic Auro FlDucttrc Cohp.nles Auro FiDrrcins Conprni.! Auro Fi mitre CoDp..ie! Auto IiE!trciEg CoFp..ie. rnbmobih D€.|€rs. Uied \uto Fitrrming Comprni6 Auto Fir.n.ing Comp.ni6 Srles Flnrnclng Conp.ny Arto fiMncitrg ConD.nies Finuc€ Comp.ni.s - tron lpc(ific Auto rirrcins ComprDlei Auto Fitr.trcins Comp.nlcs Aulo Fir.trcirs Comp.nie. arro Fitr.r.hg CoEp. e. A omobile Derl.n. Ui.d AEro fimmirg Co6prnl.. .\ulo Fin.ncinB Codprtri.$ fiDrE.e Comp.ni6 - non $ecilic Auro Finrn.lng Codpr.i.s Auro l.imrcirg Comp..i.! Auro Fi.i.cilg Comp.ol.j 10r'01/!020 ort9no70 09/1112020 t2to4t20t9 t2/oADOt9 t2t04tr0t9 t2N4tZ0t9 lt/!0/2019 lt110/7019 lr/a0/2019 ll/!0/2019 lt/10/2019 /10/20r9 i/r9/r019 |/2912019 11t29t2019 tv27t20t9 llt25t20l9 llt23t20t9 ltD2D0t9 lt/20D019 In9n019 1Ln8q0t9 t1nan019 lvlS/2019 lt/la2otg 1VtEt2019 1U18t2lt9 l0Da)20lc tu2at20t9 l0/28/201, r0/28/20!9 l0/15/2019 l0/15/2019 l0/15/2019 10/r5/2019 o Below n an ovcrie* of you public records md cm include deiails ofbanlruptcy filitrgs. coun Kords. tax lieB dd other monetary jud8me s Public rccords typically remtu on your Credit Repon for 7 l0yeds. lnquiriel Ihhli( Itlirnrxlio 8.C.1 Packet Pg. 115 Attachment: AGENDA_VIIIC_ERIKA RAMIREZ_REVIEW OF EXPERIENCE (15055 : ERIKA RAMIREZ – REVIEW OF EXPERIENCE) O The nmes of people od/or or8anizations who havc oblaired a copy of your ctedit rcpon {e tisied below AIIERIC,{\ CREDIT ACCEI'T BK OF AYER COMENITY BAIN,'F]XPRESS COMENITY BANIOP![R I CITIMORTCACf, INC CAPITAL ONf, AANK USA N CREDCO CAPITAL ONDAUlDTlN CDTVGERMAN AOYOTA FORD MOTOR CRI]DII COMP RS'' PIIF,MI'R BANK FLAGSHIP CREDII ACCEPI GLOBAI, LINDI\C SERVICf, r(rA f,ralToLs II\a\c1: LOBEL FNANCIAT,CORP LOBEL FI\ANCIAL I-IASE & RENTAL MCMTCO MACYS/DSNA MICROBILT CORPORATION Mf, R(]HANTS CREDIT BUREA NOWCOM/WESTLAKE FINANC NOWCOM/C & T AUTO SALE PROTESSIONAL ADJMNT CO PORTFOLIO RECOV ASSOC SYNCB/GAP SA\TANDER CONSUMER USA (roo)2t3-7rrE (E00) 95!-?0?0 (800) 523-l'2!! (r00)94G0!3, (2t9) 592'5551) (E00) 227-4125 BYMAILONLY (61)5) 157-t0tl0 (610)717-t99 (6tt) !ll&2ttt (166) 3Jr-56!' BYMAILONLY (7() 99;!33! (9?E) at5-lt8r8 (801)) !4!-6552 (7?0) 2r&.!100 (912)r!l?-7c00 (323) 692-.r0ao (75,t) 223-,t051 (239) 4!7-0sr5 (757) 5t9-9100 (877) 212-6868 (t0o) tt7-ll9E (E{6) 92!92E2 PO BOX 3097 BI,(X)MTNGTON. IL 61702 ]OIO W ACUA FRTA F\II SIE PHOf,NL\ AZ E5{27 96I E MATN ST SPARTANBIJRC. S' 29302 1909 sA\aRfsE clR IATIPA. FL 3]6}I PO AOX tE27E9 CoLUMBUS. OlI432l8 PO BOX 182?89 coLUMBUS. OIt 41218 PO BOX 9!3E GAITHERSBURG.VD 2OE9E PO BOX 31293 SA!T I,AKECITY. I]T84I3! PO BOxs091r,l sAli DIEGO. CA 92150 PO BOX 259407 PLANO,TX75025 IJ315'IAMIAMI TRL N NAPI.ES. FI,f,4IIO PO AOX 30281 SALT LA(E CITY.UT8,lla0 PO BOX BOX 5.12000 OYAHA, NE 6E15,4 6I}I S MINNESOTA A}E sIoIrx rAlr.s. sD 57tl!.t ]CIIRISTY DR STE 2OI CHADDS FORD. PA I9f17 !399 PEACETRIE RD NE STE {TT.ANTA. GA 30326 IOIIO MACARTHUR BLVD SIE \ E\I PORT BEACH. CA 9266{' PO BOX 30tX) A \AIrf I\,l. CA 9280:t I5lt N MAGIiOI-IA AvE 15 ILA\'ERHILL ST A\DOVI& MA0I8t0 vasoN. oa t5M0 1640 AIRPORI RD NIi STD I KDNNESAW. GA 30l,rl 4I PARX OF COMMERCE WAY SAVANNAH, GA 3I4I}5 .75I WILSHIREBLVD STE I LOS A\GELES. CA 9{1010 :1651SW 51ST ST STE 306 DAt'lE. FL 31314 l4,ll0 METROPOLIS AVE FORT MYIRS. FL33912 I5O CORPORAIf, ALVD t{oRFoLI( \A 2J502 PO BOX 965005 ORLANDO. NL 121l)6 PO BOX 965005 ORLANDO. FL '2896PO BOX96r2t5 FT IVORT . TX 7616t (tt8) 2lctto8 lli,6)42-r71O (a66) 4ll.{2 (g)0) 66&650' (lroditoa (lol|t^t(\8.C.1 Packet Pg. 116 Attachment: AGENDA_VIIIC_ERIKA RAMIREZ_REVIEW OF EXPERIENCE (15055 : ERIKA RAMIREZ – REVIEW OF EXPERIENCE) strNco^sl (RuDt I uNt()N t\llt:I) \l I() ( RltI)ll ( () \l ELLS T\RGo BA:.'I( sloll\ lALLS. sD57117 6A0I E HtI I-SBOROUGH AVE PO BOX 965005 oRLANDO. FL 32496 r0?r cANtf,LBAcK sT srf, 10 \ErIPORT BIACIT- CA 926ri0 PO BOX ll5l7 I)F.S [tOFiF:S. IA 50: t6 {813)52t-7511 (877) 222,6468 (949)224-t9t' (80{) 642-,1t20 8.C.1 Packet Pg. 117 Attachment: AGENDA_VIIIC_ERIKA RAMIREZ_REVIEW OF EXPERIENCE (15055 : ERIKA RAMIREZ – REVIEW OF EXPERIENCE) 886 110th Ave. N. Suite fl5, Naples, fL 34108 Phone:239.777.1028 Faxi 877.275.3593 www.[icensesEtc.aom BUSINESS CREDIT REPORT as of: ro/27/2o t7t1s Er Pegaso Pool Finishing, LLC Addressl Fed Tax ID# 38-4124811 Key Personnel: Manager: Gutierre2 Sergio222 Coolidge PL Naples, Ft 34104-3852 United States 1542 Nonresidentia Construction, Nec Experianq!!: 469254681 Agent:Gutierre2 Sergio 23622o-Commercial And lnstitutional BuildinB Construction NAICS Code: Business Type: Corporation Experian lilg €stabli5hed: lune 2019 l Year Years in Business: More than l Year Expelian Yea15 on File: Filing Oata Provided Florida by: Oate of lncorpo.ation: 06/13/2019 PUBLIC RECORDS HAVE BEE SEARCHED AT THE COUNTY, STATE AND FEDERAL LEVELS v Bankruptcies: r' Liens: / Judgments Filedl v' Collectionsl ENO OF REPORT 0 0 0 0 Page 1 of 1 Public Records t t:{lT (, SIC Code: Agent Add.ess: 222 Coolidge Place Naples, Ft 8.C.1 Packet Pg. 118 Attachment: AGENDA_VIIIC_ERIKA RAMIREZ_REVIEW OF EXPERIENCE (15055 : ERIKA RAMIREZ – REVIEW OF EXPERIENCE) 10l8t2tJ2A r_/ll ?()l | -'! lt )) t.,/ttli,l.z',o19 ( ..---. alnrdoerr.elslele / Q]l1!I!!-d&fl9lalem / s..rdr Rd@rds / s@rcn bvlxovlra! / Detail by Entity Name Florida Limiled Liability Company PEGASO POOL FINISHING, LLC E!!!!s lnrormaiion DocumenlNumber 119000156482 FEI/EIN Numb$ 38-4124811 Oate Filed 06/13/2019 State FL StAtUS ACTIVE fuincipalStldte$ 222 COOLIDGE PLACE NAPLES, FL 34104 Ueiljlg Address 222 COOLIDGE PLACE NAPLES FL 34104 BssiE&reCAsedXaEdiddlels GUTIERREZ, SERGIO 222 COOLIDGE PLACE NAPLES. FL 34104 Authorized Personlr)lelail Name & Address TrtleAulhorized Member IiUe Authorized [,4ember, Assl. Secretary Gulien€z , Sergio N 222 COOLIDGE PLACE NAPLES. FL 34104 Ramirez. Erika 3933 SW 25TH PL Cape Coral, FL 33914 Annual Repods Report Yea, 2020 2020 Filed Oate o6t1012020 14t0512020 search sunbrz.o.g/lnqurry/Corporationsea.ch/searchResurroerarl?rnqu rytype:EnlrryNam&dtr€ctorTyp6=l.oaBsearchNareo.deFpEGASOpoolF 1t2 8.C.1 Packet Pg. 119 Attachment: AGENDA_VIIIC_ERIKA RAMIREZ_REVIEW OF EXPERIENCE (15055 : ERIKA RAMIREZ – REVIEW OF EXPERIENCE) Electron ic Ar(!cles of OrganizationFor Florida Limited Liability Company Article I lh\. nj c ()[ rhe I irlil(Ll Liahilil\ Companr is P},(iASO POOL }]I\ISI II\G. LLC L t 9000156482 FILED 8:00 AM Ju ne 13. 2019 Sec. Of State kepage Article II l-he street address of the principal oflice ofthe Limited Liability Company is 222 COOLIDGE PLACII NAPI-ES, FL, 34104 The mailing address of the Limited Liabitity Company is 222 COOLIDCE PLACE NAPLDS, FL. 34104 Article lll The narne and Florida strect address ofthc registered agent is SERGIO GUTIERREZ 222 COOI,IDGF, PT,ACE NAPLES, FL. 34I04 Having been named as registcred agenl and to scccpl servicc ofprocess for the above shted limiled liabilin company al he place dcsignaled in $is cerijficate, I hereb] accept the appointnent ss regislered sgent &nd agiee io act in dris capacity. I funher agree to comply r.r i$ $e provisions ofall slatules rdlating to 6e proper and complere pcrformaace ofmy dulies, and I am familiar wilh and accept the ubligatitrns ofmy position as registered agml. Registered Agent Signature: SERGIO GUTIERREZ 8.C.1 Packet Pg. 120 Attachment: AGENDA_VIIIC_ERIKA RAMIREZ_REVIEW OF EXPERIENCE (15055 : ERIKA RAMIREZ – REVIEW OF EXPERIENCE) Article IV lhc namc and address ofperson(s) authorized to manage LLC Tille: MGR SERGIO GI-TIIERREZ 222 CCX)I,II)GI.] PI,ACE NAPLES, FL. 34I04 Signature ofmember or an authorized representative Electronic Signature: SERGIO GLTTIERR.EZ L'190001 56482 FILED 8:00 A[,4June 13.2019 Sec. Of State kepage I am lhc mcnrhcr (rr xulhorired reDres<nlativc suhmrnrno thcsc Artitlcs .r[ Orpanizarion and amrm ftrl thu l!!rs shircd hcrein:rrc true. lam iruarc lhat lalsc inftrrmalitrn suhmlllcd in a ilocumenl lo thc Dcnartmrnl ol stalo ((,nstilulci a lhLrd Jegrce lelony as prorrdcd li'r in s 817 155. f.S. lunJer.LanJ thc rcquir(mcnl l,' fil. rnrrnnual runorl hcn\ocn Januar] I'l and \4av lst in lh.jlalundarycllr follot\ing formation ol thc II ( anLl ercrr ruLLr thcrcancr to mainlaii 'aclire" slatis. 8.C.1 Packet Pg. 121 Attachment: AGENDA_VIIIC_ERIKA RAMIREZ_REVIEW OF EXPERIENCE (15055 : ERIKA RAMIREZ – REVIEW OF EXPERIENCE) 2O2O FLORIOA LIMITEO LIABILITY COMPANY AMEI{OED ANNUAL REPORT DOCUT\,1ENT# L1 9000156482 Entity Name: PEGASO POOL FINISHING, LLC Current P.incipal Place ol Business: 222 COOLID6E PLACE FILED Oct 07, 2020 Secretary of State 4051776995CC Current Mailing Address 222 COOLIDGE PLACE NAPLES. FL 34104 FEI Number:38-4124811 Name and Address of Currefit Registe.ed Agent: Certificale of Status Desired: No GUTIERREZ. SERGIO 222 COOLIDGE PLACE NAPLES FL 34104 US fhe abavo iafred ontity sbnit this .tat nont lor th. putp$. ol changino n agistoad afi.. ot ,agtstocd ag.nt, ot both, in tho Slate ol Flonda SIGNATURE: Elecroor Srqoalure or Regisle,ed agenl Authorized Person(s) Detail : TiIIE AUTHORIZED MEMAER Nafre GUTIERREZ. SERGIO N Addrass 222 COOLIDGE PLACE CLly Slare Z'p NAPLES FL 3410.4 cny.Stare-Zip AUIHORIZEO MEMBER, ASST SECRETARY RAMIREZ, ERIKA 3933 SW 25IH PL CAPE CORAL FL 33914 tdr-dtltubtuN@dtuEqtdrut!r'.rnddnFa" .sttunfltuhgmtegdtuoln blrn,r.nq othtubhh, dwlr .tutu,wlaq!tubrchaptu 505 Fb,iasrrdr d SIGNATURE:SERGIO GUTIERREZ N OWNER 1Ol07l2O2O Eleclonrc SionaluE ofSisnrnq Aothonzed PeMn{s) Delai 8.C.1 Packet Pg. 122 Attachment: AGENDA_VIIIC_ERIKA RAMIREZ_REVIEW OF EXPERIENCE (15055 : ERIKA RAMIREZ – REVIEW OF EXPERIENCE) fdfllIRS?EPARTI'IENT OF THE NTERIIAL REVENUE TREASURY SERVICE 45999-0O23CINCIIIIIAT I OH 0 0 r 5 9 9 . r ? ,l 6 3 I . 3 2 5 5 I . 5 ? 3 2 1XB 0.a23 il0 Date of this notice: 08-12-2019 Enployer Idehtificatioh Nuhbe. I 38 -412481I Nuhbe. of this notice: CP 575 G htrIrlrlr,lll,l,rlrlhl t,lrt,,rtrrllr,tlt,lllllllrr,,,,lltr [:i:ir;i PEGASO POOL F I III SHIIIG LLC SERGIO GUTI ERREZ SOLE M8R 222 COOLIDGE PI NAPI ES Fl 34104 For assistance you may call us ai I -800 -829 4953 IF YOU I,JRIIE, ATTACH IHE SIUE OF TIII S IIOTICE. Thank you foryou EIN 3A-4I24411. and docunEnts, evenperhanent reco.ds. applying to. anThis EIN ai.ltif you have no Ehploy.r ld.ntification Number (EItl). t{e assisnedid€ntify you, your business accounts, tax retu.ns,ehployees. Pl6ase k66p this notrce in you. Ithen filing tax docuhents, payn6nts, and r6lated cor.6sponde.ce, it is veryinportant that you use your EIN and concl€te naD6 a.d address exactly as shoBn above.Ahy va.iation hay cause a d€lay in processins, result in incorrect info.nation in youraccolnt, or you to be assiened.nore than one EIN. If the info.hationis not co.r6ct as shoFn abov6, please nake the correction usins the attached t6a.-offstub a.d .€tu.n it to us. A lihited liability cohpany (ttc) 6ay fjle Form 8832, Entity ClassificationElection, aod elect to be classifi6d as an assocration taxable as a co.poration. Ifthe LLC is eliqible to be treated as a corporation that heets certain tests and itrill be electins S co.poration status, it nust tin€ly file Form 2554, Election bv aSnall Business corpo.ation. The LLC xill b€ treated as a corpo.ation as of theeffective date of th6 S co.poratio^ election and does not need to flle Forh 8832. I/E ASSIGNED YOI] AII LHPLOY'R ID€IIlIFICAIION IIU14BES IXPORTANT REIIINDERS: Provide future offic6rs of your orcahizati.n rith D copy 6f this nnticE t Keep a copy of this notice in you. pe.manent records. Ihis hotice is issuedonly one tine and IRS Hill not be able to sen6.ate a duplicate copy for you. Yot! may siv6 a copy of this docunent to anyon€ askinq for proof of your EIN. Use this EItl and your nane 6xactly as theyon all your federal iax fo.fts.appear at th6 top of this notice Refer to this EIN 06 you. tax-related cor.€spohdence and docunents Your nane control associated riththis inforhation, alons rith yollr EIll,this EIN is PEGA. You iill need to provideif you file your.eturns electronically. If you have questions about your EIN,add.ess listed at th6 top of this notice.the bottoh of this notice and incl!'de -it pi Ittlr can contact us at the phone nunberyou Hrit€, please tear off the stubyour l€tt6r. Thank you for you. )8.C.1 Packet Pg. 123 Attachment: AGENDA_VIIIC_ERIKA RAMIREZ_REVIEW OF EXPERIENCE (15055 : ERIKA RAMIREZ – REVIEW OF EXPERIENCE) (tRs usE oNLv ) 575G 0a-12-?o19 PEGA 0 0255186656 SS-4 Keep this part fo. you. reco.ds. rit F,jl.it CP 575 G (Rev. l-2013: 9eturn this Fe.t ri.th a^y corrcspondaic6so l.e lnay identify your account. P]easeco.rect any er.ors in your name or add.ess cP 575 G 0235186 56 6 Your Telephone Nuhber Eest Tihe to Call()DATE 0F THIS NOTICE: 08-12-2019 E}IPLOYER I OENTI FICATI ON NUI'IBER: 38-4I248IIF0RM: SS 4 N0B0D IIITERNAT REVEIIUE SERVICE c IrlcI NNATI 0H 45999-0023 ,Ir,,1,r,[,r,,tr,r,t,.ll,lllll. ll,n,lhltI,tlh,lt,tlllr,ll PEGASO POOL FIIIISHING LLC SERGIO GUTIERREZ SOTE H8R222 COOLID6E PL }IAPLES FL 34IO4 8.C.1 Packet Pg. 124 Attachment: AGENDA_VIIIC_ERIKA RAMIREZ_REVIEW OF EXPERIENCE (15055 : ERIKA RAMIREZ – REVIEW OF EXPERIENCE) IlralR I 2016000257525, Do. Iltr aAt, Prgc. 1, R.cord.d 12/07/2076 rt 12:50 lx, Li.nd. Doggott, r-c County c1.r* o! circuit Coult, R.c. t . 91o.oo Dat atl' CL.rL lOlRREn o, }\I Filirg # 4%74850 E-Filcd 121062015 0l:01:3t PM ROBERT C. AI)AIXSXI Trurcc of tho Adasti F6ily !rrrvo.. r Tn * &t d lrrln 24, 1998, ir.!Er6s -/or arriSlr 8 6air iri.!.I Ery 4Pat, Ptdtrti4, cAsENO. lrcA-1496 Judgr: xrii R. Kylc Dclibddt!, SATIEACIA(III (N JIII!flII'T @MES:tlOW rt ui&i!!.4 ROEERr C, ADAIIISL! Abnry. rre, lrfc.d&. b ! 7ta C+ C{..1 P.rt*ry E4 Cry. C6rl Pkid., 3390a, hd }..t!y .cbfrbda. rh.l b i. lh. .tlqry of rtoad fr. nOBERT C. ADAMSXL Tir.to. of lt A&6*i Foily lrcrc6lo Thr* dd frrEh 24, 199t, in Clc lfo. 16{A-106 io tu Citrdr C..rt of &. Tludi.A Jud-i.l Citlrln in .n ft. f.a Corlaty, FloiilA &d tarty roa. r full mrffit h.. b6 r-.i\od by n6trr C. A&o.ti on !.&atf of 6c ROBBRT C. ADA'IIISKL Tor.. of tb Ade!&i F.Eit Inrvoc.bL Tlld d.!d Mrch 24, 199t, Pt ilritrh tb tulblrirt Firrl,ld!6 -|ud b 6o hwnn r*oocd rtovo: nid J.dtrr ed Ont.. 3l, rala rd r€.{d a crra.i a rar( b-d ,raL*lt 3{h&ht& lonldlc Co-!l,ll..8. Thc f(t!'dE Fnd hl3mot of fq!b.!r b. be .airfd h firl od ti.to&dt!.d hatb, coGrt to !b s beirt arffi.d of rtdd.r' STATEOF rI.oRJDA )@t,N?Y OF LEE ) ft. fqlaoirg iosulrr anl ..hdrlcdf.d b.6.! o Oir l& ary ot -,0r.c---1,.rr-I200q by ROBERT C. ADAMSfI *h it !.r...[y lnor! 6 E ed wio dA nd t.t .! odl. rDl! PUiOV scoa@lr6r6rE aaFldt Jrn tO. toll .Fi5 L- Coqty CIrt ., Colrlr P.e. 1 IN TIIE qRCUTT COURT OF THB TS'ENTIETI{ ruDICIAL CIRCU'IT IN AT.ID r\fR LEE CITJNTY, FI,ORI'A CIVIL ACIION ERI(A RAMIRIZ.ATT ERJCKA MALDONAm,. 6iDgL sio6e, STATE OF FIORJDA CIIASE BANK USA N.A ad LVNV FIJNDINO, Lrc, . Forlig[ t ioitca UeUtity Coqfqy, 8.C.1 Packet Pg. 125 Attachment: AGENDA_VIIIC_ERIKA RAMIREZ_REVIEW OF EXPERIENCE (15055 : ERIKA RAMIREZ – REVIEW OF EXPERIENCE) INaTR 12018000123330, Doc ryp. REL, Pages 1, Record.d o5/22/2o1a at 09:04 au, Linds rlogg.tt, Le county clerk of cilcuit court, R.c. Fee S10 00 D'Putl' Cle'K MNOIAN Florida DepertDent of Rev€nue Rcemploymcrt Tar SATISFACTION OT TAX LIEN ATTN RECORDING DEPANTMINI LEE COUITTY CI-ARK OF COURT FO BOX 227t FORT MYELS FL3MZ.27?t Conrrlcr Ob.j.d c ::6 ?,{9 | 2lo!14 : r.1315903 I{OL AROI}|ERS COXSrrtrllON IXC cltff clrn-ll tr ,r9l r'5,r6t L'f,N NUMAEA [,ATE FILED o_E aoo( (llMaER PACE Nt'MBER INSTRUMf,NT NUMBER 100000076 I 05J l0R tn0 t7 20 | ?ooo?2 7030 u/lt t t- D€r dt Ma.tl h rt ltl,lt lE4 oal€ Cdny. rhin rn & -o.Edoiaold. &@.t6 . llt $r. oaflriL D.r.uF! ofBcqa hr l*w.d d tsib.CdLd.E tlt prd oa.! ,d.t -ql t, r.il 15 -a lE6, dicdr tta it lE d6f.d oa'E'd wa6 ot h-a..4 dlt id d A r$tciry.f td,lFs. rrcery. FL.i!. l5r l7U .L, oaMn. 20ll L@ M. E-a.alr. EElrft oiBl.Prc te!, l'n lrnoci6 olli6. s6d )trifte .!a d..rat .frds b: rl0$Dr Thc SEl. ofFlori& Dep5tE .m ofn r,lnue n i pt vioialy ii.u.d it! NOTICE(S) OF TAX LIEN: lT ctl ,rallo(s !l.OX|DA Dt?lATll!:t.t Of trvgNur: fafi.^ll^ssEE FL 31t t a-toa3 8.C.1 Packet Pg. 126 Attachment: AGENDA_VIIIC_ERIKA RAMIREZ_REVIEW OF EXPERIENCE (15055 : ERIKA RAMIREZ – REVIEW OF EXPERIENCE) Ixdr DGaat, L.. Crs.ry Cl d O.rult Coon nSTn", 2orfzarallo,ltc Tyrc XEL lrE r, r..o.{.d lIraIlS .r roJ3 AM, D.Drry Ct 'l. LfS!(BmO Xac l.d: StOo Floridr DcpsrtmcBt of RcvcDuc Rccmolovmcot Trr SATISFACfIOT{ OF TAX LIEN FTOIIDI col!6 oqcq # I z6rtl9 r ,3Ga,lt : l4r lJ9O3 ATTT RSCONDING DE?ARTUEN'T t,EE cot IiTY cl.lxx oF cotnTm aox ztt FORT rYERS PL 39O2-277t tE roq. LotlEll @tta3Tllrcllota DaC € x Mrnaz J9t' sit ,5IH 't-CA'E COIIL FL illtl.t"llt6, whlc! l3 ld &1, Bdd.d h & Arta, adt .a Lq C.rry. FIdL. afr rlE .rqr Ga .Ed.rd, ,lE d- rI: tb Sr. oaFlrb Dr.a ol a.fu L Eea'na r.l hr.dqk... illl Btrn.a.ll -3.r..C t ria lia rd Lar.tu llritt dLa olda wbry rna d odl('r d r. 0a Cr, oa 16 Mr6, L.. Cdrr. nri,+ d!i. lrlr &, oao.6.., ,ll Th. $4. ol Flo.td. D.Ft:l.ar otlrvldo. 13 FldqlJy il,) d b NOTICE{S) OF TAX LIEN: LIEN NUMBET DATE FILED o,B. a(x)K uuBBr PAGE NUMIEN INSTNUMSIIT NIIMBER inv20t7 2017o)o2420{5 !.r! M. Ai|,bll E.odE Di..io.PL* ltdi rhi. rrlib]o. oalh S.nd ta! hd6.n do.aaha i6.!d@ c i1 aDutqnqtas tLOllDA E IT!@{T 6 IEVEI{rE ao rcxL, a]lLl.AflalsEEFL:tttta-!al 1000000763146 8.C.1 Packet Pg. 127 Attachment: AGENDA_VIIIC_ERIKA RAMIREZ_REVIEW OF EXPERIENCE (15055 : ERIKA RAMIREZ – REVIEW OF EXPERIENCE) Suncoast Account Statement tvlember Nu rl)er a8/21/2A20 A9/)a/21))l) PaAel ai 4 Suncoast Credit Union ERIKA M RAMIREZ 3933 SW 25TH PL CAPE CORAL FL 33914-5467 Access You r Account: SunNet Online Banking sunMobile App SunTel Phone Banking For Direct Depos t and Automatic Payments use Routint Number (RTN):Bank safe, Secure and conveniently. The SunMoblie app lets you manageyour llnances qui.kly, safely and securely Deposit checks. Transfer Funds. Manage all ofyour a((ounts. And morel Bank whenever, wherever. Learnmore byvisitingsuncoastcreditunion.com. Year to Date Summary D \' detc! Pd 'r YID REGULAR SAVINGS Suffix 0000 Transaction History Post Oate Eff Date Transa6tlon D€scription 0t,2r /2020 3a ance :Llrward \o lr;rrisral 3rr9 ior 1,r s ay( e 500 Total for this Statement Period TotalOverdraft Fees Total Returned ltem Fees s0 00 to o0 Total Year to Date $0 00 $0 00 SMART CHECKING suffix 0050 Activity Summary Prev,ors tsa.r,r. 08/21 /2020 EndinS Balanc€ 09/20l2020 t47.30 Transactlon Hlstory Post Data Eft Data Transictlon Ocscription Oat21 l2O2A Oa/21/2O2A Deposrt Transfer FromJ MENEZ,BERTHA XXTxXXXXXXX Share 0051 a8 2'/202A 08/21/2024 Vt trot awal Aa/22/2O2A 08/22/2024 \tl ithdrawal Debi! Card STARBUCKS STORE 11783 CAPE CORAL FL OA/22t20)0 08122/2O2A Withdrawal POS #0236001 29394 WALGREENS STORE 1534 CAPE 'APE CORAL FI Oa/24t2020 08124/2O2O w rthdrawal POS #0025783 PUBL]X 1516 CAPE CORAL PKWY !! CAPE CORAL $4,045 82 t.9 617 00 $-23.815 52 r 00c 00 5.045 82 ,4.000 00 -4.21 1 ,44\ 82 1,041 6l 230 20 |100 8| 41 Cont nLred on nexi page AOnqqq SRAT i 111621 7511 I <'rn.nacrrrpdiirninn.^m I p o R.y llqna Tamnr Fr ??68n 70a 41 8.C.1 Packet Pg. 128 Attachment: AGENDA_VIIIC_ERIKA RAMIREZ_REVIEW OF EXPERIENCE (15055 : ERIKA RAMIREZ – REVIEW OF EXPERIENCE) a8/21/2020 - ag/20/2A2ol PaBe2of a SMART CHECKING Suffix 0050 Transaction History (conr n!ed) Post Date Eff Dat€ Transaction Description FL Aa/25/2O2A a8/25/2024 Recurr ng Wthdrawa Deb t Card STIUDE Ma n Donat ons 800 822 6344IN A8/25/2O2A A8/2512O2A Recurr ng WthdrawalD€b t Card STIUDE [,,1ain Donations 800 822 6344 TN OBt )5/ )DA A8/25120)A wrthdrawa POS #1571 5100 N FORT MYERS FOOD MART 916 PONDELLA RD N FI MYERS FL 08126/2A20 0A126/2020 Withdrawal Transfer I o Laan # ###########8454 08/26/2A2A 08/26/2A2a wirhdrawa Deb r Card .OASTAL BUILDING MATER 239.514.4844 FI oa/26/2a2o 08/26/2A20 Withdrawal Adjustment Debit Card Cred t Voucher COASTAL BUILDING IVATERI 239.5144844 FI A8/26/2A20 0A/26/2A20 W thdrawal Adjust ment Debt Card Cred t Voucher COASTAL BU LD N61VIATER 239 574 4844FI Aa/26/2O20 D8/26/2A20 WthdrawalDeb t Card STARBUCKS STORE 11783 CAPE CORAL FL Aa/26/2O2A 08126/2A2A W thd rawal Tra nsfer To MALDONADO MALDON XXXv'XXXv,XX Share 0050 Aa/21/2O2A A8/261202A withdrawal Debit Card EL CAR BE MLNIMARKET CAPE CORAL FL OAl 27 /2A 2A A8/ 21 12024 Depos I Transfer From TORRESJOSE A XXXy;XXXXXX Share 0000 OAl2l /202A Oa/21 /2O2O Withdrawal lransier To ALVARADO ABDALAH Xy\y\yiXy/\XXX Share 0050 OA|28/2A2A OA/28/2A2O W (hdrawal Deb r Card BLUE WATER pOOL tl0SACS 8r7,5t53030UX 18/28/2420 08128/2420 W rhdrawal POS #0241 16244739 ROSS STORES #6]3 CAPE CORAL FL A8/28/2020 A8/28/2020 Wthdra!,val POS #024'1 1 7239288 TARGET I 1454 2430 Santa Cape Coral FL Oa/28/2o2a Aa/2A/2O2A withdrawa POS #024'1 17739963 TARGET T-1454 2430 Sanra Cape Cora FL 08t29/2424 A8/28/2424 W thdrawa Transfer To Loan ########lr#ftr8454 O9/O1/2020 O9/O1l2A2O W thdtawal PAS #424510991421 I.IURPHY6S52AIWALMART CAPE CORAL FL 09/41 /2420 09/01 /2420 Deposrt Transfer From ALVARADO ABDALA XXXXyUXXXX Slrdr€ 0050 A9/41/2024 A9/41/2024 W thdtawa A9|A2/2O24 A9/42/2024 Vl,rhdrawa Deb,! Card MCDONALD'S F] ]6]5 CAPE CORAL FL 09103/2424 O9|O3/2A2A w ithdrawal ACH NEW YORK L FE IYPE] NS. PREM CO: NEW YORK LIFE 09/43/2420 O9|A3/2A2O W tirorawal FA .) NSF FFt AtH 09/44/2420 A9/44/2A20 Deposrt Transfer From AGUILAR [,4ORENO, $fiXXXXfi share 0050 Amount New Balance 20 00 680.1r 20.00 660 41 -43 ))611 19 160 00 45 /.19 308 06 149 t3 325 89 415.O) 235 3l 71039 r0.02 too.31 300 00 400 3t 131 33 269 A4 2,000 00 2,269 04 ,1,100 00 r,r 69.04 llt 54 391.50 -6.)l 385.23 213.51 11112 .49 58 1)214 100 00 2) 11 -rl09 9.05 I 000 00 r,009 05 I 000 00 -9 05 90s 0.00 951)-95_1) ,9 ta 700 00 124 12 575 88 Contlnueo on nexr page R6O qqq 5RA7 l R1? 671 7\11 l < n.nr<rrr..lirLrni^n .nm t p O Rny 11qnz Tamna Ft ??6RO 8.C.1 Packet Pg. 129 Attachment: AGENDA_VIIIC_ERIKA RAMIREZ_REVIEW OF EXPERIENCE (15055 : ERIKA RAMIREZ – REVIEW OF EXPERIENCE) )oat21 t2o2o - o9t2ot2o2o PaSe 3 of 4 SMART CHECxING Suftlx 0050 Transaction History (conr nued) Po5t D.t. EffDatc Tran5actlon Da3araption 09/0412020 09/0412020 w (hdrawa Transfer To MALDONADO MALDON XvJcooo/r x Share 0050 O9/OB|2O70 O9/Oal2O20 Deposit Transfer From BONFIM,wILLIAN XX/oCx/\)(Xxx Share 0050 A9O8/202A 09108/202A w,lhdrawal Transter I a Loan fl * S ***# # tl lt # # 8454 A9/A9/2O2O A9/A9/2O2O Deposit ACI-I SSA TREAS310 TYPE:XXSOC SEC COTSSA TREAS 3'10 a9ta9/2A2A A9/A9/2020 WthdrawalACH CAPITALONE ,TYPE MOBILE PMT CO CAPITAL ONE O9|A9/2A2O O9/O9/2O2O W lhdrawal Transfer To ARTLLANO NOGUERA mo(xvix0q Share 0050 09/1O|2OZO O9/1O/2O2O Wrthdrawal Deb( Card 368 COASIAL 813 367 978 FORT MYERS FL 09/1 0t2020 09/1O/2O2A Wirhdrawal Debir Card COASTAL BUILDIN6 MATER 239.57 4.4844 IL a9l 1 /2o2A 09/11 12o2a wilhdrawal Transfer To I,4ALDONADO MALDON Xn(/'Xv,v\y\y,X Share 0050 O9l 1 5l2O2A 091 1 5/2O2O Deposit Transfer From TORRESJOSE A >Cooooqvi* Share 0000 A9 'a12O2A A9/1512O2A Depos( Transfer From ROIASIOMARRON, X/,/"V.x/./,x.X Share 0000 09/1 5/2020 09/15/2020 wrlhdrawal 09 t 1 6/2A20 O9l 1 612020 Depogr Transfer From REYES,PAOLA A )CqXXXXv\XX Share 0070 091 1 6/2A20 O9/1 6/2020 Deposit Transfer FTom PAGAN HERNANDEZ XY.XXXXXXXX ShATE OOOO A9t1612A20 09/16/2020 W rhdrawal Transler 1 o laan fl t * #* * # # # # #i8454 09/16/2A20 O9/1612020 W thdtawal 09t16/2a20 09/1612020 wrhdrawal Transfer To MAIDONADO MALOON )OqXtrOOOOq Shar€ 0050 09/17/2O)O 09/11/2O2O Withdrawal Debit Card ROCKAND SAND EXPRESS 239.4916534 FL 09t11/2020 09/1112020 W thdrawalACH CAPITAL ONE TYPE MOBILE PMT CO:CAPITAL ONE 09/1 8/2020 09/T 8/2020 Wilhdrawal 09t1A/2O2O Ogt1A2A2O wrhdrawa POS#026223404627 IJMAXX 80197 r502 DEL PRA CAPI CORAL FL 09/19/2020 09/18/2020 W thdrawa DebtCard TRICIRCLE PAVERS 239.332.2325 FL O9t19/2O2O O9t19l2O2O Wrthdrawa Deb't Card SCP D]STR BUTORS 52 FORT MYERS FL 09/19t2020 09119/2A20 Withdrawal Deb[ Card SCP D STR EUTORS - 52 FORT MYERS FL A9t2l)t2O2A A9t2O/2A2A W Ihd.awa l.ansi€r 500 00 75 88 3,000.00 -500 00 t25AA -342 25 ,2,200.00 22 03 -390 86 380.00 500 00 5 000 00 3,500 00 6,391.14 6,297.14 995 48 1 ,502 26 )1\ \a 128614 -5,000.00 2,392.O4 505-14 2,897.74 3,075.88 2,575.88 3,300.88 2,998 63 798.63 116 60 3a5.14 5_14 505.74 5,505.74 -2,000.00 1.800 00 4,291.74 2,49114 -500.00 -42 59 186.14 144tt 44 28 286 28 266 25 .t 00 00 699 83 ,1r 3 55 147.30 Cont nued on next paSe A60 qqq \487 1R1l671 ?q11 lsrn.^:<r.r.riir'rni^n.^m I pn R^v llqM Tamna Fl 1f68n 4/ )A 100 00 8.C.1 Packet Pg. 130 Attachment: AGENDA_VIIIC_ERIKA RAMIREZ_REVIEW OF EXPERIENCE (15055 : ERIKA RAMIREZ – REVIEW OF EXPERIENCE) , oa/21 /2020 - 09/20/2020 | PaSe 4 of 4 SMART CHECXING Suffix 0O5O Transaction History koor,rucd) Post Date €ff Oatc Transaction Dascription I o t.a. 4$ $ idtdli s e nBt\a ) vrdenos Pad Year ro Date Totaloverdraft Fees Total Returned ltem Fees Rewards Check Card - Bonus Points Summary as of 08/31/2020. Card Ending BeginninS Points Adiustcd 0 Amount New Eal.nce 421 Endint Points 392"9 for additional information about your 5(oreCardO Reward Points, vlslt s(orecardrewards.collr Earned 00 Total for this Statement Period Total Year to Date !3r9 00$29 00 $0 00 $87 00 Pnnqqq\AR7 ll11611 7511 l<Lrn.^:g.re.itrr'^^n.6m lpO R6y11qOA Trm^, Ft 1f68n 8.C.1 Packet Pg. 131 Attachment: AGENDA_VIIIC_ERIKA RAMIREZ_REVIEW OF EXPERIENCE (15055 : ERIKA RAMIREZ – REVIEW OF EXPERIENCE) Suncoast Account Statement Member Numberi Ogl21/202A - rc/20/2)20 PaEelaf3 Suncoast Credit Union Access Your Account: SunNet Online Banking Sun Mobile App SunTel Phone Banking For Direct Deposit and Automatic Payments use Routing Number (RTN):Bank safe, secure and conveniently. The Sunldoblie app lets you manag€ yourfinan.es quickly, safely and securely Deposit checks. Transfer Fund5, Manage all of your accou nts. And morel Bank whenever, wherever. Learn more by visiting su n(oastcreditunion.com. Year to Date SummarY D v oeflC! Pd d {TD $02 REGULAR SAVINGS Suffix 0000 Transaction History Post Date Eff Oate Transa.tion Description A9121/24)A aa ance Forward \o rrafsaar ons ior ih s a,/a e Amount New Balance s00 Totalfor this Statement Period Total Year to Date Total Overdraft Fees Total Returned ltem Fees $0 00 $0 00 $0 00 $0 00 SMART CHECKING Suffix 0050 Activity summary P,e! uJ5 Ba ifLe 0!i2r12C.20 Ending Balanc€ 10/20/2020 i74-26 $47 30 $19,225 00 $,r9,198.04 500 00 New Balanae 541 3l r8991 29 0{) 100 00 357l9 241 39 118 39 Contrnued on nexr pa8e AnO qqq SAiT I i1? 611 7S11 l<In.na<rrre.liirnrnn.^m lpO Rnyl1qO4 Trmn: Fr ?16iO 78.t9 ERIKA M RAMIREZ 3933 SW 25TH PL CAPE CORAL FL 33914.5467 Transaction History Post Dat€ Eff Date Transactlon D€s.ription A9/21 /2O2A A9/21 /2O2A Deposf Transfer From TORRESJOSE A XXXyiXyJyJU Share 0000 A9t22/2O2A A9122/2A2A \\ thorawaLACH CAPTAL ONE TYPE MOB LE PI/T CO CAP TAL ONE 09/23/202A 09123/2A20 W (hdrawa Transfer lo LOPEZ,PTDRO O XXXXXXXXXX Share 0050 o9123/2O2O 09/23/2420 w thdrawa NSF FEE I567 rn the amount $1.603 50. O9124/2O2O O9/24/2A2O Wthdrawa Transfer r50 00 8.C.1 Packet Pg. 132 Attachment: AGENDA_VIIIC_ERIKA RAMIREZ_REVIEW OF EXPERIENCE (15055 : ERIKA RAMIREZ – REVIEW OF EXPERIENCE) )g/21/2O2O - 1O|2O/2O2O I Page2of3 SMART CHECKING Sufflx mso Transaction History (comLnued) Port Oata Effoat Transaction Dc*riPtion To Loan f f ######+###8454 A9125/2020 A9/2512020 RecLrrr ^8 W Ihdrawa DeblCard STIU0E Ma n Donat ons 800-822-6344 tN 09/25/2A20 09/25/2020 Recurr ng Withdrawal Deb t Card STIUDE Main Donations 800'822'6344TN 09/30/2020 O9/3O|2O2O Deposr ACH IRS TREAS310 ryPE:TAxElPl CO IRSTREAS 3r0 lOlO1/2O20 Ogl3Ol2O2O Withdrawal oeb[ Card LAS DELICIAS CAFETERIA NORTH FORT MY FL 1OtA1/2O2A 1O/O1l2O2A W ithd rawal Transfer To MALDONADO MALDON y.)(xxxxpfrx Sha.e 0050 1ota3/2o2a 1o/al/2o2o withdrawal Debit Card MCDONALD'S F28543 CAPE CORAL FL 1O/A5/2O2A 1A/A5/2O2A w rhdrawal ACH NEw YOR( LrFE IYPE INS PREM. CO NE!! YOR( LLFE 10/05/2020 10/05/2020 WithdrawalPA|D NSF FEE ACH 1A/OA|2020 1O/OA/2O2O Deposit Transfer From ROJASIOMARRON, )Xviqnxr{xix share 0000 l0/08/2020 10/08/2020 Withdrawal Transfer J o Laan * # # #** # # # * ##8454 1O/O9l2A2A 1Ol0al2A20 W (horawa Transfer To t\,lALDONADO MALDON x/iY/"\XXXv'X Share 0050 10/09/2020 1olo9l2o2o Oeposit Transfer From EONF|M,wlLL|AN Xy,yi'(x)0ooq Share 0050 1 O1O9 /2O)A 1O1O9/2O2A Wirhdrawal Transfer To STGURA.PENAYAIL xxxxxbq/-\ Shar€ 0050 1 O/O9/202A 1 O/A9/2O2A W(hdrawal Transfer To ALVARADO ABDALAH Xrcfrrc(xxxx Share 0050 1o/10/202a 10/101202a withdrawal Debit Card ROCKAND SAND EXPRESS 239.4916534 FL 10/101202A 1O/1O|2O2A Wthdrawal oebit Card FrvE GUYS 0220 502 345-1200 FL ):1O/2O)O lOt1O/2O2A \N'thdrawa Tra.sf€r To RIVERA,ALIS )CcC{OCDoq Share 0050 1 0/ 1 01202A 1O/1 0l2O2O Wrthdrawal Transfer To MALDONADO MALDON v,v'v'v,v,vi$C(x Share 0050 10/13/202A 1A/13/2O2A Wrthdrawal ACH CAPITAL ONE TYPE MOBILE PMT CO CAPITAL ONE 10/13/2o2a 10/13/2o2a \\(hdrawaL ACH CAPITAL ONE TYPE MOBILE PMT CO CAPITAL ONE l0/1 3/2020 l0/1112020 Deposrt 10114t2O20 10/14t2020 DepostACH SS"A TREAS 310 TYPE )o6OC SEC CO:SSATREAS 310 1O/1 5/2020 1At 1 5/2O2A \\ IhO.al^/al TraIsier ]o MALDONADO MALDON XXXXXXXXXX SNaTe OO50 Amo0nt N.w Balan.. .20 00 58 39 -20 00 38 39 r,000 00 1,018 t9 .58 36 980 03 -900 00 80 03 6.61 13 36 -9\ 1)21 76 -29.00 3,80000 -50.76 3,749 24 -500.00 ,1,100.00 3,200.00 -r,100 00 -500.00 -425.00 46.96 -r 420 00 -1,500.00 .t 25.59 .182.43 3,249.24 2149 24 5,349.24 4,249 24 3,149 24 3,324 24 3,277 28 1,857 28 351.2a 231 69 49 26 r0000.00 725.00 14,A49 26 10,114.26 700 00 (on( nLeo o. nexr paSe AnO qqq SAFT l911Ar1 -7511 I <' 'n.^:<r.r.d nr rni.n .^m lpal B^yllqaL Tam^^ Fl ?t68n 10,4u 26 8.C.1 Packet Pg. 133 Attachment: AGENDA_VIIIC_ERIKA RAMIREZ_REVIEW OF EXPERIENCE (15055 : ERIKA RAMIREZ – REVIEW OF EXPERIENCE) SMART CHECkING Suffix 0050 Transaction History (co.r nue.ll Post Dat! Eff Data Transaction oascription r0 20/2020 r0/20/2020 Drrfr 1600 D vrdends Pa d Year to Date 9/21/2020 - 10/20/202A PaAe 3 of 3 .t 0.000 00 11.21. 021 Share Draft Summary r a,{li)r0 00Li 0(l Totalfor this Statement Period card Ending B€Binning Points Earned adjusted Total Overdraft Fees $29 00 Total Returned ltem Fees $29 00 Rewards Check Card - Bonus Points Summary as of 09/30/2020. Total Year to Date $|600 Ending Points 1l For additional information about your ScoreCardO Reward Points, vlslt s(or€cardr€wards.(om $148 00 lnngqqCiRT I C11671 7\11 I q r n.^rsrrr.rl irr rninn r^m lpn R^y11ql].lt Trm^, Fl ll6An 8.C.1 Packet Pg. 134 Attachment: AGENDA_VIIIC_ERIKA RAMIREZ_REVIEW OF EXPERIENCE (15055 : ERIKA RAMIREZ – REVIEW OF EXPERIENCE) Co "ter Cor.wtX! Grol,'rlh ManagerrEnt DeparfrEnt Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 239-252-2400 APPLICATION FOR COLI-IER COUNTY CERTIFICATE OF COMPETENCY Thrs certilles lhal L Sralc ol STATEMENT OF OWNERSHIP F,V^ 4,.'',<r + APPLICANTS NAME (please pnnl) Ye ?- o\ fl,&A am a member or managing o (LIMITED LIABILIry COMPANY NAME) % of the units issued by the Limited Liability Company listed above >\ I,L Count) ol' Affidavit of Applicantr I cenify under penalty of perjury that the intormatlon contalned 13 a true and co.rect statement to lhe beBt ot my knowledge. r.:\T":V^ k6.o . rr z ApplEant (p ease piint) LIc iyr;rT w *rore m; Uy mc,gt orfpb/sical presence or D onlinc noranzaoon on th,s cK, KaXntir /(eZ SLrch person(s) Noury Publir must chcck applicable box i arc personally known to rrc '( cd a cunent driver lrcensc @,,,,,,',., (Notrry Seil) #Norrry Pobr'c Sl.r. or Fronc. My Cmm'..'6 GG 9 r 24 r , Notary Fim_Application.docx Rev 4/m/2020 Page I of 15 P...r. ,by 8.C.1 Packet Pg. 135 Attachment: AGENDA_VIIIC_ERIKA RAMIREZ_REVIEW OF EXPERIENCE (15055 : ERIKA RAMIREZ – REVIEW OF EXPERIENCE) C Cor.*rqt1er G.ov,rth Managentent Deparlrnent Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 239-252-2400 APPLICATION FOR COITIER COUNTY CERTIFICATE OF COMPETENCY RE5OI.UTION OF AUTHORIZATION Complete this form lf 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 application. ln accordance with Collier County Ord nance 2006-46, as amended poses to engage in contracting as Ase\9ec <etor'1 in Collier Counly where gaf-r B cs .re.t proposes to qualify for a Certificale of Competency with company ?.L\L.o.:h'. It s hereby agreed upon that we the undersigned Ags-!. 9.oI hlo. L\ c We further resolve and represent lhat a Poo € .1"..V," ?.', "i ir . + resolve and represenl to lhe Coller County Contraclor's Licensing Board that lhe proposed qualifying agent, ky'- -A"-.,.c+, is active in all matters connected with the com pany named ?"s is legally \L CohPany empowered to acl on Applicanl Name all matters connecled wilh its contractingbehali of business and has lhe authority lo supervise construction undertaken by Snroo G,sh<,rez- orr,"*/ ;A/P,n* of i cers/owners/Panne6 Counly ol'l( ic must check applicable box #ililb44ld- Suclr person(s) Norarv Publ rl<a "^*,*,,a}d,r,,*, o,(.cnce or tr onr,ne no,d,,.,a,,on on rrus f\4 Lt4; {tZ ed a cuncnr driver license lL ,, ,4.,,1,;"u,io, #NoLB PeblE st.L ol Floftd. MyCodm'.qG6ll2'17 ,X*r,'*'*u (Notrry Seal) ,fu,,, Applicalion.docx Rev 4/0612O2A Page a ol15 OffcersrOwne19Pa.he6 olthe above-menlDned @mpany need lo sign on lhe leii and a wih6s to lhe signature signs on the right. ,b) ! xrc personally 8.C.1 Packet Pg. 136 Attachment: AGENDA_VIIIC_ERIKA RAMIREZ_REVIEW OF EXPERIENCE (15055 : ERIKA RAMIREZ – REVIEW OF EXPERIENCE) C.qtt i,fa.tsgtilf Oaffi Contreclor Li:eosirs 2800 N- Ho.sestroe Or. ilEples, FL 3rtlO/t z}e-252-2400 APPiJi:AT|ON lO[ COlllIR folr.tfY aE}]FCntr Oa COMPE]E]ICY vB.lEcAnol{ of cot{STnucTtota :xDErtEacf Erika Ftamirez Ce.t5€te CalEgory Reqest d: The appka is !.Gktlg a CEr.r Cdrnry CedrcaE rf Conp.t r:c a the tre& indi*.d :bo!E- As pr: d nE appa..li]. fr rhis cerrif.aie, tE alplic'rr llll]st {Ery n,tler Experie.ce alhh lis}!de You irc b€ng rE$Ee!.d b ?Nyide inhmariorl thrt sill air Ole apptcEnt - lrle€iilr rhb r€quilrEnt Yoll sarol]ld *dy linE of iclilE eeEdlI,E iq*ilg G .n .pp.erlc€ o. a sk led rol}ef {e9.. as E rrorker.srtrHdile lhe i€O€ oi mec|lrriD o. D€lEr in .le trdE], rre s€ry€d Eoady h a supeflilory o{ dlninisnEilE rDle sho.$ be deEsbed, blll may .. nrsy idl b€ conlideEd euEient lo der'lo.EtriaE rEqutEd ir.dE erqe.aerce, Ihp ,..ro. cEriftilrg |r* .treriancc nor tE .iorc-n-[d rpplcrrt muit prorirft ft. iotbrilgirh.lrdim: r,,n. Gffige L Cancio ,*.Qualifier Mirornar Pools LLC Lio€nse tao. {aappBle}:cPC1458006 ,*,** Add,*" 41 50 ltancoc* Bridge Phury. tr24 ]'lorth Fort Myers, FL. 3i1903 slL.t The applicsnt w erlployEd bI 'tr€ fr[n cry I'Iovernber 2016 * Presenl nr. fl" Construction supervisor The apgliBnl's !@pe o, wak (speerD dutieel -o,o*. Supervise pool consluclirn from the pool stlell coostructirn lo firlal irsgedim, ye{ifying corf,llhnce altd qjality - ea{i *ep moirnnx eommeas: Applicant abo has erqerielDe on pooa de and coping iEtalelios '.()TErO If,AaSEI]CO TRllcrns: k iE6rfirbrEiil|F E!ildrgElil irry&&ii.*F &.rE b t€r.Ecdt a Undar p.ntb oa pEriry. I dE lrr! ti.t tlE hds ebbd hprR sre Lue- -24 Z -r''--- '=- shnrir. .14...6i p.6!1rbE ,r B6ni Srrc ot {,f Mjami-Oade The frregring i.sfunent as acfno*hdg€d td,o|? rE trE May 6,2019 bf Georg€ L Canclo DL 4 rEdFEnlhnd.dgal! a il.rdificElon Erd dd Ix l tkx .n orti- lYP. .l lrr.n*&n d krx r'tr fu,Zt" I\IOTARYS SEA! .o ttuwcoam,tat? aPtr3 5la. Iitr-.ltrt.ri*r.. FIRII APPllCAllOll Ree {/1218 iaTunt oF iDtrrY) F{e 1t dts Swimming Pm{ Oass 'ts" (Residertiat 8.C.1 Packet Pg. 137 Attachment: AGENDA_VIIIC_ERIKA RAMIREZ_REVIEW OF EXPERIENCE (15055 : ERIKA RAMIREZ – REVIEW OF EXPERIENCE) Conreclor Licansing 2800 N. Horseshoe Dr. Naples, FL 34104 Phone - 23$252-2431 Fax - 23$252-2469 e!\l,tl VERIFICATION OF CONSTRUCTION EXPERIENCE r'r:nc: Er,[^ R^.,,.. p".r C l^*.. 'e' 1R-,.r.^{;"1)C6rtif cals Cat€sory R8quoated:-\ The .prlicad b rsoldrg s Cdier Camty Cemcaia ot Conp.bncy in fio d. lndicatld sbow. fu pe( of tn6 .pplicslil,l lot this onfficat , th6 Epglbrnl mult v.rlly hialh.r aQ.rhoc. rihin rtb U!d.. You ,r! bchre llquotld to EDvidc inlbmdion hel *ill aid dE applicant in m..ting , 6 lrquilrlnont You lhould w.lt tme ol.cdv€ .)e.d.nc. f,lltlng as an app..rdc. or a skill€d vlo.kor (6.9., aa E rorlor cofifiEnding tha wrg! of mcdDalc o. battlr in th6 trldc). Tlma sawad Bd.ly in a 3up6rvbory or addniatBli\/. ,ol. shdrld b. d6.c.lb.d, hji m.y o. m.y not bc con ldccd .'Jtlld.nt to d..nolt.!d. r.quirud !ad! o)9erio.cs. Th. p.rton wdfylng !r.<r. .re..Lnc. tlor lh. .bov.flm.r, .rpllcent mutt p.ovld. th. ,ollowlng lrn : Ot. 'r4 ^ arannw"n l,oc/. sl,l,e Po/. t ual*rtll t-r:rrotb,6 rrr**iy. J!4)!!S!2!9 &dn !. ^dd6: /oh/'l A'ao B,kl, " A.1 NotL. Fl 3*/? Cry Zp The applicanl was 6mdoy6d by ffDnmt -lta l!)o/9 i€,nls ljfb: Ae 4" t' ]}le applicants s.ope ol wort (sp6.ific ddras) andud.dl Addiiionai cohhents: I|OTE TO llCElllED CltlTi^gfoirt FNyte.!V Mo.t pto,.rbd Wi tt t44.dyouta aa ro l,ffi. Urn6i p€nsiy or p.rjurr, I d6d!.. thlt 0t lb(,,.td.d hcl! E,l lru.. Siate ol County A T-T,t Tha lor€going in3tufifit as Bclrnowlodgod b€fo€ m6lhiB IYI* qh .1^ l1l by a\(.,1 Ca.l""- lt.mr ., p.r.d .&Dri.d!h! s6 iic'lt'llc.torl and did not t iG .n o.th NOTARY'S SEAL ,r*s TEff,J tloi.ry Plbli. . trir. ol Fbnd. Comhtlid , C6101119 ny Codn. ErplGr F.b 21, ?021 36d.n thrdfi N.rr6rl xdrry ^$., lndivdual Applicalion Ncw REV 4/12l1 I APPLICATION FOR COI-LIEP COUNTY CERTIFICATE OF COMPE1ENCY A t/t?lD Ctl-or,,rd ha. ?.^'J-fr,,,"* .," t"-o.^t I ,/,-/. Peg. 8 of 13 8.C.1 Packet Pg. 138 Attachment: AGENDA_VIIIC_ERIKA RAMIREZ_REVIEW OF EXPERIENCE (15055 : ERIKA RAMIREZ – REVIEW OF EXPERIENCE) QoutrY G.o,rt iir4rrEr o€prtnoar Cortactc LiceBing 2800 N. Ho]lcchoc Or Naple., FL 3,1104 239-252-2100 APPITAnON FOR COttlEt COUNrY CEIIIFICAIE OF COrr\PEIENCY C.riif c.te Calegory Reqoested Swimming Pool Class "8" (Residential) VER,IFICAIION OF CONSTRUCTION EXPERIENCE Erika Ramirez 'SZ)e<*?-ol, zr.Licensc No [if rypliclbL): TE.pp{cd *.s cnproyddr ttqtoIr. 2O/ /2 b '771c ouy' /^otn -{u.*t4 / ,f.1^'*tora? s iEpe of evort (specifc duiie4) includrd alq' ..-.- -t*.rt/tt-^ -f llZL u,rct/2-n'.- XOTErO[E€ilSEOCOTTnACTORS:FEkAymg,nInlometi@phvt!.dh.en.ysubj*tyoulic*setcEwetia F\o "l oAa-State ol Le.p- The lore€oin8 instrunEnt as acloowledged befo,e me f.nis .e ilenlifc.bon and did not takc 6n o6th 1I\I tq (IMBEFLY TAYLOfl !tor.ry PuDlrc slrls ol Florid' Commltlio., GG 01?253 My comm ExDir.3 Ma! 31,2020 F|RM APPLICATION R€v 4/l2rB Psg€ l0 ol r5 TtE .ppli*t is r.rrina i Colli.r Couity C..l,ficd. af Co.rpcEncy in th€ lr.d. indcd.d !bo\E. As p.n ol OE .Fplidttuh lor [|A c.rtificite, the 4glicsrlt mul,rlnfy |ieh!..rp.ran . rithh ttis b.d.. You rE !.iig llqs.tt.d to Prodd. inbtm|thn $.! l/il .id t !e spplicant in ffitine lhls lEqrnsrnil- Yo{, inolrE vcdrr lim€ ol .dir.€ .rq.deno. wting .s an Dlpr€nti.. or . skrred x,ori.€. (€ g . Es . E*.. c6.nmrndin0 lh. !!E ol li.dEnic or bclE n th! !.d.). TirE s..ved lokll in ! sryedisory or .dr nish.live ro& shoeld b. d..cra€d hx rt.y o. m.y not h. coosiLrld 5ufici.rd to d.mo.nEb Equilld trr.h .)p..i.nc!. tlt. Frsor vldryinC rr..L .rFancr io.lnc .bolt-o.t'ltd .Fdic. t'ru5t p.ovid. tll. follo*ing ;:^:: i,/ a)..L""^ ,,", ?*,,'),*4- ^ae*. /39ot Rl,L--t--L, ?Lto, fl'A,--- 7/ i?7/ 3 StJe Addilional .omnr€Ets Unds pe.!!lty of Cld'rry, I d.d..! lhlt lh€ tlds stlled h!.e !l. tue. ,];_ffi 8.C.1 Packet Pg. 139 Attachment: AGENDA_VIIIC_ERIKA RAMIREZ_REVIEW OF EXPERIENCE (15055 : ERIKA RAMIREZ – REVIEW OF EXPERIENCE) cPc145adr Offlce: +1 (239)-800'4585 ce :+1 (239) 634 s499 4150 Hancock Bridge Parkway Unit #24 North Fort Myers, Fl. 33903MIROMARts, ttc I have known Erika Ramirez since 2016, and during that time, she has worked and demonstrated to be person with good moral characler. She has hands on experience and has supervised residential pool construclions lrom November 2016 to the present. lam very satisfied with the performance she has provided. She is also experienced and knowledgeable in tile and paver installation. I highly recommend her. George L. Cancio, Qualifier Miromar Pools LLC MiromarPoolsLLC@outlook May 6th 2019 To whom at may concem, -Z I 8.C.1 Packet Pg. 140 Attachment: AGENDA_VIIIC_ERIKA RAMIREZ_REVIEW OF EXPERIENCE (15055 : ERIKA RAMIREZ – REVIEW OF EXPERIENCE) STARROCK POOrS 6017 Pine Ridge Rd. #226 Naples, FL 34'l '19 239-659-0940 offlce@rockstarpools. com cPc 145890S VERIFICATION OF CONSTRUCTION EXPERIENCE l1 ltltt Street City state zip e, NOTE TO LICEI{SED CO TRACTOR: Fais,fyns ,ry intomation prcvided hercin may subject your ticense to rerocation Underpenalry or peiury, I doclaro thatlhef.cts slated hor6 arelrue. Additionalcomments The loregoing inslrumert as actno*l€dg ed befoE me lhis itbu lor ,o\qI By q\t..,r L"dp* nama of peBon ac*nowlodgi.g as idenlification and did nottakean oath rype or ideniirrcdio; E known- (SIGNATU NOTARY) lt"'"e, 0lE.J C:o.}.^TiUe:-Qgor- Business trlame:le.Ltt!.Bdr-LtkLa6lh Licens€ l{o.(ir applicable): L?c r'lsqqoq The epplicant wa3 employed b'f ne fto'r.l, .Lol( lo Lolf Applicant UUe:-f!gr<-- The applicant'3 3cope ofwort (.p€cific dut*) lncruaea, ?-\ \,L I fo^- r ^.1^\\ state of_f blrL county or-rlJll- GG 2i 8.C.1 Packet Pg. 141 Attachment: AGENDA_VIIIC_ERIKA RAMIREZ_REVIEW OF EXPERIENCE (15055 : ERIKA RAMIREZ – REVIEW OF EXPERIENCE) lPook, n - Tel: (239) 495 5700 ext. 214 Fax: (239) 949{686 13401 Rickenbacker tbrkway Unit 1 Fort l4yers, FL 33913 May 7.2019 SI.JBJECT Miromar Pools. LLC 4150 Hancock Bridge Parkway Unit 24 N. Ft. Myers, Florida 33903 To Whom It May Concem: Miromar Pools, LLC has been working with us for a period of3 years starting in 2016 l he applicant's scope ofwork consisled of swimming tile and coping installation and supervision ofproject during this phase ofconstruction. There work has always been completed according to code and in accordance with our inhouse subcontractor agreement. I find them to be ofgood character and an asset to our community. Ifyou have any questions, please feel free to reach out to me at 239-495-6700 Ihank you. JACKSON POO J C cPC02250,1 Swom and subscribed before me this I O'h day of May, 20 | 9 President CJ/kr ;("^ (-'^ tSi*il,*-*d f r\- Cofimelod & Residenbal Constsu€tion RenoyaEon kim@iackson@ls.com www.iacksonpools.com crc022504 IIiTEtNLY IAYLOE l{ollry Pubtic - Stal6 ot nonda commklbn i* cc 017253 My Coom E4n.s M:y 3l. ZO2O ,-ll 8.C.1 Packet Pg. 142 Attachment: AGENDA_VIIIC_ERIKA RAMIREZ_REVIEW OF EXPERIENCE (15055 : ERIKA RAMIREZ – REVIEW OF EXPERIENCE) STATE OF f\- Qot*ql qqlrfi i,lanagErrHi D#.tnflrt Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 239-252-2400 '("n AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER ' havi ng been first duly sworn, state and affirm: ()O I am a residenl of 0o(lro'r CoLrnty ,fY (State)and have resided here for During the last ive (5) years I have known nt). I have had the opportunity to observe his or her business and personal dealings and llnd him or of honesty rity and iclo- good character by t,^dr--S-r.c^r-oO as idenlificalion T The foregoing instrument as acknowledged before me this s-r?-lg iame or oes5r;A;.iedsns and did not take an oath. ll MAYfiACASTIUO i6 .,-*ir!ioi, GG 219,138 *; "r'is| 'i1e,2022'.Ldr e. r'rnua'@r5.E (S NOTARY S SEAL FlRl,, APPLICATION Rev 4/12l18 Page 13 of 15 APPUCATION FOR COII.IER COUNTY CERTIFICATE OF COMPETENCY COUNTY OF t, more than five (5) years. \.-Il;-\( o^P 3.-irt\.. \ 8.C.1 Packet Pg. 143 Attachment: AGENDA_VIIIC_ERIKA RAMIREZ_REVIEW OF EXPERIENCE (15055 : ERIKA RAMIREZ – REVIEW OF EXPERIENCE) Con!'aclor Lic6nsing 2800 N. Ho.s.shoe Dr. Napl6s, FL 34104 239-252-2400GlEl rfr AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF +\o11dq COUNTY OF C,-1\i e.r having bGcn first duly swom, stato and affi.m: lam a residenl ol Q.r>l\,V County f\ovrJe (Strate)and h6v6 rasided here for to obs€rye hi3 or h6r buBing$ snd psrBonal dosliogs and tind him or her to be a porson of hon€sty, rntogrily and good claractor Sod {Icrcrq pri.t d N-m eoa.ess, 431 J 2O{ Arrc srj Nop\:< TL 3ttrb Talephono:J31 - 395-sD+1 The forogdng instumsnt as eclnowlodgsd before me this o5/15 lao\q by wfio has produc€d {LDL H OG\ O es ad.htificstm iyr. or i4r6tiferid d ,Jlff and did not tak6 an oath- iATAflfI fiIJNX N@ry Priliq Sll d rtE cc.iiilCq, 6 2frE l& coirn. sflt! 0d 21. !!2 ,ffi?1A isrddiaTuREofNo-fARY) NOTARY'S SEAL FIRM APPIICATION Rov 4/1ZlE PaEa 1:l of 15 APPUCATION FOR COITIET COUNTY CERTIFICATE OF COMPETENCY t,To-\ t\evrcrq mor€ than fve (5) y€6r3. Du.ing th€ lasl fivo (5) )l!rr3 t nave xnovm -!!g{9111g3- (6ppllcsnt). I hsve hed ttrc oppo.tunity---.-.-.-...----'.. 8.C.1 Packet Pg. 144 Attachment: AGENDA_VIIIC_ERIKA RAMIREZ_REVIEW OF EXPERIENCE (15055 : ERIKA RAMIREZ – REVIEW OF EXPERIENCE) o.Qo"CERTIFICATE OF LIABILITY INSURANCE ton7Do20 IHts CERTIFICATE lS ISSUED AS A MATTER OF INFOR|ATION ONLY Ar,lD CONFERS NO RIGHTS UPON iHE CERTIFICATE HOLOER. THIS CERTIFICATE OOES NOI AFFIRMATNELY OR NEGATIVELY AI'END. EXTENO OR ALTER THE COVERAGE AFFOROED BY THE POLICIES AELOW- THIS CERTIFICATE OF INSURANCE OOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PROOUCER. ANO THE CERTIFICATE HOLDER. TMPORTANT: lfrhe cerlllicate holde. is.n AOOITIONAL INSUREO, the policy(ies) musl be €ndoEed.ll SUBROGAnON lS l/lAlVEO, subjecr to the terms and .ondlrioB ol rh! policy, c.rt.in poli.ie3 may roquke a. endo@hent. A .l.lohcnt on lhl. erlincale d@3 nol co.t€r righl3 lo lh. cerrili.are holder in lieu ot3uch endoB.menl(!). INTEGRAL UNDERWRITERS CORP PO BOX 990337 NAPLES FL 34116 T 376 PEGASO POOL FINISHING ILC 222 COOLIOGE PLACE COVERAGES CERTIFICATE NUMBER REVISION NUMEER THS IS TO CERTIFY THAT THE POLICIES OF INSUAANCE LISTEO SELOW ITAVE AEEN ISSUED IO lHE INSUREO NAMED AEOVE FOR THE POLICY PERIOD LNOICATED NOTWTHSIANOING ANY REOUIREMENT. TERM OR CONOITION OF ANY CONTRACT OR OTHER OOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY AE lsSUEO OR MAY PERTAIN THE INST,IRANCE AFFOROEO AY THE POLICIES OESCRIBEO IIEREIN IS SUBJECT IO ALL IHE TERMS, EXCLT]SIONS ANO CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEENREDUCEOAY PAIO CLAIMS l" DEOICTIBLE I 5OO lorgsFLoorlror3 06/1&2020 0611412021 l" E l,l €oo(Y TNJURY lPe, tsEi) I-t" COVERAGE a ^El*"..*,* x r(rFqnrqlidl CONTRACIOR COLLIER COUNTY CON'TRACTOR LICENSING 28OO N HORSESHOE DR I 4OO SHOULO AIIV OF IHE ABOVE OESCRIAEO POLIC|ES AE CANCELLED BEfOR€ DATE TI]EFEOF. NOTICE fiLL AE DELMERED III ACCORDANCE wlTH IHE POLICY PROVISIONS,?A il* TE E TION ACORD 25 {20r0i 0s) @'1988,2010 ACORD CORPORATTON. Att ighrs rsssNed Tho ACORD name and logo.re r€gi.l€rsd marrs oTACORO 2393n4320n Jheroanlez@inlegal!nd.cortr r 5.000t^ 1 j r 100 000 c6,r17t2020 6t17DO21tr I"t^ 8.C.1 Packet Pg. 145 Attachment: AGENDA_VIIIC_ERIKA RAMIREZ_REVIEW OF EXPERIENCE (15055 : ERIKA RAMIREZ – REVIEW OF EXPERIENCE) - ULN: R Ro.-'{1 € ; vrL 3qza DDB.. €t(t ' - * hl o rirr- s\d as+f PL , 3sq\4 8.C.1 Packet Pg. 146 Attachment: AGENDA_VIIIC_ERIKA RAMIREZ_REVIEW OF EXPERIENCE (15055 : ERIKA RAMIREZ – REVIEW OF EXPERIENCE) 02/17/2021 COLLIER COUNTY Contractor Licensing Board Item Number: 8.D Item Summary: MARTA LILLIAN ALAS BONILLA – REVIEW OF EXPERIENCE Meeting Date: 02/17/2021 Prepared by: Title: – Contractor Licensing Board Name: Michelle Ramkissoon 02/12/2021 8:17 AM Submitted by: Title: – Contractor Licensing Board Name: Tim Crotts 02/12/2021 8:17 AM Approved By: Review: Contractor Licensing Board Michelle Ramkissoon Review Item Completed 02/12/2021 8:18 AM Contractor Licensing Board Tim Crotts Review Item Completed 02/12/2021 9:08 AM Contractor Licensing Board Tim Crotts Meeting Pending 02/17/2021 9:00 AM 8.D Packet Pg. 147 [/IARTA LILIAN ALAS BONILLA REVIEW OF EXPERIENCE Contents 1 CLB Notificafion 2. Letter- Formal meeting request Complete and Notarized Application Veriflcation of Testing Scores Credit Report - Applicant and Business 6. Florida Company Documents . Sunbiz Filing . Articles of Organization . 2020 Annual Report Filing 7. Employer ldentification Number 8. Statement of Ownership 9. Resolution of Authorization l0.Verification of Construction Experience - Three (3) forms '1 1 . Affidavits of lntegrity and Good Character - Two (2) Letters 12. Certificate of lnsurances 13. Driver License 3 4 8.D.1 Packet Pg. 148 Attachment: AGENDA_VIIID_MARTA LILLIAN ALAS BONILLA – REVIEW OF EXPERIENCE (15056 : MARTA LILLIAN ALAS BONILLA – REVIEW Growth Managemenl Division Planning & Regulation Jantary 27 , 2021 I\4INIONS LAWN SERVICES INC 3031 54TH ST SW NAPI,I,:S. I:I, 31II6 Review of Experience [,4INIONS LAWN SERVICES INC You have been added to the agenda for the Contractors Licensing Board meeting on Wednesday, Febtnary 17,2021. fhe meeting is held at I 00 am at the W. Harmon Turner Building (Bldg. F, Admin Bldg.), 32gg Tamiami Trl. E., Naples, FL 34'112 in the Commissioner's Meeting Room on the 3rd 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, please contact our office at (239) 252-2431. Sincerely, 1,,!ichelle Ramkissoon Title Licensing Section GroMh lranagement Division Planning & Regulation 2800 N Horseshoe Dr. Naples, FL 34104 8.D.1 Packet Pg. 149 Attachment: AGENDA_VIIID_MARTA LILLIAN ALAS BONILLA – REVIEW OF EXPERIENCE (15056 : MARTA LILLIAN ALAS BONILLA – REVIEW FORMAL MEETING REQUEST Martd Lilian Alas Bonilla 3031 54th st sw Naples , fl 34116 239-961-9053 Through this letter, lwould like to introduce myself, My name is Marta Lilian Alas l'm working as a Director for Miniorls Lawn service lnc a family owned business. We are working as a small gardener company.The reason for the request of this meeting is because I would like to request a meeting with the members of the board of the collier county commissioner we are trying to get the approval for the contractor and tree service license,the reason for the request is because we are trying to expand our small company as we have bing give up the biggerjobs opportunities because we don't have the lisencess.l previously stated that our company is a family own business I work along with my father he has more than 15 year of experience working on the field of lawn service and tree service.l know it my not be enough but we would like the opportunity of the approval ,my reason I would like one day to work along with collier county and also create more jobs opportunities. I will be waiting for the approval of this meeting. lt will be an honor to be under the collier county board members. Thanks & regards Your Faithfully, Mada Lilian Alas Bonilla Jan,2A 2021 8.D.1 Packet Pg. 150 Attachment: AGENDA_VIIID_MARTA LILLIAN ALAS BONILLA – REVIEW OF EXPERIENCE (15056 : MARTA LILLIAN ALAS BONILLA – REVIEW -fuCor.ttt4l Contractor Licensrng 2800 N. Horseshoe Dr. Naples, FL 34104 Phane 239 252 2431 Fax - 239-252-2469 Crol,ut' l/alage_rEnl DepanftE 't APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY FIRM APPI.ICATION FOR COTLIER COUNTY CERTIFICATE OF COMPETENCY This application Inust be tlpewritten qr legibly prinled. The appllcation fee must be paid upon approval and is NOT relundable. All checks should be made payabie la: Colliet County Boad of Caunty Conmissianers. For fu(her nformation. consult Coliier Counly Ordinance No. 2006-46, as amended. c.l''1- 1 TYPE OF CERTIF]CATEtI.orr.rr*.r,,{:.,i-014s6 a General i Building i Residential f Mechanical ! Roofing s230.00 $2s0.00 $230.00 $230.00 $230.00 - Electrician ! Plumber f Air Conditioner : Swimming Pool Idpecialty $230.00 $230.00 $230.00 s230.00 $205.00 *rivyrmi I. APPLICANT PERSONAL INFORMATION -fr ee crfl c r vc4rf fflo -Q= +=Lr[,-"n -A[a S fboni,\\qName ff\rnisn 5 d<,.-ln gqriqn V LI.-Business Name lc>3+41LAddress Ema ,rrf,rr , o.l- ta-,-^: n=e-<t i<-c- @ q+-a +i ) . Con-l Telephone &rq) ZDs 1r.{s U 'SS # (Last 4 digits only)5s63 Driveis License # (Last 4 digits ontyl: Ar.B C-"r !P!6!.nr to ch.r.r !!9, Florid. st2rut.r ..d 6llier county co.rEctor uen.rna oriih.@ 206-ali s..rio. 2.r,r, .ll .pplienB .a rquir.d b tubmil thel! s6.i.l{@nty nunb.r (5Sl) L. thelollowing purp6*.: a) rs16..pplkanls abilitto !.tkfv.rlditoE by.di{ing th.n ordit hirtory. b) v.ritGtion ol applk n?r r.n .cor4 .6d infon.tjon. Olr oin € -ill only ut. y.ur sSN not d .h64 for tid d.$n5 p uE€nt to Ch.pr.r t19, Flo.id. sbrul$, ..d .t n., ot!. ir. b. .utioriEd by l.e. w. .E tully @mrn d ro .|.-t@rda4 a.d FFr6i.a yow SSN .nd on.. .orld.d, wilr b. h. m.in.d I chid.nri.l.nd s.mpr u.d.rCh.pt.rl-19, Fbnd.slfuB. FIRM APPLICATION Rev 4/1218 Page 3 !l 15 Specialt/ Trade:t \ oare or eidh:o5/2-" I l'l'i 9.__f--._ 8.D.1 Packet Pg. 151 Attachment: AGENDA_VIIID_MARTA LILLIAN ALAS BONILLA – REVIEW OF EXPERIENCE (15056 : MARTA LILLIAN ALAS BONILLA – REVIEW Qor.ttrt3t G.E .ifr ManagdrEnt D€patrn€nt Contractor Licensrng 2800 N. Horseshoe Dr. Naples FL 34104 Phone - 239-252-2431 F ax - 239-252-2469 APPTICATION FOR COI.I"IER COUNTY CERTIFICATE OF COMPETENCY Provid e names and lelephone numbers of two persons who will always know yourwhereabouls Na +^Jo S\e= Tele 231 ?.oo-lr+.> II. FICTITIOUS NAME OF APPLICANT'S BUSINESS: nane Ert'tcz,<l> At -s ^.,Czu)?rl -1os3Telepho e,siness N",".(Y\r ni sn> [,-rr---,^"€--e+r i. - tn<- l, no company n.mewillbe used, wrile Business Address S 5T>,-r) Slreet City 0-,o.: -\-r rts Federar rDrarNo.: A3' 4L+zi YoTS- )\l(- I II. 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 llled against you by the lnternal Revenue Service or Florida Corporate Tax Division? Undertaken consltuction contracts or work that resulted in liens. suits, orjudgments being fiied? Undertaken construclion contracts or work that a third party, such as a bonding or surety company. compleled or made llnancial 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 ol adjudication, a cdme in anyjurisdiction within the past 10 years?' Had claims or lawsuils llled for unpaid or pasl due accounts by your creditors as a result ol conslruclion experience? NOTE. lf you have answer yES to any ofthe questions below, you must attach a writlen explanation including lhe nalure 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 paynenl- 'lf you have had a felony conviclion, proof that your civil rights have been restored will be required prior to licensure. REINSTATEI\,4ENT APPLICATION REV 4i 12l18 Telephone: Been charged with or convicted of acting as a contractor withoul 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? 8.D.1 Packet Pg. 152 Attachment: AGENDA_VIIID_MARTA LILLIAN ALAS BONILLA – REVIEW OF EXPERIENCE (15056 : MARTA LILLIAN ALAS BONILLA – REVIEW G.Ei.#r i?bnadrsrt D€patrYErn Contractor Licensrng 2800 N. Horseshoe Dr. Naples. FL 34104 Phone - 239-252-2431 F ax - 239-252-2469 APPTICATION FOR COLLITR COUNTY CERTIFICAIE OF COMPETENCY IV. EXPERIENCEVERIFICATION EDUCATION: Lisl below and provide transcripts for any formal education you have obtained in the ar6a of competency for which this a is being made {vqr4,i1c 6tt\rrd vJcqx- rasS. \f .rT\$in L)-L {on(s,qnd lr.^c. J 6 o o u)ar mot}) in *hr larr{,+ List bslow non formal education (on the job training) you have obtained in ths area of competency for which this application is being made >1.:-t\L-<- CURRENT/PREVIOUS LICENSE: List below and attach copies any other certifrcates of compelency/licenses you hold/have held in Collier County or any other lurisdicton. lnclude the license #, Type, and counly you hold it in. N]A Underthe penalties of periury, I declare that I have read the foregoing application and the facls stated in it are lrue. M*,b [[,.^ Atq' &,n-.tlz # Applcant (please pnnt) State of County of Qu The foregoing instrument as ack 4 NOTARY'S (D;rurs hetnq typ€ of identilicalon d knwn^ ) 'a)0 -o n) L as #nd.r A/* l!- oi FEI- 5 Ctsr-r (,o r!r79 REINSTATEMEN TroN REV 4/12118 (S Page5oiTl AFFIDAVIT identillcalion and did not take an oath. me this produced 8.D.1 Packet Pg. 153 Attachment: AGENDA_VIIID_MARTA LILLIAN ALAS BONILLA – REVIEW OF EXPERIENCE (15056 : MARTA LILLIAN ALAS BONILLA – REVIEW C{E rih Managsnent Deparfn€nt Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 Phone - 239-252-2431 F Ax - 239-252-24F,9 APPLICATION FOR COTI.IER COUNTY CERTIFICATE OF COMPETENCY The undersigned hereby makes applicalion lor Certaficate of Competency under the provisions of Collier County No. 2006-46, as amended, and und€r penalli€s of perjury. I d€clare that I have read the foregoing qualifier infomalion and that lhe facts stated in it are ku€. CERTIFICATION OF APPTICATION AeeF"l (pbas€ e,i"t !/1i-t-r\S \l\.,rb [],=^ *tc" bc,'Jl> Th€ undersigned hereby certifies that he is legally qualified to act on behalf of the business organization sought to be licensed in all matters connecled with its contracling businoss and that he has full auihority to supervise construction undertaken by himselfor such business or organization and that he willcontinue during this registration to be able to so bind said busin€ss organization- The qualili6d license holder understands lhat in all conkacting matters, he/she will be h€ld strictly accountabl€ for any and all aclivities involving his license. Any willful lalsification of any information contained herein is grounds for disqualification. l)-rV)ton )AC-!I.L-L,LL<- Hil{ /);da? LttCounty of: The foregoing instrument as acknowledged before by me of peEon acknowledging (applicanl) fr NOTARY hl) me this )a fr,utu9 e@z 7An s produced typ6 of idoniilicd on or known -;'unt'A D D #raorr, Pl&L Slr .r Fro.n rat cffil.a.! @ 119919 REINSTATFMENT APPLICATION REV 4/12l18 RE OF NOTARY) Page 6 of 11 State of: as identification and did not take an oath. 8.D.1 Packet Pg. 154 Attachment: AGENDA_VIIID_MARTA LILLIAN ALAS BONILLA – REVIEW OF EXPERIENCE (15056 : MARTA LILLIAN ALAS BONILLA – REVIEW Conlractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 Phone - 239-252-2431 Fa\ - 239-252-2469 G.o\^,tr i,,lanag6rEr{ DepatrEnt It is understood and acknowledged by the Collier County Contractors' Licensing Board and myself that if I lail to acquire, or maintain al alltimes effoctive Workmen's Compensation lnsurance iiwillresult in the possible revocalion of my C€rtificat€ of Competency. ,{Y'\o.b 0^L^AIA: Bon'lla Y\,trwiot',s L.,,^>sP,\a - S BEFORE ME this day personally appeared who affirms and ApplDant (please pnnt) says lhal he has less than one employee and does not require Workmen's Compensalion understands thal at any time he employees one or more persons he must obtain said Workmen's Comp€nsation lnsurance. 710,t*-t County of The foregoing instrument as acknowiedged before me this 0a "4* a/h" frbr@k A State of -76;rE*;k".-r.ds,"sl;eeil6"tt as identification and did not take an oath NOTARY'S by produced ''bD6-t D (str#I'ld, t!!ac llr o, tu6. Ii c{nr*i oo arctt9 REINSTATMENT APPLICATION REV 4/12118 Page 7 of 11 APPTICATION FOR COLTIER COUNTY CERTIFICATE OF COMPETENCY WORKMEN'S COIVIPENSATION AFFIDAVIT 8.D.1 Packet Pg. 155 Attachment: AGENDA_VIIID_MARTA LILLIAN ALAS BONILLA – REVIEW OF EXPERIENCE (15056 : MARTA LILLIAN ALAS BONILLA – REVIEW GITS, LLC Examination Operations Division Providi.9lhe sery@s and productslo asslst Govehmenl Agencles to make intomed edueled decisions Official Examination Score Report October 22- 2019 Official Score Report: Candidate InformatioD: Narne - Marta Alas Candidate #: 52986080A Testine Site: Fort Myers, FL Final Score Result: Tree Contactor Score: 92%o These results represent the gade that has been achieved on the above named examinatio(s) admhistered by Gainesville Independert Testing Service for Collier County, Florida on October 2),,2019. Ifyou have any fifther questions, please do not hesitate to contact us Sincerely, Jay E. Bowermeister President PO Box 831 1 27 Oc.la, Floida 344811 127 - Voice (352) 36$GITS - Fax (352) 387-2,143 800 997 2129 8.D.1 Packet Pg. 156 Attachment: AGENDA_VIIID_MARTA LILLIAN ALAS BONILLA – REVIEW OF EXPERIENCE (15056 : MARTA LILLIAN ALAS BONILLA – REVIEW GITS, LLC Examination Operations Division Providing the seNic a.d producis to asslsl Govemment Agencies to make infom€d educated decsions. Official Examination Score Report November 18, 2019 Official Score Report: Candidate Information: Name - Marta Alas Candidate #: 52986080A Testinq Site: Fort Myers, FL Final Score Result Business Procedures Score:82% These results represent the grade that has been achieved on the above named examination(s) administered by Gainesville Independent Testing Service for Collier County, Flodda on November 15, 2019. Ifyou have any further questions, please do not hesitate to contact us Sincerell Jay E. Bowermeister President PO Box E31 127 Oera. Frorida 34483-1 127 - Voice (352) 359-G|TS - Fd (352) 387-2443 800 9s7 2129 8.D.1 Packet Pg. 157 Attachment: AGENDA_VIIID_MARTA LILLIAN ALAS BONILLA – REVIEW OF EXPERIENCE (15056 : MARTA LILLIAN ALAS BONILLA – REVIEW rlerit Credit 1239t 277 -3202 (800) 371-3148 TRANSUNION CREDIT REPOR'T lFoRl [suB NA,,4E ](r') z NP6284423 IDATE] o1129 /2O IrIl{E] 11:48CT Isu8]EcTl IALSo Kl{0vlt'l A5l B0l'lI L LA, ltlARTA, ! IcuRRE[r aDDRESS] 3031 5W. 54TH ST., IAPLES FL I ssir]IBIRIH DAIE] 5563 3/9a t4116 IDATE RPTO] 5/B lPosrlr0r,rl IvERF] [RPro] DEI{TAL ASSISTANT tz/19a t2/19 IcuRREi,tT Et4P|OYER ANO ADDRE55] DOCTOR SORINA I,4ODEL PROTIL-t *ALERT'** "'FICO SCORE 4 SCORE +674 '. SL4, Olg, OlO, eOA'*' lr'/ ADDITIOI{ T0 THE...FACTORs L]SIED A8OVE, THE NUTIBER OF INQUIRIES ON IHE CONSUT1ER'S (REDIT **+FILE HAS ADVERSETY AFFECTED IHE CREDIT SCORE. CREDlT PR=o COL=O REVOLVITGi Il,lsTALLilEl,ll TOTALS: 5UIt1 I,I ARY *** TOTAL FlIE HISTORY NEG=O HSTNEG=o TRD=4 RVL=3 INST=1 ITG=O 0PN=0 INQ=9 HIGH CRED CRED LII'I BALAI'ICE PAST DUE f,lNTHtY PAY AVAILABTE$2533 t27OO t1146 tA $sO sal$27.1K i $27 -tK tO t458$29.7K $27AO iZ8-2K $O $508 TRADES SUBIIAI.IE SUSCOOE OPEI{ED HIGIICRED TERNSACCOUI{I* VERFIEO CREDTIX PASIDUE ECoa CoLLATRL/LOANTYPE CLSD/Po BALAITICE REiIIARKS SYNCB/TJX C B5O65t1 L2/19 $4OA HrN25604585105559 alagA $600 tOI CHARGE ACCOUI{T I25O PAYPAT 1-12 l.lOP PAYPAT 13-24 va 3e/60/90 1 R91 hAXDELQ HELLS FARGo B 9081,1664 442644147346 T 'RFDTT 'ARD 4/ ta r/ 2oa $1174 $ttoo $896 1,1fl'/25 $a 111111111111 RO1 1111111120 0/ols cB[A g 292F931 |OltA tto59426937283175 Al2OA $A@OI CREDIT CARD 12/A9 $O 111111111111 RO1 11 14 olo/o$o 1 O/OlA r01 o SETF/I{oFC F 27299f,6 t2179 t27 -lK 11€aOO@422449A 72lr9AI AUToI'IOSITE t27.LK 075H458 ,0 INQUIRIES OATE SUECOOE 1/29/20 ZNP62A442f (F LA) 12 / A9 / A9 BW 4597 847 (EAS' 12 / 05 / 19 F ?C124651a (Nr L) L2 / 06 / 19 ACH2A7 7 925 (CHt) 5/01l18 NNY1212672(EAS) SUBNll4E IlERlT CREDIT sYl'lc8/Tlx Dc COAF GERI{AIN TOYO sYNCB/JCP TYPE AllOUlrlT CREDIT REPORT SERVICEO BY: TRAI'ISUNIOII 2 BALOI{rN PIACE, P.0. BoX 100€ CHESTER, PA 19016 IMKT sUB] [INFILE] 16 NP 5/7A 809-888-4213 8.D.1 Packet Pg. 158 Attachment: AGENDA_VIIID_MARTA LILLIAN ALAS BONILLA – REVIEW OF EXPERIENCE (15056 : MARTA LILLIAN ALAS BONILLA – REVIEW COI,ISUI,IER OISCLOSURES CAN BE OBTAII{EO ONLINE IHROU6H TRAiISUNIoI AI: HTTP: / /L{lin{. T RANSUN ION. COll CREDIIOR CONIACT INFORI{ATION SYNCE/TIX CG235055H P0 BOX 965015 oRLAIDO FL. 32896 SETF/riroFC C227290€6 P0 BOX 91614 I.IOSILE AL. 36591 CBNA 88292F031 PO 80X 6497 SIoUX FALLS SD. 57117 I{ELLS FARGO BC9O8N554 CREO]T BUREAU DISP DES IIO]NEs IA. 503€5 GER"AIN IOYO A 2A77915 13315 TAIiIA,{I TRL I{APLES FL. 341].0 II,IERIT CREDIT Z 6244423 12734 XENIiIOOD LANE FORT I{YERS FL. 33907 sY[cBlT]X DC B 4597a47 PO 80X 955€15 oR|-A DO FL. 32896 SYNC8/ICP N r2L2672 PO 80X 95s€07 oRLANDO Ft. 32896 coAF F t24693a 39€5 I'l DALLAS PARX PtAliO TX. 75093 890-3150 553-2650 574-t301 642-4720 592-5550 217 -3ZOZ 890-31s0 227 -52\3 946-0332 (877) (800 ) (888) (8oo) ( 2le) (23e) (877) (856) ( 800) EiID OF TRANSUNION REPORT I,IERIT CREDIT HAS RETRIEVED THE A80VE PERSoI{AL CREOII REPORI FOR LICEI'I5I|'IG PURPOSES AS REQUESTED BY THE EUSII'IESS O}INER/PROPRIETOR. PUELIC RECORDS FOR THIS REPORT HAVE BEEN CHEC(ED ANO VERIFIED AT THE CoU|{TY, STATE Al'lD FEDERAL LEVELS. PUBTIC RECOROS HAV€ ALSO BEEN VERIFIED FOR PII{ELLAs COUiIry. PUBIIC RECORDS LEARNED O SOURCES OF IlilFORt{ATIoN: TRANS UI{ION LLC rRs trEt{ sEcrro COUI.ITY COURTHOUSE RECORDS IF YoU HAVE Al'lY qUESTIONS REGARDII'IG THIS REPoRT, PLEAsE CoNIACT l.lERIT CREOIT AT: 1-80O-37L-334A OR (239) 277 -3292. 8.D.1 Packet Pg. 159 Attachment: AGENDA_VIIID_MARTA LILLIAN ALAS BONILLA – REVIEW OF EXPERIENCE (15056 : MARTA LILLIAN ALAS BONILLA – REVIEW t WMeritCredit rxt r.n, Ac.or.t. & S..ure. I,ERII CREDIT AIS RIIBTII'ID T8E IBOVI BI'SINTSS REPORI EOR LICINSIXG PVRPOSES AS REQOISTED BI TE BgSIllESS CiIIIIi/PROP&IEIOi. POBLIC RECORDS TDR TB'S REPORI B V' BEEN CAECXED AID VIRIFIED A1 TEE COI'IST' (INCI.ODI}IG P'}E rll), STATE A!{D TBDERAI r.Evtts. POB,,IC RICORDS LETRNED: O IF lOU EA\/I AN':T QUESTIONS RICiARDING TSIS RIPORT, PI. TSE CONTACT TGRIT CREDI1 AT: I- 600-371-33a9 OA 239-27 7 -3202. COMPANY NAMt: MINIONS LAWN SERVICES INC FEDERAL lD: 83-4498085 CURR€NT STATUS: ACTIVE PRINCIPAt(S): ORTANDO AtAS ANA LILTIAN BONILLAS DE ALAS TITLI: P TITLE: VP DATE INCORPORATED: DATE FILED 04/1212019 DATE EFFECTIVE 04/10/2019 SOURCIS OF IllTORI.AlIOl{: Eilll]L! BO9I!raSS INaOF! IION SEa\IIcEs IFS ttEtr Slctlo!. cool(ll cot Rlaossl RrcoRDs 8.D.1 Packet Pg. 160 Attachment: AGENDA_VIIID_MARTA LILLIAN ALAS BONILLA – REVIEW OF EXPERIENCE (15056 : MARTA LILLIAN ALAS BONILLA – REVIEW Premie. Prorile. illNrONS LAWN SERVICES rNc Current lntelliscore Plus Score: 24 Tranlactlon Nsmb.r: C504728097 Ssarch lnquiry: Minions Lawn Setoico lndNaples/Fu341 16 ilod.l D.scrlpilon: lntellscor€ Plus V2 OrdeEd | 01/29/2020 1l:56:11 CST Risk Class: 4 t&R"rion- rc.c -'C .,c ro.c The sk cla$ grcups s6res by nsk hlo ranges ol srmiar porlonnanc€ Range 5 islh€ highestrisk, range 1 is lhe ooanq Busin6! As: MlNlONs LAWN SERVICE Pramary Addre.s: 3031 54Tll ST SW NAPLES, FL 34116-8021 MINIONS LAWN SERVICES INC 426371631 B Score rang.: 1 - 100 p6rcentile MEDIUM TO HIGH RISK ]\,4EDIUM TO HIGH RISK Crelit Lim t Re@mmendation: Sl,0OO osT 'm-t0l Risk Dashboa.d State oI lncorporation Date of lncorporalion: 3 (F|LE ESTABUSHEO 052017) FL 04t10t2019 Prcfl ORLANDO ALAS . PRESIOENT Numberol Employoos: TAWN T GARDEN SERVICES,0782 Landscaping Servicas - 561 730 2 $193.000 A.tive Eusiness lndicator:Expeoan shows lhls business as acllve Possible OFAC March No OFAC match lound B!siness Viciam Stalemont:No victim slatemont on file a/ llE E EUSINESS AOORESS IOENTIFIED AS RESIOENTIAL Credil Risk Score and Credit Limit Recommenclalion Mforlnl't tllcl RtSl( PremLerProlile' MINIONS LAWN SERVICES INC Ri6k ScoB3and CreditLimli R.conm.n.l.llon Oays A.yond Tem3 Derog.to.y Lesal Comherclal Fraud Shield Evaluation lor; MltllONS LAWN SERVICES li{C, 3031 54TH Sr SW. NAPLES, FL341'16{021 Credii Risk Scor.: lnt lllscore Plui r' 24 1 i9h Riek 0 8.D.1 Packet Pg. 161 Attachment: AGENDA_VIIID_MARTA LILLIAN ALAS BONILLA – REVIEW OF EXPERIENCE (15056 : MARTA LILLIAN ALAS BONILLA – REVIEW Prpm's profi. 'MINIoNSLAWN sERVlcEs lNc Thrs s@re predicis lhe likelihood of serious crcdil delinquencl€s tor th6 business wilhin the nexl12 months. Payment hisroryand public r€cord atong wih olh6r variables ale us€d io pred ct luture.isk. Highor sco€s indEste lowe. risk. F.ctoE lom.irg lh. 3cor. , RISXASSOCIAIED wlTH THE COMPANY'S INDUSTRY ' COMPANYS BUSINESS ryPE , NUMBER OF EMPLOYEES l.du.try Ri.k Comparison 23% olbusinesses ndi@iea hiqher lkelihood ol sevae Quarterly Scor€ Trends 0 \|ttot 80 100 The lrtelliore Plus Quarleny Score Trends provide a e6, ol lhe lil€lihood ol deloquency overthe pasr 12 months lor this busness. The lrends wllndicate itlhe scor6 improvod, r€m6in6d slabl6, fluctuated or declned over lhe lasl12 monlhs. 40 Fs Fr*'rJ'n ,ursf ooo€c This score pr€3icts the likelihood otnnancialslabilily skwirhin the nen 12 months. The eore uses tEdelineand collections infomation, public flinqs as well as other vanables !o predict luture nsk. Highor sres ndi@te l(rernsk. FactoB lorerlng rh. .coE ) LACK OF ACTIVE TRADES I RISK ASSOCIATED WTH THE AUSINESS TYPE ' EMPLOYEE SIZE OF BUSINESS ' RISK ASSOCIAIED WTH THE COMPANY,S INOUSTRYSECTOR Current FinancialStability Risk Score: 6 Risk Class:4 The risk class groups scores by risk i.lo ranges otsimilar p€dorman@. Rang6 5 islhe h€hed nsk, rang61 rslhe lndu.lry Rlrt Comparlson 5%olbusinosses indrcate a higher likolih@d ollinancial lnt.lll.core Pl!. (lu.r!.dy Sco6 frcnd! Cr.dit Risk Score: Financial Slability Risk Ein.ncial Stabilily Rl.iauln dy Score TBnd. Mflrlfi - H6fl RtSt( 8.D.1 Packet Pg. 162 Attachment: AGENDA_VIIID_MARTA LILLIAN ALAS BONILLA – REVIEW OF EXPERIENCE (15056 : MARTA LILLIAN ALAS BONILLA – REVIEW I00 80 60 Qrrarterly Score Trends \or.'^}$ oro'Stn \u"ttt Dec oc1 Th6 Fhancral Slabir{y RiskQladerry S@rs lrends povdo a vrewo,he likelrhood oi financralslability risk ove.lh6 pasl 12 monlhs lor thrs business. The trends wll ind@t€ rrhe se.e imprcved, remarnBd slable, nuclalgd o/ declin€d ov€r lhe last 12 months 20 0 rc.c ,o,c THE FOLLOW|NG INFORMATION WAS PROVIOEO BYTHE STATE OF FLORIDA, THE OATA IS CURRENT AS OF 0129/2020 Si.t. oforigini FL Oaie of lncorDordon: 04/1012019 Cumnt St tu.: Aclive 9ulltro6s lypo: ftofit Ch{rterNumbor: P19000o335 Ag.nti CAPACCOUNTING E TAX SERVICES INC Credit Limil Recommondllion $r.000 This re@mmendaiion @mpa.es this business againsl srmilar businessss in rhe Exp€dan business crcdrl daiabase.li is bas€d on trade infomarion, indusrry, age ofbusin€ssand the tntettscore Plus Tho @mm6ndaiion isa gude. The linaldooeon must be made bas€d on you. clmpany's Cu.rentDBT: NolAvailable Predicted DBT : N/A ilo.thly 4v...9. OBT: 0 High€st DBT Prcvlo!.6 flonths: 0 HlghBt DBf Provlou3 5 Qu.rl.B: 0 P.ymenl Tr€nd lndlc.tlon: Paymenl l.6od l.dielor not availade Tolallra.le and coll.ctlon (0): All colL.clion.l0): Continuous trad6 (0): Highost credit ahount .rtond€d: llo!t trcquent induBtry p!rchesing !sm!: lnduslry purchasng lerms nol avaiiable 60 s0 30 so UCC filings: Cautionary UCC lilingi 0 0 $0 0 OAT Range 0-5 6-15 16+ DBT for this business: Not Available lndustry DBT Rrng. Comp.nson The curenl OBT ollh6 busr.ess is NotAvarlable Additional Busin€ss Facls Premler Prol5le - MINIONS LAWN SERVICES INC Credii Limit R6comm.ndarion Payment and LegalFilings Summary Trrd6 and Collection Balrnce lndGtry Comp.rl3on .1.: ) Corporat. Rogi3r.!lon 8.D.1 Packet Pg. 163 Attachment: AGENDA_VIIID_MARTA LILLIAN ALAS BONILLA – REVIEW OF EXPERIENCE (15056 : MARTA LILLIAN ALAS BONILLA – REVIEW Asonl Addr*.: 11725 COLLIER ELVO SUITE A l NAPLES FL b.c Expcn?n prides itseron the dapth and.ccuncy of,ha d.t mrlnblned on our.ht btses. Rapodlng lot / customefs paymenl behauiof to Elperiao vlll futhef soengthen and enhtnce the power of the irrlormalioo availaue bt mahiilg souod credit daclslons- Glw crEdfl wheft cndL ls dre. C.ll f-EOlL52O-f221, opalon *1 bt mon infonnaalon. End of @pod 1 of 1 r€port rhd hlonatkD hedl, is lmbtw i, erndaM lb. yout dxclusio us t y bgrtimEta busndss pl4b@s ard shdll nol b. epdnu@d Ndlhel Erpenan /hltomib, sot bhs t@ @ ther @@s o. dslnbuloo @@Dl s@n ,n@ahn tur shat/ thel b? l@bb /a, ,ou. u& N EraM upon lt O Experian 2020. ,Jl nghts Erpenah and lhe Exp€rla.mads ho6i. ac sic. ml(3 or rogi.ior.d f.d.mr(s ol Exp.nen Premier P@iile - MINIONS LAWN SERVICES INC 8.D.1 Packet Pg. 164 Attachment: AGENDA_VIIID_MARTA LILLIAN ALAS BONILLA – REVIEW OF EXPERIENCE (15056 : MARTA LILLIAN ALAS BONILLA – REVIEW Detail by l.lntity Name I'ege Iol 2 .-"i>-,\ Dotail by Entity Name Florida Prcfit Colporation MINIONS LAWN SERVICES INC FIllnr hlofinataon OocumonlNumber Pl9000033510 FEI/EIN Numbor 83-4498085 Deta Fited o4t12na19 Efirctiv. Det o4t10t2a19 St.I. FL St tu. ACTIVE Pnncroaraddr..s 3031 54TH ST SW NAPLES FL 34116 ,{alllno Add163 3031 54TH ST SW NAPLES, FL 34116 R€olltor.d Aoont N.mo & AddrBs 3031 54TH ST SW NAPLES FL 34116 Name Ch6nged: 12102/2019 Addrcss Changed l2102019 Ottlc.r/olrecror D.t ll ALAS. ORLANOO 3031 54TH ST SW NAPLES FL 34116 EONILLAS DEALAS, ANA LILLIAN 3031 54TH ST SW NAPLES FL 34116 http://search.sunbiz.org/lnquiry/CorporationSearcVSearchResultDetail?inquirpyprEntity... 612912020 8.D.1 Packet Pg. 165 Attachment: AGENDA_VIIID_MARTA LILLIAN ALAS BONILLA – REVIEW OF EXPERIENCE (15056 : MARTA LILLIAN ALAS BONILLA – REVIEW Detail hv Entitv Name Page 2 of 2 3031 54TH ST SW NAPLES FL 34116 a4!-!i1-89!9!E 2420 Filod Oat 02110t2020 Oocum.nt lm.o.. http://search.sunbiz.org/lnquiry/CorporationSearch/SearchResultDetail?inquirytype=Enlity... 612912020 8.D.1 Packet Pg. 166 Attachment: AGENDA_VIIID_MARTA LILLIAN ALAS BONILLA – REVIEW OF EXPERIENCE (15056 : MARTA LILLIAN ALAS BONILLA – REVIEW Electronic Articles of Incorporation For MI\iIONS LAUN SERV]CES INC the undersigned incorporator, fbr the purpose of tbrming a F lorida protit corporation, hereby adopts the following Articles of lncorporation Article I 'fhc name ofthe corporation is: MINIONS LAWN SERVICES IN-C Article II lhe principal placc of business address: 3031 54TH ST SW NAPI,ES. FI-- LIS 34I16 The mailing address of the corporatron rs 303154TH ST SW NAPLES, FI.. US 34116 Article III the purpose for which this coqrcration is organized is ANY AND AI-L LAWII]'L BUSINESS, Article IV lhe number of shares the corporation is authorized to issue is t00 Article V The name and Florida street address ofthe registered agent is: CAP ACCOLNTING & TAX SER!'ICES INC I I725 COLLIER BL\D SLTITE A.I NAPLES- FL. ]4I I6 I certii/ thal I am familiar with and accept the responsibilities of registered agent. Rcgistered AgenlSignature: CLAI.IDIO ARGL,ELLO P't 9000033510 FILEDAotil 12. 2019 Sbc. Of State lawilson 8.D.1 Packet Pg. 167 Attachment: AGENDA_VIIID_MARTA LILLIAN ALAS BONILLA – REVIEW OF EXPERIENCE (15056 : MARTA LILLIAN ALAS BONILLA – REVIEW Article VI The name and address of the ircorporator is: ORLANDO ALAS 3031 54TH ST SW P19000033510 FILEDADril 12.2019 Sbc. Of State lawilson NAPLES FLORIDA 34I I6 Eleotronic Sign&tur€ of Incorporetor: ORLANDo ALAS I am the incorporator submifting these Articles of Incorporation and effirm that thg facts stated herein are tfue. I am aware thst fslse information submitted in a document to ile Deparmeflt of State constitutes I third depree felonv es oro\ided for in s.817.155. F.S. t understaod lhe reouirement to file an amual reDon betweeiJanuary Ist aid Mey lsl in the calender ye&r following formation ofthis corporation end ever) vear thereafter to maintain "aclive" stafus Article Vll The initial officerls) and/or director(s) ofthe corporation is/are: 'litle: P ORLANDO ALAS 3O3I 54TH ST SW NAPLES. FL, 34I16 US Title: \? ANA LILLIAN BO\ILLAS DE ALAS 3031 54TH ST SW NAPLES. FL, 34I I6 US Article VIII The effective date for this corporation shall be: o4/1ot20t9 8.D.1 Packet Pg. 168 Attachment: AGENDA_VIIID_MARTA LILLIAN ALAS BONILLA – REVIEW OF EXPERIENCE (15056 : MARTA LILLIAN ALAS BONILLA – REVIEW 2OM FLORIDA PROFIT COBPORATIOIiI AI{I{UAL REPOBT DOCUMENT{ P r 9000033510 Enllty ltrmc: MINIONS LAwN SEBVICES INC Cu.rlnt Prlhclp.l Phcc ot Bu.li€..: FILED Feb 10,2020 Secretary of State 0601280374CC Curr.nt Mrllln9 Addr..a: 3031 54TH ST SW NAPLES FL 341]6 US FEI Numb.r: 83-1498085 Nrira end Addreaa ot Curroni Regiate.€d Ag6nt: 303r s4rH sr sw Cerlalicale ol Stalus Desked: No 1L &. hdont rlu*bl,hdd,dwtu.rn,otot dt'rhed'tqar,d or'drr''t adryr,d M\ no,s@ ot lbi& SIGNATURE: Ele.rm c SigmMe or Feglired AqFl ()lffc..iDlllcftr l,..ll : AtA ORLANM Add6 3031 s.TH ST Sw ciry.stalezip NAPLES FL 34116 BONILLAS OE A1-AS, ANA LILLIAN 303154THSlSW rlb/.'trtutututu dedturl@atuf db','/,atua.Mtu SIGNATUFE|MABTA LALAS OIBECTOH 0211012020 E eclron c S gnature o, S qh no Ofi erlD(ecror Dela 8.D.1 Packet Pg. 169 Attachment: AGENDA_VIIID_MARTA LILLIAN ALAS BONILLA – REVIEW OF EXPERIENCE (15056 : MARTA LILLIAN ALAS BONILLA – REVIEW OB/2g/2O2O 3128.2? Pt -o5O0 IRS PAOE 2 OF Z IrcpsrtDcnt of thc Treasury htcrtral Rcvaura Saryice Ogd.!, UT t4201 ID reply rder to: JUE 26, 2020 63{{9EO65 0457E09025 LTR 147C Dear Taxpayer: Th.nk you fol your telephone inquiry of June 26t\ 2020. Your EEtployer ldendflcation NuDrber (EN) is 63{,19E065. Pleole keep thls letter ln your -p€rmanent record!. Erter your Dame and youl EN on all bullner! fedeEl tax forrnr and on relatcd coreapondence. lf you hrve rny queldonr rc8Erding tl . letter, pl€ale cdl our Cu.toD€r S€lir lce Dep.rtreDt rt 1{0}E29{115 between the boun of 7:m AI .!d 10:m Pll tf you ltefer, you Eriy rrlte to u! .t the addr*3 shown it the top of the ffrlt page of this letter. Whcn you l,rite, pleate lnclude r telephoBe number r{hcre you tllay be Bchcd and the best dme to cdl. Sincerely, Ift. Llm 1003527076 Curtomar S€Ivlce Rcprrcntrdve ffi I.INIONS IAWN SMVICE INC 3331 54TH ST SltNAPLES FL:!r1l6.q)OO OOO Tsxpayer [dendflcadon Number: 63-4498m5 Foru(r): 8.D.1 Packet Pg. 170 Attachment: AGENDA_VIIID_MARTA LILLIAN ALAS BONILLA – REVIEW OF EXPERIENCE (15056 : MARTA LILLIAN ALAS BONILLA – REVIEW C,R3",Cotatfi:l Conkactor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 239-252-2400Grc\rth ManagerrEnt Departrnent APPLICATION FOR COTLIER COUNTY CERTIFICATE OF COMPETENCY This certifies that l,t,!a\.k\ L Alc-s flro ri,ilq am e merrber oT mana gng APPLICANT'S NAME (p ease pnnt) rvi (l^ (L M TEO LIABILITY COMPANY NAME) 10 % ofthe units issued by the Limlted Llability Company lisied above. Affidavit ofApplicant: lcertify under penalty of perjury that the information contained is a true and correct stalement lo the besl of my knowledge. MurI",. c F\lqJ h,^ti\h Mrnioru L awngt,r Vrt€ .It4c es6 '"r-1' \ Slate of 'i.-lrr ( r<l(1.,C-11,./ 'Ihc 2aaay ot 20 &r. by Such pe.son(s) Notary Public must check applicable box: ,,.tr de per.onalb knoqn ro me zIhar produced a cunenr drl!er license I as identification. o.r"* ,* O, rn*,. "rtCsical preieqce or tr on lrne nordrizirion on rhi(\-I'afiir, L,{,"".' Q\o.s Bon,'lcr tr has produced (Nolary Seal) ;ffi *lJIi'I;ilti{,*t *ffi'J"#lJln* STATEMENT OF OWNERSHIP Firm_Application.docx Rev 4/06/2020 Pass I of 1 5 8.D.1 Packet Pg. 171 Attachment: AGENDA_VIIID_MARTA LILLIAN ALAS BONILLA – REVIEW OF EXPERIENCE (15056 : MARTA LILLIAN ALAS BONILLA – REVIEW Cor.t*tt! Growth Managernent DepartrEnt Contracior Lcensing 2800 N. Horseshoe Dr. Naples, FL 34104 239-252-2400 APPTICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY RESOTUTION OF AUTHORIZATION Complete this form if multiple people own part of the company the lic€nse will be attached to lfthere is only 1 owner, then this form is not required for the application. ln accordance wth Co lier County Ordinafce 2006-46, as amended,ff, to engage in contracting "" o PNi c-r.rs /o u-,rc,rr n Collier Counlv where Off@iVOMeB/Panne6 proposes to qualify for a Cediticate of Competency with company It is hereby agreed upon that we the undersig neo o€li41v5 /611y115 o, lv0n)oW Lo.u/nce v,,,1f( IhC l.i\ark Lr\r* hlqs 0-"0 Uq .is active in allmatteF connecled with the company named MltrunS tcurn( e{vi(6 tn(We further resolve and represent that y'),,la n)o Ala s roposes l-i h ar. ( s ega ly eM(c or! .li\c,s &niia )l _.t Oflierc/OMeB/Pa dners Arr-, [,Lon tlrorrilla - OffiedownedPadne6 ka,N Iq OtredoMeE/Padners OffeG/OMedPadners ofLhe abolenenton€d @mpany need io slgn on the let and s ritn*s OfreE/OMedPartneE Compary resolve and represent to the Collier County Contractor's Licensing Board thatthe proposed qualirying agent, Company Appllcani Nare emoowered to acion behatf ofMl Y\la n( la4.fil1]4ll-fubn.llmatters connecied with its contracting Company business and has the authority to supervise construction undertaken by \'t rr State of Coutrty The PQ-dayor 20 aQ, by Such personG) Notary Public must check applicable box tr are personally known to me #,. p,oauc"l a cunent a,i'* r"**-E-O L "rQ-'tt \€(,ld bt ".tL:14-ffi LINA[!,DUOIJE Commllslor#GG963504 Exdtss F€huory 27, 2021 BoddftruBs!.llloblys.o Notary Signature a has produced (Notrry serl) ,:ffi: Rev 4/0612020 Pa6e 8 15 f4\ r..ionJ Lqpn5 r r vlr.r- I-t.,C UMt.0u0uE comm]!8lon t GG 963561 fuis6 febtu ry 27, 20-2{ Bqlndni Stnsd r{!.rsir.. 8.D.1 Packet Pg. 172 Attachment: AGENDA_VIIID_MARTA LILLIAN ALAS BONILLA – REVIEW OF EXPERIENCE (15056 : MARTA LILLIAN ALAS BONILLA – REVIEW a -fuQor.t"tiy Go/vth l\rarqErrEri DeFfirEnt Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 239-252 2400 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY Applcanfs Narne m VERIFIC q(t-\ N OF CONSTRUCTION EXPERIENCE[r>-- Alat r]=.,r)la - -1\9e- *>;*aL rz-e_ ATIO Cenjiicate Category Requested \Jr.LJt *aca s1 Bus ness Narne Vt Llcerse No. (i app cab e) Eusiness {i PA L.L, Slrsr The app icant was ernployed by ms lrom 7p t\Clly Za ;<-p I cl0 :ifa-n- C- aQ-rA t ^J. 1-Pt P t rv $The applicant's scope oI wofi (speciiic dUies) nc uded err..i r5e {h0 t,rs0KeA-\t<^nd oAN6ca /q n+S, Additionalcomments 6ecD tJtzr-iq E)I QeQ)<OiL- NOTE TO LICENSED CONTRACTORS: Falsiring any inforna an ptavicled hercin nay subject yau licsnse to revocatian Under penalty otp€lury, i declarelhal the lacts sEled here are lrue. Slate oi -..: County o!(4!-+)€iL The toreloing inslrum€nt as acklowledged b€tore me this Sig.atlr! ol p€6on prdiding ths iarnent by '().€me ot poEo. a.rfiof,i€dging and did notlake an oath. NOTARYS S frp rad.t P!r* 3.4 d Fn"' *tH,*"'o. b- S GNA RE OF NOTARY The appLicant is seekiflg e Coltier County Cerliticale ol Competency in llre trade indicated above As parl oi the application lor this c€dricate, ths applicant musl veriiy his./her etperi€nce within lhis trade. You are b€i.g r€quested lo provide lnronnato. lhat wll aid the applicanl in rreeting this requrrement, You should v€fily lime ol active experience worklng as an appr6ntice or a skilled worker (6.9., as a work€r commanding the wage of mechanic or b€t€r n lhe trade). Tlrne s€rv€d solely in a supervisory or adminislralive role should b€ doscribed, blt may or may rot be considered slfficienllo demonslmle requted trade erp€rience. The person verjtying trade erp€rienc€ lor lhe abov€-named app{icanl rflusl provide the lollowing ilrlormation: Tltle; O, ),,.1E S(- FL-..dr /. Cetn4 8.D.1 Packet Pg. 173 Attachment: AGENDA_VIIID_MARTA LILLIAN ALAS BONILLA – REVIEW OF EXPERIENCE (15056 : MARTA LILLIAN ALAS BONILLA – REVIEW -fuCor.tttXy Contractor Lcensrng 2800 N Horseshoe Dr. Naples- FL 34104 239-252 2400Grort-r Nlanee_rErd Depart_neitflI VERIFICATION OF CONSTRUCTION EXPERIENCE Cert fjcaie Category Reqlesled \---"r-Js n",.[Y\ctv]e- \,.1r>--,r Atct fs"'.lt-1Applicants rrl.,L -I-!-z-<- --=-i-\ c-<-- la Tlle O,.>..-t-a Bus ness Nanre al 0..,.,'-J-... <?e l|,s.\l oc( cI, C L cense No. (il applicable) f1<--.. :<"-.J )37- s&1 -.3 ZI\ 3q tta 5 Za Jc/ 7 t0 Ty,*r " ' The applicant's scope ofwolk (speciiic duties) ncluded 5h. q5. * harp rnl 4c P,,l', 4 r.. lxSr, s. c,rd L,rarrch/s Additiona cornmenls Slate of nd .lo a.rru {r ,M0nF )L Cu poviding lhe sla€meni NOTE TO LICENSED COI{TRACTORS: Fals/ryirg any inlotmatton prcvided hetein may subj'ct yout license ro revocatian Under pe.ary o, peiury, I dec a.e tlrat the lacts srated here are true. ss. County ol Cd 1,../ hldTheloregoing instrumsnt as acknowledged b€forc ..e this /t VPe ol idenllncalo. or known and dd iot take an oath NOTARYS -,i-ota-D i*ny Comi.6 Ga .lE7r 4- SG T OF NO APPLICATION FOR COTTIER COUNTY CERTIFICATE OF COMPETENCY The appticant is seeking a CollierCourty C€ licate ol Comperency in the tade indicated above. As pan ol th€ application lor $is c€nitcate, the app{icant mustverify his,fier e)e€ri€nce wilhin lhis lrade. You ale b€ing requested lo provide inlornraliofl lhatwillaid th6 applicanl in me€ling this r€quir€m€nt. You should v€rilytjnre ol activ€ exp€ience working as an apprentice or a skilled work€r (s,9,, as a woi(er commanding lhe wagE of mechanic or bottor ln lhe lrado). Time serv€d sol€ly ln a superylsory or administrative rcle should be d€scribed, but may or may not be consid€rod sutficientlo dernonstrale required trade experience. The person veritying trade exp€ enc€ lor the above-named applicant musl provide lhe lollowing information: The applcanl was empoyed by me iron:,o1 k Applrcanl s Utle: -+L 8.D.1 Packet Pg. 174 Attachment: AGENDA_VIIID_MARTA LILLIAN ALAS BONILLA – REVIEW OF EXPERIENCE (15056 : MARTA LILLIAN ALAS BONILLA – REVIEW Qvn*y Growtt l,'larq€rrEnt Dep6rfnerlt Contractor Licenslng 2800 N. Horsesho€ Dr. Naples, FL 34104 239-252-2400 APPI-ICATION FOR COTUER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE Appiicents A,itlz [,(.;on *]las 6orr,/lot *-t L tCeCerlff icale Calegory Requested: The appli:am is seekinO a Collier County C€niicale ol Comp6l6ncy in the lred€ indiceted above. As pert ol th6 applicalion tor this c€rtillcate, the applicanl musl ve fy hirher s&ed€nc6 wilhin lhis lrado. You ar€ being r6qu6stsd lo provide inlomalion thal willaidrhs applicar{ in me€trng 0ri6 requksmant. You should v€ilyulneol active sxp€rionct worhng as an apprentic€ or a skilled worker (e.9., as a rvoft€r commanding the waOs ol mochanlc o. b€nor in lh€ lrade). Time 6ery€d sol6ly in a supervisory or adminislraliv€ role should be doscrib€d, bu may or may not b€ considoa€d sulllcionl to domonsrab requir€d trada apedanca. Th6 p6Gon vedtying trade exp€ience lorlhe above'namod applicanl musl provido he rollowing inlornalion: Narne:tfaaru/ /z*tat ,/Z nU.r 7/e < S<-rz,'c<Business Name: "non . 2)Z Lic€nse No. (il applicable): u<rcd /. 3q, qs 'fire apdicant was €mploy€d by mE tom cdY Zp /C lo The 5l,r cW Additional commenls: ub(,d -to Co a,u.tinarloa, S/r€ itti/t ( ".- he- 6hd lrov n 4:Kc tPrr -ru0 I 5 .t,' K. l' q|] lnq th ( t <.rcrt(-r' ,{OTE TO LICENSED COTWRACTORS: Fa.islt ng any infomelion p@vided hercin may subiect yout license lo @wcatton. Under penalty o, pedury, I declare thel lh6 racls slatod here arB tru€. State ot County The loregoing iflslrum€ni as acknowledged b€rore me this n6m6 ol F6on .cknod.dting and did nor take an oath N Sig.atur€ ot pacon prcvtjklg rhs stal€m€d aa identilicatron ryp! oi ld.nnflarbn or klwn F/- a Co/l er' 4,D-/ #fi.l.t ADIcSt t c{ Fb.il r CltnE sr GG 11..7e FIRM APPLICATIO Rev 4/12118 S OF NO Page 12 ot 15 Business Address: lc/abzo /rr r-\c\ p (f ' I "'.5 / 8.D.1 Packet Pg. 175 Attachment: AGENDA_VIIID_MARTA LILLIAN ALAS BONILLA – REVIEW OF EXPERIENCE (15056 : MARTA LILLIAN ALAS BONILLA – REVIEW ,Cnntractor Lic€nsing 2800 N. Horseshoe Dr- Napl6s, FL 34104 239-252-2400 Col.flet Gro! fh l,lar€gerner,t D6parbrEfit AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF {krr,J c, COUNTY OF Cc,il,.'' iam a resident of ilcltcs County, more than five (5) years- ftark Ao.. n a?u9 (State) and have resided herefor?rcn)a (applicant).1 have had the opponunity to obsewe his or hgr business and personal dealings and lind hiln or her to be a p€rson of honesty, intggrity and good character 9L<funq A S'!n5n . I n c-z- ,l ncl {i <rtrtz Telephone who has prodlrced t< z-l //by '^-2{BL' The loregoing instrumenl as acknowledged belore me this L)',7tfQ Ys identilicatnn and did not take an oath NOTARYS SEAL rE ol ld.ndlh.l6n-b'ae- 2 fiD rdt l\rE 9.4 o, r!.i,. ifr cdr.6 OG rlert FIRM APPLICATION Rov 4/l2i18 (S NOT PaO6 13 oi 15 APPUCATION FOR COLI-IER COUNTY CERTIFICATE OF COMPETENCY \ 5{./a/?/ R Lt/n.Z , having been firsr duly swom, state and atfirm: During the last iive (5) years lhave known Ado, ess, jijT-JZJ)--A.?-1-i.L StrLEt 77o,iJr:- v;ru 8.D.1 Packet Pg. 176 Attachment: AGENDA_VIIID_MARTA LILLIAN ALAS BONILLA – REVIEW OF EXPERIENCE (15056 : MARTA LILLIAN ALAS BONILLA – REVIEW Gro\rtr irar€oerrErt Dep€rt?Ert Contractor Lic€nsing 2800 N. Horcsshoe Dr. Napl€s, FL 34104 239-252-2400 APPUCATION FOR COTUER COUNTY CERNHCATE OF COMPEIENCY AFFIDAVIT OF INTEGR,ITY AND GOOD CHARACTER STATE O F )- lo t,\d COUNTY OF .O\\ I,havlnq been first duly sworn, slal€ and aflinn a I am a r€sident ol County, mor€ than livs (5) ygars. oudng the l8-d ltve (5) y€aIs I havs known ho.*!A\",{applicant). I havE had th6 opportJnityd ol hon€sty, int€grity and I Io.,.Aq to observB his o. her business ard personal d€alings and find him or her lo qood characlsr. sigl]aturc D.,o"t So*..\ov ,?,L%l 30 n9\', no $t v<\f,] O Address $tt X\r,.e\o">f(v L|\16 c& Telephon6 a by Thr"Ja )ril6t idsntilication 4Th€ lor€going lnstrumert as ac*ngwlBdged before me this who has praduced NOTARYS SEAL ut" r) #idt PlnE $n d Fbr.,. lly c!.ir..&r GO el el?l FIRM APPL|CATION R6v 4/12/18 NOTAR' Paoe 13 0115 (Stat6) and have rGided herg lor and dld not tak9 an oath. 8.D.1 Packet Pg. 177 Attachment: AGENDA_VIIID_MARTA LILLIAN ALAS BONILLA – REVIEW OF EXPERIENCE (15056 : MARTA LILLIAN ALAS BONILLA – REVIEW JIMMY PATRONIS CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES OIVISION OF WORKERS' COMPENSATIOTI . . CERTIFICATE OF ELECTION TO BE EXEiIPT FROM FLORIDA WORKERS' COiIPENSATION LAW' T CONSTRUCTION INDUSTRY EXET{PTION This certifes that the individual lisled b6low has 6lecled lo be exempt from Florida Workers' Compensalion law EFFECTNEOAIEtZ12J2020 EXPIRATIONDATE:21112022 PERSON: LIARTA L ALAS EMAIL: MINIONSLAWNSERVICE@GMAIL.COM FEI : 834499085 BUSII'IESS NATIE AI'ID AOORESS: MINIONS IAWN SERVICES INC DFS.F2-DWC.252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISEO 08.13 E01119826 OUESTTONS?(850)413,1609 IMPORIAN T: Pu6ua.r ro BubE&rion r!r0.05{ 14), F.S.. an olttc€r ol a coDoralion wno dodr eremplion lrofr oli6 chspt€. by filing a c.nifcate ol €leciDn und.r tns ssclio. my .ol r@vsr b€mfiG d dnpenetion und6. tnB chgpt .. P!6!s.t to sub..c1bn 140.05(1 2), F.s., c.n ier.s ol .l.crion lo b6 ox6mpr issued unds subseclio. (3) snal apply dt lo tE apdaie olner .atrEd @ ln6 rcli@ of 6l6ctin lo be exempt and .pply only wihin lhe @pe ot SE businBs or hade lisied on the norie ol ehcrion ro be exehpr. PuBu6.r lo subs$rion 2!10.05{13), F.S.. no!@s or .l€c0on lo bo e!6mpl a.d @nrfi@16 or .l6c1ion to b. exempr sharl be subjecl to €vo.6lion ( at any tim. aner thc 6lin9 oi ih. nol co or ln. iGsuan€ ol lh6 c.^lfi.3t , n. p.en .an.d on th. mt6 or cstfiei. no longer mels the equiemnis ot *is s.cton ,or isu.n@ ot a 6nin€!e. Th6 d6Eturonl sh.ll eeote a @nif@16 at .ny lime lor failue of f)e pe6on named on lhe 6.lili@le lo mel lhe BquiE,Mrs of this wion. 3031 54TH STREET SW NAPLES, FL 34,I16 SCOPE OF BUSINESS OR TRADE: 8.D.1 Packet Pg. 178 Attachment: AGENDA_VIIID_MARTA LILLIAN ALAS BONILLA – REVIEW OF EXPERIENCE (15056 : MARTA LILLIAN ALAS BONILLA – REVIEW 02l1amm TH'S CERTIFICATE 18 IsSUEO AS A TATIER OF II{FORIATIOiI OI{LY AI{D CO}IFERS I{O RIGKTS UPON TT{E CERTIFICATE HOLOER. THIS CERTIFICATE OOES bT AFFIRTATIVELY OR ITEGANVELY AXEND, EXIEXD OR ALTER THE COVERAGE AfFORDEO BY THE POLICIES BELO|Y. TlI9 CERInCATE OF rriSURAt{CE OOES t{OT COi|STmJTE A CONTRACI AETWEEI rHE TSSUIIG TiSURER(S), AUTItORTZED REPRE9EITTATIVE OR PROOUCER. AND THE CERIFICATE ITOLDETI II?ORTANT: ll lh. or$nc.h hold.r l. .n ADDI'IOI'IAL II'ISUREO, th. pollqrli..) miEt h.v. ADOInOI{AL lllaURED prDvi.ion. d b. .n&f! d.I SUBROGAnON ls WAVED, .ubl.ct to tn. i.m. .d codhlo. ol th. pollcy, c.rLh pollcl.. nEy r.qulD .n .idol!.mnt A .t r.Dltt on nrL €dnqt d,o.. @t .ont . rlohi. t dr dmldi. h.l&r ln lLu ol.u.h .n toE.mn(.). E9F.!on lrllJl tca Grurp, lrc '1924 SanE B.iD6ra thid *3 FL 34116 5047135 R!u*.la)*rodrc coEuo. rl'EEi^. HERITAGE P &C INS COMPANY rtlffi!r 86r*!hir€ Halhawsy Guard 1.lrl07 dBA irFio.s tswn S€rvicg. lnc 3031 5401 Sr SW FL 34116 'eRc.Martellnsuranco CERTIFICATE OF LIABILITY INSURANCE COVERAGES CERTIFICATE NUfAER: THIS IS TO CERTIF/ TIAT THE POIICIES OF INSIJRANCE LISIEO BETOW HAVE BEEN ISSUED IO IHE INSURED NAMED ABOVE FOR iHE POTICY PERIOO INDICAIEO. NOTWTIISTATIOiNG ANY REOIJIREMENI. IERM OR COITIDIIION Of ANY COiITTIACT OfI OTHER OOCUMEI{I wII}l RESPECI TO WHICT THIS CERNF|CAIE MAY BE ISSUEO OR MAY PERTAIN, I}]E INSURANCE AFFORDED BY T}IE POLICIES OESCRIBED HEREIN IS SUBJECT IO AIL THE TERMS, €XCLUSIONS AND CONOMO S OF SUCH POLICIES- LIMITS SHOvyt! MAY HAVE BEEN REDUCEO BY PAIO CLAIMS. r 1,000.000 t 100 000 i 5,000 3 1,000,000 r 2,000,000 p.o(rrcTs . co{PloP ^cG r 2,000,0(ro x HCR@3412 11D912019 11t292020 , 300.000 B@LY NURY (fu dd)B x oRAU0285a9 03101/2019 o3loltzom 3 1,000.000 3 1,000.000atutx20 eL osErsE . PoucY Lr{E r 1,000.000 c ltscnlP1B 6 oEMroNs e n MWCo146723-01 /VE*LB t c4D!6,red rd!.,ar.qdr) TE 3HOIJLO AIIY OF IIIE AEOVE DE3CRIB€D POLICEA 6E CAI{CELLEO BEIOit THE EIPIRATIOI{ OAIE TIIEREOF, NONCE MlL BE DEI,IVEREO IiI ACCOiOATCE wlIH INE POUCY PFOVEK'TA.Colli€l Co1xily Coit Edor lrcoori.g Ao6rd FL 34104 2800 I tb!.6to. or -{au -?.--^.-> O t988-201S AGORD CORPORATIOII, All rtghts n€.rv.d. !8j".-. (239)31-71.1 ERNF 8.D.1 Packet Pg. 179 Attachment: AGENDA_VIIID_MARTA LILLIAN ALAS BONILLA – REVIEW OF EXPERIENCE (15056 : MARTA LILLIAN ALAS BONILLA – REVIEW i Florida lr,oA^ar ,ln. mvalrE {t L' *A -: -- *-,r--.tr f, 8.D.1 Packet Pg. 180 Attachment: AGENDA_VIIID_MARTA LILLIAN ALAS BONILLA – REVIEW OF EXPERIENCE (15056 : MARTA LILLIAN ALAS BONILLA – REVIEW 02/17/2021 COLLIER COUNTY Contractor Licensing Board Item Number: 8.E Item Summary: MARTA LILLIAN ALAS BONILLA – REVIEW OF EXPERIENCE Meeting Date: 02/17/2021 Prepared by: Title: – Contractor Licensing Board Name: Michelle Ramkissoon 02/12/2021 8:20 AM Submitted by: Title: – Contractor Licensing Board Name: Tim Crotts 02/12/2021 8:20 AM Approved By: Review: Contractor Licensing Board Michelle Ramkissoon Review Item Completed 02/12/2021 8:20 AM Contractor Licensing Board Tim Crotts Review Item Completed 02/12/2021 9:08 AM Contractor Licensing Board Tim Crotts Meeting Pending 02/17/2021 9:00 AM 8.E Packet Pg. 181 MARTA LILIAN ALAS BONILLA _ REVIEW OF EXPERIENCE Contents 'l. CLB Notification 2. Letter- Formal meeting request 3. Complete and Notarized Application 4. Verification of Testing Scores 5 Credit Report - Applicant and Business 6. Florida Company Documents . Sunbiz Filing . Articles of Organization . 2020 Annual Report Filing 7. Employer ldentification Number 8. Statement of Ownership 9. Resolution of Authorization '10. Verification of Construction Experience - Three (3) forms 1 l.Affidavits of Integrity and Good Character - Two (2) Letters 12. Certificate of lnsurances 13. Driver License 8.E.1 Packet Pg. 182 Attachment: AGENDA_VIIIE_MARTA LILLIAN ALAS BONILLA – REVIEW OF EXPERIENCE (15057 : MARTA LILLIAN ALAS BONILLA – REVIEW Growth Manaqement Division Planning & Regulation January 27 ,2021 MINIONS LAWN SERVICES INC 3031 54TH ST SW NAPLES, FL 34116 Review of Experience I\,1 NIONS LAWN SERVICES INC You have been added to the agenda for the Conkactors Licens ng Board meetrng on Wednesday, Febtuary 17,2021.Ihe meeting is held at 9100 am at the W. Harmon Turner Building (Bldg. F Admin.Bldg.), 3299 Tamiami Trl. E., Naples, FL 34112 in the Commissione/s l\reeting Room on the 3rd floor. There is a security checkpoint you will need to go through, so please allow enough trme to make it to the meeting. lf you have any questions, please contact out office al (239) 252-2431 Sincerely, Irichelle Ramkissoon Title Licensing Section Growth Management Divislon Planning & Regulation 2800 N Horseshoe Dr. Naples, FL 34104 8.E.1 Packet Pg. 183 Attachment: AGENDA_VIIIE_MARTA LILLIAN ALAS BONILLA – REVIEW OF EXPERIENCE (15057 : MARTA LILLIAN ALAS BONILLA – REVIEW FORMAL MEETING REQUEST Mafta Lilian Alas Bonilla 3031 54th st sw Naples , f|34116 239-961-9053 Through this letter, lwould like to introduce myself. My name is Marta Lilian Alas I'm working as a Director for Minions Lawn service lnc a family owned business. We are working as a small gardener company.The reason for the request of this meeting is because I would like to request a meeting with the members of the board of the collier county commissioner we are trying to get the approval for the contractor and tree service license,the reason for the request is because we are trying to expand our small company as we have bing give up the bigger jobs opportunities because we don't have the lisencess.l previously stated that our company is a family own business I work along with my father he has more than 15 year of experience working on the field of lawn service and tree service.l know it my not be enough but we would like the opportunity of the approval ,my reason I would like one day to work along with collier county and also create more jobs opportunities. I will be waiting for the approval of this meeting. lt will be an honor to be under the collier county board members. Thanks & regards Your Faithfulty, Marta Lilian Alas Bonitla Jan,2a 2021 8.E.1 Packet Pg. 184 Attachment: AGENDA_VIIIE_MARTA LILLIAN ALAS BONILLA – REVIEW OF EXPERIENCE (15057 : MARTA LILLIAN ALAS BONILLA – REVIEW C,otttt3t Conlractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 Phone - 239'252-2431 Fa\ - 239-252-2469 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF CO'{PETENCY FIRM APPTICATION FOR COLLIER COUNTY CER,TIFICATE OF COMPETENCY &>?c, _ crr?4 r/ @y printed. The application fee must be paid ficn approvit and sldl reiundable. All checks sholld be made payable lo: Callier Counly Baard af County Commissionerc. For further TYPE OF CERTIFICATE OF COMPETENC'/: . General - Building i Residential : l,rechanical - Rooting $230.00 $230.00 $230.00 $230.00 $230.00 Lo-. J - Electrician tr Plumber : Air Conditioner - Swimming Pool 1dp".,",ry iGF $23 $23 $23 $20 000 \,I. ta A F] , Ee EE @r.]<atr6 h72 27 r.) I <B i6 0.00 0.00 $230.00 5.00 5 <.> rg ts I. APPLICANT PERSONAL INFORMATION I Name Mo.fa \:[,-,^A\*s tsovri\(q Business Narne I$ r r.tryrs [a.-n Seg" ,.tz> | t^.- 5+1u srso \4 ls 3+rr 6Address ffl r.i r c"-r= la.^rr',"."., t g- @*g4t J.<-cn4 Aat ^o-11(a o 'SS # (Lasl4 digits only)Telephone Date ol Biilh ss63 lq.ig Dnveas License # (Last 4 digits only): 6 O 80 .PuBu.nr to Ch.pt r r-19, Flo.tda SLtutB ..a Colll.r County (oitr.cro. Uentina Ordin.R. 2OO6a5 S.<lion 2.r.L, .ll .ppli6nr.:E r.qlked to tubrr rh.n .o.i.l @rity nlnb.r (tSN) fo. rh€ tolLwin! purDos: .) Arsa .rtlta.ifs ability to sdsfv s.dn R by .disina th.n sldh hinqy. b) v.rinodon of aprlt n(3 t rt ..0.6 .nd inf.fr.6on. Our ofic. *ill only ute your SSN n.t d rbow Lr lio3. r..&.r pu6@nl to CiaFt.r l-19i Florid. sr.tst6, .nd $ n.y orh.*i* b. :uiiorird bY l . wl .c tulry 6min.d ro etet€rdinr .nd pEt<d.t Your ssN ..d oe .orrd.d, Pill be m.i.t ined s onfid.nti.l .nd .rempt und.. OEpLr l-19, Flo.1d. stdut.3. Paqe 3 ol 15 Gro/vtr' l,4enegerrEfit DepartnBrt iniormation, @nsult Collier County Ordinance No. 2006-46, as amend€d. Emarl: FlRi,l aPPLLCATION Rsv 4/1218 8.E.1 Packet Pg. 185 Attachment: AGENDA_VIIIE_MARTA LILLIAN ALAS BONILLA – REVIEW OF EXPERIENCE (15057 : MARTA LILLIAN ALAS BONILLA – REVIEW Qor.t*, Gao\^ift i/arragsnent Depdffi Contractor Licensinq 2800 N. Horseshoe Dr. Naples, FL 34104 Phone - 239-252-2431 Fax - 239-252-2469 APPIICATION FOR COII.IER COUNTY CERTIFICATE OF COMPETENCY Provide the names and telephone numbers of two persons who will always know your whereabouts ""..,0t2-\.s-'Jp A A'\'c: Telepho 2 r40 Telep non",Azn) 36lqos3 II. FICTITIOUS NAME OF APPLICANT'S BUSINESS: {V\in',ocrs [a.^r"t Zd,t,c..- ln<-. (r no.omp.ny namew lbeused, wrtec-th Busrness Address 51- =.rj 3l(16 rctepnone: i271 1 4.,oo t-1$\) Federal l0 Tax No.a7- ++n808-: NO ALL APPLICANTS MUST ANSWER THE AUESTIONS BELOW: ,,/Filed for or been discharged in bankruptcy within the past 5 years? "/Had a lien filed against you bythe lntemal Revenue Service or Flodda Co@orate Tax Division? t/ ,/7 Made an assignment of assets in settlemenl of construction obligations for less than the debls outstanding? 'Been convicted or found guilty of, or entered a plea of nolo contendere lo, regardless of adjudicalion, a crime in anyjudsdiclion within the past 10 years?' Had claims or lawsuits liled for unpaid or past due accounts by your credilors as a result of consttuction expetience? / Been charged with or convicted of acling as a contractor without a license. or contractor in this or any other state, been "subiect to" disciplinary aclion by a if licensed as a state, county, or municipality? II I. FINANCIAL RESPONSIBILITY Underlaken construclion contracts or work thal resulted in liens, suils, orludgments being filed? Undertaken construction contracts or work thal a lhird party, such as a bonding or surety company, completod or made financial statements on? NOTE. lf you have answer yEs to any of the questions below, you must attach a written explanation including lhe nature of the charges, dates, and outcomes' sentences of conditions imposed You must also attach proof of payment, satisfacti;n of lien or iudgement, bankruptcy discharge, or agreements for p€)rnent- :tiyou trave rraa a tetony convictio;, proof that your civil rights have b€en restored will be reQuired pdor lo licensure. REINSTATEMENT APPLICAIION REV 4/12/18 r.r"n.", 6.n ',.-z?'la Atas 8.E.1 Packet Pg. 186 Attachment: AGENDA_VIIIE_MARTA LILLIAN ALAS BONILLA – REVIEW OF EXPERIENCE (15057 : MARTA LILLIAN ALAS BONILLA – REVIEW G.o^ifr i,AarEgEnqrt D€pdffi Contraclor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 Phone - 239-252-2431 Fa\ - 239-252-2469 APPLICATION FOR COII.IER COUNTY CERTIFICATE OF COMPETENCY IV. EXPERIENCE VERIFICATION EOUCATION: List below and provide transcripts for any formaleducation this a#lication is bsing mad6:+l+F: {rar nr.r\c q$r..uvJ..S L:il&r m dc.d .do r'n you have obtained in the area of compelency .-,rn C) L l*C,I ris. List below non formal education (on the job training) you have oblained in lhe ar6a of competency for which this application is being mad6iylo[v- €aid_ie.t.t<-p-tor.,J =.ap' ^a - T-,.e-4-5€-^\Jl Q- l CURRENT/PREVIOUS TICENSE; Lisl below and atlach copies any other certificates of competency/licenses you hold/have held in Collier County or ansler lurisdiction. lnclude the license #, Type, and county you hold it in Under the penalties of perjury, I declare that I have read the foregoing application and lhe facts slated in it are true. ffiot. \l\i't",ftl* AFFIDAVIT .(a Applcani (pleas€ prinr) State of 7,U;aa; baCounty of The foregoing instrument as acknowledged before me this I nare or p€6on acknowlsdging (6pplicant) identification and did not take an oalh fi NOTARY'S SEAL /q/k produced ft- Dfimb L&llfl type of idedi6calion q kno$r " -boq'o by as /D REINSTATEMENT APPLICATION REV 4/1 2/18 (SIGNA RE OF NOTARY) Page 5 ol11 rk 8.E.1 Packet Pg. 187 Attachment: AGENDA_VIIIE_MARTA LILLIAN ALAS BONILLA – REVIEW OF EXPERIENCE (15057 : MARTA LILLIAN ALAS BONILLA – REVIEW Cor.rtrxSl Cro',{f r iraaEg€rr€nt Deparffi Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 Phone - 239-252-2431 Fax - 239-252-2469 APPLICATION FOR COTI.IER COUNTY CERTIFICATE OF COMPETENCY CERTIFICATION OF APPTICATION The undersigned hereby makes application for Certiflcate of Competency under the provisions of Collier County No. 2006-46, as amended, and under penalti€s of perjury. I d€clare that I have read lhe for€going qualifier lntormation and that lhe facts stated in il are tru€. Th6 undersigned hereby certifies that he is legally qualified to act on behalf of the business organization sought to be licensed in all matlers connected with its conkacling business and that he has full authority to supervise construclion undertaken by himselfor such business or organization and that he willcontinue during this registration to be able to so bind said business organization. The qualified license holder understands lhat in all contracting matters, he/she will be held strictly accountable for any and all activities involving his licens€. Any willful falsificalion of any information contained herein is grounds for disqualification. .,.-l.r\-\i.^ A\a>J S ifIrcnS t aJV\txri.n- [^c Stale of: L t5 typ€ o, id6nlif@tlon or knom by me ol peEon ack.owl6dgins (applicait) A NOTARY'S SEAL ,W Ab ht/ilk^as produced ^ - ) #Lor.., Alac 8u d rb.b. r, CdElrs GO !1oert RE INSTATE I\,,IE NT APPLICATION REV 4/12l18 (SIGNA Page 6 of 11 as identification and did not take an oath. Counly of:( tt-. The foregoing instrument as acknowledged befo ," ^. rnn .fi/rrO{ /fr ZaZa 8.E.1 Packet Pg. 188 Attachment: AGENDA_VIIIE_MARTA LILLIAN ALAS BONILLA – REVIEW OF EXPERIENCE (15057 : MARTA LILLIAN ALAS BONILLA – REVIEW Qovt-trw G(o ,tfr idanag€firsrt O€partrrEnt APPLICATION FOR COI.LIER COUNTY CERTIFICATE OF COMPETENCY WORKMEN'5 COiAPENSATION AFFIDAVIT ll is understood and acknowledged by the Collier County Conhaclors' Lacensing Board and myself that if I fail lo acquire, ormaintain at alltim6s offective Workmen's Compensalion lnsurance itwillresult in th€ possible revocation ofmyCe mcal€ of Competency. M"Jo LL,,".. Alas 6*.ti- YYl'nio.': Q,u,*Ed-r:<.- W Applicanl (please pdnl) n Abs aifirms andBEFORE ME thas day personally appeared Slate of says that he has less than one employee and does not requhe Workmen's Compehsaiion understands that at any time he employees one or more persons he musl obtain said Workmen's Compensation lnsurance, 4 /oic/n-tluCounly of The foregoing rnstrument as acknowledged before me this /tk Ara0 by NOTARY'S SEAL A rD (SIGNATUR REINSTATMENTAPPLICATION REV4/12l18 Contraclor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 Phone - 239-252-2431 F ax - 239-252-2469 Mon," p,oau*a fL'?it)ttb Liau)// . / nam6orpe6oi ackno*ledghg (applctnr) ryp€ ol id€nlifr€lion or knoM as identification and did not take an oath.'000'D Page 7 oi 11 8.E.1 Packet Pg. 189 Attachment: AGENDA_VIIIE_MARTA LILLIAN ALAS BONILLA – REVIEW OF EXPERIENCE (15057 : MARTA LILLIAN ALAS BONILLA – REVIEW GITS, LLC Examination Operations Division Official Examination Score Report 0ctobcr 21.2019 Omcial Scorc Reporl: Candidate Iniormation: Name - Marta Alas Candidate #: 52986080A Testine Site: Fort Myers, FL Final Score Result: 'l'ree Contractor Score: 929i, 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 2t- 20t 9. Ifyou have any further questions, please do not hesitate to contact us. Sinccreh. Jay L. Bowermeister President PoBor 831127 Ocala. Flonda 3{4E}1127 - Vorc€ (352)369€lT5 -r (352' 387 2143 a00 997 2129 Providrno lhe seruices and oroducts lo ass6t Govem menl Aoenc es to make infomed eduered decrslons 8.E.1 Packet Pg. 190 Attachment: AGENDA_VIIIE_MARTA LILLIAN ALAS BONILLA – REVIEW OF EXPERIENCE (15057 : MARTA LILLIAN ALAS BONILLA – REVIEW GITS, LLC Examination Operations Division Provdrng rhe seMces and poduclsto assist Govemmenl Agencies to make inlomed educared de.sions Official Examination Score Report November 18. 2019 Ofticial Score Report: Candidate Information : Name - Mana Alas Candidate #:529860804 Testine Site: Fort Myers, FL Final Score Result Business Procedures Score: 82olo ,, These results represent the grade that has been achieved on the above named examination(s) administered by Gainesville Independent Testing Service for Collier County, Florida on November 15.2019. Ifyou have any lirrther queslions. pleasc do not hesitate to contact us- Sincerell. Ja1 E. Bowermeister President PO Box 831 1 27 Ocala, Flodla 314811 1 27 - Voic€ (352) 369G|TS _ Far (352) 3a7'2',r43 800 997 2129 8.E.1 Packet Pg. 191 Attachment: AGENDA_VIIIE_MARTA LILLIAN ALAS BONILLA – REVIEW OF EXPERIENCE (15057 : MARTA LILLIAN ALAS BONILLA – REVIEW Prepared By: f,lerit Credit (239) 277 -1202 (800) 371-3348 TRAI'ISUI{ION CREDIT REPORI lFoRl [suB NArilE ](r, z NP6284423 Ir,rKT suB] 16 NP IINFIIE ] 5 /78 lDArEl [rll,rE]A!/29/20 11:48cT IssN]IBIRTH DATE] ss63 3/98 [DATE RPTD] 5/ra IPOSTTTON] [vEnF] [RPrD] DE TA! ASSISTANT L2/!9A 12/19 ICURREI{T EIIPLOYER AIID ADORESS] DOCIOR SORINA HODEL PROFI!E 'ALERTiiT ".FICO SCORE 4 SCORE +671! ri O!4, OLO, g3O, OO8.-' IN ADDIIIOiI TO THE.*iFACTORS LISTEO ABtiIE' THE NUI{8ER Of II/QUIRIE5 ON IHE COIIISUI{ER'5 CREDIT***FILE HAS ADVERSELY AFFECTEO IHE CREOIT SCORE. lt1AXOEIQ A,I4T-MOP CREDlT SUII{MARY *'+ TOTAL FILE HISTORY PR=o C0L=0 tE6=0 HsTNEG=O TRO=4 RVL=3 It'lsT=1 lt1T6=O OPX=O tiQ=9 I1IGH CRED CRED LIIII EALANCE PAsT DUE I,INTHLY PAY AVA]LABLE REVoLVING: $2531 $z7Oo $1146 60 $sg 9a1 INSTALLMENT: $27.1K S $27 -LK S0 $458 ToTALs: $29.7K $27eO $28-2K $O $508 TRADES SUAiIA}1E SUBCOOE OPEI{ED HIGHCRED TERI1SACCOUNT* VERfIED CREOLIX PASTDUE ECOA COLLATR!/LOANTYPE CLsD/PD BALANCE REITARKS SYNCB/TIX C 235e65A t2lt9 $4Og t[N25 604sE5105s59 t/20A $600 $e 1 CHARGE ACCOUNT '2SO PAYPAT 1.12 IIIOP PAYPAT 13.24 to 3ol60/90 1 R01 WELLs FARGO B 908N664 44264474a346I CREDIT CARD 4/a8 t/20a $1t74 $1160 $895 r'1IN29 $€ 111111111111 RO1 11111111 2A OlO/O cBt{A B 292FA3r LAI1A $1O59426917203\70 1/2OA $lWOI CREDIT CARO !2/t9 SO 111111111111 R01 11 a4 olo/o50 a ol0/g r01 a SETF/lilCrFC E 27299o6 1,2/19 LL6pgOge422449A r2l19A I AUTO}IOBI LE $27 -7K $27 .tK 075t458 $o INQUIRIESDATE SUECOOE L/29I2A ZNP6Za442)|I L \ 12l19/19 Br{Y4597847(EAS) 12l05l19 FPC1246538(NTL) L2 / 06 | !9 ACfl2A7 7 92s (CHI\ 5/01/r.8 NNY1212572(EAS) SUBNA}lE MERIT CRED]T SYNCB/T]X DC coAf GERMIN TOYO SYNCB/lCP TYPE A}4OUNT CREOIT REPORT SERVICED BYi TRAI{SUNIOII 2 BALDI,IIN PLACE, P.O. BOX 1000 CHESTER, PA r'9616 800-888-4213 IsuB]Ecrl ALAs, IiIARTA IALSo Kr{or./N AS] BONI L LA, f,lARTA, L ICURRENI ADDRESS] 3031 SI,.]. 54TH ST., I'IAPLES FL. 34116 8.E.1 Packet Pg. 192 Attachment: AGENDA_VIIIE_MARTA LILLIAN ALAS BONILLA – REVIEW OF EXPERIENCE (15057 : MARTA LILLIAN ALAS BONILLA – REVIEW CoIiSUM;R DISCLoSuRES cAI{ BE OBIAINED ONLINE TNROUGH TRANSUNION AT: HrTP: / / riliru .IRA{SUNIO|'I . COl,l CREOITOR CONTACT INFORIIATION5YNCB/rIX CG235055t{ PO 80X 955015 oRLAI{DO FL. 32896SETF/WOFC F22729006 P0 sox 91614 ttoErLE At. 36691CSNA BB292FO31 P0 sox 6497 5r0ux FALLS 5D. 57117 fiELLS FAR60 8C9e8 664 CRED]T BUREAU OISP DEs IMINES IA. 50306 GERMIN TOYO A 2477925 13315 rAttrAt{I TRt- ITAPLES EL. 14110 IIERIT CREDIT Z 6294423 12734 (Etad000 LANE FoRT I{YERS FL. 33907 5YXCB/TIX OC B 4597847 PO BOX 965015 oRLANDo FL. 32896sYtic8/lcP N 12L2672 PO BoX 965007 oRLANDO Ft. 32896coAF F 12rt6538 3905 N OALLAS PARX PLANO IX. 75093 E90- 31.59 s53-2650 574-t30! 642-4720 592-5550 277 -3202 899-1150 221-5213 946-0332 (877 t ( 800) (888) ( 80o) (23e) (23s) (877 ) (866) (800) EiD OT TRANSUNION REPORT I.IERIT CREDIT HAS RETRIEVED THE ABOVE PERSONAL CREDIT REPORT FOR LICEItlSIlt6 PURPOSES AS REQUEsTEO BY THE BUSII'IESS OI{IiIER/PROPRIETOR. PUBLIC RECORDS FOR TI1IS REPORT HAVE BEEiI CHECKED ANO VERIFIED AT THE COUNry, STATE Al'10 FED€RAL LEVELS. PUBLIC RECORDS HAVE ALSO BEEl,l VERIfI€O FOR PINELLAs COUI'ITY. PUBLIC RECORDS LEARNED .-9_ SoURCES 0F INFoRIvATION: TRANS UNIO tTC IRs LIEIi SECTIOI,/ COUNTY COIJRTiiOUS E RECORDS IF YOU HAVE ANY QUESTIOI,IS REGARDING THIS REPORT, PLEASE CoNTACT r4ERlT CRTDIT AT: 1-800-371-3348 OR (239) 277 -3202. 8.E.1 Packet Pg. 193 Attachment: AGENDA_VIIIE_MARTA LILLIAN ALAS BONILLA – REVIEW OF EXPERIENCE (15057 : MARTA LILLIAN ALAS BONILLA – REVIEW \I[Merit Credit Fart, ac<ur.ie & 5ecu,e t,GFrr cRBDrr Ers RlrRrEvED rtl llot ! aosrnEss luloat FoB,.tclNsrNc PoRPogEs As REQgISTED Bt TE BSSITGSS OITIa/PROPEIEIOR. FOBIIC EBCO'DS IOF tBtS REPOII EAVE BIE!' CCECED AIID VIAIEIED At TEE COgN.T (INCLODINC IINILI.AS), STATE TI{D FEDERA! PUBLIC RECORDS I,',A:RNED: O SOORCES OF INIORII^IION: lXPElllN BUSttrEgg INIOBIAIION SER\IrCIS IRS LIEn SIC!IO!a coorrrY coErrEous! RlcoEDs IF YOO EAVE rNt QUISIIONS RtCLRDINc IEIS REpOBI, pItIgE COIIIACI MERaI CREDIT At: 1- 800-371-3348 0N 239-21 1 -3202. COMPANY NAME: MINIONS LAWN SERVICES INC FEDERAL lD: 834498085 CURRENTSTATUS: ACTIVE PRINCIPAL{S): ORLANDO ALAS ANA LILLIAN EONILI"AS DE ALAS TITLE: P TITtE: VP DATE INCORPORATED: DAIE FTLED M/12/2O19 DArE EFFECnVE 04110/2019 8.E.1 Packet Pg. 194 Attachment: AGENDA_VIIIE_MARTA LILLIAN ALAS BONILLA – REVIEW OF EXPERIENCE (15057 : MARTA LILLIAN ALAS BONILLA – REVIEW Premler Protile - MINIONS LAWN SERVTCES INC Tran.aclion Numb.r: C5!4728097 S.arch hquary: Mlnons Lawn SeMce hc/NaDleslFL3411a Model D.lcriptio.: lntelliscore Pius v2 Doiog Busin.* As: MINIONS LAWN SERVICE Prin.ry Addresli 3031 54TH ST Sl! NAPLES FL 34J 16.8021 Ordered: cl'29 2020 r1:56:11csl ?,&Retion ;J:Business ldenlrnelDn Number 426371631 ,oea FLnercB Stabilny Risk Company OBT 24 6l"lEDlul'! rO HIGl-i RLSK DB-I 1 scorc rang.:1 .100 p.rc.ntil. 'o'o St.t. or l.corpor.tion Date of lncorporation: 3 'FILE ESTABLISHED 05/2017) FL 44t14t2019 pront ORLANOO ALAS . PRESIOENI Number of Employe€si LAWN & GARDEN SERVICES,0782 Landsc€o nq Seryices - 561730 2 s193.000 Cmmrcial FEud Shield Eval'E&n b: Ill{()IS LAWI{ SERVICES lXC. 3031 54fti ST SW. I{APLES. FL34116{O21 I ,o.a Active Business lndicato.: Possible OFAC March Eusine3sVictim Statoh.nl I I Exoe.an srows th s business as actile No OFAC malch rounc No vlctim statoilenr oniie BIJSINESS ADDRESS IDENTJFIED AS RESIDENTIALr' tr @ lo,o Risk Ctass:4Curre6l lntelliscore Plus Score: 24 ''-he ask dass groups s6rss by isl lnto ra.ges olsifrLla. podormane. Range 5 is the highssl nsk. range 1 is the ! 1r 'r1 Cr.dia Ri6lr S.oc .n.I C.edit Limit R€@lmen r.riod 5l 1n! MINIONS LAWN SERVICES INC Ri.k Scq.3 a.d Credlt Limt R.commendatior 0 1 8.E.1 Packet Pg. 195 Attachment: AGENDA_VIIIE_MARTA LILLIAN ALAS BONILLA – REVIEW OF EXPERIENCE (15057 : MARTA LILLIAN ALAS BONILLA – REVIEW Quarterly Saore Trends 100 98 ^z'-DgBt"'p!oL. Current Financial Stability Risk Score: 6 Fa.tors lowering the 3cor€ lndBtry Rl.k Comp.rison 23% olbusi.ess3s lndicale a hgher ik€liiood ol seveie The rntelliscore Plus cuaneny score lrencs piovae a v ew oI the likelihmd ot d.li.quency over the pasi 12 months lorlhis business. The r€nds willtnd care I tn€ score improe€d. remained stab e. iuctuated of de.!r6d over fie last 12 ftonths Ir.ls score oredids lhe lkelihood ols6rious credir deinquences lorthis bLrsr.ess riihin lie nexl i2 nonihs. Pavh€nt history and plbirc record aiong wdh othe. vanabLes are lsed ro predict future risk. High€. scor€s indicat8 lower risk Facior3 loworlhg the scor. ) RISK ASSOCIATED WITH THECOMPANY'S INOUSIRY ) .OMPANY'S BiJSINESS ryPE , ]\UMBER OF EI\,IPLOYEES ! Risk Class: 4 The nskclass groups sco.es by risk into Enges olslmllar perfomaf,ca. R5ng6 5ls the h€hestnsk. range 1 rs the Thls score p.edicts th€ rikelhood olnnancralslab lfy nsk $ira. the n6xl 12 monlhs The scoie uses tEdel..eand @lle.lions rnlormation publicnlngs 6we]lasother varables to predi.l iuture risk Higher scor9s lndicate lowe. risk , .ACK CF ACIIVE iRAOES , RISK ASSOCIAiEO WTH IHE SIJSINESS ryPE ' EMPIOYEE SIZE OF BUSINESS , R S(ASSOCIATED \]!ITH TAE COMPANYS INDUSTRY SECTOR lndustry Risi Comp.rison 59. o'bJs.essas rd€r€ a h'gher ixei.ood or fr.arc.ar ) - E predrer Profle 'MlNlONS LAVit SERVICES INC 1 Fin.ncial Stibility Rili Ou.rh,rly Scor€ Trond. 8.E.1 Packet Pg. 196 Attachment: AGENDA_VIIIE_MARTA LILLIAN ALAS BONILLA – REVIEW OF EXPERIENCE (15057 : MARTA LILLIAN ALAS BONILLA – REVIEW :h6 Frnancial slabriv R;skQ!aneny s.o.e p.ovide a vle!! or the likelhood offnarcia s .rer lhe oast 12 months ro. th s business. T ndiele ilrhe s@r6 imobved emainei sra nucbaled c.decllned over the last 12 mo.t, 80 60 40 -,-,Lr!i\FB !?i iiN ** l tecoc C.edit Limil Recommondation lh s re@mr€ndatron compa€s thls busrn€ss aga ns! s miLar bushssses i. the Expeaafl bus ness creo tdatabase ll s oas€d on tIade informalon, indusrry, age olblsin€ss and the nrerrrscore Plls Ihe reomn€ndadm !s a 9u d€. The finar decison musl be made based on your compa.y s Paymeni Performance : Trade and Collection Ealanco s0 s0 g0 SO a DBT for this business: Not Available Co.poEte RogisiElion '.:: ': . ': : NAS PROVIDED BY THE STATE OF FLORIDA.TBE OATA IS CURRENTAS OF O1/29/2020 Oare ol lncorporalion 04,10/2019 P190000335 cEs l.eflLer Prolils - MlNloNS LAWNSERVICES INC Quarterly Score Trends 1,. Paymeht and Legal Filings Summ.ry Legal Filin9s lndustry Comp.rilon ' OBTR.nq. C_5 b 15 16+ i A.lditioEl Bu.in.Bs Facts 8.E.1 Packet Pg. 197 Attachment: AGENDA_VIIIE_MARTA LILLIAN ALAS BONILLA – REVIEW OF EXPERIENCE (15057 : MARTA LILLIAN ALAS BONILLA – REVIEW , Agent Add.s6s: 1i725 COLLIER BLVD SUITE A I NAPLES FL 'o' o Experiah pn:des trselton the deplh andeccuncrof rc tub matalainedon our databases. Repotung your customo.b paymert behavlot to E pelian wlll lurthet shEngthen end enh.nce the puer of the inbrrn.obn available fol making sound credit declsions. Clre cBdit ,hen cndlt ls due- Cell ,-AOO-52aL1221, oprion *1 br more infomalion. 1 of 1 report rhonb@atb,hecthislumrshedtncornobheldtoute,.ltreL@lalb9nitutebueiEsspltpo*s.nde.ll,o!betu..duc.d tlenhe. Exten. lrlamat@n So/utiors trc ,6 lhdt so@s a. dl'hbuloo *a@ wn inlo@lio, ,at shat/ hey be t6bla tt tnul le al fti6@e ':pan t O Ex@nan 2020. Al nohts ilse .d. Priva mliar. E!p€.a^ and rh6 Exp.dan marls hecin .e $M@ hark3 q 69 il€cd rrade@ds ot El!si.. 8.E.1 Packet Pg. 198 Attachment: AGENDA_VIIIE_MARTA LILLIAN ALAS BONILLA – REVIEW OF EXPERIENCE (15057 : MARTA LILLIAN ALAS BONILLA – REVIEW Detail by Entity Name --T Page I of2 Detail by Entity Name Floida Protil Corporalioi MINIONS IAWN SERVICES INC Fili.o lnfomation DocumontNumber P19000033510 FEI/EIN Numb.r 6344980E5 Dar. Fil€d ut1z2a19 Eftuctivs D.b UllODA1g State FL status ACTIVE Prlnclo!lAdda. 3031 54TH ST SW NAPLES, FL 34116 Maillno Add6s 3031 54TH ST SW NAPLES FL 34116 R.oEr.r.d Aoant N.me & Addr6E 3031 54TH ST SW NAPLES FL 34116 Name Chafged: 12022019 Address Changed 120212019 ALAS, ORLANDO 3031 54TH ST SW NAPLES, FL 34116 BONILLAS DE ALAS, ANA LILLIAN 3031 54TH ST SW NAPLES, FL 34116 8.E.1 Packet Pg. 199 Attachment: AGENDA_VIIIE_MARTA LILLIAN ALAS BONILLA – REVIEW OF EXPERIENCE (15057 : MARTA LILLIAN ALAS BONILLA – REVIEW Detail by Entity Name 04r2/20r9 oomestcFroir 3031 54IH ST SW NAPLES. FL 34116 4!-!-usl-89!949 2A2A ozla2o?a Docum.nt h.oo. 9?.1!!!:!:-a!!!4!!E!O!l Page 2 of2 8.E.1 Packet Pg. 200 Attachment: AGENDA_VIIIE_MARTA LILLIAN ALAS BONILLA – REVIEW OF EXPERIENCE (15057 : MARTA LILLIAN ALAS BONILLA – REVIEW Electronic Articles of Incorporation For MINIONS LAV!'N* SER\-ICES INC Article I The name of the corporation isr \lNIO\S L.{\[\ SER\ICES I\C Article II The principal place ofbusiness address: 3O3I 54TH ST SW NAPI,ES- FL- US 34I16 The mailing address ofthe corporation is 3031 54TH ST SW NAPLES. FL, US 34I16 Article III The purpose for which this corporation is orgamzed is A}iY AiD ALL LAU"FLI- BUSINESS, Article IV The number of shares the corporation is authorized to issue is 100 Article V The name and Florida street address of the registered agent is: CAP ACCOLNTING & TAX SER\,'ICES INC I1725 COLLIER BLVD STIITE A-I NAPLES, FL. 34I 16 I certify that I am familiar with and accept the responsibilities of registered agent. Registered Agsnt Signature: CLALIDIO ARGUELLO P19000033510 FILED ADril 12.2019 S6c. Of State lawilson The undersigned incorporator, for the purpose of forming a Florida profit corporation, hereby adopts the tbllou-ing Articles of lncorporation: 8.E.1 Packet Pg. 201 Attachment: AGENDA_VIIIE_MARTA LILLIAN ALAS BONILLA – REVIEW OF EXPERIENCE (15057 : MARTA LILLIAN ALAS BONILLA – REVIEW P't9000033510 FILED ADril 12. 2019Sbc. of State lawilson Electotric Signaturc of Inaorporstor ORLANDO ALAS I am the ilcorDorator subminine these Arricles of Incorooration aod affim lhst lhe faats statEd herein oIe tue. I am awie trat false info-rmation submitted in a document to fte Departrnent of State constitules I third desree felonv as orovided for in s.817.155- F.S. I underslstrd lhe reouiremenl to file an annual reDort b€tweeo-Januarv lst uid Mav lst in fie calendar year following formatiori of fis corporation and erer! vear lhereafter lb maintain "ictive" status. Article VII The initial office(s) and/or dtecto(s) olthe corporation is/are: Title: P ORLANDO AIAS 3O3I 54TH ST SW NAPLES, FL. 34116 US Title: \/P ANA LILLIAN BONILLAS DE ALAS 3031 54TH ST SVr' NAPLES, FL. 34I16 US Article VIII The effective date for this corporation shall be: 04/1012019 Article VI The name and address of the incorporator is: ORLANDO ALAS 3031 54TH ST SW NAPLES FLORIDA 34I 16 8.E.1 Packet Pg. 202 Attachment: AGENDA_VIIIE_MARTA LILLIAN ALAS BONILLA – REVIEW OF EXPERIENCE (15057 : MARTA LILLIAN ALAS BONILLA – REVIEW 2O2O FLORIOA PBOFIT COBPOBATIOI{ AN'{UAL REPOBT DOCUI\4E NT# P 1 9000033510 EnUty {.mc: lVlN ONS LAWN SEBVICES INC Curr.ni Prlncipal Plac. of Butin€3i FILED Feb '10, 2020 Secretary ol State 0601280374CC Curreni MellinE Add€s8 3031 54TH ST SW NAPLES. FL 34] 16 US FEI Numb6r: 83{498085 Nams and Address ol Curr€nt R€gistor€d Ag6nt: Cerliricale ol Stalus O6ired: No t'tt.ba Nrd d yg'ttutaa.ffi ldr|t ptpot d5',ia b twd dtu d qb' lqd, d dt nn gfr df;btt . SIGNATURE: Erecrohrc sig.atuie o1 Beg srered aee.r Ofliclr/Dlrlctor Dclrll : ALI6 ORLANM Addess 3031 54TH ST SW cily-sI8rs.z p NAPLES FL 3.| 16 BON LLAS T]F A]AS ANA LL AN 3031 54TH ST SW NAPLES FL 34] 16 a h @r, z*td n@l.tu d @d t q tu 4n f tuh6 b. tuo. tu tufr@.4fu6,olr..1@,fu SIGNATURE MABTA LALAS DIBECTOF OzI1OIN2O E ectron c S qlalure ot S o no Ofi cerDredor Oela 8.E.1 Packet Pg. 203 Attachment: AGENDA_VIIIE_MARTA LILLIAN ALAS BONILLA – REVIEW OF EXPERIENCE (15057 : MARTA LILLIAN ALAS BONILLA – REVIEW arRs?iiHffi"ilm".lff"B*^ CINCINNATI OH 4'999-,'lrz) }1INIONS I,AI'iN SERVICE 3031 54TH ST St{ NAPLES, EL 34116 Daie o! lhis noticer 04-23-2019 Enployer Identif lcation Nunber : B3-4 {9808 5 Fom: SS-4 Numbe! of this notice: cP 515 A fo: assrsiarcc You naY cail us 1-800-829-4933 IF YOU 'IRITE, ATTACH IHE STUB AT TIIE END OF THIS NOTICE Tha!k ErN 83-4498 tlhen filing lax documentg, paJ4nents, and reLaLed colrespondence, :c is very ihPorts.! thaE you use your ElN al1d coflpleie name and address exactly as shown above. Any varralicn nay cause a delay in prccessinq, lesult in incorlecl infornlation ln your account, or even cause you to be assigned nore than one EIN. Tf the infoflEtion is not correc! as shonn 3bove, please nake the corlection using the atEached tea! off slub and retuln i! co us. Based on the infomation .eceived froid y'ou o! your .eplesentative, ycu fius! file lhe followrng form(s) by t\e dale(s) shown. WE ASSIGIIED YOU AN EMPIOYER IDENTIEICATION NOMBER you fo! applying fo! an E]lploycr Identrfication Nurbe! (EIN). vle asslgned you 085. Thls EIN irill identj.f,y you, yo\rr busin.ss accounts, tax !etr.r!r,s, and even if you have no erployees. Please keeP !h:s notice in ycu. Pernanent Eonn i 12C c4/15/2424 :f you have queslions abour- rhe :o:h(s) or lhe due date(s) shown, you can cal] ahe phone nurnber or nrile ro us a! the address sholrn ae rhe top of this nolice. lfieed help ln detemining your annual. accounting period (!ax year), see ?ublicalicn Accointing Pe.riods rrd .lretlods. 538, We assigned you a cax cLassification baseci on infornaticn obcaioed llom you or yourlepresentative. It is noi a iegal det.EniEatio. of yoll lax.jassifj.carlon, allci is noE bj.nding on the IRS. If you wa:1: a iega: deterni.a:ic! o: your rax classificar:on, you na!request a prlvale lette! lulj.nq :!.m the IRS under r.he guidelines in Revenue procedure 2044-L, 21a4-l I.R.B. 1 loE supe:sedl.g ie?enue P.ocedure for rhe year at issue). NoEe:Certain tax classifj.caticn eLec::o::s :a. .e leq:es:eci by filing Form A832, Enxityclassification E]ection- See !o:!-" 8832 a1d irs :.structions fo! additronal inicmation. ll.loRtallT I!!06iqTICN t!8. S @Rl(nlllrcll ELECTICI|: If you intencl to etect to :ile you! leturn as a srna_lf business ccrpoaation. aneleclion ro fife a Eorn 1r2o-s Eusr 6e made wirhin .".tii, ii*.iiai"J ."a tt.co-polarioh nus: meer cer!.ain resls. .Att of this rnfoaEtj.;; is-inctuoeo in tleinstructions fo. Forrn 2ss3, Etecdan by, s,,jj ;,;;;;;;;;i.iI.jiil 8.E.1 Packet Pg. 204 Attachment: AGENDA_VIIIE_MARTA LILLIAN ALAS BONILLA – REVIEW OF EXPERIENCE (15057 : MARTA LILLIAN ALAS BONILLA – REVIEW c Cot^tax),] Grr,1 ,lr'r Managernenl Depaffnent Conlrector Licensing 2800 N Horseshoe Dr. Naples, FL 34104 239-252-2400 APPLICATION FOR COTLIER COUNTY CERTIFICATE OF COMPETENCY STATEMENT OF OWNER5HIP This certilles that I member of tqcr+r.. L Alt!ll:r,L am a member or managing 1o APPL]CANTS NAME (p ease pdnl) ,. I ,L, (L M TED LIABILry COMPANY NAME) % ofthe units issued by the L miled Liability Company lsled above Aflldavlt ofApplicanl: I certify under penalty of perjury that the information contained is a true and correct statement to the best of my knowledge. ir','l ; r)6D L.1w^5cr v,(c),l ric # stur" or Ql, r,Aa_.C.-tl.c-/ The forego;ng,insElrineni wLs AAday or. \ v\o .20 ortr on this ltr, uv Such personG) Norary Public mustcheck applicable box: -,,.tr are personally knol\n ro me 6has produced a cumnl driver licenre tr has produced (Notlry scil) 'rffi **xxHixffi#u'; Nolary Signature: Firm_Application.docx Rev4/06/2020 Page 9 of 15 I 8.E.1 Packet Pg. 205 Attachment: AGENDA_VIIIE_MARTA LILLIAN ALAS BONILLA – REVIEW OF EXPERIENCE (15057 : MARTA LILLIAN ALAS BONILLA – REVIEW Cor.tttxy Go,Yth Managernent DepafurEnt Contractor Licensing 2800 N Horseshoe Dr Naples FL 34104 239-252-2400 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY RESOTUTION OF AUTHORIZATION Complete this form if multiple people own part ofthe company the license will be attached to lfthere is only '1 owner, then this form is not required for the application. ln accordance wth CoLlier County Ordinance 2006-46, as amended,L..".lt to engage in contracting "" O flfi c et5 /6 ur xp 19 n Collier County wrrere M(r+"l [hai,r A\<rf bo,rir\c Olfi cervowne6/Partne.s proposes to qualiry for a Certificate of Competency with company Offcels/OMec/Panne6 Oflice6/Owners/ParlneE oflhe above.mentioned company need 10 sign on the let and a wlness ho,la. Lr\,,tl\ NUS SoN\[q State of j"_ County "rQ.'t\,<-( The foresoi {dayoi inslrum€nt was acknowl ir q lega ly 'li-1 bt presetrce or tr Mlr\,n( Lcr,,,n( c\ vi(g In(We fudher reso ve and represent that It ls hereby agreed upon that we the undersign ea (2lli €rffulot ttor r i of Mj\lo]n_f Ltu/^Ce.vi(( IhC OfieB/OMeu/Patu els Company resolve and represent to the Coller County Contractor's Licensing Eoard that the proposed queliting agent, Mut.\e L'\lrn lA\og Porrl\lq. i" "ctive in a[ matters connecled with the com pany named Conp.ny Appllcart Nams empowered to act on behalf of qtnb4lldl@4lgiullzr!4in all matlers connecled with its contracling Company business and has lhe eulhorily to supeNise construction undertaken by eMtt y')vlc, yvJo AI 4 t Oi5e6/OMe6/Panne6 Arr, l"'L'an P"rr,' IL olfcels/oMeG/Panners Such person(s)Notary Public mustcheck applicable boxi tr are personally known lo me tsfilas proaucd a currem a,i"* ri*^.-P-O L lA..s &"lt\" a! identification LINA I,!, DUqUE Expircs Februry27, ?024 &''i€dIrBsld,dol.lYs.^j.. Notary Signature >l - has produced (Not.ry Se!l) rffi: LINAII,DUOUE cdnml3lhll I CG 953564 Epno. Febtu ,) 27, 2021 l6d.d li'! arg.ord' sr*.. F]Rev 4/06/2020 Page I 15 l'Ai \''o^J Lo.uJha. rvlrr= ah( 20 )D. by --) 8.E.1 Packet Pg. 206 Attachment: AGENDA_VIIIE_MARTA LILLIAN ALAS BONILLA – REVIEW OF EXPERIENCE (15057 : MARTA LILLIAN ALAS BONILLA – REVIEW Qor.trrtlt Gm'.rh lranag€rrEit Depaf r€rt Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 239 252 2400 APPLICATION FOR COITIER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE - W\rr +a \n Atcr- f3."'.lh 'I l >-j\ Certilicate Category Requested Ths applicanl is s€eking a Collier Counly C€rlilicate oJ Compet€ncy n lh€ lrade indicatsd above. As part ol the applicalion lor this certirical€, lhe applicanl musi verit his.fier experience wilhin lhis lrade You are being requested to provid6 intormaton lhal wiil aid the applicanl in meeling this requirem€nl. You should verily tirn6 ol aclive exp€ri€nce working as an appr€nlice or a skilled wo*er (€.9., as a worker commanding lhe wage ol mechanic or b€ller in lh€ lrad6). Time served solsiy in a supervisory or adminislralive role should be described, bul may or may nol be consid€red sutficientlo demonstrale r€quired trade erperience. The p€rson verilying trade eperience lorlhe above-namod applicanl musl proMde $e lollowing inlormalion: L.'r.+s.a-+2no- \az<->t;erlc"= Busrness Narne '"-"{ {"*.4t - *, )3"1- s+1 -32t7 tr?o &'nrn oc( el, Licenso No. (il applicable) Hc,r- l:-f^J {v 3t1 /qs City zia The applicant was employed by m6 ,om Jb/ 7 rc 20/ & Applicant's litl€: The epplicant's scope ol work (specilic dutjes) includedi 3 bto-nch+t .aud lo sr>,"-<)r,t tv^,n .U bt^>lws ,a<nd L-, ^ch < J Additionalcomrnents lyp€ ol ideniilic?lion or k.om )- -cu provd n9 the stalementS Slale ol 7- Co']fty ol (y't'cr The loregoin! inslrument as acknowledged b€lore me lhs and did nol lake an oath NOTARY'S SEAL )/3-D4- TU OF lrteO]PL NOTE TO LICEI{SED COMTRACTORS: Falsirirg any infomarion provided hercin may subject yout license to revocation. Under penalty ol peiury, I declare that lhe lacts slated here are true. isffi:tr 8.E.1 Packet Pg. 207 Attachment: AGENDA_VIIIE_MARTA LILLIAN ALAS BONILLA – REVIEW OF EXPERIENCE (15057 : MARTA LILLIAN ALAS BONILLA – REVIEW qufiy GrD\^dfi i,k|4enEr Oepa.ffi Conlraclor Licensing 2800 N. Horseshoe Dr. Napl6s, FL 34104 239-252-2400 APPTICATION FOR COLUER COUNTY CERTIFICATE OF COA4PETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE Applicants x,,n Arttlz [^L;", 0las ,3orr,/(ot Neme 1,1 ,1ae- Tirlo: Ths applicent is s€eling a Collier County C€rliicato ol Comp€tency in lh€ lrade indicated abov€. As part oi th6 appllcallon lor this clnilical€, th€ epplicanl musl vedly hirher epori6nce within this lrad6. You are b€ing r€qu6st6d to proyid€ infomalion thet will aid th6 Epplicanl in m€€ting lhis r6qukement. You should v€dly tlmo ol acliv€ 6rp€ €nc€ worklng Es an apprenice or a skilled wolk6l (6.0., as a workor commandin€ tho wage oi mechanlc or b€tl6r in lhe llad€). Tlm€ s6ry€d sol€ly in s sup€rvisory or admlnislralivo rc16 should k€ d€ssib€d, but may or may not b€ conslder€d sulficienl lo dgmonslrato required lrad€ exporience. The p€6on vorllying trade 6xp€ enc6 lor lhe abovo-nam€d applicanl musl provido the lollowing lnlormation Businass Nam€:2n* fie< 9-<-,r z,'c< Licenss No. (iJ eppllcable): Busin€ss Address: The epplicanl was omployod by m6 fiom u4 4rcr't 4t//, =qrqs Zp " ?c/ahr-r /ty Cily -s.h e Lt 6 < l\Ao\rn Th6 apdicent's 6cop€.of work ( 1 1".r- u>co\ -lo.C}4k.ag4t WWF I flOTE lO L|CEI{SED CONIRACTORS: Felsifying eny lnlometjon p@vded herein n@y subject your liconse to ravocatlon. Under p€nalty ol pe4ury, I d6clar6 thal tho facls stat€d h6re ar6lrue. 11\ ( Additional Y lblu *tw9 kc^tzJ9'- Stal€ ol County ol Co/l The loregoing instrumed as acknowiedg€d b€lore me lhis nffie oi p6r3on aclc1o{l€dglng and did not lake an oalh NOTARYS SEAL o c Siqn6or6 ol p6lson provrdlno tio natornort J lype ol ij6filflcatlon or klorn as idenliiicalionCurt< /-4,D-/ fr# N.a., tu!& a .a Ftsb. xr C..irEr G6 itere FIRM APPLICATION Rov 4/1218 s TUR OF Pago 12 oi I5 C€n icat6 Calogory Roquest€d: "n""". 2s7 82; 8J 7 Z Applicant3 titl€: , z^n d\duties)includsd: tzzrt/''z---"- 8.E.1 Packet Pg. 208 Attachment: AGENDA_VIIIE_MARTA LILLIAN ALAS BONILLA – REVIEW OF EXPERIENCE (15057 : MARTA LILLIAN ALAS BONILLA – REVIEW Qottttxy Grolrlh lllanagerrEnt DepatrrErn Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL34104 239 252 2400 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONST "*." l[\qrt+ 1,r [,;^ A ix'''H'fl IENCE \a LorrA -ap.",g - -fi'{-.e_:>dLtL ;c-e- --\- Th6 applicanl is seeking a Colli€l County Cenllicate ol Comp€tency if lhe trade ind caled above. As pan of lh€ application lor lhis cediical€, lh€ applicanl musl veity his,/ier exp€rienco wiihin this Irade. You are b€ing requesied to provids inlormation thal wllad lhe applicanl ln meellng this reqliremeni. You should veity lime ol active exp€rience working es an apprenlice or a skilled wofi€r (€,9., as a workor commanding lhe wage of m€chanic or bell€r n lhe trade). Tlme seN6d solely in a supervisory or admrnislrative role should be described, bll may or may not be considered sutlicienl to demonstrale required trade experience. The p€rson veriting trade experl€nce iorlhe above-ramed applicanl musl provide lhe lollowing inlorrnation Name Uz,OJ*. SrxcA t) Business Name: U Liconse No- (if applicabi€)I I I PA L-L, Srrcd City The applicant was €mploy eaty ^"t o 2,O l5 7Pl6 zip The applicant's scope of work (spec iic duiies)inctudd:/t {A^-^- a''\Q-f A t ) fl " I,aJ't. * worLktr\ ahd rY)1e1ffi. Additio.alcomrnents 6ooD rJrzctcE)r Peg-vosL- NOTE TO LICEI{SED CO TRASTORS: Falsrrylng any inlomation ptuvicle<l her^tn nay subjecl your license to rev@ation. Under p€nalty ol pe4ury, I declarE that the lacts slated hore are true. 9L1o1 /rL-Signalure ol p€Eon povidng the stalemeft Couity ol (-ou)€a- Theloregoing inslrum€nt as acknowledged belore me lhis by idenlilicatioi nde ol peEon adoowledg ng and did not lake an oath. ol identfieton o. knom -o NOTARYS SEAL #r.ur h/!b s.a d fun'!f#,*.'*" b- srG OF NOTARY Cenilicate Category Requesled: rille: Or . rtl E S(- fllV*/s Cwat^" 8.E.1 Packet Pg. 209 Attachment: AGENDA_VIIIE_MARTA LILLIAN ALAS BONILLA – REVIEW OF EXPERIENCE (15057 : MARTA LILLIAN ALAS BONILLA – REVIEW <--atrqt Gro\ /tr irlanAqrEnt D€p€ffrErn C,onlractor Lic€nsing 2800 N. Horsoshoe Dr. Naples, FL 34104 239-252-2400 APPI-ICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER, STATE OF COUNTY OF C.,ll, " r having b6en lirst duly sworn, statg and atlinn lam a resident of County,y'uri)a (State) and havo resided here lor mor6 than liv6 (5) years. During the last live {5)years lhave known ftork Ato=(applicant). I have had lhe opportunity lo obs€rvs his or her business ard psrsonal doalings and llnd him or her lo b6 a porson ol honesty, integrity and good characler n aTtct /t <4,t2 who has produced Telephon€ 280 by Tlo,iJ"z VrV,fiQ'identificatlon ^ ,t!. ol ld..Ldn'cdoi--b25- D 217- 7<Z-t< z7 and did not take an oath NOTARYS SEAL NOT#rl(4., A/ab 3r- ol Ft id. i; cdnt .ro! (lo rloere FIRM APPLICATION Rev 4/12/18 (s Pag6 13 ol 15 f !0v,J c" ,1/. {art/ R uuzzt, iloi2tc s The foregoing instrumenl as acknowiedged belor€ me this zio 8.E.1 Packet Pg. 210 Attachment: AGENDA_VIIIE_MARTA LILLIAN ALAS BONILLA – REVIEW OF EXPERIENCE (15057 : MARTA LILLIAN ALAS BONILLA – REVIEW Goirfi ^ilan€gerrst Dep€rfrErll Contractor Lic€nsing 2E00 N. Hors6shoe Dr. Naple6, FL 34104 239-252-2400 AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF l- lh -,Ic COUNTY OF fo(.Cr l,harng b€€n tiGt duly swom, slate and arrirn; I am a rgsldent ol County,U r. <\.t (Stato) and havo rosldsd here tor more than ltvg (5) yoars. ourinC lhg lad fiv€ (5) y6arc I havE knof,m ho*!A\"s (applicsr0. I have hEd ths opporunityG b ot66i\/6 hb or h9r brdnoss E d Frsoosl &al.Es 8rE llnd him or hq to oood chalaclcr. of hon6ty, lrneg.lu Enda Srg.atul. o st v.\t) \16 49 identiflcation Tho forogoing Instrumgrt as acknowisdqgd b€for€ me this who ha6 prgducad and did not take En oath. NOTARYS SEAL {,tt #ll.-r h$a. lll d Fb5. ry cclllts oc 9rae79 FIRM APPLICATION R6v 4/1?]18 NOTARY) PaOo 13 oi 15 a.PPUCAnON FOR COTUER COUNTY CERInCAT OF COMPETENCY ' laa,"o.72 3l 5r,,q,q\', oe r.il,ehonot ? 7q bg 4 ?O 7 3 u 8.E.1 Packet Pg. 211 Attachment: AGENDA_VIIIE_MARTA LILLIAN ALAS BONILLA – REVIEW OF EXPERIENCE (15057 : MARTA LILLIAN ALAS BONILLA – REVIEW o.Ro" o2t1u2020 THIS CER]IFICATE IS ISSUEO AS A IIATTER Of INFORMATION ONLY ANO CONFERS NO RIGHTS UPON THE CERTIFICATE IIOLDER, IHIS CERTIFICATE OOES NOT AFFIRiTATIVELY OR NEGANVELY AMENO, EXTEND OR ALIER TIIE COVERAGE AFFORDEO BY THE POLICIES BELOW, TH|S CERTIFTCATE OF TNSURANCE OOES NOT CONSTTTUTE A CONTRACT BEIWEEN THE |SSU|NG titSURER(S), AUTHORTZEO REPRESENTATIVE OR PRODUCER, ANDTHE CERTIFICATE HOLDER. ImPORTANT: lfthe .erliflcat. holder B an AOOITIONAL INSURED, th6 policy(i.6) nrusi have AOOITIONAL INSUREO provi8lons or be endoBod. lf SUBROGATION lS WAIVED, .obioct to the lem. and co.dilioB ol th. policy, cerlain polici.! may rcqune .. endoBemont, A slalement on rhb cenificare do8.or conl...ight. ro thc.enificaro holderin lieo of3uch o.doEemeni(s), EppoEn heEn@ Grcup,lrc 1924 Sanra Aalbam 8lvd 13 FL 34116 OBA Min$s Lam SaMce. lrc 303i 54lt' St SW ffll c' sa,a pasa" ;,Iflf' En) (zos) !or-zrrt INSURER(S) ^TFORdNC COEUGE Ii3OR'R^ HERITAGEP&C INSCOMPANY NoRrR B: Berkshr€ Halhaway Guard IrsuRRc Markellnsuranc6 [S-r"r' (mo) sol-zl:s CERTIFICATE OF LIABILITY INSURANCE CERTIFICATE NUMBER:COVERAGES REVISION NUMBER: IHIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTEO BELOW HAVE BEEN ISSUEO TO THE INS1JREO NAMEO ASOVE FOR TIiE POLICY PERIOD INDICATED, NOTWITHSTANOING ANY REOI]IREMENT TERM OR CONOITION OF ANY CONTRACT OR OTHER OOCUMENT WITH RESPECT'TO WHCH THIS CERTIFICATE MAY BE ISSUEO OR MAY PERTAIN THE INSURANCE AFFORDED BY TI]E POLICIES O€SCRIBEO I]EREIN IS SIJBJECT TO ALL THE TERMS, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE SEEN REDUCEDSY PAIDCLAIMS't$I ;.."",*-". f;g. "s ;,!!Hgltit ,Iffi- ".; 8CR003412 r 1,000,000 1 1 1291201 S'1 1 I 291 2420 X. corxERc' '-c€xER '.u8'l,rr"-*"*. x -*,t 100 000 r 5 000 r 2,000,000 r 2,000,000 PERSoNAL3^ov,NI,FY . 1.000.000 oR4U028589B 0310112019 O31O1!2A2O BoDTLY rNJrJRy (Pd.dsr) t l' :oo.ooo X c t 1,000.00004t0/,12019 0,410,!12020 aEMPLoYEE r 1,000,000 srrrurE . ER ^rcNs/wrcEs 6coiDr0! ^ .&Hr.!En.FrrquM) CERTIFICATE HOLDER CANCELLATION Collier Count Conllaclor Lrcensirg Board 2800 N Ho6esh@ Dr S']OULD AXY OF THE AAOVE DESCRIBEO POLICIES BE CANCELIEO AEFOREIHE EXPIRATrcfl OATE TH€REOF, I1OTICE WLL BE OELIVEREO IN ACCOROANCE wlTH TI]E POIICY PROVISIOIIS, L(eu 4r-"**' ACORO 25 (2016/03) O 1988-2015 ACORD CORPORAnO . Allrlghts r6s6rvod ThoACORD namc and logo aro rogistcred mark. ofACORD tr -,^ Mwcoi4672$01 FL 34104 8.E.1 Packet Pg. 212 Attachment: AGENDA_VIIIE_MARTA LILLIAN ALAS BONILLA – REVIEW OF EXPERIENCE (15057 : MARTA LILLIAN ALAS BONILLA – REVIEW JIMMY PATRONIS CHIEF FINANCIAI OFFICER FEIN: 834499085 BUSINESS NAME AND AODRESS STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION . ' CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIOA WORKERS' COMPENSATION LAW' ' CONSTRUCTION INDUSTRY EXEMPTION This c€rtmes that the individud listed below has el€cied to be exempt from Florida Worke6' Compensaton law EFFec.l-NEOAfE]. 21121202O EXPIRATIoNDATE: 21112022 PERSON: MARTALALAS EMAIL: MINIONSLAWNSERVICE@GMAIL.COM NIVINIONS LAWN SERVICES I c RAOE TMPORIANI: Pu6uanr to lubsecton tr0.05(14), F.S., 3n ontor ol a @Doctbn stD .I.<is eEmpl,o rrom thb c$prar by filing s q.nific.l€ ol €l€.lion !nd.r hF sEron nl,y nol l6sr b.n.frr! q dnp.n..ib. und.r trri3 .rr.pr.,. Pu&anr io .ubs.c1bn ,140.05(12), F.S., C6tfica!.. or 6leclio. to be €x.nfl i$ued u.d subsction (31 s.r.rr appry onry to rr. Forp@r. ofi@r nan.d on lh. mt.a ol .Lcton to b. as6pl and .ppt 6ly wihin lhe s.o96 of tte b!.h63 or nad. rBt d on $. notrd of 6ledron to b€ s*snpr. PuEuanl io .ubsdio. 4,10,05(13), F.S., notic.. ol .rdion ro b. .x.mpl end c.nif@i.! of .l6ction to ba .r.mpr sh.I b€ subFd to rarrcario. il d dny um! 6ier fie nIn! of in6 mlca o. rh€ ia$3ne ot th. eritnc€t6, th. prllon n.fi€d on tn. notce or clnific'E rc ronld nEB the Gqull!ft€nE or '1r! .6Bio. ld i3!ua@ ol . 6ftncL. Th€ d€p.rtn.nt 3h.ll llEle a 6nii@r. al .ny rine td lriluE of tbe De6on ..fi€d on tl€ c€rlifiet to mer dE G(urEEnts ol rhs .octon 3031 54TH STREET SW NAPLES, FL 34116 SCOPE OF BUSINESS OR T DF9F2.DWC.252 CERTIFICATE OFELECTION TO 8E EXEMPT REVISED O&13 E01 1 1 9826 OUESTTONS? (850) 41 &.1609 8.E.1 Packet Pg. 213 Attachment: AGENDA_VIIIE_MARTA LILLIAN ALAS BONILLA – REVIEW OF EXPERIENCE (15057 : MARTA LILLIAN ALAS BONILLA – REVIEW ( Florida I'If,o" r,Fd.-*-d. I 8.E.1 Packet Pg. 214 Attachment: AGENDA_VIIIE_MARTA LILLIAN ALAS BONILLA – REVIEW OF EXPERIENCE (15057 : MARTA LILLIAN ALAS BONILLA – REVIEW 02/17/2021 COLLIER COUNTY Contractor Licensing Board Item Number: 8.F Item Summary: MIGUEL GRANA – REVIEW OF EXPERIENCE Meeting Date: 02/17/2021 Prepared by: Title: – Contractor Licensing Board Name: Michelle Ramkissoon 02/12/2021 8:23 AM Submitted by: Title: – Contractor Licensing Board Name: Tim Crotts 02/12/2021 8:23 AM Approved By: Review: Contractor Licensing Board Michelle Ramkissoon Review Item Completed 02/12/2021 8:23 AM Contractor Licensing Board Tim Crotts Review Item Completed 02/12/2021 9:09 AM Contractor Licensing Board Tim Crotts Meeting Pending 02/17/2021 9:00 AM 8.F Packet Pg. 215 IlIIGUEL GRANA _ REVIEW OF EXPERIENCE Contents 1. CLB Notification 2. Complete and Notarized Application 3. Verificatlon of Testing Scores 4. Credit Report - Applicant and Business 5. Florida Company Documents . Sunbiz Fiting . Articles of Organization 6. Employer ldentification Number 7. Statement of Ownership 8. Verification of Construction Experience - Four (4) forms 9. Letters of Experience - Four (4) l0.Affidavits of lntegrity and Good Character - Two (2) Letters 1 '1. Certificate of lnsurances 12. Business Tax - Classification: Grading services 13. Oriver License 8.F.1 Packet Pg. 216 Attachment: AGENDA_VIIIF_MIGUEL GRANA – REVIEW OF EXPERIENCE (15058 : MIGUEL GRANA – Growth Management Division Planning & Regulation February 11, 2021 MIGUEL GRANA 1261 gTH ST SW NAPLES. FL 34117 RE: Review of Experaence I\,4IGUEL GRANA You have been added to the agenda for the Conkactors Licensing Board meeting on Wednesday, February 17,2021. fhe meeting is held at 9:00 a.m. at W. Harmon Turner Bu lding (Bldg. F, Admin. Bldg.), 3299 Tamiami Trl. E., Naples, FL 34112 in the Commissionefs l\4eeting Room on the 3rd floor. lf you have any questions, please contact out office al1239) 252-2418 or email N,'lichelle. Ramkissoon@colliercountyf l. gov Sincerely, Michelle Ramkissoon Supervisor Operations Licensing Section GroMh Management Division Plannang & Regulation 2800 N Horseshoe Dr. Naples, FL 34104 8.F.1 Packet Pg. 217 Attachment: AGENDA_VIIIF_MIGUEL GRANA – REVIEW OF EXPERIENCE (15058 : MIGUEL GRANA – 7et Qotataw Growth Mamgement Departrnent @ flT.9.:,Yrfl Contractor Licensing 2800 N. Horseshoe Or. Naples, FL 34104 Pho.e - 239-252-2431 Fex - 239-252-2469 APPLICA]ION FOR COTTIER COUNTY CERIIFICATE OF CO ,\PETENCY FIR'IA APPTICATION FOR COITIER COUNTY CERTIFICATE OF COMPETENCY This application must be lypewriten or legibly prinled. The application fee must be paid upon approval and is NOT refundablo. All checks should be made payable to: Collier Counly Board ol County Comhissioners. Fot lu..het lnformalion. consult Collier County Odinance No.2006-46, as amended- 1L TYPE OF CERTIFICATE OF COMPETENCY: $230.00 $230.00 $230.00 $230.00 $230.00 tr Electriclan tr Plumbor E Air Conditioner tr Swimming Pool tr Specialty $230.00 $230.00 $230.00 $230.00 $205.00 Specidty TGde: I. APPLICANT PERSONAL INFORMATION Grarp.- +Lot +1 LJ5^l Telephonel 221- zsz -z>x 'SS # (Last 4 digits only)s}s.r Driver's License # (Lasl4 digits only)3E,l O ._t(zrYraf I . Lo tYlEmail .Pu6Enr ro oEprer r.19, Fbnd. saur.t .nd c.llbr c4'try cdrr.c.or tk na'rl oril6.he 26-{5 s..do 2.1.1., .ll .pplk it .E ..qolEd to rub6h th.lr sod.l mrtty .umb.r lssnl lo. dE tolbsfu puD.s: .l Ars .rClollt'r .Ulity to ed{y o!dn6 br BHna lHr cdh hi.tdt. b) v.rltr-do^.l.py'k .l3 H ,.c.nd Intortutlon- oor otft. rll6ry ur yer ts d.d.fd. tdrh6. E.sr pdudl io OEol.r 119, FLrrd. srfu6, .hd .r n.t di.flrr 5. *hon:.d 6t a.*. w. .r. tully @mird b .t+au.rdlna .nd pddlna y@r 9sn .nd oM. @u..r.d, slll 6. m.horEd a dniradj .nd .Efipt an r orrt . r.19, Fldld. sdrn6. FIRM APPLICATION Rev4/12/18 Page 3 of 15 )-a{ - tqLla ,lnnn - o<{*., tr Building E Residential E Mechanical ! Rooting €t. 3qil+ Date or Birth:-!Q:a!L193-b 8.F.1 Packet Pg. 218 Attachment: AGENDA_VIIIF_MIGUEL GRANA – REVIEW OF EXPERIENCE (15058 : MIGUEL GRANA – C,RF.,Cow>rt!Conlractor Licensing 2800 N. Horseshoe Or. Naples, FL 34104 Pho e - 239-252-2431 F ax - 239-252-2469 Glo,,/vth ManaQEmenl Deparirn€rtt APPTICATION FOR COLLIER COUNTY CERIIFICATE OF COMPEIENCY Provide lhe names and telephone numbers ofNm persons *io willa know your whereabouts. Name ro -iarrcs II. FICNNOUS NAME OF APPLICANT'S BUSINESS eUQ-{ s1 s.u x]opl"s , F\ 3 q \\1 Business Name a Business Addressr I Z6 I ZZ FederarrD rax No.: A) - l3 L88+6 \- sr"G YES NO ALL APPLICAIITS IIUST A}ISWER THE OUESTIO S AELOW: '. /undertaken construclion contracls or work lhal a lhird party, such as a bonding or surety company, completed or made fnancialstalements on? ,r/Had claims or lawsuits flled for unpaid or past du6 accounts by your creditors as a result of constuclion o(pen€nce? l//undertaken conslruction contracts or work that resulted in liens, suits, orjudgments being flled? \,/Had a lien fil6d against you by the Intemal Revenue Service or Florida Corporate Tar Division? w -Made an assignmeol of assets in sottlemenl of construclion obligations for less than lhe debls oulstanding? \,/ -Been charged with or convict€d ofacting as a contractor wilhout a license, or il licensed as a conlractor in this or any other state, been 'subjecl to" disciplinary action by a state, county, or municipality? \-,,/Filed for or been discharged in bankruptcy within the pasl 5 years? -B6en convicted or found guilty of, or ent€rod a plea of nolo cont€ndere to, rogardl€ss of adjudicalion, e cime in anyjurisdiction within lhe past 10 years?' III. FINANCIAL RESPONSIBILITY NOTE. lf you have answer yES to any ol the questions below, you must attach a Mitten explanation including the nature of the charges, dates, and outcomes, senlences of @ndrtions imposed- You must also ettach prool of payment, satisfactjon of lien orjudgement, bankruplcy discharge, or agreemenls lor payrnenl. 'lf you have had a felony conviction, prcof that your civil nghts have been restored will be required prior to lic6nsu16. FIRM APPLICATION Rev 4/12118 "",", l,l.J i lliom fl'rwora teteprone'--..t&8:.t&Ol:5LL r"r.pr,on", 339-58{ -Ot}tz 8.F.1 Packet Pg. 219 Attachment: AGENDA_VIIIF_MIGUEL GRANA – REVIEW OF EXPERIENCE (15058 : MIGUEL GRANA – C.R?",Cott*tty Contrac,lor Licensing 2800 N. Horseshoe Or. Naples, FL 34104 Phone - 239-252-2431 Fax - 239-252-2469 GB'/vth Managernent Depatnenl APPLICATION FOR COLIIER COUNTY CERTIFICATE OF COMPETENCY IV. EXPERIENCEVERIFICATION EDUCATION: List below and provide transcripts for any fornal education you have obtained in the area of comp€tency for which lhls applicatrcn is bong made: t -+ /- /\olvL List below non formal education (on the job training) you have oblained in lhe arca of competency for which this application is being made: VrN CURRENT/PREVIOUS LICENSE: List below and attach copies any other cenmcates of competency/licenses you holdhave held in Collier County or any otherjurjsdiction. lnclude lhe lacense #, Type, and county you hold it in. l.E AFFIDAVIT Underthe penalties of peiury, ldeclare that I have read the foregoing appl and the fa.ts staled in il are MiOt"rel 6ano- ED[.'"(orease orril) State of -#iond a* Qhq lzozoIti<.-)t.6 sl ,Dby ekno*ledging (appl@nr) as identification and did not take an oath NOTARY'S SEAL tpe or 'd6nt6calis d klEm C-LQ FIRM APPLICATION Rev 4/12l18 Page 5 of 15 co,ntv or OOI t I e.r- The foregoing instrument as ac*nowlodg€d before me lhis r#{r.i {#'i 8.F.1 Packet Pg. 220 Attachment: AGENDA_VIIIF_MIGUEL GRANA – REVIEW OF EXPERIENCE (15058 : MIGUEL GRANA – 1et Cov'.ratY Grcr^if' n a€gErnerlt DepaffrE ll Contractor Licensrng 2800 N Horsesho€ Or. Naples, FL 34104 Phon6 - 239-252-2431 Fax - 239-252-2469 APPLICATION FOR CottlER COUNTY CERTIFICATE OF CO/ViPETENCY Th6 undersign€d h6reby makes application for Certificate of Competency under lhe provisions of Collier Counly No. 200646, as amended, and und6r penalties of pedury. I deciare that I have read lhe loregoing qualifier informalion and that the facts stated in il ar6 true. l-tio,rel 6&nL ***"T-DL 6 Mm6 or phAon &knowlodging (apph@nl) as identiUetion and did not take an oath CERTIFICATION OF APPTICATION Mloue Gnnu Apel@,,(ek€ae.rnl) t1 h 'ccs Cr? .slt/o lypo of id.ntirElbn or knM -fhe undersigned hereby cerlifies that he is legally qualilied to act on behalf of th€ business organization sought to be licensed in all matters connocled with its conlracting business and that he has full authority to supervise conslnrctaon undertaken by himselfor such business ororganization and lhat he willcontinue during this rsgistralion to be able to so bind said businoss organizaton. The qualified license holder understands that in all contracting matters, he/she will be held strictly accountabl€ for any and allactivities involving his licenss. Any willful fabmcation oI any infomatbn @ntained herein is grounds for disqualificaiion. Stale of:fforicla- County of C.olttsr' The foregoing instrument as acknowledged before me this Qltq hpzo by c-L[ (SIGNATURE NOTARY'S SEAL .;:*:ss. W.Nlr FIRII APPLICATION Rsv 4/12l18 Page 6 or 15 8.F.1 Packet Pg. 221 Attachment: AGENDA_VIIIF_MIGUEL GRANA – REVIEW OF EXPERIENCE (15058 : MIGUEL GRANA – Gornh Marlagernenl Depa.lnEnl 1et Col4nw Contractor Lrcensing 2800 N. Horseshoe Dr. Naples, FL 341M Phone - 239-252-2431 Fax - 239-252-2469 APPLICATION FOR COtt'ER COUNTY CERIIFICATE OF COMPETENCY ll is understood and acknowledged by the Collier County Contractors' Licensing Board and myself that if I fail to acquire, or maintain al alltimes efloclive Workmen s Compensation lnsurance il wallresull in the possible revoc€tion of my Cenirkate of Comp€tency. el WORKMEN'5 COMPENSATION AFFIDAVIT 3 at +1 BEFORE ME this day p€rsonally app€arod ui uel Itiouel 6{ane EDU 6r I h Serur'crs 6srP says that he has less than one employee and does not require Workmen's Compensation undeEtands that atany tims he employeos on6 or more p€Bons h€ must oblain said Workmen's Componsation lnsurance. fior@-State of County o,bhvr The foregoang instrument as acknowledged before me this Qlt12o- nams ot $n a.tnosi€dsins (appll€nt) as identilication and did not take an oaih type of d.nlficat on or knoM sUvo \-r-1.(>a- NOTARY'S SEAL 66 ?02 FIRM APPLICATION Rev 4/12118 8.F.1 Packet Pg. 222 Attachment: AGENDA_VIIIF_MIGUEL GRANA – REVIEW OF EXPERIENCE (15058 : MIGUEL GRANA – Official Examination Score Report January 8,2019 Offrcial Score Repon: Candidate Information: Name - Miguel Grana Candidate #:40763840G Testinq Site Ocal4 FL Final Score Result Business Procedures Score 847. These results represent the grade that has been achieved on the above named examination(s) administered by Gainesville Independent Testing Service for Collier County, Florida on January 8, 2019. Ifyou have any funher questions, please do not hesitate to contact us Sincerely, @ President sterJ Po 8ox 431127 ocala, Florida 34€+1127 - Voic G5a 3@,G|TS - Fat (3?) 3a7-2443w*7 214 8.F.1 Packet Pg. 223 Attachment: AGENDA_VIIIF_MIGUEL GRANA – REVIEW OF EXPERIENCE (15058 : MIGUEL GRANA – Omcial Examination Score Repo* lanuary 23,2020 Official Score Report: Candidate Information: Name Miguel Grana Candidate #: 40163840G &$i!4silq Ocala, FL Final Score Result: General Unlimited Contractor Score 757o These results represent the grade that has been achieved on the above named examination(s) administered by Gainesville Independent Testing Service for Collier County, Florida on January Ifyou have any further questions, please do n()1 hesitate to contact us. Sincerely, 9.t 6 B',-.."-*;t'" 7, Jay E. Bowermeister President PO AoxA31127 Ocala, Fldrda 34-4€411127 Voice (352) 369 clTS Fax (354 3a7 2443 @997 214 8.F.1 Packet Pg. 224 Attachment: AGENDA_VIIIF_MIGUEL GRANA – REVIEW OF EXPERIENCE (15058 : MIGUEL GRANA – I I <FOR> (r) P NP7771028 <SU IICENSES ETC <EORMER EMPLOYER AND ADDRESS> ROYAL ELUSH PLUMBIN 885 11Os Ave. N. Suite f5, Naples, Fl. 34108 Phone:239.777.1028 Fa\t 477.275.3591 www.ticensesEtc.com iled From National Records) <MKT SUB> <INFILE> <DATE> 16 NP t0/99 0a /2r /20 <TIME> 16: 1ScT ? <BIRTH DATE> 10 /16 <DATE RPTD> 9/t9 <ssN> 5258 <VERF> <RPTD> 2/A1 1/ a',7 MODEL PR*rrtlco scoRt I * * rTOO HIGH; LAC * * TBALANCES, TOO OF PROPORTION OF' LOAN BAI,ANCES TO LOAN AMOUNTS IS K REVOLVING INFORI,IATION;NO RECENT REVOLVINGKOE FEW AC TS CURRENTLY PAlD AS AGREED*** PUBI.IC RECORDS HAVE EEEN SEARCHED ATTHE COUNTY, STATE AND fEDERAL LEVELS - NONE FOUND TRADES SUBNAII'IE SUBCODE ACCOUNTS ECOA COLLATRL/LOANTYPE SYNCB/SAMSDC B 23505] D OPENED HIGHCRED TERMS VERFIED CREDLIM PASTDUE CLSD/PD BALANCE REMARKSla/19 S1098 8/20A 54000 S0B/20 S0 PAYPAT 1_ 12 MOP PAYPAT 13.2 4 MO 30/60/9A 1 111811 R01 MAXDELO AMT_MOP NEW AMRCN FU F 2DJFOO3 8/19 I /20A I F'HA R. E. I4ORTGAGE 3 60M12 95 s0 A CREDIT CARD SYNCB/RMSTGO E 999211E s197K $ 194K 1 0/ o/ o xxx11111111 M01 11 0/ O/ a SYNCB/CARECR F 9992A6T 3/15 I /2AA A CHARGE ACCOUNT 3/1'1 s1324 52100 90 EEEEEEEEEEEE ROl EEEEEEEEEEEE 36 0/ a/ 0 $0 90 SYNCB/BRMART ? 9992881 9/11 1 /20AI CHARGE ACCOUNT 2/1A s494 s1200 s0 EEEEEEEEEEEE RO1 EEEEEEEEEEEE 34 0/ 0/ o SYNCB/SAMS D 2350465 4/11 6/20A A CHARGE ACCOUNT 1/2AC s1098 s1000 $0 EEYYY1E11111 RO1 s0 l.t1l1ttl11]l CLOSED DUE TO TRNSTR 32 O/ O/ A EEEEEEEEEEEE RO1 $O EEEEEEEEEEEE CISD BY CRDT GRANTOR 82 A/ O/ A 360M 1 M01 ERSONAL CAEUT REPCRT E +711 CENT I CHARGE BANKAMERICA ACCOUNT B 421SOA2 8 /04 10 / 164 s/t3c 9/06 s4401 $ 1910 s0 s32.0K PaBe 1of 2 <SUBJECT> GRANA, MIGUEL C. <CURRENT ADDRESS> 1261 9TH ST., NAPLES F',. 34117 <EORMER ADDRESS> 7322 BRISTOL Cr., NAPLES EL, 3412a <CURRENT EMPIOYER AND ADDRESS> ROYAL FLUSHING 8.F.1 Packet Pg. 225 Attachment: AGENDA_VIIIF_MIGUEL GRANA – REVIEW OF EXPERIENCE (15058 : MIGUEL GRANA – I SECOND MORTGAGE 9/72V 9/r2C SA $0 CLOSED 1 A/ 0/ A INQUIRIES DATE SUBCODE a / 27 / 20 PNP711 1A2A IELA) 7/22l19 QCS8118195 (CNM) t2 / 73 / 18 QHO20a4946 \SCI) 9/21 /18 ZSMOO4999',7 lWrL) SUBNAME LICENSES ETC NEW AMERICAN EACTUAL DATA CREDI'T PLT]S TYPE AMOUNT END OE REPORT Pag€ 2 of2 8.F.1 Packet Pg. 226 Attachment: AGENDA_VIIIF_MIGUEL GRANA – REVIEW OF EXPERIENCE (15058 : MIGUEL GRANA – II - 886110rhAve. N. Suite f5, Naples, FL 34108 Phone:239.777.1028 h* a77.275.3593 www.licenses€tc.com t \v as ott 08/21/20 L7tzo Ef Royal Flush Services Corp Address Fed Tax ID# a2-136a846 President: Miguel Grana7322 EristolCir Naples, FL 34120-0594 United States 3940 Radio RD Naples, Ft Eusiness Type:Corporation Experianq!Il: 429493340 Agent Spl lncome Tax Corp At€nt Address: August 2017 E,(perian Years on Filer 3 Years Years in Business More than 3 Years Experian Ellg Establishedi Filing 0ata Provided by: Florida Oate of lncorporation: 04/11/2011 PUBLIC RECORDS HAVE BEE'{ SEARCHED AT TH E COU TY,STATEA D FEDERAL LEVELS r' Brnkruptcies: y' Liensr / Judsm.nts Fll.d: r' collections: END OF REPORT 0 0 0 0 Page 1 of 1 AUSINESS CREDIT REPORT Public Records 8.F.1 Packet Pg. 227 Attachment: AGENDA_VIIIF_MIGUEL GRANA – REVIEW OF EXPERIENCE (15058 : MIGUEL GRANA – 9t14t2024 )l:t!).!Ot; qI ()i)_?oi,_t:t'lr!l:) orvrsroN oF coRPoR^rrors ZuA,Z:,"rg () aep3dEsllotqale / o vrs'on ot c6rpor4to!! / !ea&!_Et cr$ / lee&\-hylnlty llr[! ] Detail by Entity Name Flonda Profit Corporation ROYAL FLUSH SERVICES CORP EItrstle@!!9r DocumentNumber P17000038174 FEI/Elt{ Numbei 82-1368846 Dato Fil€d 0412712017 Effoctive Date Ul26l2O17 Stat6 FL Statui ACTIVE PriDlinrfAddlr!! 1261 glh sl sw NAPLES. FL 34117 Changed: 0111712O2O [dlils&C!!!! 1261 gth st sw NAPLES, FL 34117 Chenged: 0111712020 Esgllt rcd Ag.nt Nrme & Addr... SPL INCOME TAX CORP 3940 RAOTO RD 103 NAPLES, FL 34104 Oftrcer/Dioctor D.r. Nam. a Add..!! GRANA. LES FL 341 Annual R.pqd! Repo Year 2018 2019 Filed Dat6 04t27t2018 o2t1812019 soarch.sunbiz.oQ/lnqui.y/Co.porationsearch/SsarchResuliDeia l?inquir}1yp€=EnlilyName&dt6cr@nType=lnilral&soarchNam6ord€r=ROYALFL USHS... 1/2 1261 gth st sw 8.F.1 Packet Pg. 228 Attachment: AGENDA_VIIIF_MIGUEL GRANA – REVIEW OF EXPERIENCE (15058 : MIGUEL GRANA – 9114t202A 202A 01t17t2020 Oocum.nl lm.ge! 0n172020 - Al,lNUAl REPORT OZ1312019 - AJINUAL REPORT 04/2712013 - ANNIJAT REPORT 0{27rU qlz:Oorolsliddll Me* '6a9e n POF lomat Mew rmag. n PDF iomat Mew'dage m POF tomat Vi€w imag€ n POF tomal soarch.sunbiz.oAr'lnquq/CoQo.ationSearch/SearchRosultoeiarl?inq!irytyp€=EnlityNam6adtrectionIyp6:ln[ral&searchNamOrder=ROYAtFIUSHS... 2,2 8.F.1 Packet Pg. 229 Attachment: AGENDA_VIIIF_MIGUEL GRANA – REVIEW OF EXPERIENCE (15058 : MIGUEL GRANA – Electronic Articles of Incorporation For ItoY.\I, ITI,T]SII SER\]Ct,S CORP 'fhe undersigned incorporator, tbr the purpose ol tbrming a Irlorida profit corporation, herebv adopts the follo*ing Articles ofhcorporation: Article I The name ofthe corporation is: ROYAI, FLUSH SER\'ICES CORP Article II The principal place olbusiness address: 7322 BRISTOI- CIR NAPLES. FL. TIS 34I20 'l'he mailing address olthe corporation is ?322 BRISTOI, CIR ^'APLES. FL. t IS 34120 Article Ill The purpose tbr u'hich this coqxnation is organized is ANY A\D ALI, I-AWFUL BL]SINF],SS, Article IV The number of shares the corporation is authorized to issue is 1000 Article V The name and Plorida street address ofthe registered agenl is: SPL INCOME TAX CORP 3940 RADIO RD 103 NAPLES- FL. 34104 I certiry that I am thmiliar with and accept the responsibilities of registered agent. Registered Agsnt Signature: ISMARY GONZALEZ P17000038174 FILED Aoril 27 . 2017 Sbc. Of State 8.F.1 Packet Pg. 230 Attachment: AGENDA_VIIIF_MIGUEL GRANA – REVIEW OF EXPERIENCE (15058 : MIGUEL GRANA – P17000038174 FILEDAotil 27 .2017 Sbc. Of State cewilson Article VI 'fhe name and address of the incorporator is MIGI -IEI- GRANA 7322 BzuSTOL CIR NAPLES FL 34I20 Elcctronic Signaturc of Incorporator: MIGIIEL GRANA I am the Incorpomlor submitting lhese Articles of Incorporalion snd affirm lhel thc facls slalcd hcretn arc tlue. I am aware thal false information submifled in a docum.'nt to the Depanrnent of Slate constitutes a lhird desree felonv as orovidcd for in s-817-155. F S. I undcrsland thc reouirement lo filc an annual reoon behveen Ja uarv I st arid Var I st in thc calendar year follou ing formation of fis corporation and everv r car thereaher io marntain ";ctive" status. Article VII The initial officerls) and/or director(s) ofthe corporation iVare: Tille: P MIGUEL GRANA 7322 BRISTOL CIRCLE NAPI,ES. I:I,. 34I20 t]S Afticle VIII 'lhe eft'ective date tbr this corporation shall be: 04/26t20t7 8.F.1 Packet Pg. 231 Attachment: AGENDA_VIIIF_MIGUEL GRANA – REVIEW OF EXPERIENCE (15058 : MIGUEL GRANA – ffitns DEPAATIGNT OF THE TREASURY INTERNAI REVENUE SERVICE CINCINNATI OH 45999-0023 Date of this notice: 05-01-2011 Ei4ploy.! Identification Nunber: 82-1358846 rorn: SS-4 Nunber of this nolice: cP 575 A ROYAL ELUSH SERVICES CORP 7322 BRISTOL CIR NAPLES, EL 3412 O Eor assislance you nay cau us at: 1-800-829-4933 IE YOU l'lRITE, AITACH THE STUB AT THE END OE TIIIS NOTICE I,IE ASSIGNED YOU AN EMPIOYER IDENTIF1CATION NWBER gihen fil.inq lax documents, palments, and related corlespondence, it is very inportant that you use your EIN and cofiplete name and address exactly aB sho!,rn above. Any variation may cause a delay in processinq, result in incorrect information in your account, or even cause you to be assigned more than one EIN. If the infolrnation is not correct as showD above, please nake the correction using the atlached teai off stub and return it to us. Based on the infortrEtion lecei.ved fron you or your representative, you must filelhe following fom(s) by the &te(s) shown. Eorin 1120 04/15/20t8 thank you for applying for an ErnpLoye! Identification Nun'ber (EIN) . lie assigned you EIN 82-1368846. This EIN wi]l identify you, your business accounls, lax retulns, and documents, even if you have no employees. P]ease keep Lhis notice in your perunent If you have questions abou! the folln(s) or the due date(s) shown, you can caII us atthe phone number o! wrile !o us at the address shown at the lop of lhis notice. If you need help in determining your annual accounting period (tax year), see Publication 538, Accaunting Periods and Methods. 9le assigned you a rax classification based on infomation obtained from you or yourlepresenlative. It is not a ]ega] detelnination of you! tax classification, and is no! binding on the IRs. If you rant a leqal detemination of your tax classificarion, you nay request a private Letle! ruling froh the IRS under the guidelines in ReveDue Plocedule2004-1, 2004-1 I.R.B. 1 (o! supelsedlng Revenue Procedule for lhe year at issue). Note: Cerrain tax classification elections can be lequested by filing Form AA32, EDtity CTassificatian Electior. See Forri 8832 and its instructions for additional informalion. IIGOP.:IItrI Dtt!8laillct tCR S @RIOnIIIC| aIlCAICat: Jf you inlend to elect to fiLe your letuln as a smll business corporation, anelecti,on !o file a Fom 1120-5 must be nade sirhln certain limefraines and lhecoryoration nust neet celLain tesls. AII of this infomation is included in lheinsLluctions for Form 2553, Electjon by a snalt auslress Corporation. 8.F.1 Packet Pg. 232 Attachment: AGENDA_VIIIF_MIGUEL GRANA – REVIEW OF EXPERIENCE (15058 : MIGUEL GRANA – Cowut)/ Gr@,tt' Managerenl Deps(rn6'l Contractor Licensing 2800 N. Hors€shoe Dr. Naples, FL 34104 239-252-2400 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY This cerlifies lhat l.tli uel STATEMENT OF OWNERSHIP am a m€mber or managing iari,rnED LrAsiLm cor,rPANf\aME) .- 1oo /o/o of lhe unils issued by the Limited Liabilily Company listed above I ttush (zs Affidavil of Applicanl: l cenify undor pcnalty of periury tfiat th. anformation cont lned ia a truo and correct statement to the besl ot my knowlodge. Hi ud Ara,o* POUot fttsn 'lerLala Cor-o Slale of fianda- Counly of lnLlru The foregoing instrument as acknowledged before me this glHh&D by hnc-who has produced +t-\L 6 acrrcwiodging (appli@il) Ntlo lrrs ot U€.uic.lio. d kros as idenlilicalion and did nol lake an oath. NOTARY'S SEAL t o_ 66 ?l FIRM APPLICATION Rev 4/12/18 8.F.1 Packet Pg. 233 Attachment: AGENDA_VIIIF_MIGUEL GRANA – REVIEW OF EXPERIENCE (15058 : MIGUEL GRANA – Fax 239-252 2469 VERIFICATION OF CONSTRUCTION EXPERIENCE |<1r GuEl Greul The applicantis sesking a Collior County Oertificale of Competency in the trade indicated above. As part ofthe application lor lhis c€rtlicate, tho appl'c€nl musl vont hither exp€dence wilhin lhis trade. You are being requesled lo pmvide information thal will aid lh€ applicant in me€ling this requirsmonl. You should verily tim6 ol active expedonc€ ! /orking a6 an apprentics or a skilled wo*er (e.9., as a worker commanding the wage of mechanic or better in the trade). Time served solely in a supervisory or administrative rols should bo described, bul may or may not be consid€red sufficienl io demonslrate required lrade 6xp€rienc6. Th€ porson vedlying lrad6 experionce for lhe above-named applicant must provide $€ following infonnation Cerlifi c€le Category Requested o ri 5 r |. r fqn ""a TL DL L ,n,., ?e.st LL(rcense ro. 1rr apprrcaorel c.6c 5 3 o q r zip u oll 5. - Str+O as identificalion I I €6t ZOoq tolDe.c zorO ( )indudoderqrc Addltional comm€nls St@t Tha applic€nt wes smployed by mo Bosi-|^ Y Lo?cz C.r*l I Slale of 4.loridc_ Qatliu The foregoing inslrument as acknowlsdgod b€lore me thjs S.ur. es, aoao Sig.ol polson poviding lt'€ staiemenl by $!e ol idenlifcaiion d kl]dn SIGNATURE OF N NOTARY'S SEAL ."iffi.,,,,.w: VERIFICATION OF EXPERIENCE REV 4/12l18 APPLICATION FOR COI.I,IER COUNTY CERTIFICATE OF COMPETENCY NOTE TO LICENSED COi{TRACTORS: F./sify,ing.ny infomation prcvidod h.rein may sub/€ct your lic'nsa lo rcvocalion. Under pBnalty of perjury, I declare thal lhs facts stat€d hers are lrue. name ot porsd acrnorg6d9in9 and did not take.n oath. 8.F.1 Packet Pg. 234 Attachment: AGENDA_VIIIF_MIGUEL GRANA – REVIEW OF EXPERIENCE (15058 : MIGUEL GRANA – C,RF.,Qo*rt,'xy G.orif! Managsrst D€pdffi APPI.ICATION FOR COI-LIER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE \)EANA Certifrcate Category Req Gun""o I U,-.' l; -;i...1 Co -+aclor The applicant is seeking a Collier County Certific€te of Comp€toncy in the trade indicated above. As part of the application for this ceftfcate, lhe applicant must veriry hisher expenencc within this trade. You are b€ing requested to prold6 lnformation thal willaid tne applicant in nEetingthis raquaremefit. You should verify tirn€ of ac1iv6 exp€rienc€ woftang as an apprentice or a skilled worker (e g , as a wofier c.rffnandang the w€ge ofmo.ianac or better in th6 trad6). llme served solely in a supervisory or admnistrawe role should b€ d6scribed, but rmy or mey not be consid6r6d sufficient to demonstrate required trade experience Tho pelson vedrying trade expeience for the above-narned applicant must provide the bllowing inbmation r.rame: Norce ?i.re.c, r'rr" ?eEs,De,. ro tir"pprioorel 26 z9 llo393)0rl Busi*ssaddr*s 2635 - 8thqlct The applicantwas omployed by me from Business Name icants trfle l.r)q nOqe.a VE.NE Nq les tzo A C'ly zo17 b nuar r5 Srala ztp zol The applicants ot |rork (specifc duties)inauoea: de- Coo.Jino-l o\\ J Add t ona I comments L,-n State of w,*h S"t -oL '11 FI DL oS6 r prowrng the statemed v NOTE TO LICENSEO COI{mACTORS: Felsilraho ary informeton ovided hetdn fiey srbiecl Wur license lo rovocalion Under penalty oI p€riury, I dedare thal th6 facis stated here are true County of /1 rl\.f)ll re ( The foregorng rnstrum€nl as acknowledged bofore fip lhis Nieroe f A?ueo who has produced dme a person actmwteoging and did nottake an oath NOTARY'S SEAL o typ€ of iieotific.iion or known @ tloddtol$!t!P'r glldry lllulGG)lqotmtbJoo 08/02,21Er!k!!0 ihdoi$, ODEI.IY CATEJO VERIFICATION OF EXPERIENCE REV 4/12l18 SIGNA contr.dor ticensing 28OO N. Horesho€ Dr. Naples, FL:t4101 Phone - 239-252-2431 Fe\ 239-252-2469 NOTARY 8.F.1 Packet Pg. 235 Attachment: AGENDA_VIIIF_MIGUEL GRANA – REVIEW OF EXPERIENCE (15058 : MIGUEL GRANA – -z_C38.Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 239 252,2400 Cotrtrl} Growlh f,4anagernent Depart_rEnt APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE Cediiicate Calegory Requested Go^...-l 0.,11.''.l! The applicanl is seekrnq a Collier Coun, Cerliricale ol Comperency in lhe trad€ indicated above. As part ol the appri.aljon tor lhis cerlillcate the applicanl must v€i, hisAer e)eerience willrin this tlade. You are berng requested lo provde ntormatron llral will aid lhe applicant in rneelln€ lhis requirement, You should verily tirne ol aclive experience working as an apprentice o. a skilled worker (e.g , as a workor commanding lh€ wag€ ol mechanic or better in the trade). Tirne served solely n a supewiso.y or adminislrative 1016 should be descib€d, bul may or rnay nol be considered suflicientto demonslrale required trade expetjence. The person verltying lrade experl€nc€ tor lh€ above named applicanl must provide lhe iollowinq irlornraUon Tll €..s,J, zzq zaq ot26 License No (ii applicable)c 6C t5o<15 4<1 Busn€ss Add,ess. zt5s Zen+on Tll , llapleS pL 3qne Street The applicant was employed by me irom zo tg Au, *i to.zotl L,,y Slare eb8 to - * ttt e,r The applicanls scope of work (sp€cilic duies) included fflo ncr q em erit op e.^-rp[o.reeS ooJ b c e Co.tsl.ecl,o6 J3 l"e l-'.,J . Addiuonatcommenlsr filr G.qoq *o t" oe qooJ mo"cr'l c[,o"<r*e" o.J J".n#.-I NOTE TO LICENSED CONTRACTORS: Falsirying any intonation provided hercin rnay subject yaurlicense to revocatian Under penairy ol pelury, I declare thal the lacts staled here are true Slate oi ru Al,'t s County ol - owiedged belore me this ol>* /;n>a as idenlrlicatio,r Tlre loreg9jF€trumeni as ackn --/ vt-/*t /^. ... T------E R oc,7[ffi; pe's", ,"k""- dg", and did not take an oath. NOTARYS SEAL ty?e ol identiUcalion or kn #SI t OF NOIAR Name:laAro lorre-s Zp by 8.F.1 Packet Pg. 236 Attachment: AGENDA_VIIIF_MIGUEL GRANA – REVIEW OF EXPERIENCE (15058 : MIGUEL GRANA – a Qor.t*rxjt Groun}r Managernenl DepartyEnt Contractor Licensing 2800 N Horseshoe Or. Naples, FL 34104 239-252-2400 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY Tho applicant is soeking a Colli€r Counly Certlicato ol Competency in th€ llade indicated abovs. As pan ol ihe applicaiion for Ihis certificale, lhe applicant musi verify his/her sp€rieoce lvithin ihis lra&. You are being requesled to provide infomation thal will aid ihe applicanl in meeting this requnement. You should venfy tme ot aclive experience worting as an apprcntce or a skilled wo*er(e.9., as a wo er commanding he wage of mechanic or bener in he trade).]'ime seryed sobly in a sup€ isory or adminstralive rcls should be describ€d. but may or may noi b€ considsred suffcieni io demonslrats required lrade €xpenence. Th. p.Eon writing !d. €ry.rLnc. io. tts .bov!-nl,|.d .pplic.nt mu3t p.ovld. th. lolbIine VERIFICATION OF CONSTRUCTION EXPERIENCE " N,-. l\,liguel Grana C€difi cate Category R€quested General Unlimited Contractor Name William Andraca President ., Matestc Resrdenlial Conlraclor ,lnc Licenss No. (il applicable)cRC1329676 Busins Addross 11725 Collier BlvdSuitES Naples FL 34116 Slrs€i Cily Stal€ Zip Th€ appllcanl was employed by ,e ro,, sept 2019 to present i""nr" r,tu, Prcject Manager The applicanl's scope of worl (sp€.ific duti€s) included:He coordinated with employees on our @nstruction site aod had duties associated with rcmod€linq and new construcrion proiects we had at rhai time. add.ironal comhen6: He is very responsible and good worker NOTE TO UCENSEO CONTRACTORS: Fals,rying ary infonation ptovii6d harch nay subject yout Under penalty of p€nury, I dedare thal ine facrs stated here arc lrue- srate ot FL COLLIER insirumeni as actnowledg€d belore rc this L nam€ ol pelu acknodedging as identification and dad not take an oalh. NOTARY S SEAL i*N@ry Pubic st b ol Frdi,. iry C6m'3s GG 235O!r FIRM APPLICATION Rov 4/12118 Page 12 oi I5 8.F.1 Packet Pg. 237 Attachment: AGENDA_VIIIF_MIGUEL GRANA – REVIEW OF EXPERIENCE (15058 : MIGUEL GRANA – NORGE RIVERO PRESIDENT 2635 8rn AVE N.E. NAPLES, FL :!4120 July 2oth, 2o2o To whom it may concern: I have known Miguel Grana for over 15 year5. we have worked together in manyiobs, in which he has clearly demonstrated. To be highly skill in Carpentry, Framin& Cabinetry Masonry and Flooring. Mr. Grana has demonstrated that he can read Architectural Drawing very well, in which I realized his experience in the field. Mr. Grana was also an Officer of GATOR HOME 6ONSTRUCrION, ftom April 2017 through January 2018. During this time, he coordinated with sub-contractors, to keep alljobs as smooth as possible. He was always on top ofallthe orders needed from suppliers and whole sellers. I believe Mr. Grana to be ofgood moralcharactet honest, decent, and most of allan exceptionally reliable person. He has always maintained a high professional standard on allthe jobs that we have worked together through the years. Should you need to contad me, please feel free to call me @239-919-9978 Sincerely ffi= OD!tAY CAI.iEJO l,lolary Plblic, Slal€ ol Flod& Commission ilq00 t3loal rry Co mbrloo ESna G/0221 GATOR HOME CONSTRUCTION lnc General Contractor [iC{ RG291103932 Plumbing Contractor Ucl RF111r67705 a t aTIJS: w_ 8.F.1 Packet Pg. 238 Attachment: AGENDA_VIIIF_MIGUEL GRANA – REVIEW OF EXPERIENCE (15058 : MIGUEL GRANA – Premier Finishes lnc 2155 Benton Rd, Naples Fl34Lt7 Email: P rem ie rFin ishes5 @ ya hoo.com License# CGC15O9544 Phs 239-384-0126 )uly 27rh,2o2o Miguel Grana To whom it may concern, I have known Miguel Grana for over 5 years. He has worked together with us on many jobs and is highly skilled in Framing, Carpentry, Flooring and Masonry and septic. Mr. Grana has always been committed and truly knowledgeable in all construction fields. I believe Mr. Grana to be of good moral character, responsible and decent. He has been very professional on all the jobs we have worked together. 1qfo aF 0u/7 aP /oro* (a //,,r Premier Finishes lnc President Torres Aeare- rzt?- Uthit h" 7o't .r,/^u e+/>+/z'z 47a- Pbd'' *1 +/a4 s i5r.n Puar. $.r .l Fldr(,. My _+nrr6r Hti O17..! lf you have any questions, please contact me at # 239-384-0126 &/a Tztret al.-oli 8.F.1 Packet Pg. 239 Attachment: AGENDA_VIIIF_MIGUEL GRANA – REVIEW OF EXPERIENCE (15058 : MIGUEL GRANA – \\a EStiC William Andraca PresidentllT Collier Elvd suite E5 Naples,fl,34.116 August , 17, frX). To Whom Mat Concern : Miguel Grana wo*s with my company since September 2019 , to the present nN. He managed a wide array ol construction related responsibility skilllully. These consisted of both hands-on as well as managerial duties associated with various remodel and new construction prcjects we undertook at that time . Miguel has good solving abilities , wo* ethic and integrity . I recommend him to the county board lot licensing and look forwad to the possibility ol wo*ing together again with him as a colleague . Sincerely Majestic Residential Contactor lnc Generel Contractor 132 76 ,;fJ ihlii#{*j;tr 9,a 8.F.1 Packet Pg. 240 Attachment: AGENDA_VIIIF_MIGUEL GRANA – REVIEW OF EXPERIENCE (15058 : MIGUEL GRANA – J\JR FLORIDA BUILDERS. LLG License fl CGC1511525 Phone: (2j9) 2444s73 / (239) 244-4899 Fox: (239) 2M4990 j dl oti dobu i ldets@ g mdi l. co m Co ier County Gtowth Management Depattmenl Contractor Licensing 2800 N. Horseshoe Dt. Naples, FL 34104 September 21, 2020 Refercnce: Miguel Grana To Whom lt May Concem I known Migual Grana from year 2009. He wofued with us on several prcjects, from Juno 2009 to December 2010; as Supevisor and Project Managet; for his highly skills managing a wide aray of construction phases and coodinated with the subcontractots in order to completed to satisfaclion all projacts on his charge. At present wa still have their sevices occasionally when necessary and he is available. Mr. Grana has been very prcfessional on alljobs we wo*ed together. Respectfully, ,t- ROSITA LOPEZ - Prerident JR Florida Builders, Ll-C Thg foregoing instrument was swom bafore me and my presence this 3)! day of,1ePkm-tef .2020. By 8o5t*a \, LoDr'.z'' . who is-persona y known to o- lLr.ibEb- STATE OF FLORIDA COUNW OF COLLIER ,a /2 me. 8.F.1 Packet Pg. 241 Attachment: AGENDA_VIIIF_MIGUEL GRANA – REVIEW OF EXPERIENCE (15058 : MIGUEL GRANA – C 1et CotwtXY Contraclor Llc6nsing 2800 N. Hors6sho6 Or. Naples, FL 34104 239-252-2400Griw' |vlanagerrstt D€pdlnsn APPTICATION FOR COLLIER COUNTY CERTIFICATE OF COMPEIENCY STATE OF FL "or"r" o, Collier I, The loregoing instrument as acknowledged before me this by NOTARY S SEAL AFFIDAVIT OF INIEGRIIY AND GOOD CHARACTER having been lirst duly sworn, state and affirm I am a residenl of Collier County FL (Stare)and have resided here for more lhan live (5) years. Dunns the lasl fve (5)years , n"r".no*n Miguel Grana (applicant). I have had lhe opportunily to obse.ve his or her business and personal dealings and lind him or her to be a integrity and good character t n0a,""",?M99!!aBd Naples FL 34117 239 384 0126 L7 r) /r/" tZrpr $ohasetdtlu,d ft eC tyD. o, id$tnc.rh d rr*r,mc ot Fid edrELdgeE and did not trak€ an oath- #r'Lty Puuc fr ol Fbdh fy Cdiyrn ic! Hlr 017!a! FIRM APPLICATION Rev 4/12l18 Pedro Torres as identifrcation Page 14 ol 15 8.F.1 Packet Pg. 242 Attachment: AGENDA_VIIIF_MIGUEL GRANA – REVIEW OF EXPERIENCE (15058 : MIGUEL GRANA – tet QoutrxY GrDvrfl ManagenEnl Departnent Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 239-252-2400 APPLICATION FOR COTLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF FL "or"r" o, Collier t. William Andraca having been lirst duly s\Nom, stale and affirm I am a residenl of Collier County,FL (State)and have resided here for more than nve (5)years. Dunng the last five (5)years thave known Miguel Grana (applic.nt). I have lo obserye his or her business and personal dealings and llnd him or her to be a good character. , inlegrity and Add,6ss 11725 Collier Blvd Naples Telephone:239 601 5374 The foregoing inslrumenl as ackno*,jedgod before me this il,tt* hu^) nane or F6@ a.lndledgi.g and did not take an oath. by of d.nMcalion o. knM as identilicationDL NOTARY'S SEAL Noory pubtrc St.r. orFts&crerhErD.2 MyCotrdEtrncG 235oM,.;f: FIRM APPLICATION R€v 4/12l18 Page 14 of 15 8.F.1 Packet Pg. 243 Attachment: AGENDA_VIIIF_MIGUEL GRANA – REVIEW OF EXPERIENCE (15058 : MIGUEL GRANA – JIMMY PATRONIS CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTI|iENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION DFS-F2,OWC.252 CERTIFICATE OF ELECTION TO BE EXEI\,IPT REVISED 08.13 E4122A153 OUEST ONS? (850) 413-1609 1261 9TH ST SW NAPLES, FL 34117 SCOPE OF BUSINESS OR TRADE: ContEclorPrqecllranaqer Exevationand Oivers NOC Constru.tion Sup€rlntend6nl IMPORTANT Purcuanllosubseclion440.05(14),F.S. afoflicerotamrporaiionwhoeecls€xemplronlromlhischaprerbyrlnga@dilicaleoleectonunder Ihis section may not recover benefils orcompensal on uider thrs chapler Pu6uant lo slbseclon 440.05(12) F S. Cenificales of elect on to be exempl ssued u.der subsclion (3) shallapp y on y lo lhe @rpobte olficer nahed on lhe not e ol e ecton lo be exempt and apply only within lhe scope oi rhe bus ness or l€deisl6donthenolceoleleclionlobeexemptPu6lantlosubsecton440.05(13),F.S.,nol€soi€lec(ontobeexemp(andceltii@tesoielectiontobe exempl shallbe sublectto revocalion il, al any Ume after lhe lilng of the notice or the lssuance ol the ceriifi@(e lhe pe6on named on the noti@ or ceniiicate no longer meets lhe requLehents otth s section lor issuance of a cenifcale. Th6 dopanmenl sha lrevoke a errilicate at any tihe loriaiture ol the pe6on named on the cenlficale lo meel the reauirements ol this secl on. -, 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. EFFECTIVEOATE:9/1112020 EXPIRATIONDATEi9/11i2022 PERSON: MIGUEL GRANA EMAIL: INFO@SI,4ARIUPACCOUNT.COM FEIN: 821368846 BUSINESS NAME ANO AOORESS: ROYAL FLUSH SERVICES CORP 8.F.1 Packet Pg. 244 Attachment: AGENDA_VIIIF_MIGUEL GRANA – REVIEW OF EXPERIENCE (15058 : MIGUEL GRANA – ogt1412020 II]IS CERNFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLOER, THIS CERTIFICATE OOES I{OT AFFIRIIIATIVETY OR iIEGATIVELY AMENO, EXTEND OR ALTER IHE COVERAGE AFFOROED AY THE POLICIES AELOW, THIS CERTTFICATE OF INSURANCE OOES NOT CONSTITUTE A CONTRACT AETWEEN-IHE ISSUING INSURER{S}, AUTHORIZEO REPRESENTATIVE OR PRODUCER, ANO IHE CERTIFICATE HOLDER, IMPORTANT: It lhe c.nli.at6 holder is an AOOITIONAI INSUREO. tho pollcy(i8) must h.ve AODITIONAL INSUREO provl.lons or b. €ndors.d r SUaROGATION lS wArvEo, .ubj.ct to th€ t.d3 .nd condirion. ol th. pollcy, certain policao. nay requirc an endo6om.nl. A 3latemenl o. rhi6 cedincate d@3 notconr.r right6 to th€.eriific.te hold6.in rieu or.uch endoBemenl(s). INTEGRAI UNOERWRITERS CORP PO BOX 990337 USA ROYAL FLUSII SERVICES CORP 1261grh ST SW NAPLES Ff3I117 t$Iacr cusroMER sERVrcE DEPr fj3.if,. En, +i (r1e)3o43roo i3$!3s, nro@ ntes6 md .on flit, *"1, {eu r) zls-ssoo l 42se5MUiER^. Rockinohan Casoaliy ComFny CERTIFICATE OF LIABILITY INSURANCE CERTIFICATE NUMBERCOVERAGES THIS IS TO CERTIFY THAT TI]E POLICIES OF INSUR/NCE LISTED BELOW HAVE BEEN ISSL,IED TO THE INSUREO NAMED ABOVE FOR THE POLICY PERIOO INDICATEO, NOTWTHSTANOING ANY REOUIREMENT IERM OR CONOTION OF ANY CONIRACT OR OIHER DOCUMENT WTH RESP€CT TO WHICH THS CERTIFICATE MAY BE ISSUEO OR MAY PERTAIN, TIIE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONSANO CONOITIONS OF SUCH POTICIES IIMIIS SHOW{ MAY HAVE 6EEN REOUCED BY PA O CLA MS N N RFLG21765O-OO a9nai2a2a x rcrc,f t$1 x corl.i@@Eulll !fr cdtusMc x @cuR X Deduclible 5500 ! l@,qor 50,000 3 5,000 1.!994q9 2000,000 2 000,000 (b1@, BOOtrY |NURY (tu ts,5l t F ,vl*€rlt (^coiD r01.rdldful'ld.fu,i.ritu,lt!-.F.qd) CONTRACTOR CERTIFICATE HOLOER CANCELLATION COLLIER COUNry CONTRACTOR LICENSING 28OO N HORSESHOE DR # 4OO NAPLES FL 34104 @.tEcloBlic6.sing@olliercountyn.gov SHOU!D ANY Of IIIE ABOVC OESCRIBED POLICIES AE CAIIC€LLEO BEFOREThE EIPIRAIIOII OATE THEREOF TONCE wlLT BE DELIVERED IN CCOROANCE WITH IHE POIICY PROVISOIIS A.tlt acoRo 25 (2016/03) O1988.2015ACORoCORPORAT|ON. Att.ightsresory.d Th.AcORo namo and logo ar. regi.r.red mark olACORO -OAME TO NENEDP8E!!EE!rE!!.qf-d) , 09/08/2021 EFsdaL.ov Nrufu tGEMAAAGGREGAIE 1 ? 8.F.1 Packet Pg. 245 Attachment: AGENDA_VIIIF_MIGUEL GRANA – REVIEW OF EXPERIENCE (15058 : MIGUEL GRANA – COLLIER COUNW BUSINESS TAX BUSITESS TAX NU MEER: coLt-tER couNTY TAX COLIECTOR.2800 [. HORSESHOE 0RIVE - NAPLES FLORIoA 3410.1. (233]2s2-2177 VISIT OUR WEBSIE AT: wvrlw.colli.ftx.com TI]ISRECEIPT EXPIRES SEPTEMBER 30, 2020 OISPLAY AI P1-ACE OF EUSINESS FOR PUBUC INSPECTION. FAILURE TO DO SO IS CONTRARY TO IOCAL LAWS ROYAL FLUSH SERVICES CORP GRANA , MIGUEL BRiSIOL CIRFL 34120 THIS TAX IS NON REFUNOABLE- 191924 It do€. nol p€rmlt the lbensee to vidate any oxislilg rcgulaloronir'g nor doos ( €xempl ihe licensee lrcm any olher iaxss o. p€rmils lhal may be DATE AMOUNT RECEIPI 07nsr2019 10.00 vvv\rw-2Gm044785aa)lt1M4 ,+, <4 LOCAIION 7322 BRISTOL CIR ZONED HOME OCCUPATION BUSTNESS pHoNE 239-272-8234 STATE OR COt.]NTY LIC I OWNER ONLY NO EMPLOYEES'NO CLASSTF cAloN GRADING SERVICE CLASSIFTcATT0N cooE 03721601 This doormenl is a business lar o.rly. This b noicsdificaiion thal 8.F.1 Packet Pg. 246 Attachment: AGENDA_VIIIF_MIGUEL GRANA – REVIEW OF EXPERIENCE (15058 : MIGUEL GRANA – Florida o -38/H) r.\ar ,., .Gr t 8.F.1 Packet Pg. 247 Attachment: AGENDA_VIIIF_MIGUEL GRANA – REVIEW OF EXPERIENCE (15058 : MIGUEL GRANA – 02/17/2021 COLLIER COUNTY Contractor Licensing Board Item Number: 8.G Item Summary: RICARDO ROBLES GARCIA – REVIEW OF EXPERIENCE Meeting Date: 02/17/2021 Prepared by: Title: – Contractor Licensing Board Name: Michelle Ramkissoon 02/12/2021 8:25 AM Submitted by: Title: – Contractor Licensing Board Name: Tim Crotts 02/12/2021 8:25 AM Approved By: Review: Contractor Licensing Board Michelle Ramkissoon Review Item Completed 02/12/2021 8:25 AM Contractor Licensing Board Tim Crotts Review Item Completed 02/12/2021 9:10 AM Contractor Licensing Board Tim Crotts Meeting Pending 02/17/2021 9:00 AM 8.G Packet Pg. 248 RICARDO ROBLES GARCIA _ REVIEW OF EXPERIENCE Contents 1. CLB Notification 2. Complete and Notarized Application 3. Verification of Testing Scores 4. Credit Report - Applicant and Business 5. Florada Company Documenls . Sunbiz Filing . Articles of Organization . 2019 Annual Report Filing 6. Employer ldentification Number 7. Statement of Ownership 8. Verification of Construction Experience - Two (2) forms 9. Letters of Experience - One (1) 10. Affidavits of lntegrity and Good Character - Two (2) Letters 1 1 . Certificate of lnsurances 12. Business Tax Receipt: Landscaping Restricted, Lawn Maintenance Only 13. Collier County Competency Card Landscaping Restricted 14. Driver License 8.G.1 Packet Pg. 249 Attachment: AGENDA_VIIIG_RICARDO ROBLES GARCIA_REVIEW OF EXPERIENCE (15059 : RICARDO Growth Management Division Planning & Regulation Febtuary 11 , 2021 RICARDO ROBLES GARCIA 619 N gTH ST IMI4OKALEE. FL 34142 RE Review of Experience RICARDO ROBLES GARCIA You have been added to the agenda for the Contractors Licensing Board meeting on Wednesday, February 17, 202'1. The meeting is held at 9i00 a.m. at W. Harmon Turner Building (Bldg. F, Admin. Bldg.). 3299 Tamiami Trl. E., Naples, FL 341'12 in the Commissioner's l\,4eeting Room on the 3rd floor. lf you have any questions, please contact out ofiice al \239) 252-2418 or email l\,4ichelle. Ramkissoon@colliercounM. gov Sincerely, Michelle Ramkissoon Supervisor Operations Lacensing Section Growth Management Division Planning & Regulation 2800 N Horseshoe Dr. Naples, FL 34104 8.G.1 Packet Pg. 250 Attachment: AGENDA_VIIIG_RICARDO ROBLES GARCIA_REVIEW OF EXPERIENCE (15059 : RICARDO QotMW G.o!,!lh ManagerrEnt DeparlrrEnl r-dGlE11\/,fE ss6 1 1 2020 c,ilff", R Contraclor Licensing 2E00 N. Horseshoe Or. Naples, FL 34104 Phone - 239-252-2431 Fa\ - 239-252-2489 APPLICATION FOR COI.I.IER COUNTY CERTIFICAIE OF COMPETENCY CERTIFICATE OF COMPETENCY lEl LCC o?.Ltc This applicataon must be lypet rritten or legibly print€d. The applicalion fge musl be pail upon approval and is NOT retundable- Afl checls should be nrad6 payable lo: Colier Coutty Board ol County Coi nissioneG- For further infomatjon, consull Colli€r County Ordinance No. 2006-46, as arnended. TYPE OF CERTIFICATE OF COMPETENCY: ! General tr Building tr Residential D Mechanical tr Roofing Speciary Trade I. APPLICANTPERSONALINFORMATION: $230.00 $230.00 $230.00 $230.00 $230.00 $230.00 $230.m $230.00 $230.m $20s.m C Electrician tr Plumber D Air Conditioner tr Swimming Pool g Specialty 71rco")o Tcbl cs O,ix'tc,. Business Name:I ,l / Address /,ic t't 0rl sl frartto xrlt E'L Email robi er - t @ o -lloc<. ccrtl Telephone:(zrq) s o l -15'\4 Date of Birth ,or /29 /tqrs 'SS # (Last 4 drgits only),iEl9 Oriveds Licens€ * (Last 4 drg s only)029 o .Pldor ro char.r r-19 rbrid. sErurB .d collbr Cariy condd ljenillt (,.dlNE 106-a5 s<rioi 2.1.1., .ll .Crlk ntt.a EqllEd to *brntt rn.lr shl €rtry numb.. (ssxl ld rh. ioll*i.t p(Far .) r&r6t .pdldts .hlltly to {llttY .t dh6 br ta,ilrii.t ttElr .ttnh hkr-Y. b) v.rlrk dd ol.pdk ntr t rt sG Md lnronr.tlon. olr ot0@ wlll dly uE your ssx r.t d.boF ld thd. d.6 p6umt to ct!r'r.. l.lq Fldld.st tn6,.iGm,odErt.b.a6o.h.dbYlr. \k n tul|y.mitt dt 3.La!rd{id F!l!.tiltF{.ssr{rd@.olL<t <l,llll b. mlnt lEd G cdn<r.ntLl dd empt u.&. ch.rt r l-19, flo.U. st tn6, D I Name: 3'l/12 8.G.1 Packet Pg. 251 Attachment: AGENDA_VIIIG_RICARDO ROBLES GARCIA_REVIEW OF EXPERIENCE (15059 : RICARDO 7er Col.*aty GrE^ nh ^ranaqemenl Depd.frEri APPTICATION FOE CO[tIER COUNTY CERTIFICATE OF COMPETENCY Provide the names and telephone numbers of two persons who will always know yourwhereabouls Name 7u;v II. NAME OF APPLICANT'S BUSINESS: Business Name llObte, /.r,nd >ta o' nG.l)L Business Address tqN lt .2t lce 3I 2_ Telephone: (, aq )601 --75 34 Email nolrl z s - r d o +r O K, /'otflc Fede.allD Tax No.r RI- Ll 585 zb2 III, FINANCIAL RESPONSIBILITY YES NO ALL APPLICANTS MUST ANSWER THE QUESTIONS BELOW: o/Filed for or been discharged in bankruptcy within the past 5 yeers? t/Had a lien filed against you by the lntemal Revenue Service or Florida Corporate Tax Division? /Undeieken construction contracts orwork that resulted in liens, suits, orjudgrnenls being fled? / Undertaken conslruction contracts orwork that a thid pa(y, such as a bonding orsurety company, completed or mede linancralslalernents on? t/Made an assignment of assets in settlement of construdion otligations for less than the debts oulslanding? / Been convicted or found guihy of, or entercd a plea of nolo contendere 10, regardless of adjudication. a crime in any judsdiction within the past 10 years?' /Had claims or lavrsuits filed for unpaid or past due accounts by yourcreditors as a resun of construclion experience? l/Been charged with or convicted ofacting as a contraclor without a license, or if I icensed as a contmctor in lhiS or any otherstate, been'subjed to'disciplinary adion by a state, county, or ny? NOTE. lf you have answer rEs to any ofthe queslions below, you musl attach a writlen eplanation includang the nature of the chaQes, dates, and outcomes, sentences of conditions imposed' You must also attach proof of payment, satisfadion oflien orjudgement, bankruptcy discharge, or agreemenls for payment' :lfyou have had a felony conviclion, proof that your cMl rights have been resto'ed will be required priorto licensure. Contraclor Licensin0 2800 N Horseshoe Dr. Naples. FL 34104 Pno.e - 239-252-2431 Fax - 239-252.2409 *",*, An lon i o 1\ obi c v ra.pnon, (rs 'q 0 \ - / 1 59 rcte pnon e : !f, )!)fu [!-!!!! 8.G.1 Packet Pg. 252 Attachment: AGENDA_VIIIG_RICARDO ROBLES GARCIA_REVIEW OF EXPERIENCE (15059 : RICARDO C,Rff",CotanX!Cofilrador Licensing 2800 N. Horseshoe Dr Naples, FL 34104 Phone - 239-252-2431 Fax. - 239-252-2169 IV. EXPERIENCEVERIFICATION j List below and provide lranssipts for any formel education you have oblained in the aree of mmpetency forwhich this application b being made: cll I J"al tf;J rr + Lisl below non formal education (on the job training) you have obtained in lhe area of compelency for which lhis application is being made: hel-h- Lbt below and attach copies any other certificales of competenry/licenses you hold/have held in Collier County or any otherjurisdidion. lnclude the license *, Type, and munly you hold it in. Underthe penalties of perjury, I declare that I have read lhe foregoing epplication end the facts staled in it are true Applrcarr (dease pnli) sure or Flovi&Count! of Cotliet lgforc me b\ mqnsof F ph s,cal prcscnce or O onlne nolarlaloo on rhrsllitudo Koblzs Such pe rso(s) Noary hblt mu.$ check eplic*lc box: S arc persomlly krnwn to m O bas produced a currEnt drivcr licetrse @, D has produced (Notffy S€rl)tloL as idcn!ficnlion Gro\ /h t4anagemenl Depadmern APPLICATION FOR COI.I-IER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT 8.G.1 Packet Pg. 253 Attachment: AGENDA_VIIIG_RICARDO ROBLES GARCIA_REVIEW OF EXPERIENCE (15059 : RICARDO C 1et Couttxy APPI.ICATION FOR COIIIER COUNTY CERTIFICATE OF CO^APETENCY srate or Florlda counn or Coltrer Ttle forcsoinc rnstnmcnr $ as acLno$ lcdsed bctoe mc b\ melrl\ of E Dh\ sical Dresencc or tr onlme mlzn adon on tlxs l0 t' "t DcetaL- ),?L.b\- Ria'ao RUe-' Such pcrsoqs) Notrn hrblic musl chcck appli€abl€ bo\: E are pcrsonalh kno$ n lo me tr has produced a cunent drirer Iiccns€ Nohr) Sigrutue: CERTIFICATION OF APPTICATION 7l;ca,lo 'i1obi t 5 fr as idcnti6caoon. ')tn LLL tr has pmduccd Norrry Ser!) f*LEul'-Nolan Signalur€ G6^/h tnanagcrfle.nl Depairnert Conkactor Licensang 2800 N. Horseshoe Dr Naples. FL 34104 Phone - 239-252-2431 Fax - 23e-252-24A9 The undersigned hereby makes applicalion for Cealificate of Compelency under lhe provisions of Collier County No. 2006-46, as amended, and under penalties of perjury. I declare that I have read the foregoing qualafier informalion and lhal lhe fads staled in il are true. The undersigned hereby certifes that he is legally qualifed to act on b€half ofthe business oeenization sought to be licensed in all malters conneded with its conlraciing business and thal he has full authority lo supeMse construction undertaken by hinEelforsuch business or organizslion and lhat he will continue during this registration to be able to so bind sakJ business organization. The qualitied license holder undeGtands lhet in all contracting rnatters, he/she will be held strictly accountable for any and all activities involving his license. Any wiltful falsification ofany information contained herein is grounds for disqualilicalion. 8.G.1 Packet Pg. 254 Attachment: AGENDA_VIIIG_RICARDO ROBLES GARCIA_REVIEW OF EXPERIENCE (15059 : RICARDO ler Couttxy Gro^/h tlraFagcrnenl Departrnent Conlrador Licensing 2800 N Horseshoe Dr Naples, FL 34104 Phone - 239-252-2131 Fax - 239-252-2449 APPIICATION FOR COI.I.IER COUNTY CERTIFICATE OF COMPETENCY ll is understood and ecknowledged by the Collier County Conlraclors' Licensing Boad and rrysetf that if I fail to acquirc, ormainlain al alltirnes etrectave \ brkmen's Compensation lnsurance it willresult in the possible rcvocation of my Cedificale of Competency. fi;ca"do fiobtes WORKMEN'S COMPENSATION AFFIDAVIT /Z /t BEFORE ME this day personally appeared fr ttQr lo ilobtet vrho afiifirE and Applicad (dea.. prid) says that he has les5 than one employee and does nol rcquire V\brkrnen's Compensalion understands lhst et any time he erployees one or more persons he must obtain sai, I ibrkmenb Compensation lnsurance. S[alc of Flo( i d^CounN or GlllLt 20 Such pcrso(s) Nola4 fublic musl clEck ryplicable bor: f,arc personalty knosn to ne Cl tlas prodEed a cunenl ddver licans€ bv mearu of .6 ohr srcal or6eDcc or O onlim mtan/rtion on dxs'Abt- " B has prcduced (Notrry Seal) as idcntific.:ttion f^hrU^b-Notan Signalurc 2D .b\ 8.G.1 Packet Pg. 255 Attachment: AGENDA_VIIIG_RICARDO ROBLES GARCIA_REVIEW OF EXPERIENCE (15059 : RICARDO GITS, LLC Examination Operations Division Providing lhe seryiG a.d productsio assist Govemmenl Agencios io make inlomed edu@led deisions Official Examination Score Report .lul\ ll.:01{) Official Score Report: (landidate Information: Name - Ricardo Robles Garcia Candidate #: 20880280R Online ]'estins Site: Ocala, lr1, Iinal Score Result Business Procedures Score:80olo These results rcpresent the grade that has been achieved on the above named examination(s) administered by Gainesville Independent Testing Service for Collier County, F'lorida on July 24, 2020. Ifyou have any further questions, please do not hesitate to contact us. Sincercly. Jay E. Bowermeister Presidenl PO8ot831127Oela Fbnda 34483-1 127 - Voice (352) 36+GITS Fa\ \352) 387-2443 800 997 2129 8.G.1 Packet Pg. 256 Attachment: AGENDA_VIIIG_RICARDO ROBLES GARCIA_REVIEW OF EXPERIENCE (15059 : RICARDO GITS, LLC Examination Operations Division P@dino fE s*is and prlduds lo asirl Gov.frEnl asaftiR b mr. tiidnld €dtrcaid, t ..isifr Official Examination Score Report Deccmbcr J. 2020 Oflicial Score Rcport: Candidate Information: Name - Ricardo Robles Carcia Clandidate #: 20880280R Online Teslins Site: Ocala, FL Final Score Result Irrigation Specialty Contmctor Score: 76% -I hese resuhs represent the giade that has been achieved on the above named examination(s) administered by Gainesville Independent Tesling Service for Collier County, Florida on December 1.2020. lfyou havc any furthc questioos, please do [ot hesitatc to cootact us- Sirlcercly, l^/il.*,..4*;*- Jay E. Bo\lermeister Presidcnt PO 8or 831 127 Oc5ra, Flo.itla 3a{a}1 127 - VdE (352) 369GITS - Fd (352) 387-2443 600 997 2129 8.G.1 Packet Pg. 257 Attachment: AGENDA_VIIIG_RICARDO ROBLES GARCIA_REVIEW OF EXPERIENCE (15059 : RICARDO Phone: 850-539€000 Fax:856651-5145 Email: cc@unitedcrs.com www'Unit.dCRS.com 4543.A Capital Circle NW Tallahassee. FL 32303 ,rg !S<!n'ic.! _ PERSONAL CREOIT REPORT MERGED REPORI COMPILED FROM NATIONAL RECORDS C.TRCIA, RICTRDO ROBLES Augurt 23,2020 t2 2 cURiENa ADDiiSS REmRtED: 0l/20r{ 619 N. 9TH ST., DATE VERIEIED:09/20I3 iORIIER ADDRESS REPORTED: 1I/2011 1333 troroxalEE DR,, lriroxArEE FL. 2742 CAUBRIDCE EIIPLOYIEN' D^14 REPoRTED: iOBI,ES IA DSCAPITG DATE VERIFIED:06/2013 PUBLIC ruCORDS: 0cOlLEcalONs: 0 TRADE ACCTS: 2I CREDIT IXOUIRIE5: 6 CURRENT NEGATIVE TCCT5: O PREVIOUS ITEGATIW ACCTS: O IR'VIOUS TIXES NEGATIVE: O EXPLOYI€NT INOUIRIES: Ftco cLAsslc - 768 THE sUBJECI'S TOTAL FILE HISTORY CREOIT INFORMATION CRED T1!IT BALqNCE9r3.2X S 1125s0 559.2Ks0 930.2K s0 s2163 T 292F033 REVoT,VTNG ACCOUfT vERrF.D 03/2020 AALNCE: S0 OPENED T2l201'' }IOST OXED: 5?143 CREDIT LII,IIT: 53200 PAID oFF 10/2019 PAS! DUE:S0 1Ol20I9 CURRENI, IN PRIOR ]2 UONTH/S FROX DATE VERIFID IEVER TATE PAY TNT P TTERN: r r lrrr 111rIrr r 1111rr r 111 Page I of4 CREDIl LII{IT: ST5OO 8.G.1 Packet Pg. 258 Attachment: AGENDA_VIIIG_RICARDO ROBLES GARCIA_REVIEW OF EXPERIENCE (15059 : RICARDO o3l2orl cuiREm; rN PRroR l9 ff)NTH/S r111r 11r1111r1r11 Bx or .rGR B 159',7029 !'ERrF.D 03/2020 BII,TNCE: 51011 .rot t ACCOUI.T oPEriED 11l20r1 XOS1 oiED: 53156 CREDTT Lrlrr: 52000 sTlros as o! 03/2020 C!RR!I.T; PArD oR P YrNe as TGREED Itr PiIOR l3 rrONrH/S r1rM!1rr1111111 a 3750001 colr\,'Ea[10NL! REA' !StAT! mc VERIE'D 03/2020 BAIANCE: S30262 IXDIVIDUAI ACCOUll,l oPENED 03/201a rrOS? OIED: Sr9250 pAy ?EB!S: 360 rlomfity 5595 P^ST DUE: SO 03/2020 CURNEM; PAID OR PAYINC A5 AGR'EO IN PEIOR 43 OI.TH/S EROX DATE VERI'ID NEi\.ER UfE 1r111111111111111 soNcoN? cg Q 293000r r sl rrxENr accoulll I,ERIF.D 07l2020 BALNCE: 53{933 pAST DUE:S00rl2o20 clrniErarJ PAID oR payrNc ls AGREED IN PR]OR 20 TO}'-IH/S EBOII D'TE VERIF'D XEVER LAIE P YMEIT PATTERI:l11r1l1111lI11I1I1Il r{Bt B l9BK005 rxst rD,E}rT rccouNt vEnlEiD 0rl2020 BAIAICE: S33'7 oPENED 06/2011 lilOST O,ED: 55500 pry TERXS: 61 XOIITHLY Srt2 PlsT DUa:So STIIUS A5 OF O7l2020 CUBI,EN'TI PAID OR PAYINC AS AGREEDt'l PRIOi 37 lONtll/S Eioli DATE VEAIT'D !|EVER 'lIEPAyraENl PAT1ERN : I I 1 I ] 1 I I 1 1 1 1 I 1 I 1 1 I 1 1 I I F 62aC3B2 TXSI LtIrENt ACCOrrm VERIF'D 0712020 BAIA CE: 921911 INDIVIDIJA! ACCOUNT oPENED 06/2016 llosT oxED: Sl363a PAY TERUS: ?2 |{oNTHIY 5553 PAST DUE: SO STA'TOS AS OE 0?/2020 CURAEIIT; PIID OR PAYING AS ACREED IN PRIOR 25 IIONTH/S FROII DATE VERIEID NEVE:R IA?E 1r11r r 11111111r11 BBY/CBIu H 292t02\ IERIF'D O7l202O BAI"'XCE: S'I4 II'DIVIDUA! ACCOU}IT oPETED 0712012 slaTUS As OF 0?/2020 CrrRR!\1r, IN PRTOR 43 TTONTH/S FRO}I DIIE VERIF'D IIEVER LATE PAyMENT PATTERN: 1111111r 1r 1111111111111t sYNCB/sa.tsDc B 235051D INACTTT/' ACCOUNT CRED1T CliDvERlr'D 06/2020 BAIANCE: S0 oPENED 03/2015 lOsT oirD: Sr27 CREDIT tIuI?: 53500 PAID oEF 0rl2013 PAsr DUE:S0 STATUS ls OE 0212020 cURREm; PIID oR P Ylllc As AGnEED IN PRIOR T3 I{Ol{I|l/S EROI{ DAtE VERTFID NEVER I,ATE PAYMINT pAt',IERX: 11111t ! 1111I I1I111I I1M ccB/curDPLcE c 1x23323 CISD 81 CRcrf GRAIJTORVER!FI' 05/2020 BALANCE: SO Page 2 o{ 4 8.G.1 Packet Pg. 259 Attachment: AGENDA_VIIIG_RICARDO ROBLES GARCIA_REVIEW OF EXPERIENCE (15059 : RICARDO ? oPENED 09/201a tmST oLED: S2? CREDIT l,IxIT: S350 PArD orF 09/2013 PisT DUE:S0 0a12020 clJRREm; IN PRIOR 13 HONTH/S PAYuEnf PA TTEiI: Xl I I1I1I11I I1I11I I I I1r 11 o 293000r wRrF'D 01/2020 BATA]{CE: S0 rNDrvlDUrI, ACCOUIIT oPEIED 0rl2015 l.lOST OiED: 52,1927 PAY TERXS: 60 [O].TI!Y S0 cLosED 0l/2020 PAst DUE: S0 01/2020 cuRRErT; rN Prron 43 l|oNlH/S PAYI,IENT P TTERI: 1I I t t t I1I II1I I1I111t 1I11 SYNCB/XETTRI( B 561ROO6 lNACtl!'E ACCO!m vEil.'D 01/2020 BAl,lNcE: so OPEIIED 11/2015 MOST OrED: 5564 CREDII IIMIT: 94500 PAID ofl 05/2016 IAST 001:S0 03/2019 CURREFI; PAID oR PAYIIG As TGREED rN PRIOR 48 tONtfi/S PAYMENT PITTERN : 1 t t I I r 1 r I I r r I I I I I I 1 1 r 1 1 r SEAiS/CBNA OPETED O5l2014 MOST OIIED: S233 CREDII LIMIT: S6OOO PA1D OFF 1Il201{ r]rsT DUE:So sTAlUs As OF 10/2014 C0RF!NT; talo oR PAYING As AGREED IN PRIOR {3 MONTII/S pryr.lENT parrERN:1I11I11IIIIItt1111111111 B 6513012 lnSTAl,l,l{ENT ACCOUNT ctosEDvEFtt,D 11/?013 BATiNCE: S0 oPENED 09/2013 |OST OIED: 5,16552 PAY TER{S: 3{ t ONlltLt S0 cLosED 1rl2013 PrsT DUE:90 IN PRIOR 02 I4oNTII/S fNOr! DI1E !'EAIf'O XEVER 1,41E PAYHEm PAT?ERN: 11 sYncB/flrxRTD a 235060n REvOLvrrG ACCOUIn INACTIVE ACCOUii"T VERIE'D 1ll2014 BAANCE: S0 oPENED 05/20rs r{OSr OiED: S35 CREDTT !r!rrT: 51524 STATUS AS OF 07/2013 CURRENI; PalD OR P YTNG As IGREED IN PRIOR '2 IONTH/S ERO o^TE VERIE'D NEVER IATE B {02D033 rNSTrIrJEm AcCOL'nt wRrE'D 06/2013 BATJNCE: $0 .OrvrDo{ ACCOTj T oPEIED 03/201a UOST OiED: Sr9?32 PAY IERX5: 60 XOmHTY $0 CIOSED 0Cl2016 PAST Dt E:40 06/2013 CURiEm: IN PiIOR 46 tlCllTH/S PROM D lE vEilf'D iwER ],aTE PAYI !N? PAITEiN: 1M 111 syNcB/flaLrrrR D 235057X AEVOIVTiTG ACCOUNT CLOSED VERIE'D 03/2017 BAl,rncE: $o OPENED 04/2012 ltosT oIED: 5131 cREDll LIMIT: 9500 PAID oFF 0212014 PAST DUE:$O O4 /2016 CURRENT: IN PRIOR !3 MONIH/S PAYirlNt PATTEiN: 1111111 Pago 3 of4 8.G.1 Packet Pg. 260 Attachment: AGENDA_VIIIG_RICARDO ROBLES GARCIA_REVIEW OF EXPERIENCE (15059 : RICARDO SYNCB/!'NBASS r 9992100 REVOLNG ACCOUm VERIF'D O3l201? BN,ANCE: SO oPENED 04/2013 Mosr otlED: 51207 CREDI T LIMIT: S{O0O PAID oEE 02/2014 PAST DoE:S0 sTATus As or 03/2017 C@FPN1; PAID oE PAYING as AGiEED rN PRIOR 43 rbNTlr/S 11r r 11r1r 1!r11111 SYNCB/JCP D 235053D ACC1 C1SD BT CO SOER CITARCE ACCOUNT VERIF'D O{/2O1? SALANCE: SO oPEnED 0212012 r.rOST OiED: $9 CREDTT LrMrT: 5500 PA1D oFF o2l2012 r,rsr DUE:$0 09/2012 cuRhEMJ PAID oR PtvIt{G AS IGAEED IN PRIOR '3 T'ONTH/S EROI,I DAtE vEi]E'D I'frIEE IATE PAYUENT P TTERN: rI I II r I II11t I1I1I1I r I I11 IBENBxlloRTGA F T360001 COXVEIIIIOIIA]: REAL ESTAIE r{TG VERIF'D 05/201{ E LANCE: 90 INDIVIDUA! ACCOUNT oPEtrED 03/2014 rlosT osED: 5r92s0 PIY TERX;: 360 r,omslY S0 clossD 05/2014 Pls? DUE: S0 STATUS ls oF 0s/20ra CITRREM; PArD oR PTYING As AGREED 1N PR10R 02 rrONrs/S USDOE/GLELSI E 363'I5AV INSI,III ENT ACCOL{T CI,oSED VERIFTD 03/2014 BAlri$CE: S0 IIiDIVIDUA! ACCOUBT OPENED O?/2012 rOsT oIlED: $5334 0ll20I4 cUnRExTi IN PRIOR 20 IIONTA/S EROX DA1E !€RIT'O PUBIIC FECOROS HAVE BEEX CHECXED AI THE COUXTY, SIATE, AT{D FEDRAL LEV€Ls RESULTS: NO PUBUC RrcOROS FOUNO f\DOF RT-POR T 8.G.1 Packet Pg. 261 Attachment: AGENDA_VIIIG_RICARDO ROBLES GARCIA_REVIEW OF EXPERIENCE (15059 : RICARDO ROBLES LANDSCAPING LLC 6,'9 N gTH ST IM OKALEE, FL 3'1'2 CO PHOI{E: (239) 503-753i1 Phons:850-539-8000 Fax:866-551-5'145 Email: cc@unitedcrs.com www.UnitedCRS.com 4543-A Capital Circle NW Tallahass6e, FL 32303 rtirrt! ,S.,r..i.t, -_ As oltal20l20 Credit Summary y' E.nkruptcl6: v Liens: v JudgEned. Flhd y' colcc{onr: DBPR PUBLIC RECORD STATEMENT: Traale Lines Found: 2 Credlt Standing: Good St ndlng Business Typc: LLC FEIN Number: 82{583862 Florida SOS Documenl *: 11800@38131 Key Facts Key Personnel Florida Registe16d Agent PUBLIC RECORDS HAVE BEET CNECI<€OAI LO( AIIO FEDERAL LEVELS RESULTS: NO}{E FOUIO 2Yearc President: ROBLES RICARDO ROBLES RICARDO 619 N gTH ST IMMOKALEE FL 34142 Page 1 ofl Years in Business: AUSINESS CREDTT REPORT 8.G.1 Packet Pg. 262 Attachment: AGENDA_VIIIG_RICARDO ROBLES GARCIA_REVIEW OF EXPERIENCE (15059 : RICARDO I)ctail by Entity Name Detail by Entity Name Florda Lrmned L abrl y Cornpany ROBLES LANDSCAPING LLC Eli-!.cl-d9rE4Ls! DocumenlNumbor 118000038131 FEUEIN t{umb6r E2-4583862 Daie Filed a212t2018 Efectivs Dato a2t1al201a srare FL status ACTTVE e!!.s!ps!4,.d!9s! 619 N gTH ST rMr\,loKAtEE. FL 34142 CO MailinoAddres3 619 N gTH ST IMMOKALEE FL 34142 CO R€.istored Aoont N.m. & Address ROBLES RICARDO 619 N gTH ST 1I\,IMOKALEE FL 34142 Aurhori2.d P66on{st D€lair Tle PRES Page 2 of 2 ROBLES, RICARDO 619 N gTH ST IMMOKALEE. FL 3:1142 CO 4-!!!.e1-8.cp.s49 2019 2A2a 02t1'1t2019 02t25t2024 S.g.!-c-trc-!].]-!!.ss: http://search.sunbiz.org/lnquiry/Corporationsearch,/SearchResultDetail?inquir)'type=Entity . . 9/412020 8.G.1 Packet Pg. 263 Attachment: AGENDA_VIIIG_RICARDO ROBLES GARCIA_REVIEW OF EXPERIENCE (15059 : RICARDO I certify ttE anacH is a trLE and cqrect cwy cf ttE Articles cf orga,ization of ROBLES LANDSCAPING LLC, a lirited liatility carp6r'y dgarized trder the laws cf the sate cf Flqi&, filed electrmically dl Febuary 12 2018 effective FebnBry 10, 20'18, as *lolvn by ttE recads of this offic€. I furttEr certiry that this is an eleclr fcally trars.ritt€d certificde authdized by seclim 15.16, Flci& Slatde$ and autlEn icated by ttE code rded belovir. TIE dcl.rrErt rxrrter cf ttis lirfited liah lity csrpony is L 18m& 31 ALthernicatim Code lguzl 41 4464+7W3091261 57#1 Given uder rny hand ard the Great Seal of the State of Fldda al Tallahassee, the CaFital, this the Fcrirteenth day of Februry 2018 State of Florida Departmst of State b. ben D S,etreterp Stffi 8.G.1 Packet Pg. 264 Attachment: AGENDA_VIIIG_RICARDO ROBLES GARCIA_REVIEW OF EXPERIENCE (15059 : RICARDO Electronic Artjcles of OrganizationFor Florida Limited Liability Company Article I The name of ths Limited Liability Company is ROB[,I]S LANDSCAPING I,LC Article II The street address ofthe principal ofhce ofthe Limited Liability Compsny is 619 N 9TH ST TMMOKALEE, FL. CO 34142 The mailing address ofthe Limitql Liabilitl Companl is 619 N 9TH ST IMMOKAIEE. FL. CO 34142 Article III The name and Florida street address olthe rcgistered agent is RICARDO ROBLES 619 n- 9TII ST I\,IMOKALEE. FL. 34142 L18qrc038131 FILED 8:(x) AM February 12. 2O1A S€c. Of Stat6jafason Having been rumed as registqed .g€ l ad to .cfepl service ofprocgss fo. ltE sbove stated limited Iiability c(rnpstly rt the placa desigml€d in lhis o€ ificale. I b€r€ty rccepl tE appoirEnedrl as registgred agenl and agr€e to &cl in dis crpacity. I fur$€r rgee kr cmply with the povisiors of all shiltes relaling lo the- prop€f, ard cornplele Fl.fofmence of my duties. and I am hmiliar with and occept tre obhgatrons ol my posrtoo as rcgtslered ageot. Registered Agent Sigrutrye: RICARm ROBLES 8.G.1 Packet Pg. 265 Attachment: AGENDA_VIIIG_RICARDO ROBLES GARCIA_REVIEW OF EXPERIENCE (15059 : RICARDO Articb IV The name and address of p€rsor(s) authoriz€d to manage LLC Tide: PRES RICARDO ROBLES 619 N 9TH ST IMMOKAIEE, FL. 34142 CO Title: \4CE AIEJANDRA ROBLES 619 N 9TH ST IMMOKALEE FL. 34142 CO Article V The effective date for this Limited Liability Company shall be: 02,/tot20t8 Signahre of member or an authorized representatirr Elecbonic Sigmrtrre: RICARDO ROBLES Ll8000038131 FILED 8:00 AMFebruarv 12. 2OlA S€c. Of Stata Ffason I am the member or authtrized reres€elative bmiuine lhese Articles oforsrn?atiofi lrd affirm that trc facls stalod lErein are true. I am rwlre thsl false informatirn sutrnittod irl a ahcumeol to frc Demrtnenl of Slale coDstitites a hid desee felorw as rovided ffr in s.EI7.l55- F.S- I r.nrderstand lhe reouirernent to file an annual reporr bemeen-Januarv l-sr anil Mav lst in tE c.l€nd[ ve{ following famrtiori of the LLC and everv rear 6ereafler to mainlaii "rctive" stdrs. 8.G.1 Packet Pg. 266 Attachment: AGENDA_VIIIG_RICARDO ROBLES GARCIA_REVIEW OF EXPERIENCE (15059 : RICARDO ZTI9 FLOBIOA UIXTED LIABIUTY COIIPAiIY AI{XUAL BEPORT D@UMENT# Ll 80000381 31 ETNhy Name: ROBLES LANDSCAPING LLC Cunem Pdnclpal Place ot Busln€ss: 619N gTH ST li/toKALEE. F! 341!2 FILED Feb 11,2019 Slecretary of State 5292555623CC Cerlitlcale ol Slalrrs Desired: Yes Current lralllng Addess: 619 N gTH ST IMMOKALEE FL 34142 CO FEI Number: 82-,15&1862 Name and Address ol Current Registered Ageri: 619NSTH ST li/tvlOKArEE, Fl 3t142 US llbaI.E i4efrrtffi,n N6dtdaEFtr@oratn lE t,.!.r,!d.atdr,.gi*.d.!Er, dd1.htEgrbdFtdi.L SIGNATUFE: El@lroic Si,natuB oa F€obtd€d ACs Ainhorlzod P6r8on(s) Dafall : Nsh6 RCI6LES BICARDO Addr6 619 N gTH ST City-Slal&Zip: liritOKAEE FI 34142 lhd|d/d/fulb,fufudhBnd.PhdlPl,bdfudfur/fu)gn6drAd,lftbg.l,/,'d./id,& d tu tu 8r w d h eq tu @rd b qd. tu @t a 4d 4o4id L atu tu d SIGNATUBE:BICARDO ROBLES @111m19 Ele.r@ic SioEru6 ol Sroang Authorizod P6ry{s) O€tail 8.G.1 Packet Pg. 267 Attachment: AGENDA_VIIIG_RICARDO ROBLES GARCIA_REVIEW OF EXPERIENCE (15059 : RICARDO ) ffiD IRS ?fiiCIIHnl.fEnlEu CINCITI}IATI OH IREASURY SERVICE 45999-0023 - ,,,, t l l r t r t r l t l , l t l , , l t , tt, t, | | I | | , I I I I | | | I | , , . | | | | | ' , I I ' ' l ' I, 002071.s33i161.50526?.20902 1 rD O.rl24 530 Date of this notice: 0S-05-20ta E.tpIoyer Identification tluhbe.,82-4585852 Fo.i! SS-4 l{unber of this notic6: CP 575 B IF YOU TRITE, ATTACH IHE STUB OF THIS NOIICE. |}:;it I i.li!:frArr ROBI.ES LANDSCAPIIIG tLC RICARDO ROBLES flBR 619 N 9TH ST Illl{oKALEE FL 3r.142 For assistance you may call us al r -800-829-4933 002071 Thank you for vou EIN 82-4583862. and docuhents, evenp€rhanent rccords. IIE ASSIGNED YOU AN ET,IPLOYER IDENTIFICATION NUMBER if you have no ehployees. Please keep this notice in your applyins for an E|rployer Identification Nunber (EIN). This EIN tril] identify you, your businoss accounts, Then filins tax docuhents, paynents, and .etated co..espond€hc6, it is veryinportant that you us6 your EI and cohpl.te nao6 and add.ess exactly es sholrn above. Any variation lnay cause a delay in processing, result in incorrect infornation in vouraccount, or sven cause you to b6 assisned more than one EI . If the informationis not correct as shoxn above, pl.sse rl6ke the correction usins the attached tear-offstub and retu.n it to us. Eased on th6 infornation received fron you or your r€pras€ntative, you must file th€ folloxihs form(s) by th€ date(s) shoxn. Forh 1065 O3/15/?or9 If you have questions about the forts(s) or the du€ dates(s) shoxn, you can call us at the phone nunber or lirite to us at the address shoxn at the top of this noticeIf you ne6d help ih d€terninins your annual accountihs period (tax year), seePublication 53a, Accountins Periods and Hethods. tJ€ assisned you a tax classification based on infortiation obtained from you oryour representative. It is not a lesal deternination of your tex classificatioh and is not bindins on the IRS, If you rant a lesal detemdnation of your taxcrassification, you 6ay requost a private letter rulins fro6 the IRS under the suidelines in Rev6nue Procedure 2004-1, 2004-I I.R.B. 1(or supersedinE Revenue Procadure fo. the year at issue). tlot6: certain tax classification elections cah bE.equested by fitins Fo.6 8432, Entity Cle<sification Elactioh. See F3.n 4832 ahd its instructions for additional infornation. E .t 8.G.1 Packet Pg. 268 Attachment: AGENDA_VIIIG_RICARDO ROBLES GARCIA_REVIEW OF EXPERIENCE (15059 : RICARDO 002071 ( IRS USE ONLY) 5758 Keep this Fart for your records.CP 575 B (R6v. l-2013) Return this part rith any cor.espondanceso Fe ray identify your account. Pleasecorroct anv errors in vour naln€ or address.cP 57S B 0509 9 05114 Your Telophone lurber B.st Ti'e to cell()DATE 0F THIS NOTICE: 03-05-20I8 ETPLOYER IDENTI FICATI0N NUIIBER: A2'4543462F0Rl{: SS-4 l{080I) INfERNAI REVEI{UE SERVICE CINCINTIATI 0H .t5999 - lO23 .lll.,l.h' 1,'.1,h''ll'lllll,,,ll,rrlhhrllrhrlllLll ROBLES LAI{DSCAPING LLC RICARDO ROBLES MBR 619 N 9TH ST II'I.IOKALEE FL 34]42 03-05-20Ia R08t I 0509905114 SS-4 11:i'f tiU 8.G.1 Packet Pg. 269 Attachment: AGENDA_VIIIG_RICARDO ROBLES GARCIA_REVIEW OF EXPERIENCE (15059 : RICARDO c.Rfr, ()ovttr Contraclor Lrcensing 2800 N. Horseshoe Dr. Naples. FL 34104 239-252-2400 xy Glot Ar Mar\4emeflI Deparfnent APPLiCATION FOR COLI.I€R COUNW CERTIFICAIE OF CO ,\PEIENCY This cenifies that l.niro,)o llobt e5 rnember 700 Staie of Florid.a Counh of am a member or managing APPLICAN I_S NAr/IE (ples* p.id) )l (LIMIIEO L|AAIUTY NAME) % ofthe unas issued by the Limited Liabitty Company tisted above let Affoavit of Applicant: I cenity unaler penalty of periury lhat lhe infomation contained is a true and cofiecl statement lo the best of my knowledge. n,urAo i\obte c 0 1ec Appli@nl (plea* p ni) C .20 2-o bI co llitx bctore mc b\ means of ts Dhr sKal Drcsr ncc or D onl inc nolan-/atron o n thr s Ritordo Po[ t.o. Such pcrson(s) Nolart hblic nun check apphcable bo\l F are persoMlly kno$n10 me E has prcduccd acune drilcr llcenst as idcntificauontr has goduced (Notrrf Scd) ot^u eLz$eB srxr6 Nol?r] Signature f)u,L STATEMENT OF OWNERSHIP ,) 8.G.1 Packet Pg. 270 Attachment: AGENDA_VIIIG_RICARDO ROBLES GARCIA_REVIEW OF EXPERIENCE (15059 : RICARDO 7ev C,o1,t tty Grc dt_' iranagernent D€paltrn€nl Conlractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 239-252-2400 APPLICATION FOR COI.IIER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CON'TRUCTION EXPERIENCE A t(0t,lL, l\a[]\r ! a*'dr-<t{ c6tuncJr6 carssory R€qlid;a. L O /'t I L (. 0 | n q A rt I I | ( ; 3 t" ti o n Ths appltsnt b so€king a Coli€r County Certiftale ot Cornp€t3ncl jn ln€ tr.d€ indical€d 6bov6- tu pad of the applicalion tor thB certfi€!., h6 applicant must vsriry his,hsr expon€.lca {,ithin thb trada You al€ b€rng roqu63l€d to provde inioination that will aid lh8 qplicant h m€6ling liis rcquircmont. You stlould veot tnn€ of acliva €psdonco $mding as an apprerilic€ or a skillsd wo er (s.9., as a worksr comanding tll6 wag€ of m€dar c or better in lhe lt?<t€). TiE€ s6ry3d soldy in a supo ilory or administrawe role shoid b€ d€s..b€d, bul may or may not b€ considsr€d suffciml lo d€nonstrals rcqun€d Arv,4mll,. pr'"*, J39 - {5 s' A55t, Govland P.d LEnso r,ro. (ir appricabb):,lrltaz-lAa14- Ala,plrs Fo 3t! lt I sli€€r The applis{ wa omployed by m€ from ad ls- Tho appli=nl's s.op€ of wo* (sp€cifc duti6s) tr'cludod: Olrsrr lor,r., raurihnontt I{OTE TO LICENSED GONIRACTORS: Fa,s,ti.g any intoman@ ptuvitod heroin may sub@t yolr license to rcvMtbn Und€r p6nalty ofpeiury,ldedarc lhat the tacts slatsd he.s a.s true Th. forc8oioa iosnutncrl was a.knowlcdgcd bctorc hc by racas of E/physicrr pnsarct or tr otlin. mtarizatiotr on this 1da"" or =ol .2oz-.b\ 4.,Lv,L y'l,tllolu Gll,cr Such pcBoD(s) Notaty Public Eusr che.k applicable bor: B/are pcrsorully hnom to me O har produccd a currlDt driv6licdie O has pmduced (Notrry Serl) Nokry Signature Fnrn_Applicaton.docx Rev ,V06/2020 Page 1 1 of 1 5 Tha p€rson vedrying trado sxp€ri8r'co lor ho abov€-nam€d applicanl must provij€ t'e idlo{ing intomation: ) 8.G.1 Packet Pg. 271 Attachment: AGENDA_VIIIG_RICARDO ROBLES GARCIA_REVIEW OF EXPERIENCE (15059 : RICARDO C.RfrT C)otfiat\ VERIFICATION OF CONSTRUCTION EXPERIENCE ble The applicant is seeking a Colli€r Counry Ceriificale ofComp€tency in the lrade indicaled above. As parl oflhe application lor lhiscediJlcate, the applicanl muslvei6/ his/her oxp€dence wllhin lhis lrade You are bsing requesl€d to pmvid€ infomatton that wlll aid the applicant in mseling this requiremsnt. You shou d ve ly lime of active 6xpenene working as an approntice or a sklled worter (e.g-, as a worfi€r commanding lhe u'age of m€chanic or bet€l in tha lrade). Tirne served solely in a supetuisory or adminisiralivo roleshould be described, butmayormay nol be considercd suffcisni to ftmonstrale rcquired trade oxp€ ence. The peEon vBdrying trade €xpsience for lt'e abov€{amed applicant must providG the foii ing infomarion **,*, Monicc. P.rerla SSS Evzrarfen fuo, LLC I rri c.hon l.torra za-ntqrd L6.ts6 t*.. (r a1on",b",): i-LLL0lS1CJyL!-3121i eusiness eaoress: llQ 6'gti k nd &1. N Sl.€6t The applicant was sndoyed by me frorn City )e 17rJ zip oro,,on."',u", Lorrdscctpe f4lrrn'tcmrrc-e- t -!ns1ql\a+ron The applicant's scope of wo.k (specificduliss) included: Additional commenls: l\ NOTE TO LICENSED CONTRAGTORS: Falsi&irs ary inbrnati@ provided nay subjecl your license to revocatan Under penalty of peiury, I dsclere ihat the lacts srared here ar6 true. State of FloY rda ol PeEon p.oviding lhe slalefienl Tte forcgoina insEurDeDr wrs ,cknowledEed bcforc me by means ot ffohvsical prcscne or tr onlioe nohrizahon on rhis fula^y1r %*'.w:zo Zo.ry- Yoniia Puer#. Sucn pcrson(s) Notary Prblic must check applicrblc box: h are peconally knorr to me tr has produccd a curreot driv.r lic.nse tr ha! produccd (Nor.ry s.rl) Notary Si8nature:nt EoLffi Firm.Application.docx Rev {061202A ?age 't2 ol 15 Gn*r'lh MenagerrEnl D€p€rnrEnt Conkactor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 239-252-2400 APPLICATION FOR COI.IIER COUNTY CERTIFICATE OF COMPETENCY f wlztnlaop. ," tt/tt,/arrg co*ty.r Col(rcr- 8.G.1 Packet Pg. 272 Attachment: AGENDA_VIIIG_RICARDO ROBLES GARCIA_REVIEW OF EXPERIENCE (15059 : RICARDO Y= September 3, 2020 To whom it may concern Please be informed that Ricardo Robles Garcia began employment with Crawford Landscaping on November 04, 2011 and voluntarily terminated on April 02, 2015 as a Jr. Account Manager. CFIAWFORD Stephanie Engblom Director of Human Resources ikt*ab 2360 Carawba St. o (888) 58t-515 t If you should have any questiois or need any additional information, please feel free to contact me at phone number 888-581-5151 Thank you, . Napl$, FL 34120 F: (239) 59,{-9832 M.discovercrawford.€om LANDSCAPING 8.G.1 Packet Pg. 273 Attachment: AGENDA_VIIIG_RICARDO ROBLES GARCIA_REVIEW OF EXPERIENCE (15059 : RICARDO Conlreclor Lrcensrng 2800 N. Horseshoe Dr Naples FL 34104 239-252-2400 AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF 1.- COUNTY OF Cot\,cr , having been firsl duly swom, stale and amrm I am a residenl of C.t,,..County Ft "...\cr (Slate) and have resired here for more than tive (5) years. Duaing lhe lasl five (5) years I have known 6r cqrdo Zobtcs (applicant). I have had the opportunity to obseNe his or her business and personal dealangs and fnd him or herto be e person of honesty, anlegrity and V- Address: ll! q A\te o.crncc- Uc.v ----r-- 3,/ /qA 7p Telephone I Z 2 51u1" o6 f lort&CounN or (oll{zr Th€ foregorng inst urncnt i\ as ackmlrledged beforc mc b\ means of 6 ph) sical pres€nce or tl online mlari/ation on this /! td4 of Detznkt 20 /.tx Strh pcrsor{s) Nota4 Public mun chcck applicable bo\r {arc persorully known to ne D has prodirced a cunEnt driver licrnse as identification /#* .{#-, D has prcducd (Not...r Sed) Nola!, Sigrlalurcr f)* eh,L ^z#<.-.tll,gt' <)oa,t?a,iY -------r-r----{.-G,c vtn ivia'\ixts,E.,r DerEnnrcyrl APPTICATION FOR COLLIER COUNTY CERTIFICAIE OF COMPETENCY I, good chalacter. J ro Rqit- 8.G.1 Packet Pg. 274 Attachment: AGENDA_VIIIG_RICARDO ROBLES GARCIA_REVIEW OF EXPERIENCE (15059 : RICARDO APPI.ICAIION FOR COTI.IEP COI]NTY CERTIFICATF OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER flu*ioP COUNTY OF Co tl i rrL C o tl lrrL Counly,PlotuDn Address as idcno fication. u,/nrtF/( fuel,ry,V ^ siigrEtm L4Ril?il/ kglttna lam a resident of (State) and have rcsiJed here for more then five (5) years During the iast five (5) years lhave known (applicant). I have had the opportunity lo observe his or her business ard personal dealings and find him or her to be a person of honesty, integrity and I 2 Slllle of flori&t Count)oi Cp It(er Thc fongorng inslrumc $as ackio$l€dg€d bcforc ncby m€atrs of Bpln sical prcserr€ or tr onlinc nobrization otr this /!\ar or Dtuabu .zo Q.tt Ylarl:;n qalvan Such perso(s) Notra' Public must ckck applicablc boxl f,are persoMlly knon n to nre D has produced a cuIrent &iver liccnsc tr has goduced (Norrr] Sed) Notan Signaturc ?)oL _zk<-,.rllier <-,ovar-axv ---_=---\--\-.-i-Grc{vin iv'ra-rrqq Is l De,ErlrlH{ Contraclor Licensrng 2800 N. Horseshoe Dr Naples. FL 34104 239-252-2400 STATE OF t.4*ft-?f ry &nl 'lltn,havins been firsr duly swom, srate and arfirm: good character. ^ ,t.-A 2q () LU 1/ (./ r.t r e|P-phone _Z2L!Ji_-z!Z_-_2:!:1y f1, 8.G.1 Packet Pg. 275 Attachment: AGENDA_VIIIG_RICARDO ROBLES GARCIA_REVIEW OF EXPERIENCE (15059 : RICARDO A<:oR 10/o112020 fHIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICAIE HOLDER, THIS CERTIFICATE DOES NOT AFFIRi'AIIVELY OR NEGATIVELY AMENO, EXTENO OR ALTER THE COVERAGE AFFOROEO BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE OOES NOT CONSNTUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZEO REPRESENTATIVE OR PRODUCER. AIIDTHE CERIIFICATE HOLDER. IIPORTANT: la ih. c..tlflc.t. hold.r i. .n AOOITIONAL INSURED, the policy{ie.) muEt b€ endoEed. It SUaROGAllOll lS WAIVEO, .ubi.cl to the tems and condilion. of th. policy, @.L1. polici.6 may Equirc an eodoBem.nt A .taie@ni o. thl. cortllloio d63 not conLr ri9ht6 to the csrtifc.l. hold.r In li.u ol tuch ..dor..n.nt(.). R@UCEF BRUCE HENDRY INSURANCE LLC 711 WEST MAIN STREET IMMOKALEE FL 34142 lil}I " tsu-BRUCE HENDRY TNSURANCE rNC (239)657-3614 iiA "", (239)6s7-6a68 karen@brucehendryinsurance.com ROBLES LANOSCAPING LLC 619 N gTH ST tMt4oKALEE FL 34142-9999 LNSURERA Cypress Property & Casualty 10s53 f)CERTIFICATE OF LIABILITY INSURANCE IHIS lS TO CERTIFY IHAI THE POLICIES OF INSURANCE LTSTEo sELOw HA'!€ BEEN ISSUED TO THE INSURED NAIIEO ABOVE FOR INE POLICY PERIoD NG ANY REOUIREMENT TERM OR CONDITION OF ANY CONTRACT OR OTHER OOCUMENT wlTH RESPECT IO WHICH THIS CERTIFICATE MAY BE ISSUEO OR MAY PERTAIN TNE INSURANCE AFFORDED AY THE POLICIES OESCRIBED HEREIN IS SUS.IECT IO ALL THE TERMS. EXCLUSIOIIS ANO CONDITIONS OF SUCH POLICIES LIMIISSHOWN MAY HAVEAEEN REOUCED BYPAIDCLAIMS, X x FGL 5029264 0o 1010112020 10t0112021 3ootrY NJURY (Pd aando tr l$ non !prc. n roquu.d) CERTIFICATE HOLDER CANCELLATION COLLIER COUNTY CONTRACTOR LICE 28OO N HORSESHOE DR NAPLES FL 34104 SHOIILD ANY OF THE ABOVE OESCRIAEO POIICIES BE CANCEILED BEFORE THE EXPIRAIION OAIE THEREOF, NOTICE WLL AE OELIVERED IN ACCORDANCE WTII THE POLICY PROVISIOXS, BRUCE HENDRY lNSURANCE LLC II\4MOKALEE FL acoRD 2s {2009/09) O 1988.2009 ACORD COPRORATION. All right! r.s€rved. Th. ACORo n.m. and loso arc rcsisiercd marts ol ACORO 8.G.1 Packet Pg. 276 Attachment: AGENDA_VIIIG_RICARDO ROBLES GARCIA_REVIEW OF EXPERIENCE (15059 : RICARDO TNTPER IY & C^SU^L'Y INSUnANCE COMPANY Cwrcss Propcrty ond Cdstoht Inswance PO Box 41059 Jacksonville, FL 32203-1059 Telephone 877-560-5224; F ax 866-7 28-tA34 ROBLES LANDSCAPING LLC BRUCE HENDRY INSURANCE LLC 7I I WEST MAIN STREET IMMOKAI-EE, FL 34142 Q39N57-3614 a2tDo20 ROBLES LANDSCAPING LLC QCGol09868-oo 08t2v2020 oa2tDat Ifr cP(00,8 l ,00) We arc pleased to present your quote for CoDDcrdrl Lircs insurance coverag€ in the amount of$650.00. To: From D.te: Irsured: Quote #: Efiective Drte: Erpirrdor Drtc: Itrsurirg ComprDy: Pramium: View Policy Forms f,stimrted ADnurI Premlum (S) 650.00 650.00 ceneral Liability Insurance Line Coverages OccurrcDce Limi( (3): 1.000,000 Fire D.Drge ($): r 00,000 Products Aggregrte ($) lncludcd Prior Insurrtrce: No Proof I. Do you subcontract any work? No 2. What typc ofwork is performed by the insured $bconkactors? L Do all subcontractors carry €qual or gr€ster limits of liability and namc you ss as Additional Insurcd? No Line of l l*1. ^-^..^+,t\ Estimated annual Preftium rr-4,!.rihra ,at {g) Personal & AdYertising Injury Limit (S): 1,000,000 D€ductible (S): 500 Lire ofBusir6s Geoeral Liability Totrl Premium AgSreg.te Limlt ($): 2,000,000 Medlcd P.lments ($): 5,000 Prior lrsur.lrce wlthlD l0 D.ys: No Cl.ims Fr.e: Claim Free - Insurance Line Coverage 8.G.1 Packet Pg. 277 Attachment: AGENDA_VIIIG_RICARDO ROBLES GARCIA_REVIEW OF EXPERIENCE (15059 : RICARDO \_-.- Gareral UabilitY Tenorisrn Act Location Co'verage: Loc.tion$l: , , Florida Ccnerd LirbilitY Cov.r.ges:ExPoaurt(t) I Dcductiblc ($)Prcmium ($) hcludedcl.*s codc cl.ss DescriPtion lncluded 272.OO CoYGragc CGL 1002 Automatic 2010 Additional Insured Premises Operatjons 970n7 16,700LAI,iDSCAPE GARDENII1G - Includes laylng out grounds, planting tre€s, shrubs, flowers or lawns, and interior landscaping. Coverage is included for lncidental application of "over the counted herblcides or pesticides. Rlsk is not eligible for cov€rage lf licenses or permits arE requared for herbicjde or Destlclde application. No excavation, interior sprinkler system work, or work along rtads or highways. Outdoor sprinkl€r system insrallation or repaiG Totrl Gencral Liability Premium Location Sub Total Total Premium for thc Policy Full P.y: Down Paym€nt = $550.00rl P.y : oown Payment = 9191.25, 3 Additioncl Paym€nts ol $163.259-P.y Plrn (2O dom) : Down P.ym€nt - $160.00, a Addltional Payments of 167.00 9-Pay aan is onty avaitable fo. polides with a $625 nininum annual yemium. tfT is regute.l. For a pafment plans other then tull pay, a $10 Pay plan set up fee is induded in the down payment and an installrnent fte is included in dl subsequeot ,ayirents. lnvoi@al anount nay vary dtE to .o.rding. This is a proposal. fhis is not a policy of insunnce or offer to insure. Rates prowecl reflect the raEs in etfect as of the date of the proposal anal are subject to revision. Cypress Prcpetty and Casualty reseryes the dght to accept, reject or modily this proposal after investigztion, rcview of the application and reyiew of all other u nderwriti ng i ntotm at,on. 272.OO 272.N 550.OO 8.G.1 Packet Pg. 278 Attachment: AGENDA_VIIIG_RICARDO ROBLES GARCIA_REVIEW OF EXPERIENCE (15059 : RICARDO DFS-F2-OWO252 CEBIF|CATE OF ELECION TO B€ EXEtpT FEVTSEO 06-13 E01216579 OUESTIoNS? (S5O) 413,16G 6,19 N STH ST IMMOKALEE, Fl34142 SCOPE OF EUS|TESS OR TRADE: POATANT: AEu.r b s'n odro. aro 6(ra), F S. e or,ia.ota@iro..lon rrn *d5 ddnio im rs dEra.r ry llrg.6ftrE$ o{.tcloi undt,r. s.rb. m.y er llcM b.Bl'ts d dnp.rElo. utdd trir .rEpra. PllJ!6r b r'$a.a.n,aro oqr2), F.s., crtiicrd o, .bdim lo b. dcnpr !e.dBar n]t-.no. F) sh.I.!dy diy b dr @Do.b ollt d'.d m }l.016 ot.t-!qr b b.drrd.ld llay dJy |ll5 rr 3.4. o{ fi. !!rBt r,..b r3rd d ,E Et! ol .tcri, 5 D. .qrfl. Pdesr b Bt ..rb aao.05(13), F s., trdtE ot .t &.! b a. 4tlpl ,n q6di oa .hdo 5 b.@n!r $d b. s]6i!.r b Ey@ra. (.r.,,y tiE {nr tu rho ol [E tudtF 'lmo{rn6nt rn rr p.rs MEd d t r..rd d 6mcd.rcbrE n16 tll EqulllMts or fi. rdin h[ isll.E ot r dtrdr. Tn d.lrrEnt.rE! 6vdG! qtfllc.r au,ry rim td ta&E ot 0E p.@n n&Ed o tu aif.d. b E d [E rqi]rldne oi rh€ sron cirr arercrr oracen sr TE oF FLotlloa OEPANTETT OF FTTANCIAL SEFVICES olvlsloll oF uoaKEE ooLPEr€aTx)t{ .. CEBTIFTCATE OE EI-ECNO}I TO SE EXEXPI FFOT FLON|DA WOBXEBS'C!flPENSATI()I{ LAW .. NO 4ot{SrnUCTr()ll nqrsTRY EXE*PrX)N This cortifies lhat the hdlvilual lisbd belou has el€cled b be 6xenpt kom Florlde Work€rs'Comp6nsation law- EFFECTIVE DATE: &21V2020 EIPnATX)}I OITE: 8/24r(Y2 PERSON: RICARDO ROBLES Et lL: ROALES-n@OUTLOOKCOi, FEI: 82458a62 BUSII{EIiS NAXE ATD ADORESS: AOBtfS LANDSCAPIiIG LLC 8.G.1 Packet Pg. 279 Attachment: AGENDA_VIIIG_RICARDO ROBLES GARCIA_REVIEW OF EXPERIENCE (15059 : RICARDO coLLlER COUNTY BUSINESS TAX BUs Ess TA(NuMEER COILIER COUTITY IAX COLLECTOR . 2800 l{. HORSESHOE DRTVE - ITIAPLES FLORIoA 31101 - l2X9l252.2i7t VISIT OUR lilEBSlTE ATr $n vJ.cottaertrr,com THIS RECEIPT EXPIRES SEPTEMgER 30,2021 172262 0 0 5 ll do€s not pernr r lhe lconsee ro violare any exisling regulatory zoning nor does il exem $e I cens€e lrcm any other taxes or permib $at m LoCAIIoN:619 N gTH ST ZON€O HOME OCCUPATION EUSINESS PHoNE 50&7:,34 STATE OR COUNTY LIC ': r'aa*, Qnr coLLlER CoUNTY BUSINESS TAX Eust|lEss TAx UMBERI coLLtER COUilTY TAX COLLECTOR. 2E00 [. HORSESHOE oRwE . XAPTES FLORTDA 3,{101. (2391252.2177 USr OUR ltEBSrE AT: yirw.colli.d.rcom TH|S RECE|PT ExptRES SEPTEMBER 30, 2020 OISPLAY AT PIACE OF AUSINESS F(IR PUBLIC INSPECTION FAILURE TO OO SO IS COT,ITRARY TO LOCIL LAIAIS 172262 '172262 PUELICINSPECTION. IO LOCAL LAWS 2.5 EMPLOYEES NO FERTILIZING /NO ROBLES LANDSCAPING LLC BLES GARCIA. RICARDO 19 N gTH ST IVOKALEE, FL 34142 CLASStFICAT|ON LAW\ MAINTENANCE ONLY CLASS ECAT oN CoOE 03702701 lhis document s a business lax only This E not cerl,fcaton that ll does nol pe.ftil lh6 lic€nsoe Io vElale any exlsting regulalory zoning nor does il exempl lie licensee iofi any ober tare6 or pennils Sal may be COI.LIER COUI{TY TAX DATE AfiIOUNT RECE PT o9n5no19 42_OO 501-20-00135742 .4a+7, Pes ESS TAX . NAPLES FIORIOA BUSIIIESS TAX IiUI'iBER 31104 - I.239l,252-2117 TNIS 30, LoCATIoNj619 N gTH ST ZoNED: HOME OCCUPATION BUSTNESSpHONE 503-7534 STAIE OR COUNTY LIC I..: KAL ul42 €= TI]IS AX S ',ION.REF!NDAELET cLASSIFIOAT ON CODE 03702701 &(umenl s a busl.e.s lar onry. Th6 6 not c€nificabon thal ll does nol fErmit he licensee lo tiolale any exisljn{ rc{ulalory zoning OATE AIICi]NT RECEi?I o8t23t2018 42 00 501-1S,000642201*.*,2onor do€s it ex€mpl lhe llc3ise€ i([n any o$er lares tr remi$ t'al may b€ LOCATION'619 N gTH ST ZONED HOME OCCUPATION BUSINESS P110NE: 239-503-7534 stArE oR collNTY Ltcr LCc2o,20-1295 OISPLAY AT PLACE OF BUSINESS FOR PUELIC INSPfCTION. FAILURE TO OO SO IS CONTRARY TO L@AL L^WSc ,II \T l ROBLES LANDSCAPING LLC GARCIA RICARDO N gTH ST 1.5 EMPLOYEES/ NO FERTILIZING This documontis a business lax only. This s nolcerlihcalion tlat CLASStF|CATION TANDSCAPING CLASS F CAT oN coDEr 02102601 Ft 3r'142 .THIS TAX IS NON.REFUNOABLE. DATE AMOUNT RECEIPT THIS TAX IS NON.REFUNDABLE ii ROBLES LANDSCAPING LLC itcnnoo I c 8.G.1 Packet Pg. 280 Attachment: AGENDA_VIIIG_RICARDO ROBLES GARCIA_REVIEW OF EXPERIENCE (15059 : RICARDO COLLIER COUNTY BUSIT{ESS TAX BUSIiIESS TAX NU}IBER coLLrER COUNTY TAX COLLECTOR - 2800 N. HORSESHOE DR|VE - NAptES FLORIOA34104 - 1239\ 252-24n VISIT OUR WEBSITE AT: ww corrierlax.com THIS RECEIPT EXPIRES SEPfEi'BER 30.2018 BC o , THIS TAX IS NON"REFUNDABLE , ROBLES TANOSCAPING LLC ROBLES G\RCIA RICAROO 5lSNSTH ST lr\,lr\loKAlE E FL 34142-0000 172262 LOCATLON 6]9 N gTH ST ZONEDT HOME OCCUPAnON BUSINESS PHONE 503 7534 NUMAER OF EMPLOYEEST 1-5 EMPTOYEES CLASSIFICATION LA!1/N I\IA]NTENANCE ONLY CLASSIFICATION CODE: 03702701 NOF ThE dourne.l is a busines6lax only- This b nol @nilication ihal lic€nse€ i! qualif,ed. ll does J)ot pemil ihe license€ lo violate any erisling Ggulatory zoning laws of lhe stale, county o. citi€s nor does ir o(ampt ihe ljc€n!€€ irom any other laxe6 or p6miB lhat m.y be €quied by law./ar4*. R*t coLLlER COUNTY BUSINESS TAX BUSINESS rAX NUMBERI 172262 COL L IER COUNTY IAX COLL ECTOR . ?8OO N HORSESHOE DRI\E- NAPLES FLORIOA 34104 1239\252.2477 vislT ouR VIEBSITEAT w*\f coLrertax com THIS REC EXPIRES SEPTEMBER3O, 201 o OATE RECEIPT 02127'2018 21.00 9784 4? LOCATION:619N gTH ST ZONED: HOME OCCUPATION BUSTNESS PHONET 503-753 . THIS TAX IS NON'REFUNDABTE - ROBLES LANOSCAPING LLC OISPLAY AT PLACE OF BUSINESS FOR PUBLIC II,ISPECNON FAILURE TO DO SO ISCOIITRARY TO LOCAL LAWS. FAILURE fO DO SO BUSINESS FOR PUBLIC INSPECTION IS CONIRARY TO LOCAL LAWS, DISPLAYAT OR TREE SERV LLC 8.G.1 Packet Pg. 281 Attachment: AGENDA_VIIIG_RICARDO ROBLES GARCIA_REVIEW OF EXPERIENCE (15059 : RICARDO Company: Address: Telephone: Qualifier: License #: lssuance #: Classification: Valid Thru: State License #: State Valid Thru: It is the Qualifier's responsibility to keep current all records with Collier County. This shall include insurance certificates and/or contact information, Always verify licenses online at www,CVPortal,Colliercov.Net Do not alter this document in any torm. This is your license. lt is unlafful for anyone other than the licensee to use this document. Collier County Board of County Commissioners Certificate of Competency Collier County * City of Marco " City of Naples ' City of Everglades lssu€d Date: 1010212020 ROBLES LANDSCAPING LLG 619 N gTH ST IMMOKALEE, FL34112 (239) 503-7534 ROBLES GARCIA, RICARDO LCC2020000129s 202000001226 LANDSCAPING RESTRICTED CONTR. 09t3012021 8.G.1 Packet Pg. 282 Attachment: AGENDA_VIIIG_RICARDO ROBLES GARCIA_REVIEW OF EXPERIENCE (15059 : RICARDO l-lorrda s{r.r.EGE {3- (-.1a - il a i I 8.G.1 Packet Pg. 283 Attachment: AGENDA_VIIIG_RICARDO ROBLES GARCIA_REVIEW OF EXPERIENCE (15059 : RICARDO _ab(,t>llier <)rr,a,"tLv Gr$vir ivh..r-:rcnxi' ii Dc1Eflr'n€.t Contraclor Ljcensing 2800 N. Horseshoe Dr Naples. FL 34104 239-252-2400 APPIICATION FOP COITIEP COI]NIY CERTIFICATE OF COMPFTFN'Y COTIECTION OF SOCIAI SECURITY NUMBERS Date: APRIL 06. 2020 To: Applicants for Cenificate ofCompelency From: Tlmolhy Crotts, Contracior Licensing SupeNisor Our o1llce will only use your SSN noted above tor those aeasons pursuant to Chapter l-19, Florila Stalutes, and as rmy otherwise be authorized by law. Pursuant to Chapter l-19, Flodda Statutes and Collier County Contrsclor Lic4nsing Odinance 2006-46 Seclion 2.1.1., all applicants are required lo submit their social securily nurnber(SSN) tor the following purposes: a) Assess applicant's abilily to satisfy credilors by reviewing their credil hislory b) Veaification of Epplicants test scorcs and informetion. \ /e are tully committed to safa{uading and pmtecting your SSN end once collected, will be maintained as mnfidentialand exempl under Chapter I-19, Florida Slatules. 8.G.1 Packet Pg. 284 Attachment: AGENDA_VIIIG_RICARDO ROBLES GARCIA_REVIEW OF EXPERIENCE (15059 : RICARDO 02/17/2021 COLLIER COUNTY Contractor Licensing Board Item Number: 8.H Item Summary: CHRISTOPHER WORKMAN – WAIVER OF EXAMS Meeting Date: 02/17/2021 Prepared by: Title: – Contractor Licensing Board Name: Michelle Ramkissoon 02/12/2021 8:27 AM Submitted by: Title: – Contractor Licensing Board Name: Tim Crotts 02/12/2021 8:27 AM Approved By: Review: Contractor Licensing Board Michelle Ramkissoon Review Item Completed 02/12/2021 8:27 AM Contractor Licensing Board Tim Crotts Review Item Completed 02/12/2021 8:59 AM Contractor Licensing Board Tim Crotts Meeting Pending 02/17/2021 9:00 AM 8.H Packet Pg. 285 CHRISTOPHER WORKMAN _ WAIVER OF EXAMINATION Contents 1. CLB Notification 2. Letterto transfer license from Ran Sprinkler lnc. to Land 2 Sea lnc. 3. Letter addressed to Contractor Licensing Board . Form - Request for Dormant Status 4. Complete and Notarized Application 5. Verification of Testing Scores 6. Credrt Report - Applicant and Businesses 7. Florida Company Documents L Employer ldentification Number L Statement of Ownership 1 0. Resolution of Authorization 1'l. Letters of Experience - One (1) l2.Affldavits of lntegrity and Good Character- Two (2) Letters 13. Collier County Competency Cards 14. Driver License 8.H.1 Packet Pg. 286 Attachment: AGENDA_VIIIH_CHRISTOPHER WORKMAN – WAIVER OF EXAMS (15060 : CHRISTOPHER WORKMAN – WAIVER OF EXAMS) C,Rfu,Couuty Growth Management Deparfnent Operations & Regulatory l\4anagement Division F ebruary 10 , 2021 Land 2 Sea lnc. Christopher Workman 238 Bimini Dr. Hutchinson lsland. FL 34949 Mr. Workman, You have been added to the agenda for the Contractors' Licensing Board meeting on Wednesday, February 17 ,2021 . The meeting is held at 9:00 a.m. at W. Harmon Turner Building (Bldg. F, Admin. Bldg.), 3299 Tamiami Trail. E., Naples, FL 341 12 in the Commissioner's lvleeting Room on the 3rd floor. lf you have any questions, please contact our offlce at 239-252-2418 ot email al Michelle.Ramkissoon@colliercountyfl .gov Sincerely, Michelle Ramkissoon Supervisor Operations Contractor Licensing Collier County GroMh Management Department 2800 North Horseshoe Drive Naples, FL 34104 GfutnManaqPMlDepanm,n.cmlracidLig3inq.2SooNoltrtHosh@oli@.N4p16F|ot,.3,110.230.252'2r0o.w@llciqovnel RE: Waiver of Examination 8.H.1 Packet Pg. 287 Attachment: AGENDA_VIIIH_CHRISTOPHER WORKMAN – WAIVER OF EXAMS (15060 : CHRISTOPHER WORKMAN – WAIVER OF EXAMS) f..^\.-4,-! l- c'* s'.^'7, .P.0,-. Q-*^ 5r, ^21.' S^. . t' L--"- J 2Srng). o". F.-6*o-1 b taoa) CI-,st"'r'* WN"\d"""' m///q- tf ef"'1 a"-^'J-.,-^ sF": ^, lvll A' "t 5 J'"' L ;t'"-" St l.ol Flodd,, Counly ol 6trrrzr Th.hrgolng m. hlt ti:, .a-'n\ ;by acknorladlad balof Pmdly K.d._ OR Produod I}'.4&rkdd' P,rdrad-EDi:--rE+lrr,[&$.L tiSE t1l 8.H.1 Packet Pg. 288 Attachment: AGENDA_VIIIH_CHRISTOPHER WORKMAN – WAIVER OF EXAMS (15060 : CHRISTOPHER WORKMAN – WAIVER OF EXAMS) Collier County Licensing Board, l\,1y Name is Chris Workman, I was a Collier County licensed irrigation contractor from 2002-2019 and in September 2019 I filed for Dormant status. I have included a copy of the notarized form from September 12, 2019. During the first week of January 2021 I called the licensing department to see what I needed to do to reinstate my license and remove it from Dormant status. They informed me that they never received the form or payment. I checked with my bank and found out that the starter check ( from new checking accounl) was never cashed. I never noticed that the payment hadn't cleared. ln September of 2019 I sold my house, moved into a new home and had opened a new checking account and used one of the starter checks to pay the dormant fee and license tee tot 2020.l don't believe I should be punished for my dormant notice and fee being lost in the mail, ltook my irrigation contractor license and business and law exam in 2002. I have over 20 years' experience in the business and was licensed in collier county fo|l8 years. I have not forgot how to diagnose, repair, and install irrigation systems in the year that I was away from the business. I have been working in the landscape and irrigation business since I was in Lely High School in 1991. With the impact of Covid 19 to our economy, I can bring some good paying jobs and excellent customer service to Collier County. Sincerely, Christopher M. Workman 61d. of Fhdd., Courty of Th. na$h d.y o(-E&:- , -S}1I- , !, KMn- 0R Ptoduc.d Tyr. oi bdn ibn Prcrirtd rs:11tilii 8.H.1 Packet Pg. 289 Attachment: AGENDA_VIIIH_CHRISTOPHER WORKMAN – WAIVER OF EXAMS (15060 : CHRISTOPHER WORKMAN – WAIVER OF EXAMS) Goiiii i/bnaa€nErn OeFafi\ed Co ^l.z-. {o'<iice^stt-@' C"[l;*C&? L .Gctw Phone 239 252-243! t ., . 139.1a2 2469 This appljcalion must be typewritlen or legibly printed to b€ acc€pt6d. Pleas€ include lhe Requestfor Dormant status fe€ of $10-00 (Make checks payable lo Collier Counly Board of County Commissioners). Please note in ordor tor lhe license to rre placed in Dormani, the license must be up to date on all fees. As a licensed, non-practicing conhactor in Collier County, I hereby request that my Collier County cont€ctor license be placed in a Oormant Status. I understand while in a Oormant Stafus, I may oot contEctor to, or offer to perform, any conslruclion seauces for th6 public, eitheron my own account or as the qualirying agent ofa conslruction company. lalso understand A Dormant License must stillbe rene\ €d by Sepiember 30d of every yeer. Oualifi €r Lic€nse Numb€rl REQUEST FOR DORMANT STATUS r-04 [anl,-"-- C2qf(Ll I .i S*< E(o.-, Ti.j,. ezL!f4,(Company L,csnse Numbe: Emarl L..^l f,Se.-E-c 6!= t .qe\.@ , ,., f" ,))-t3q- /q/o -uN""1.,*..- Oualilier Name (Plsase Pnnt) Slale ol The foregoing nstrumenl as acknowedged belore me lhis /5o't REQUEST FOR DORMANT sTAIUS REV4/T2l1E Oualf'er Signature 6L idenriticarion and did nor r,ake an oalh n4 / r z,/ z t q w tlh+sAcu-tluo, L ".o,t, d.ta ams ol pe6or ,r{"tu|€do'1q SIGNAIURE OF NOTARY z .r#{*, ss/ /, 8.H.1 Packet Pg. 290 Attachment: AGENDA_VIIIH_CHRISTOPHER WORKMAN – WAIVER OF EXAMS (15060 : CHRISTOPHER WORKMAN – WAIVER OF EXAMS) c Cotl,vr;ttl G'o\rrtr' Managernert Deparlrnent contractor Lrcensing 2800 N Horseshoe Dr. Naples. FL 34104 Phone - 239 252-2431 F ax - 239-252-2469 Rfu APPI,ICATION FOR COLIIER COUNIY CERTIFICATE OF COMPETENCY FIRM APPTICATION FOR COttIER COUNTY CERTIFICATE OF COMPETENCY OpEcrr C zqsr, q This applicalion must be typewritt€n or legibly printed. The applicalbn fee musl be paid upon approval and is NOT refundable. All checks should b€ made payable lo: Co br County Boatu ol Counly Comnissione6 For further informatlon. consult Collier Cour y Ordinance No. 2006-46, as amended ,3_., gg, -oant, TYPE OF CERTIFICATE OF COMPETENCY: . General D Building tr Residential tr Mechanical tr Roofing $230.00 $230.00 $230.00 $230.00 $230.00 Ic", $230.00 $230.00 $230.00 $230.00 $205.00 tr Eleclrician D Plumber tr Air Conditioner D Swimming Pool X Specialty S@cialty Trade:z,o}i"- C.-,\=Jb6.. I. APPLICANTPERSONALINFORMATION: Name Ct ,r,sLpL-.',rn 1,,;o c t yv\ (!v\ - Busrness Name Lo^A 2 Sa.T^c ?'lH R,,*;^; l). l-l--.*c1..6*J. €( ?Ltqq9Address Email 1u,.. ) L S a.T,..(D 6v,'.,.; t . C<.rr, Te ephone oale of B )7213C- lqta 'SS # (Lasl4 digits only):L7qE Drive,"s License # (Last 4 digits only)2lLl O 'Punontto cr.pt.r ll9, Fldld. st tl,t.r.nd @lLr co6tyCo.t -t.r U.. ina (,dlEn€ 2006.116 latbh 2.1.1., .ll .pplh.nt .r. Equird to tlbmh th.l diJ i.d.ity numh.. {ssl{) t& ttr followl.a p{rp6..r .) A.16r .pDll..ifr .blllty to {tl.t cr.dttoB by .vl.rina th.[ o.dit hLtdy. ,, v*ln .tlon ol.pplk.n?! t.tt r.mr.d latorm.do.. Ow oan . *lll.hlv ur. y6!rssn et J.h.y. for thc. ltrdr p6o.nt ro ch.pt r r.1, Frdld. stttut6, .nd .r m.y .tn rrt. b. r^toriEd b' L*. w. .r. tullt .6mirt!d to el.-irlrdh, rn pret .dn, tour ssr .nd oE. collct.d, wall h m.lit lmd c dnd. il..d.Enpt urdr Ch.pt , t-19, tbrid. $nu.r. Finn-Appticalion.doo( Ro\ 41c612020 Page 3 ol 15 8.H.1 Packet Pg. 291 Attachment: AGENDA_VIIIH_CHRISTOPHER WORKMAN – WAIVER OF EXAMS (15060 : CHRISTOPHER WORKMAN – WAIVER OF EXAMS) C,3P.,Cor,trz.t3t GroMiI ManagerrEnl Depanrn€nt Contractor Licensing 2800 N Horseshoe Dr. Naples, FL 34104 Phone - 239-252-2431 Fax - 239-252-2469 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY Prcvrde lhe names and lelephone numbers of *. ", tvl;il^<l],a,.ckso^ . two persons who will always know your whereabouts *",.d,",s SrIJz. r""pn*. ? ?? - .1 ){ - -7 LDC 2?q'q9o!lLl?2Telephone II, NAIV]E OF APPLICANT S BUSINESS Previous Business Hame,Qlrn licr ',-.,k( r r Srsf.^.'", tr.aA s*-Jr",. rrr.a.'\,.n LonA z 5qc! =hc Business Address 23g 8."*i^; [J. l].f-l-'r,- f,s FL <cnLlq Te ephone (-?1L),r50-l q(pl Federal lD rax No r OI - Or]O qqOO YES NO ALL APPLICANTS MUST ANSWER THE QUESTIONS BELOW {Fred lor or been discharged in bankruptcy wilhin the pasl 5 years? v Had a lien filed againsl you by the lnternel Revenue Service or Florida Corpo.ate Tax Division? {Underlaken construction contracts or work lhat resulted in liens, suits, orjudgments being tlled? Y lJndertaken conskuction conlracls orwork that a third party, such as a bonding or surely company completed or made financial stalements on? +Made an assignmenl of assets in settlement of construction obligations for less than lhe debts outstanding? Y Been convicted orfound guilty of, or entered a plea of nolo contendere lo, regardless of adjudicalion, e crime in anyjurisdiction within the past'10 years?' $Had cleims or lawsuits liled for unpaid or past due accounts by your credrlors as a result of construction experience? \A Been charged with or convicted of acting as a contraclor wiih out a license, or if licensed as a contractor in this or any other state, been "subject lo' disciplinary action by a stale, county or municipalily? III, FINANCIAL RESPONSIBILITY NOTE. lf you have answer yES to any of the questions below, you must attach a wrilten explanaton incl!d ng the nature of the charges, dates, and oulcomes, sentences of conditions imposed. You musl also attach proof of payment satisfaclion of lien or judgement. ban kru ptcy d ischarge or agreements for payment 'lf you have had a felony conviction, prcof lhat your ciul rights have been restored will be requ red prior to licensure NAME CHANGE DIFFERENT FEIN REV4/12l18 NEW Busrness Name 8.H.1 Packet Pg. 292 Attachment: AGENDA_VIIIH_CHRISTOPHER WORKMAN – WAIVER OF EXAMS (15060 : CHRISTOPHER WORKMAN – WAIVER OF EXAMS) Covt*rtll Gro\l/tl i,4an4errEit DepartrrErt Contraclor Licensing 2800 N Horseshoe Dr Naples FL 34104 Pt',or,e - 239-252 -2431 fax - 239-252-2469 APPtICATION FOR COLIIER COUNTY CERIIFICATE OF COTvIPETENCY EDUCATION: List b€low and provide trsnscripls for any fomal education you have obtained in the aroa of competency for which this application is b€ing made: IV. EXPERIENCEVERIFICATION lcc 2. J,a,/l B l.\ d o 2oo2 ^2O ,l ..*.J ol,^ co\*, 2Co2- 20 List below non formal education (on the job training) you have oblained in the area of compelency for which this application is beinO made a<*c Je..t- k-.r Cov-6a ( 20l CURRENT/PREVIOUS LICENSE: List below and altach copies sny other certificates of competency/liconses you hold/hsve held in Collior County or any otherjurisdiclion. lncludo the license #, Type, and county you hold it in. 2 ,A* C.*(--.{.* C. It+.. &.,*+ 2002-,.C |a AFFIOAVIT Under the penalties of perjury, I declare thal I have read the foregoing applic€tion and the facts stated in it are true hl"kf Srare of ftu;r*County of CL)ll t1- acknowledged before me by means ofF physical presence or tr online notarization on this day of '/r 0r--lL, bv.20 Such persofl(s) Notary Public must ch€ck applicablebox: gare personally kno*n to me E has prcduced a cumnt driver license as idefltification RANOY RICH ROS MY COUT,ISSIOX I GG ll5oal EIPIRES: Ocloo.. l?, 202! E has produced (Not.ry S.d) No.ary Si F rm_Applicalron docx Rev 4/06/2020 Page 5 ot 15 Tc.r 8.H.1 Packet Pg. 293 Attachment: AGENDA_VIIIH_CHRISTOPHER WORKMAN – WAIVER OF EXAMS (15060 : CHRISTOPHER WORKMAN – WAIVER OF EXAMS) QoLttlxY Gm\a,lh ManagenEnt DepadrYEnt Contractor Licensrng 2800 N. Horseshoe Dr. Naples, FL 34104 Phone - 239-252-2431 F ax - 239-252-2469 APPTICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY 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 thal I have read the foregoing qualifier informalion and lhat the facts staled in il are true. d,,shpt,u 41,//lL.l..^^^ The undersigned hereby certifies that he is legally qualifled to aci on behalf ofthe business organization soughl to be licensed in all matters connected with its contracting business and that he has full authority to supervise construclion undertaken by himselforsuch business or organization end that he willcontinue dunng this registration to be able to so bind said business organizalion. The qualilied license holder underslands that in all contracting matters he/she will be held slrictly accountable for any and all aclivities involving his license. Any willlulfalsificetion of any rnformation contained herein is grounds for disq ualilicetion. L,.^l 2 S.o .T^. ! so".r fiqr. do,-County The fore8oins iEtrums D day or tdo.,20 aL, by ch";rtg*r,r meds olE physrcal prernce or tr online noEnzarion on rhi<twas acknowl€dged before me by or C-oil. c r- Such pe.son(s) Notary Public must check applicable box tr ar, peBonally known to me Etrha produced a curent drivcr lic.nsc tr has produced (\orary ro^NN6i!aNBtiG okryPubl( ttdleolFlorlda comnhnoi r66l27l4l Ny Cohm. frpre!4'l1'{ 20?l Boided lhruu3h r,lid'.1 rlolrrv Asd FtR[,t APPLTCATTON Rev 4/12118 N.tary Signaturc Page 6 of 15 CERTIFICATION OF APPLICATION .iu:-ia- r,.$r3 8.H.1 Packet Pg. 294 Attachment: AGENDA_VIIIH_CHRISTOPHER WORKMAN – WAIVER OF EXAMS (15060 : CHRISTOPHER WORKMAN – WAIVER OF EXAMS) Cor.ttrtll Grot,\/lfr ManagterrEnt DepartrrEfit Contractor Licensing 2800 N Horseshoe Dr Naples FL 34104 Phone - 239-252-2431 F ax - 239252-2469 APPLICATION FOR COTI-IER COUNTY CERTIFICATE OF COMPETENCY WORKMEN'S COMPENSATION AFFIDAVIT It is understood and acknowledged by lhe Collier County Contractors' Licensing Board and mys6f that if I fail to acquire, ormaintain atalltimes efloctiva Workmen's Componsation lnsurance itwillresult in the possible revocation of my Certificate of Competency. m d( Lo.^A 2 Sc..-T,^. si BEFORE ME this day personally app€ared flo,;^* co.,"ry Such person(s) Notary Public mu$ check spplicible box: P are persoflally kno*o to me tr has produc€d a current driver license O has produced as identification (Norary S.rl) L'.,*-who affirms and Arplicant (pleas. pdnl) says lhal he has less than one employee and do6s noi require Vvorkinen's Componsation understands thal a any time he employoes one oa more persons he must obtain said l brkmen's Compensation lnsurance. The foregoing instrument was acknowl edSed before meby means of Pphysical presence or C onlin€ notarization on this -Laay ot kk+- ot Al L-/ 20 \ .by f,h:* it- tLr.4a* Ml'loY RICNARDS MY COUMTSSTOTi I GG 11tga! ETPTRES: 0@06 17, 202r 8.d,.dIr!|bE,AaIcUrd hr Notary Firm_Applrcalion docx Rev 4l06t2O2O Page 7 ol 15 8.H.1 Packet Pg. 295 Attachment: AGENDA_VIIIH_CHRISTOPHER WORKMAN – WAIVER OF EXAMS (15060 : CHRISTOPHER WORKMAN – WAIVER OF EXAMS) EXAMINATION SCORE REPORT 10/25/2002 CHRIS M, WORKMAN 733 PINECONE LN NAPLES, FL 34104 Dear CHRIS M. WORKMAN: The following is your grade results for the examimtion(s) you have tate[ Applicant Number: Exam Date: Exam Site: Exam Spoosor: 262-9r-6298 1010512002 FT. Ivt\BRS, FL Collier County EXAM I 13F02o-lrrie.tion Sprinud EXAM SCORE STATUS Collier County requires a passing percentage of75%. Sincerely, Experior PLEASE MAKE COPY FOR YOUR Rf,CORDS t0t536 expoio. Ars"ss-snt!, LcrM.2loo l'rw 53d Av€ouc ' oajlasviile, FL 32653' Tou-Fr.r: E00280.3926, Fax: 352-336.4513. w*.crpcrioroDli!..coE oIreeXp 8.H.1 Packet Pg. 296 Attachment: AGENDA_VIIIH_CHRISTOPHER WORKMAN – WAIVER OF EXAMS (15060 : CHRISTOPHER WORKMAN – WAIVER OF EXAMS) EXAMINATION SCORE REPORT 08/41t2002 CHPJS M. WORKMAN 733 PINECO}{E LN NAPLES, FL 34104 ,.,t . Doar CHRIS M. WORKMAN: I"'t Thc followitrg is youI gr&dc results for tbc cxrojlrstiotr(s) you hsvo tEkeo. 100t020-Eu!ies & llw 318F0?0.lrig!tio! Sprinun Co Sincerely,f.r Experior Applicant Number: ExaD Date: Exao Site: Exsm Sponsor: !XAM 262-91-6298 0810312002 FT, N4YERS, FI- Collier County a passing percentage of 7502. EXAU SC$RE 12_0 STATL'S ?ASS IA'L ':l'"tt**o*t?* i'-, t fr_ .ra 1l t-tq \-r I't PLEASE MAI(E COPY .. l'a trrJ f f r& vo'un ntconos Epdor -4lscs!Eia!s, Lrc .2100 \WJ3i-ty6au.. Gabsw qFI 326::: IoI}Fr.c: t002t0.3925 . Fc 352336.4J]j . ppp.*ireriorc6ljlc...r t oIaeXp 8.H.1 Packet Pg. 297 Attachment: AGENDA_VIIIH_CHRISTOPHER WORKMAN – WAIVER OF EXAMS (15060 : CHRISTOPHER WORKMAN – WAIVER OF EXAMS) CREDIT CHECK CONFIOENTIAL lndividual Credit Report lame .WORKMAN. CHRISTOPHER I CI{AEL ordered By : 1014 0 Customer 19999 Received toz/ OS /2a Comp lered tO2/05/27 iddress:238 BIMTNT DRTVF] HITIC.HTNSON TST,AND - FT, :1 4949 iocial#: Applicant; -629A }REDIT SCORE: \PPLICANT FICO SCORE: 752 (scores range from 300 to 850) iOURCE(S): EQUIFAX EXPERIAN TRANSUNION ,UBLIC RECORDS: 'UBLIC RECORDS HAVE BEEN CHECKED AT THE LOCAL, STATE AND FEDERAL LEVELS wlTH 'HE FOLLOWING RESULTS AS OF OzlOSl21t CLEAR CREOIT RECORD (Cr edit histo haa been checked for a erlod of seven yearE or from open date.) J-LY FINCL 29909848809 Dr,A=01 / 72 IARCLAYSB( 8048514 DLA= 11/ 0I IK OF AMER L242 Dr,A=Oa / 2a IK WEST 34212\23't Dr,A=04/13 RP1/CABEL 430023010144 Dr,A=02 / t5 h.PITA', ONE 517805917290 DLA=03/13 01/a2 o"t / 06 42976 AS AGREED0 00 00 00 r01 48 c AS AGREED00 00 00R1 65 r AS AGREED0 000000R01 48r AS AGREED0 00 00 00 r01 33 r AS AGREED0 000000R01 48r AS AGREEDo 000000R01 38r 72/73 O7 /08 22OOO 0 0 0 n or/21" o8/ro 818 0 359 04/L3 01 /70 53463 02/76 Oa/09 311s $/B L2/O9 1338 ,icensee Applicant IPPLICIIrT - gBE NAIIE ABoVE leporting Agency: credit check' ln". - 3017;;;;;;;ou( Suite n' west palm Beach' FL 33409 ' (561) 616-sss' 0 8.H.1 Packet Pg. 298 Attachment: AGENDA_VIIIH_CHRISTOPHER WORKMAN – WAIVER OF EXAMS (15060 : CHRISTOPHER WORKMAN – WAIVER OF EXAMS) CREDIT CHECK CONFIOENTIAL lame :WORKMAN - CHR PH F]R MICI{AEL Customer:9999 Page tZ AS AGREED0 00 00 00 R01 48 AS AGREED0 000000R01 36r AS AGREED0 000000R01 48r A,S AGREED00 00 00 R01 57 r AS AGREED00 00 00n1 99 r I h.PITAJ, ONE 4L541'7964263 Dr,A=04l18 I\PITAI ONE 414709953403 Dr,A= 04 / 18 h.PITAL ONE 54664704291A Dr,A=0L / 2L S,PITAI ONE BAN 440213704752 DtA=04l09 04/t8 03/L4 21549 04/18 03/\s 2492'7 01,/2t o6/L3 44s3 I 0 0 0 0 0 0 0 0 0 04 / 1-3 08/08 2029 :BNA 6 03 s 3 2 00 ? 041r- 3 6 5 Dr,A=07l08 :cB/ovERsT 718840aO7382 DLA=04 /19 :ITI 54244872694'.7 DLA=01/21 IVOLVE B & T 3101428351355 DI'A=07 / 1-1 :VOLVE BANK 93230s0142 DLA=08/14 rPMCB AIITO 116250154813r.1 DLA=0s / 18 IPMCB AUTO 11125212383901 Dr,A= 02 / 18 IPMCB CARD 4].4720238743 DLA=0sl19 IPMCB CARD 414?40011636 DLA=10/15 ot/a3 09/ot s001 1,O / ts 7tlt2 430 04/7e 08/76 AS AGREED0 000000R01 31 r ot/2l 03/L9 82ss 2227 AS AGREED0 000000R01 21 r o7 /13 08/12 245800 AS AGREED0 00 00 00 x01 07 r AS AGREED0 00 00 00 01 11 I os /'t-8 09/L6 38188 AS AGREED0 00 00 00 r01 20r 02/L8 09/L3 467t4 AS AGREED0 00 00 00 r01 48 r 05/19 08/06 1o 083 AS AGREEDo ooo000R01 48r AS AGREED0 oo o0 o0 n01 34 r 0 ,iconsce Applicant APPLICNf,r - sBE NAXE lBovE leporting Agency: Credit Check, r'" -:olzilJr'"'qiio"f i'G n wesl Patm Beach FL 33409 ' (561) 61&5s56 o8/L4 08/72 246S00 8.H.1 Packet Pg. 299 Attachment: AGENDA_VIIIH_CHRISTOPHER WORKMAN – WAIVER OF EXAMS (15060 : CHRISTOPHER WORKMAN – WAIVER OF EXAMS) CREDIT CHECK ame : WORKMAN. CHRISTOPHER MIC}IAEL Customer: 9999 0 Page :l PDCOLLECTR9P OO I IATIONSTAR/MR C 596625170 Dt A=09 / 72 09/12 08/07 267OOO ISTAR/COOPER 596625170 Dr,A=09/12 09/L2 09/tO 267000 PMCB CARD 414720236284 DLA=05/20 .PMCB CARD 438854005158 DLA=04l19 ITATE FARM BANK 4't o79943 DLA= 10 / 11 05/2O O7 /L8 77 89 o4/t9 03/r5 43L7 72/73 O,/tO 16s AS AGREED0 000000R01 36 r AS AGREED00 00 00 x01 20 r AS AGREED0 00 00 00 x01 19 r AS AGREED00 00 00 R01 34 T AS AGREED00 00 00 R01 99 r AS AGREED0 00 00 00 c01 11 r AS AGREED0 00 00 00 x01 48 r AS AGREED0000 00R1 79 r AS AGREED0 00 00 00 n01 48 r AS AGREED0 ooo000R01 03 r AS AGREEDo 0o o0 0o n01 48 r 0 0 0 0 0 0 0 II]NCOAST CREDIT 450819009811 DLA=09/09 ;UNTRUST BK 1470982250000 DLA=08/16 II'NTRUST BNK 9420045'7A4901 DLA=09/19 |YNCB JCP 600449229't65 iYNCB/ASI{HOM 501919353608 DL,A=0t / 2t iYNCB/JCP 500889149555 DLA=11/2 0 0L/27 01/00 15499 0 o8/16 09/rs 09/19 08/12 2458 o o 04 /'t-1 72/98 163 oa/21- 70/20 3524 2937 ].a/20 05/L4 313 0 jcenseo Applicant IPPLICNIT - gEE NAtiE IBOVI leporling Agencl: Credit check, r"c - solz?i;h;glio"t i'G n' w""t palm Beach' FL 3340e (s61) 616-s5s6 CONFIDENTIAL IT FARM BK 3282 DLA=1,2 / a3 AS AGREED0 000000R01 42r 03/73 Os/to 165 or/2\ os/ts 4L28 7,'7 0 0 iYNCB/AI,TAZON 6045't 8107022 Dt A--OL / 21 8.H.1 Packet Pg. 300 Attachment: AGENDA_VIIIH_CHRISTOPHER WORKMAN – WAIVER OF EXAMS (15060 : CHRISTOPHER WORKMAN – WAIVER OF EXAMS) CREDIT CHECI(CONFIDENTIAL ame :WORKTTAN- CHR IS TO PHER MICHAEL CusEomer: 9999 Page :4 AS AGREED0 00 00 00 R01 29 r AS AGREED00 00 00 R01 99 r A.s AGREED0 000000R01 03 r AS AGREED0 00 00 00 R01 24 r YNCB/LOW 799192510883 DLA=01/21 IYNCB/r,OWES 194222ta0097 Dt A=01 / O7 rYNCB/RMSTGO 501919127713 DLA= 01/ 21 :DRC/SAMS AG 500610101s34 DLA=11/19 01,/27 08/78 64A6 o'1/t\ os/98 !tt2 oa/21 ao/20 299L 2629 7a/!9 U./17 0 ToEal trade lines on this reDort: 36 0 NQUIRIES: 0/09/20 by SYNCB6/28/20 by Us sM BUs ADMIN oDA3/L4/79 by CrTr CARDS CBNA (ExP) (ExP) (ExP) *278e640 *79L6799 *1240',750 )OMMENTS: * * TOFAC NA.IIIE SCREEN AI,ERT - CIJEAII* * * )FAC (OFFICE OF FOREIGN ASSET CONTROL) IS A FEDERAL AGEIICY WHICH MAINTAINS , DATABASE OF TERRORISTS, DRUG TRAFFICKERS AND CRIMINAI ORGAN]ZATIONS. 'R AIID RECORDS HAVE BEEN SYSTEITATICAILY CI{BCXED BY TIIE ACCESSED BT'REAUS ' :IIEcxsFoRIDENTITYT}IEFT,FAKEssN,DECEASEDSSNANDoFACDATABASEPERFoRIIED. )REDITOR PHONE DIRECTORY: TDRC/SAMS AG TD RCS BI( OF AMER PO BOX 9822 3I CAPITAI, ONE PO BOX 312 93 CAPITAL ONE PO BOX 312 93 ccB/ovERsT PO BOX 18 212 0 H81421996cotuMBrA SC. 29202 BC1597029 EL PASO TX. 799 98 BClDTVOOl SAI,T I,AKE CII'Y UT. 84131 BB1DTV22 8 SAIT I,AKE CITY IIT. 84131 DZlNZa2T! coL,uMBUS oI{' 43218 (800) I08-69s0 (800) 421-2110 (800) 9s5-7070 (800) 95s - ?07 o jconseo Appllcant APPLICIIIT - sEa NN|E IBOVE leporting Agency: Credir Check, r* - solz?ii";';;ourt luite n' wes palm Beach FL 3340s ' (56'l) 61G5556 0 0 IESIDENCE HISTORY: 38 BIMINI DR, FORT PIERCE, FL 34949,80 SW 13TH ST, NAPLES FL 34117 OO1 SANTA BARBARA BV, NAPLES FL 34104 8.H.1 Packet Pg. 301 Attachment: AGENDA_VIIIH_CHRISTOPHER WORKMAN – WAIVER OF EXAMS (15060 : CHRISTOPHER WORKMAN – WAIVER OF EXAMS) CREDIT CHECK CONFIDENTIAL Iame: WORKMAN, CIIRISTOPHER MICI{AEL ;REDITOR PHONE DIRECTORY - continued: NSTAR/COOPER FM1QC3 005 350 HIGI{I,AND HOUSTOII TX. 77067sT FAR.I{ BK BZ1XQH002 ATTN CREDIT REPORT BLOOMIIIGTON IL. 67702SYNCB/LOW LI{23 5041,J PO BOX 956005 oRTJANDO FT,. 32896SYNCB/,,CP DC23 5 058D PO BOX 965007 oRIJANDO Fr'. 32896SYNCB/AXAZON DZ23'O64K PO BOX 965015 oRLANDO FL. 32896 ALLY FINCIJ FA2592371.P.O. BOX 380901 BI,OOMTNGI9N MN. 55438 JPMCB CARD BC26QK001 PO BOX 15369 WILMINGTON DE. 19850 EVOLVE B & T BB285R1881 CORPORATE DR I,AKE ZI]RICH I],. 60047 SUNTRUST BNK BM3122 O O 1 PO BOX 95525 RTCHMOND VA. 23285 EVOLVE BANK BM31DMO 02 1235 NORT}I DUTTON SANTA ROSA CA. 95401 \,PMCB AUTO BA4O2DO3 8P.O. BOX 901003 FORT WORI'I{ TX. 75101 SUNTRUST BK BZ423AO2I PO BOX 85525 RrCI{l,tOND VA. 23285CITI BC54DBO 02 PO BOX 6217 SrOUX FAT,LS SD. 57117CAPIi/CABEL BC7452 O 09 PO BOX 31293 SAI,T LAKE CITY IIT. 84131 BK WEST BZ8 04N24 9 CONSWER PRODUCT S OMAIA NE. 68103SYNCB/ASHHOM FZ9992O9Tc/o Po Box 95s035 oRIiNDO FL. 32895SYNCB/RMSTGO HF99 92 54 5c/o Po Box 965035 ORT,ANDO FL. 32895 CREDIT CHECK Z 0630273 301? EXCHANGE COI]R WEST PALM BEAC FL. 33409 *** END OF REPORT *** Customer:9999 Page :5 (888) (e171 (8oo) (855) (856) (888) (800) (847) (877 ) (8oo) (800) \877) 440-2432 734-2265 444 - L408 227 -5213 634-837 9 925-2559 945-2000 550-7300 596-s40? 696-8199 336 - 6615 596-5407 (800) (800) (855) (s65) 1817 ) 955-?070 827 -'1500 396-8254 396-8254 616-5555 bd'iL/r.dn.Dl.'nqu.d!yhr $jffifs S#fu* s*-*ir;.[:*:*sg,ffit'*d"axrs sH:nHs,,rffi#:s-f'* ,ic€nsee Applicant I.PPLrcNrr - sEE NAXE ABovB leporting Agencv: credit check, 'n"' - tot'?'"i"'ilIiof i'* x' w"o 'alm Beach' FL 33409 ' (s61) 61G5556 8.H.1 Packet Pg. 302 Attachment: AGENDA_VIIIH_CHRISTOPHER WORKMAN – WAIVER OF EXAMS (15060 : CHRISTOPHER WORKMAN – WAIVER OF EXAMS) CREDIT CHECI( Dale: 02/os/21 Cust. No: 9999 Ordered By: 1016 o Page: 1 (X) Corporation EIN:82-3977415 Commercial Credit Report Company: RAN SpRfNKLER sysrEMs rNC r Address: 421 RTDGE couRT NAPIJES, FI]ORIDA 34108 Telephone: 1239) 289 -54'72 PRINCIPALS: PRESTDENT Address: SIIAH, NIRMAL 421 RIDGE COIJRT NAPLES, FLORIDA 34108 N/A I OO* Social Security Number Stock Ownership: Address Social Security Number: Stock Ownership: Social Security Number: Stock Ownership: Address Social Security Number: Stock Ownership: RISK SCORE illi,Experian Financial Stability Risk ScorcMl CREDTT RISK SCORE The score uses tradeline and collections as other variables to predict future iisk FACTORS LOWER]NG THE SCORE:* nuriber of active conrnerciaf accounts* risk associated with the company's industry secCorr risk associated with the business tlT)e* employee size of business 88 information, public fifings as well . Higher scoles indicate lower risk RepoTted foT: APPLICANT - SEE NAME ABOVE il;;il rt Cruait Cr,""i, lnc. - 3017 Exchange Court, Suite H' West Palm Beach' FL 33409 (561)616-5556 CON FIDENTIAL Address: 8.H.1 Packet Pg. 303 Attachment: AGENDA_VIIIH_CHRISTOPHER WORKMAN – WAIVER OF EXAMS (15060 : CHRISTOPHER WORKMAN – WAIVER OF EXAMS) CREDIT CHECK CONFIOENTIAL Commercial Credit Report Company: RAN SPRTNKLER sysrEMs rNC * Address: 421 RIDGE couRT NAPLES, FLORIDA 3410 8 TERMINATION FILED 77/OE/79, UCC FILING NO a3/ a2 /1s, Date Cust. No Ordered By Page 02/08/27 9999 1016 0 2 RAN SPRTNKLER SYSTEMS INC was INCORPORATED in the county of COLLIER. FLORIDA, on 01/11, 2018. The chalter nunber is P18000003988. The reagent is SHAH, NIRMAL of 421 RIDGE COURT, NAPLES, FLORIDA 341,08. Off LEASED from N/A at N/A pe! month. The company employs N/A. NET WORTH: oN FILE wlTH STATE state ofistered9 The company maintains banking relations with N/A The officer handling the account is N/A PUBLIC RECORDS WERE CHECKED FOR COLLIER COUNTY, FLORIDA. A SEARCH OF LOCAL, STATE, AND FEDERAL RECOROS HAS BEEN CONDUCTEO WITH THE FOLLOWING RESULTS: AS OF 02108/21 - SEVEN YEAR SEARCH. (1) UCC FILTNG NO. 201804332516, 03/07/18. SECURED PARTY: THE HUNTINGTON NATTONAI COI,LATERAL: ALL IN1ENTORY EXP]RATION DATE I 03/ OI/23 \2) UCC FTLTNG NO. 20180434411s, COLLATERAL: ALL INIENTORY EXPIRATION DA'|E: 03 / 02/23 TERMINATION FII,ED: 11/08/19, UCC 201900106696 SECURED PARTY 207904L06742 SECURED PARTY FIL]NG NO. LL/20/t9, THE HUNTINGTON NATIONAL RABO AGRIFINANCE ],LC 30 60 90 91+ CoMMENTS (3) UCC FTLTNG NO. 201900195257, COLLATERAL: ALL ASSETS EXPIRATION DA'IE : 71. / 20 / 24 EN-D OF PUBL]C RECORNS SEARCH BUSlNESS CATEGORY DATE RPTD ACTTV *t Credit Profile **' HlGH CREDIT BAI,ANCE CI]R FINCL SVCS AUTO LEASE BANK CARD BLDG MATRL FINCI, SVCS TEMP HELP at /2L 03 /19 t2 /20osl18 ),0/1,9 06 / ).8 os/20 0ol00 oo/oo oo/oo L0/79 04/78 CONTRCT LOC REVOLVE 2 /71PRX MONTH],Y NET 7 18400 4500 0 0 0 0 100* 100t 0t 0t 0? 0* 0? 0? 0? 0z 03 0? 0t 0* 0t 0? 0? 0t 0u 0? 0* 0* 0* 0* 0? oz 0?, 0% 0% REMARKS: N/A = NOT APPLICABLE/NOT AVAII,ABLE *THIScoRPoRATIoNIsLISTEDAsINACTIITsTATUsWTTHFLDEPT.oFSTATEF]LED thi.@rrpo.1Etum$d'hdvhvorhsrd(r)tibds'tudbd'o'dEdb'ti-.vs,.-,-.,,v-,;;;;",-J'""r*,*'n'-","-'ddcdlc*'hoh**hDvtusivfre€'' PAY TERMS 18400 14000 17900 15000 75000 400 8.H.1 Packet Pg. 304 Attachment: AGENDA_VIIIH_CHRISTOPHER WORKMAN – WAIVER OF EXAMS (15060 : CHRISTOPHER WORKMAN – WAIVER OF EXAMS) CREDIT CHECK CONFIDENTIAL Commercial Credit Report Company: RAN SPRTNKLER sysrEMs rNc * Address: 421 RrDGE couRT NAPLES, FLOR]DA 34108 REMARKS - continued: 02 / 03 / 2I i EVENT TYPE : VoI,UNTARY DISSoI,UTIoN REPORT WORKED BY KELLY END OF REPORT. Ordered By: Page: Date Cust. No 02/08/2t 9999 1016 0 3 'IhE6mms..,e@d 5ium6hd{m!r Ebtrvor$"!d@n('' [ lEduq ffi!6 obrdnodbhbvbr ,.vs,.'".* ,,*";;;;ru'*l'iu"'p-' Y"" 'ea'rry q'* sv ''uLiv{haEo'ver 8.H.1 Packet Pg. 305 Attachment: AGENDA_VIIIH_CHRISTOPHER WORKMAN – WAIVER OF EXAMS (15060 : CHRISTOPHER WORKMAN – WAIVER OF EXAMS) CREDIT CHECI(CONFIDENTIAL Dale: 02/05/2t Cust. No: 9999 Ordered Byr 10140 Page: t (X) Corporation EIN:01-0704900 Commercial Credit Report Company: LAND 2 gEA rNc. Address: 238 Brl'trtIr DRrvB HIIICHINSON TSI,AND, FLORIDA 34949 felephone: (772) 53 9 - 1910 ]RINCIPALS: PRESIDENT Address: Social Security Numberl Stock Ownership: WORnnN, CI{RI STOPHER M. 238 BIMINI DRIVB HIIICHINSON rSLAI{D, PLORIDA 34949 -6294 s0t VICE PRESIDENI Address: Social Security Number Stock Ownership: SC}II'I,Z, CHRISTOPHER 3500 31ST AVEIn E SW NAPI.ES, FLORIDA 34117 _ - -3022 50t Address Social Security Number Stock Ownership: Address Social Security Number Stock Ownership: ill!'Experian Financial Stability Risk Score EEqI Los Risk 2 Los t! ]\t.:d + -l MrdiuD Risk J Mrd to llieh 5 High Risk cREDrr RrsK scoRE 12 The score uaes tradeline and cotlectiona informaEion, publlc flling8 as well aE other variablea to predict future riak. gighe! Bcores itldicate lorrer risk. FACTORS LOWERING THB SCORE:* riak associated with the companyr6 industry* balance of aged commercial accounts thac are currenEi low nbr of cormercial accta rptd $ithin the la8t 12 moa leported for: APPLTCANT - sEE NAME ABovE leported by: Credit Check, lnc. - 3017 Exchange Court, Suite H, West Pdm Beach, F133409. (561) 61e5556 lISK SCORE: 32 8.H.1 Packet Pg. 306 Attachment: AGENDA_VIIIH_CHRISTOPHER WORKMAN – WAIVER OF EXAMS (15060 : CHRISTOPHER WORKMAN – WAIVER OF EXAMS) CREDIT CHECK SM Commercial Credit Report CONFIDENTIAL Company: r,AND 2 sEA rNc. Address: 238 BrMrNr DRrvE Date Cust. No Ordered By Page 02 / os /2r 9999 1014 0 2HUTCHINSON ISLAND, PIORIDA 3494 9 ;AIID 2 SEA INC. rras INCORPORATED in the cormty of COLLIER, state of FLORIDA, on)6/20, 2002- The charter nurber iE P02000058318. The registered agent is {ORKIIIAN, OIRISTOPHER I.{. of 238 BIMINI DRIVE, HIITO{INSON ISI,AND, PIIORIDA 34949.)fficea are LEASED fron N/A at N/A per monlh. The compaDy employs N/A. \IET \ATORTH: oN FI],E WITH STATE fhe company maintains banking relations with N/A the officer handling the ac@unt is N/A ,UBLIC RECORDS WERE CHECKED FOR COLLIER COUNTY, FLORIDA. A SEARCH OF LOCAL, STATE, \ND FEDERAL RECORDS HAS BEEI{ CONDUCIED wlTH THE FOLLOWNG RESULTS: CLEAR AS OF )2/0'21 - SEVEN YEAR SEARCH. ]USINESS ]ATEGORY ]ANK CARD DATE I,AST PAY RPTD SAIE TERMS 08/19 00/00 REvoLvE * Credit Profile * HIGH CREDIT BAI,ANCE CT]R23100 0 0t 91+0t coMMmrrs30 0t 500t 900t h ffid rFi.lm].d in3iv D s * 6 bdi5' h s'a &it"t d rr tBbd' n tE ' ''o' ''ro-It'n ott-d hc@'t.l tLtg."v t{ ""*"*." ""JI I";; i',";n ""'";""'- n"'L*v* iEMARKS: {/A = NOT APPLICABLE/NOT AVAII,ABI,E t NT.ME O{ANGE AI,IENDMENT FII,BD 03,/16118; OI,D NA},IE T{AS: SI.,RBFLOW IRRIGATION, tNc. iEPORT WORKED BY KELTY ]I{D OF REPORT. 8.H.1 Packet Pg. 307 Attachment: AGENDA_VIIIH_CHRISTOPHER WORKMAN – WAIVER OF EXAMS (15060 : CHRISTOPHER WORKMAN – WAIVER OF EXAMS) I)e1ail by llntity Name .l)l'/'rilt1 ol L c.1 1'p r.s1 4yt1t1 r ; yy'; Detail by Entity Name Florida Prcfii Corporation LAND 2 SEA INC. Filino lntom.tlon DocumentNumbor P02000068318 FEUEIN umber 01-0704900 Dato Filed 0612012002 stat6 FL StAtU' ACTIVE tast Evont REINSTATEMENT Event Dato Filed O1tO4l2O21 Princl@lAddEis 238 Smini Or Hutchrnson lsland. FL 34949 Page I of2 Cha nged: 04/291201 9 Mailino Add.e.s 238 Bim n Dr Hlrchinson ,sland FL 34949 Cnanged 44t2912019 Reol.tor€d Aoont .me A Addre33 WORKMAN CHRISTOPHER I\,I 238 8im1ni Or Hltchinson lsland. FL 34949 Address Changed 04/2912019 OIf i.er/Oircctor D€tail Name Changed: 01/04/2021 T tle PRES WORKMAN CHRISTOPHER M 238 Brmini Dr Hutchinsor lsland, FL 34949 http://search.sunbiz.org/lnquiry/CorporationScarch/SearchResullt)etail?inquirytype' Ilntjty '2t8t202t 8.H.1 Packet Pg. 308 Attachment: AGENDA_VIIIH_CHRISTOPHER WORKMAN – WAIVER OF EXAMS (15060 : CHRISTOPHER WORKMAN – WAIVER OF EXAMS) Dctail by llnlit) Namc Page 2 of 2 3500 31st Ave SW A!!!!Las!g!E 2019 2020 2021 0412912019 01t0/.12021 01t4412021 S9!.cEs4lEu9! 04701/2016 -. ANNUAL REPORT O'/2320J5 ANNLJALREPORT @27201I .- ANNUAL REPORT hftp://search.sunbiz.org/lnquiry/CorporationSearch/SearchResulrDetail?inquir,.type=Entity..2t8/2021 8.H.1 Packet Pg. 309 Attachment: AGENDA_VIIIH_CHRISTOPHER WORKMAN – WAIVER OF EXAMS (15060 : CHRISTOPHER WORKMAN – WAIVER OF EXAMS) TLORIDA DEPARTMENT OF STATE Division of Corporations lvlarch 16,2018 CHRISTOPHES M. WORKMAN 980 13TH STREET SW NAPLES, FL 34117 Fle: Document Number P02000068318 Should you have any 6050, the Amendment The Arlicles of Amendment to the Articles ot lncorporati IRRIGATION, lNC. which changed its name to LANO 2 SEA lNC., were liled on March 16, 2018. questions regarding this matter, please lelephone (850) 245- Filing Seclion. ON Of SUREFLOW a Florida corporation, www.sunbiz.org Division of Corporations - P.O BOX 6327 -Tallahassee' Florida 32314 Claretha Golden Regulatory Specialist ll Division ot Corporations Letter Number: 51 8A00005424 8.H.1 Packet Pg. 310 Attachment: AGENDA_VIIIH_CHRISTOPHER WORKMAN – WAIVER OF EXAMS (15060 : CHRISTOPHER WORKMAN – WAIVER OF EXAMS) June 20, 2002 JEFF DALEY 2316 PINE RIDGE RO #462 NAPLES, FL 34109 A CORPORATION ANNUAL REPOBT/UNIFOBM BUSINESS REPORT MUST BE FILED WITH THIS OFFICE BETWEEN JANUARY 1 AND MAY 1 OF EACH YEAR BEGINNING WITH THE CALENDAR YEAB FOLLOWING THE YEAB OF THE FILING DATE NOTED ABOVE AND EACH YEAR THEFIEAFTEB. FAILURE TO FILE THE ANNUAL REPORT/UNIFORM BUSINESS REPORT ON TIME MAY RESULT IN ADMINISTRATIVE DISSOLUTION OF YOUR CORPORATION. A FEOERAL EMPLOYER IDENTIFICATION (FEI) NUMBER MUST BE SHOWN ON THE ANNUAL REPORT/UNIFORM BUSINESS REPORT FORM PRIOR TO ITS FILING WITH THIS OFFICE. CONTACT THE INTEBNAL REVENUE SERVICE TO INSURE THAT YOU BECEIVE THE FEI NUMBER IN TIME TO FILE THE ANNUAL REPOBT/UNIFORM BUSINESS REPOBT. TO OBTAIN A FEI NUMBER, CONTACT THE IBS AT 1.800.829-3676 AND REOUEST FORM SS.4. SHOULD YOUR COBPORATE MAILING ADDRESS CHANGE. YOU MUST NOTIFY THIS OFFTCE tN WRTTING, TO INSURE IMPORTANT MAILINGg SUCH AS THE ANNUAL REPORT/UNIFORM BUSINESS REPORT NOTICES REACH YOU. Should you have any questions regarding corporations, please contact this otfice at the address given below. Donna Graves, Document Specialist New Filing Section Letter Number: 902A00040027 Division of Corporations - P.O. BOX 6327 -Tallahassee, Florida 32314 FLORIDA DEPARTMENT OF STATE Katherine Harris Secretary of State The Articles of lncorporation for SUREFLOW IBBIGATION, lNC. were ,iled on Juno20,2002 and assigned document number P020000683'18. Pleass roler to this number whensver corresponding with this otfice regarding the abovs corporation. PLEASE NOTE: COMPLIANCE WITH THE FOLLOWING PROCEDURES lS ESSENTIAL TO MAINTAINING YOUR COHPOHATE STATUS. FAILUFE TO DO SO MAY BESULT IN DISSOLUTION OF YOUR CORPORATION. 8.H.1 Packet Pg. 311 Attachment: AGENDA_VIIIH_CHRISTOPHER WORKMAN – WAIVER OF EXAMS (15060 : CHRISTOPHER WORKMAN – WAIVER OF EXAMS) BILL OF SALE RE: Sueflow Irrigstiorl IrE.Date 5/l/03 As ofMsy l, 2003 Jeftey M Daley (Presitrnt) Has Sold His Stock ofSureflow IrQatio& Irc. To Mr. Chris Worknan For the tumunt of $25,000.00 Eftective Irrinediatelv. Jeftey M Daley M 8.H.1 Packet Pg. 312 Attachment: AGENDA_VIIIH_CHRISTOPHER WORKMAN – WAIVER OF EXAMS (15060 : CHRISTOPHER WORKMAN – WAIVER OF EXAMS) 2021 fIORIDAPBOEII EOSPOEAIION EEINSIAIEIIEI{I DOCUMENT# P02000068318 Entity Name: LAND 2 SEA INC Current Principal Place of Business: 238 BIMIN] DR I]UTCH NSON SLAND FL 34949 FILE D Jan 04, 2021 Secretary of State 12189144'l8CR Current Mailing Address: 238 Al[flNt DR HUTCHINSON ISLAND FL 34C4C US FEI Number: 0'1-0704900 Nam€ and Address of Current Regislered Agent: Certificate of Status Desired: No WORKA'AN CHRISTOPHFR I 238 BIMINIDR HUTCHINSON ISLAND FL 34S!9 US EleclDnic Srgnatue of Regisl.red Agsnl Officor/Director Dotail : TiIIE PRES Nare WORKMAN, CHRISTOPHER M ,ddr6s 238 BlMlNlDR Crty,Srat6zip: HUICHINSON ISLANO FL 3!9!9 City-Slare-Zipl SCHULZ. CHRISTOPHER 3500 31ST AVE SW NAPLES FL 3,1117 *n h"; ,. * "r"" , ".- .-d ^o,a@b^ 6, N - i -' u ttur6 a.p SIGNATURE:CHRISTOPHER M, WORKT/AN PRESIOENT O1IO4I2O21 Elecironc Sqnalure or Signinq Offcer/Orector Delai the above @aod enrdy subnits th6 statq@t rq ha puylse at changng its @glstoet or@ ot 6g1sloed 4l!n. q both in tl,e st t ol Fdrt.. SIGNATURE: CHRISTOPHER M, WORKMAN O1IO4I2O21 8.H.1 Packet Pg. 313 Attachment: AGENDA_VIIIH_CHRISTOPHER WORKMAN – WAIVER OF EXAMS (15060 : CHRISTOPHER WORKMAN – WAIVER OF EXAMS) 3. SCOPE OF C ONTRACTOR'S duties required of a PrirDary I,. il ; ( La - , , < , an application seeking to qualify the Compary to engage in th" b*l**oJ" CrntfiilSp*ialty Contractor, in which the Contractor shall be named as the Primary QuatifyrrlS Agent ard NIRMAL SHAH shall be Damed as the Firuncially Responsible Offrccr. The Contraclor and Financially Responsible OfEcei shall pmvide the Company with all infomBtion ne€ded lo complet€ the application The Company shall bear all direct and i[dircct costs associated with the preparation and processing of the application. WHEREAS, RAN SPRINKLER SYSTEMS, INC. D/B/A STJREFLOW IRRIGATION, either directly, or through one of its associated eflities, or through a subsidiary of RAN SPRINKLER SYSTEMS, INC., a Florida corporation, (hereinafter .eferred to as the "Company") desires to engage in commercial ard residential consfucrion activities in the State ofFloridat and WHEREAS, Contractor holds a Specialty Cotuactor's license iszued by Collier County, FIo da, Lic€nse No. Zt,t-,-r'oJ, expiring September 30,2018, ard is the curre Qualifying Agetrt for the Company; WHEREAS, the Company desire,s Contractor to act as the Prinrary Qualirying Agent of the Company in order to lawfully engage in the business of a Specialty Coffactor for a Sprinkler/Irrigation Service and Mahtemnce business as that teru is defined in the State of Florida ('qusli&ing the Company"); ard WHEREAS, the panies desire to formally menrorialize in writing the agr€ement existing between them with rcspect to the resp€ctive duties alrd obligations of the parties pertaining to Cofltractor quatifying the Compafly. NOW, THEREFORE, for and in consideration of the promises, covenants, and other munral agrcements hereinafter set forth, the parties bereto, i ending to be legally bound, agrce as iollows: RECITALS. The recitals contained in this application are tlue ard corect and are incorporated herein in lheir eotirety. 2. APPLICATION FOR CERTIFICATION.The Company shall submit to the I Contractor shall be rcquired to Qualifying Agent for a Certifiedperform the mfumum 1 QUAI,IF'NNG AGENT AGREEMENT _ " \1" THIS AGREEMENT is made this 4!ay of September, 2018. by and b€tweeD RAN SPRINKLER SYSTEMS, INC. D/B/A SUREFLOW IRRIGATION ("Company"), CHRIS WORKMAN ("Contactor"), ad NIRMAL SHAH ('Financially Re,sponsible Ofhcer"). WITNESSETH: 8.H.1 Packet Pg. 314 Attachment: AGENDA_VIIIH_CHRISTOPHER WORKMAN – WAIVER OF EXAMS (15060 : CHRISTOPHER WORKMAN – WAIVER OF EXAMS) hereunder constitute sulficient coosideration for the provisiol of his services under the terms of this Agreement. 7. INDEMNITY. 1.1 Scope of Indemdtv. ln consideratioo ofTen and No/100 Dollars ($10.00) paido the Compaly and to Financially RespoDsible Officrl hercunder by Contractor and for other good and valuable c{Nide.atiotr ard to the firllest extent permined by law, the Company and Fimlcially Responsible Officer, jointly ard severally shall indemnify, hold harnrless, and defed Contractor from and against all claims, causes ofaction, losses, experses, ard/or derDands brought against Contractor by third parties for or in ary way rclated !o work performed by the Compaly while Contractor served was qualirying the Company. The abovedescdbed indermity shall not include within its scope atry claims, dqmrges, causes of action, losses, expenses, and/or dematrds which are the result of the negligence or a breach of contract on the part of Contractor. This indemnity clause is intelded to compty with Florida laws on indemnity and, specifically, to comply with Florida Sratute 725.06 and is to be interpreted in such a way as to b€ enforceable. 7.2 Duty to Defend. Contractor shall give wrifien notice to the Company and Financially Responsible Officer of aly claim or demand indemnified against under the provisions of subparagraph 8. 1 of this Agreemert. The Company's obligations to indemnify, hold harmless, ad defeDd Contractor sball create an affrrmative obligation on the part of the Company to reimburse Coffractor for the fees ofhis own counsel, should Contractor deem, in his sole discretion, that such representation is necessary and/or de,sirable. 8. TERM OF AGREEMENT. The initial term of this A$eement shall be orc (l) year beginning October 1, 2018 ard ending on September 30,2019 9. CONTRACTOR'S RIGHT TO TERMINATE. Contractor shall have the right to terminate this Agreement upon breach by the Compary or of Financially Responsible Officer, only if such breach shall not be cul€d within fifteen (15) days of written notice to the Company advising with particularity of the breach and &e cure rcquested. 10.ARBITRATION. Any contoversy or claim in excess of$5,000.00 between the panies or between any party and any offic€r, director, employee, or agent of a parry, whatsoever, whether arising under or relating to this Agrcemetrt or not, which accrued before the date of this Agre€ment, or which accrues during any time that any duty or obligation under this Agreement remains undischarged, atd including aay claim invotving an atleged ton, shall be decided by binding arbiratiol pursuant to Section 682.01 et seq, ofdle Florida Statutes (Florida ArbitBtion Code) as amended tom time to time and not under the rules of the American Arbitration Association. Nothing herein shall be constued to prevent a party from filing in aay court of competetrt jurisdiction an action fo! temporary injunctive relief 3 '.'(r /r, -\J_.l:- 8.H.1 Packet Pg. 315 Attachment: AGENDA_VIIIH_CHRISTOPHER WORKMAN – WAIVER OF EXAMS (15060 : CHRISTOPHER WORKMAN – WAIVER OF EXAMS) lN WITNESS WHEREOF, the panies bave executed this Agreement on the day and year fir$ above-written. CONTRACTOR: CHRIS WORKMAN COMPAI.IY: RAN SPRINKLER SYSTEMS. INC. SHAH. President FINANCIALLY RESFONSIBLE PARTY: Individuallv By '7 A//z-- @ 8.H.1 Packet Pg. 316 Attachment: AGENDA_VIIIH_CHRISTOPHER WORKMAN – WAIVER OF EXAMS (15060 : CHRISTOPHER WORKMAN – WAIVER OF EXAMS) DOCUMENT# F,(EOOOO68B18 &JREROW nf,GArpt{, hE. AlEaPt*..l&!,B&aftf,rcEra raIS R XtG ataFCrcpaa rnts R taro 2. FrEi! Ed ol &raG 'ffffi1pu100 tD '. lh.rd]l&-.alta ta.llrataEaaacor tirbi fa.r FL UTEY,.F 2Bn FiE rE f,, fl.c lqPt"ES R Lto ftLE {oflr FEE B tr50.oAi-L'r,U F-r0 h to.irE crl.4rFrt.E n 'lat O?rrI. dL GI'[E AtD OFECIOfiS 0tllEY,t.a8Plc&or{@ unEs R Sate Ob sfrElrms 0tmtoflsattEf Ef,,,{auAElRLro OE nu Orr rnt Oh tr odlo IETTGS trL- cf -sr-, 2OO3 FOR PROFIT CORPOBATIO}' UT{IFORT BUSIXESS REP'OBT U FILED Feb 03,2003 8:00 an Secretary ofState 0243-2m3 901 65 m4 "'1 50.00 ffiIIUrixlNilflfltililmffiffiilil O c}€c{ t+FE |f l. x,rG crtA,lcEs I crfiG.Ld std. D-jrld tr l!.75 raot t su-r ^.rd-! (Po ad |{,rod k N.l r.t.c.br) r ft.&.drddny.{.,tltti.-rr!iirarArradd:!|ELn*.dd&.d,t-dIrl.odrhlr*oarbt.IDItn'l ,tdlldilr ol '{-i, {r1 sbsF'!frmd{-..tr iF^!.'!i'-na-n-dd ll t. Ekll!. CrrFlan FilErl Tnll Frr, C..6.rtin o Ss.(X, rhy B. Nt1 O kE O^dq trt!, Ordllq tr Dirc tr tuliu 0b tre O0B tr rad., OoEe OrdE rrv.6r 6ry ir rr,irr hrrpr-d,aLl,ltg @.d qa ,rrl,Er*rmo 5 s@. rt9o7(slrl Fldrtsdfr trturE.M6rr. i.,Er d EooErEr|I..Gl a todE,-dai nr, rllt r Jr!| rr'. i. Err r.qddlii.I fl.t u,ni at r tr iri m r6ns or *raaffi**"m bY dE o' rffi-s'- T:j :::: :I; ; gETIG 3fEr16 8.H.1 Packet Pg. 317 Attachment: AGENDA_VIIIH_CHRISTOPHER WORKMAN – WAIVER OF EXAMS (15060 : CHRISTOPHER WORKMAN – WAIVER OF EXAMS) Eequeslo/s Name) ICETSCZEFhone, ! ercx,ue ! wnrr I uerr (Business Enlrty Natrre) Sp€cial lrElructions to Filing Orficer Onice U!. Ohly 0 63rg fltIlm[ililr 100309050111 tr3,,lv1e--010:4--015 r.35.1!] lDoc',m.ntNamEn Cenlft.d Copies _ Cenilicaras ol Status _ C, GOLDEIJ uai I 6 tBtE 8.H.1 Packet Pg. 318 Attachment: AGENDA_VIIIH_CHRISTOPHER WORKMAN – WAIVER OF EXAMS (15060 : CHRISTOPHER WORKMAN – WAIVER OF EXAMS) TO: Atundm.r S..lion Divisron ofCcpo6r'oo5 COVf,R I-TfifR c I ,.,,1 . o.^NAME O}'CORPORATION y\c- DOCU}ICNT NUittB[R:P/:,)oa)oh93l Thc c',clo.xd Ar.icLt of Ar.'rr4, srxl f.c .'t submird fo. lilin& Plcasc rcrum tllcorEpori&ncc corE.ming rhis mrncr ro lhc followin8: Ol..c: <|oPhe-,'lfl lA orV Ot43.75 rilins Fcr & ClYrificd Cory (AddilioEl copy is v\A t1 Namc ofConhct Pcrronrta/'-r-\L a k\.1 J \ er^ ln( !,Q9.,o l?rt s$<u$ c!L 3ctlt Ciry/ Srrrc lnd Zip Codc s yrC vwtct,l. co r^ (ro Fo{ fiinhcr inlb.malaon coi.rmanS rhis nurr6. ril.ar. clll O[. r: (, (^)0.16 vr' ,.,r clf2-r t3q- lq to 19 lLj ir.' '+ .(i q:'IQ L Nsm. ofContlct P€rson ,\rca Codr & Drrrim T.l.phoo. Norbcr Enclos.d is r chclk for tk followinS unount rudc plFblc lo tlr Floridr Dtplnrrllir ofst l€ F Sls r''tins Icc ES4l.7s Filin8 Fcc & Ccnificrtc ofSrarus Os52 50 lilint Fcc Ccnlficrtc of St3rui Ccnifi.d Copt (AddirioMlCo?y Mrlllnp Addrcis Div,rion of CorpoErions P o. Bor 63:? 'tallahassc.. FL lll l.l Srrc.r ,\ddr.sr Divirion of Co.porrrions Clinoo auildint 2661 Excqniv. C.nr.r Circl. Tolhha$cc. FL 32101 tl35 -; r; 8.H.1 Packet Pg. 319 Attachment: AGENDA_VIIIH_CHRISTOPHER WORKMAN – WAIVER OF EXAMS (15060 : CHRISTOPHER WORKMAN – WAIVER OF EXAMS) Artl(Lr ol am.ndrr.nr lo AnlcLt ot I ncorPo.rrlo. or 5 .^..€lo.*., $..:'qJ,o'. f-.20ii ": tJ i; tr: Ll rli.-c or cormrrrlon rs c,rritnFl nra "trt ttc norue oror. or strtet Do)ooooGgT lS (Doclrn nt Nurnb.r ofcorporclioo (if knom) Pursualn ro rhc provi$ions of s4dion 60?.1006, Floridr Starurcs. this Frozc, Prr,ft Co.portdon t&Cs$c following snrmdmcn(s) to itr Anicl.! of lnco[po.rriotrr A. ll.rl!.ndlnr ntltr...nr.r dl. n * rrm. of tt. corcor.dolt: L r.,'l d 2 Se.^ T^ e n, ,.,. un ldst b. listingvishoble nr.l corkltu the @ft1 .oryotutioa. 'eoryn,l'" ot ia.aqDrute.l or tt. abbrdiotio,t''Cotl. "lac.," or Co..' or th. dctitetior "Cotp," hc.' u 'Co . A pmlctsioaol corpomtioa no6e d!4.oNoin ti. *ttd cha.tcrdd. "p@I.stioacl alto.idtiotL o. th. abht6iotion "l'.A." O[^".sdrc k' A1 (ljor1r",,'.^--'B. Enl.r n.e primlp.l omc. rddr6!. if.ooli(rbk: (Prin.btt oJfie. odd..rs MUST AE / SI'EET.IDITBESS)glsLr3k5t4) Nopl.s FL 3ct1;1 D. lfrm.odill, th..."isl.rcd r!.ni.ndlor rcpl.t.r.d oflic. tddr.sr in ljloridr. .oi.. lhc rrrr. oflh. n.w r.rkt.r.d tr.nr.nd./or lh..eu .egl(.r.d olfic. rddr.$: Nane ofN(r R.e'tt{d Ao.nt Nat Reo$u..d Oni.e lll,ess (Flonda trdt !dd,.r't l.s L3cilt) .*,,* ? clll) Q'? Cqh) G) NN' REh't.ld A!!nr'r Si!n.lur.. if .hrr.lrr ll.!ira...d Ar.pt: lncreb oct.t tthcot'pointn. L. tcgittael tBcnt. I on /o,nilk. N ith o l a.cept the obligoliL'"s of th? Ntitio^ Sisnon rc olNes R.sllteft.l Ascnt. [changing Prg. I ol.l C. Ent.r n.i m.iline .ddrEa. ifroolicrbl.: 1,v o i t i a p o d d r c : s [1!!!p!!!)!!..1Qf !!!l!p!) 8.H.1 Packet Pg. 320 Attachment: AGENDA_VIIIH_CHRISTOPHER WORKMAN – WAIVER OF EXAMS (15060 : CHRISTOPHER WORKMAN – WAIVER OF EXAMS) l f .ln rdh8 rb. Omc.rr .rdo. Dlr.do.i .rr!r rh. lltl. ..d r.lrl. of..ch omc.r/dlr..tor b.lry r.. r.d.!d tlll.,..m...trd rddrBt o, .rd Om<d rna/or Dir...or b.iot .dd.d: (.ana.h odditnnul sh.ets. if n.ccssory) Ptearc note the ,frcqldirKto. titk hy theldt l? et olth( olicc title: P = P,ciid.rt: v- vi.e Preiidcnt: T= Ttc.ttut.,: S= 9rrcton. D= Dirc.to.. TR= Ttuttae: C - Channon o. Chrt: CEO - Chi.f E ccuti'. Ot\cct: CtO = Chicf t;ind,ciul Olice,. U nn olicendip.b. ho/l. norc tha, ohe titlc. li the fi,tt leua of .och otr&. h.ld- Pftsid.nt. Trtun@r. Diftcto. rould h. PTD. Chona.s thould hc noud in th. Iollo*i^g da,,... Cur.entlv John D* is lBtd a< thc PST od i*e Joh.s it lll!?d os th? t/- f\c.e b o changL tlitc Jo,cs l.otes the corpo,otion. Sa v Snir}. L. ho.t..l th. r oad S. Th.se thouu b. aot.d o! John Do., ?T d! u Cho^ge. Mitut'a.!. vat Renow. aad Sqll) Snirt, Sl; L. on ddn- Er.DpL: lCh:nsc EI Jolm Doc I Rcn'ovc -x Add v 5.v Tnk lqrt. Jon.s SJllv Smilrr TwcofAcnon (Chccl On€) N!!!s Ad!E!s l) _ Chln8c 2) _ Chrngc I ) - Chu8. {) _ Ctuns. J./ - Chang€ frsc 2 ot4 8.H.1 Packet Pg. 321 Attachment: AGENDA_VIIIH_CHRISTOPHER WORKMAN – WAIVER OF EXAMS (15060 : CHRISTOPHER WORKMAN – WAIVER OF EXAMS) E.@: l^trach a.tditional she.ts. ifd.c.sd^l- (8c tpcdlic) t. lfrn am.ndmcnt pmvidcs for rn.rchinic. r.(lrt.lficrtion. orc.ncelhllon ofl.rr.d rhrr€!- p.ovklons for lnpl.mcrallle ah.trrodrknr lrl|or conlllrrd ln rb( rnrndmcrl ltr.lfr \ilnot dpplicoble. iidicute N/.41 P.g.I oIa 8.H.1 Packet Pg. 322 Attachment: AGENDA_VIIIH_CHRISTOPHER WORKMAN – WAIVER OF EXAMS (15060 : CHRISTOPHER WORKMAN – WAIVER OF EXAMS) sC{r 2 2o l8Th. drr. ol..ch .mndil.n(!) rltopdon dor( this dcumnr wrs sign d. Nol.: lf lhc &k inst"rt.d in $is blo.k dcs nor rnccr li. .rplic.blc shturory nling rcquircrrEnts, lhis dllc nill no( bc li3l.d rs rh. do(umd{ s cflcdivc dlrc on $c Dcp.nmc ofstdc s rtcords. Adoprlon or^'l.nda.nt(r) (C!!E959!D O Thc lnEnrlrrnr(s) *fl/wc.c idoprcd by $e sharcholdcrs. Thc numbc. of vor!* crsr lbr ihe .rncndrEot(r) by th. sh.ar.holdcrs wavw.rc sullicicnt for rppovll El Th.omcndtrrn(r) lrrls/"rrc !pFo!,.d by rhc sh...holdcrs throuSh loring Brotttr.. Th.lotlodngst.tanc,t nntst hc sepa,otel.t prcril.d l $ch \ntiat {dtp.ttitl.d kt \oe.r.parcclr o, th? orEndnois): ''Th. numbcr ofvo6 crst for rhc lrmndnEn(s) $ave.r( $,mci.nl fo. approvd lno do.e than 90 dots olct odcndncntlile ddta) by E Ttr ur*nanrn(s) "a.Vsrr. ldoFcd hy rhc ho{d ofdirc.tors $ithout ihlrchol&r a.ton .nd rhsrclnldar lllio *8 ror r.qui&:d. +Thc ancndnrtr(s) eav\.,rrc .doprcd by dlc iicoqro.stors wilho',r sh!rchold€a .clion .nd shsilhold€, lcrion sar nor rcquiltd. Drrcd .\4 Signarurc .)c l (lJy a dirccror. presidcm or orhcr oflic.r - if or omccn h!!c not bctn s.lecled, b) !n illcoeomlor - rf in lh. hmds of. r6ci!cr. lru!1c., or olh.r coon tppoinlc{ liduci.rv by rhar fidEiar-v) C,Lr.slor,1., ?1- Lt)o,l,, u-- (1 ypld or print.d nrn of p.rxon signin8) P.rs;J".d. (Tirl. of p.rso. signinB) PrRr .l ofa Efi.rrlr. dr.r !I-!rslE$Ei 8.H.1 Packet Pg. 323 Attachment: AGENDA_VIIIH_CHRISTOPHER WORKMAN – WAIVER OF EXAMS (15060 : CHRISTOPHER WORKMAN – WAIVER OF EXAMS) DEPARTI'IENT OF THE TREASURY INTERT{AL REVENUE SERVICE HOLTSVI LLE NY O(lSOI DATE 0F THIS NOTICE: 06-t3-2002 NUI{BER oF THIS NOTICE: cP 575 A EIIPL0YER IDENTIFICATI0N NUIIBER: 0l - 070(900F0Rtl: SS-4t\32155025 A SUREFLOW I RRIGATION INC 2516 PINE RIDGE RD (62 IIAPLES FL 3(I09 FOR ASSISTANCE CATL US AT: I -800-429-1040 OR IIRITE TO fHE ADDRESS SHOI{T{ AT THE TOP LEFT. IF YOU TRITE, ATTAC}I THE STUB OF THIS XO]ICE. I.]E ASSIGNED YOU AIi EI.IPI-OYER IDEIITIFICATION IIUMBER (EIN) Thank you Ior you. Fo.'n SS-4, ApplicEtion for Enploy.r Identification tluiber(EII). U..ssionod you EIN 0l-0706900. This EIN xill idontify your business account,tax roturns, and documants, €ven if you h!v. no .nploy.65. P1.a3G keep this notic. inyour Dermanent .eco.ds. Us. you. cohplets nalno end EI shoEn ebov. on alt fod...l tax forrs, Dayn.nts and..l.tsd .or.espond6nc.. If you us6 any vEriation in your nanc or EItl, it nay causa. d.lay in Drocessinc .nd incoFr.ct info.n tion in your account. It elso could caus.you to be assien.d no.. than one EIL. lased on th. info.Fation shor.n on you. Foni SS-4, you must filG thc folloxinsforns(s) by th6 dato rc shoi. Fodn Il20 o7 /31/2002 03/75/2003 01,/31,/2003 Your assiened t6x cl.ssific.tion i! b.s.d on infornation obtainld fron your ForiSS-q. It is not a leqal doternihation of you. tax cls3sificEtion ahd is not bindins on th6 IRS. If you rant a dete.rihation on you. tsx classification, you h5y sEek € Frivate lette. rulinc froh the IRS und6. th! Droceduras sot forth in Rev. Proc. 98-0t,1998-l I.R.B. 7 (o. th. supe.c.dins rcv.^u. p.ocedure for thc yeaF.t issu.). If you n.cd hclp in dct..iihins ,het your t5t yea. ii, you c.n get Publication538, Accounting Pariods lnd Hethods, at your loc.l IRS offic.. If you have qu6stion3 ebout tha foflns 3horn or th! d!t. th.y ar. due, you maycstl us at l-800 829-1040 or *nita to u! ot th. address shoHh ebove. If youtre.equir€d to deposit for .nployient taxes (Fo.hs 9(1, 941, 940' 9q5,CT-I, or 1042), €rcise t.x.s (Forh 720), or incon. taxas (FoFn rl20),,e xitl sehd aniniti.l supply of F.d!.!l T.x D€posit (FfD, coupon books r.ithin six teeks. You csn usoth! enclos.d corrpons if you necd to rik. ! d.posit befor. you..c.iv. your supDly. 8.H.1 Packet Pg. 324 Attachment: AGENDA_VIIIH_CHRISTOPHER WORKMAN – WAIVER OF EXAMS (15060 : CHRISTOPHER WORKMAN – WAIVER OF EXAMS) C,R3.,C,or,t*txy Conlractor Licensrno 2800 N Horseshoe Dr Naples, FL 34104 239-252-24cDGrrn /h i,4an4ernert Departrnent APPTICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY cl STATEMENT OF OWNERSHIP L.,t1 N*k, .^IhE cenrfies that l, m6mb€r of Lc.",A J (<^ T--c (LIMITED LIAEILITY COMPANY NAME) 0/6 of the units issued by lh€ Limited Liability Company lisled abov6. Affidavit of Applic€nt: I cortify undor penalty of psrjury that tho information containod i6 a true and corroct statomenl to the besl of my knowlodge, 'C C[.o. stupt". 7),1 iU". k.* "..-Applicant (pleaE! pnnt) L."^J 2 5*.T".c . state of kJrr, The foregoing corrrrg ot blltr acknowledged by mesns of F physical presence or O ooline notarization on thisIday of 20 3+ .by (]vlk,l Such person(s) Notary Public mu$ che.k applicable box: 6.re persooally known to me tr has produc€d a cumnt driver license tr has produced (Notrry Serl) as identification Rl toY Rtc&tRLs uY cotlussrotra t cc lr59a! ExmES: hr ti. 2o2t Notary Fiftn_Applicat on docx Rev 4/06/2020 Page 9 ol 15 am a member or managing 8.H.1 Packet Pg. 325 Attachment: AGENDA_VIIIH_CHRISTOPHER WORKMAN – WAIVER OF EXAMS (15060 : CHRISTOPHER WORKMAN – WAIVER OF EXAMS) teY C.o7 *aXY Grc ^Ih Managernent Departrneot Contraclor Licensing 2800 N Horseshoe 0r. Naples FL 34104 239-252-2400 APPLICATION FOR COI.LIER COUNTY CERTIFICATE OF COMPETENCY RESOTUTION 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 application. ln accordanc€ wilh Colller County Ordinance 2006-46, siD(\'<W<L^ otrcer{OMers/Part.eB proposes lo qualify for a Certificrte of Compolency with company to engage in contracling as L"'','.1 It is hereby agreed upon lhat we the undersig n"a 9",-< ilo--f' r!. tr* M of OfiedoYl..rrParineB comP$Y rssolve and represont to the Collior County Contractor's Licensing Board that tho proposed qualifying agent r.st N"t active in allmatters conn€cted with tho company named So.f^c \ /e further resolv€ and represent that a$, Company empowered to act on 0.,',"n o, Lt- '. [ 2 ApplicantName in all matteas connectod with its contractingtL- business and Comp.ny the authonty to supervise construction undertaken by a (\C 0"rr,! J J, 6!9,- Ofic.E/Oin.E/Prtucrs \^rin* Off@do\Nill!/Pain.c of th6 .bov.-m.nl,oned comparry n.!d to s'gn on Ui! l.t .od a witrB to t'! ligh!ture BigrE on thc dghl srat€ of Flrr** P are personally known to me E has prcduc€d a curreot ddver license The foregoinS instrument w.s acknowledged before me by merns ofF physical presenc€ or B online ootarization on this _l_a.y "r Ecko,r-2o L .by /.t .,4^ t^..r\,,*l/ Such person(s) Nolai Public musr check applicable box 6s identification MNDY RICT]ARDS MY drnrlssloN I GG I l5dat EXP8ES: OcLOd 17, 2q2! ocn d Irn iohy ttlhlc Lhd$l i tr has produced (Notrry S..l) Notary Firm,Applicalion docx Rev4/06/2020 Pag€ 8 of 15 in Collier County ADD|icanl Name Lo^d2 Sr.f,^,. cotnry or Q://:<,.. 8.H.1 Packet Pg. 326 Attachment: AGENDA_VIIIH_CHRISTOPHER WORKMAN – WAIVER OF EXAMS (15060 : CHRISTOPHER WORKMAN – WAIVER OF EXAMS) Datc: February 2, 2021 To: Collier County Licensing From: Kevin Colesworthy RE: Chris Workman Please accept this as support for Mr. Chris Workman as he works through the process to renew his license for Landscape Irrigation (and any other disciplines that go with it). TWC Distributors is a Wholesale Distributor of irrigation, Water Well and Landscape Lighting products and for a number of years, Chris' company was a customer of ours in Naples. He is both knowledgeable, professional and ran a successful business. I support anyone that wants to do things thc right way and it starts with holding a liccnse so please assist his cndeavor. Regards, Kevin Colesworthy, Regional Sales Managcr TWC Distributors 1550 Sarasota Center Blvd Sarasota. FL34240 o 941-l4l-0763 8.H.1 Packet Pg. 327 Attachment: AGENDA_VIIIH_CHRISTOPHER WORKMAN – WAIVER OF EXAMS (15060 : CHRISTOPHER WORKMAN – WAIVER OF EXAMS) C,Rft,Courat!Contraclor LE6nsrng 2mO N Horseshoe Dr Naples FL 34104 239t52-24o0Golli uanaqenrnt Deparfnenl PPIIC TIOI] FOR COLLIER COUNTY CERTIFICAII OI COAIPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF Ha,;t ^6lwCOUNTY OF more lian five (5)years Dunng th€ lasl trve (5)years lhave known havrng b€on fi.sl duly sworn slate and affirm Counly (Stal6)and have resded here for (apploant). lhave had lhg opportun(y nlegrny and clrs tlwlurrnA lo observe hrs or h6l busmess aad par3on€l dealngs rnd lind hrn or l€r lo goo<, cfiargcter eAar.sr,bl TeI E7l. lwvt0/LEb - I he torRo!n{ rnlrrumenr sa\ acknosledbo^\ YWgbW:uLl .o: ged Such perso.ls) \olary tubhc must ch.ck rpplicsblc boi Iare pdmsll\ knosn to mr tr hf,\ produc.d a cuftnr dnv.r lic.Be tr hss prcduc.d idcndfiation. b.lbr.6€ bv 6ans of ph!"sical prcrncc or D onlill. not ri?:rion on ftis Nolrry Signature I pA\ ilis,:u Nor.ry PlblE.srn. or ll@a. Coootr! ,661054rt ry Cma. trptr.r lu^ 7, 2012 Boded rhreth x.rd.l xolrry r{!.. (\ F m_Appt.3ton docx R6v /!62020 P.€e 1 3 ol I 5 Flo,i;da 8.H.1 Packet Pg. 328 Attachment: AGENDA_VIIIH_CHRISTOPHER WORKMAN – WAIVER OF EXAMS (15060 : CHRISTOPHER WORKMAN – WAIVER OF EXAMS) C,ovr,,trty G.Ei ,tr l,tanaggrEd D€pdffi Co.rtaactor LEonsing 2800 N HorBoshoe Dr NSl63 FL 34104 239-252-2400 APPTICATION FOT COTI.IER COUNTY CERTIFICATE OF COMPEIENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACIER STATE OF ftu,w COUNTY OF G\l l:,. having b€on fir8t duly swom, 8t6(9 and dfi.rn r am a r6tid€f{ of Cl;l l;cr Co,rnty,/1,,Aot (Slale) rnd heve rosirod h€re for DL.ing thg lssl fivc (5) ygar3 I hav€ klo\rn (Splilst) I h€ve h8d the opponFrty to obsaNa hb or h6a busnar3 and pallonal dagling! 9nd fiod him or har to b6 a pa6on of horEEty, int6gaity ard lpod characlef llitrrn" 4-Ayo L,Lsst Dt t) ) sui.. ot trlLt/:tA cornty of 00rl h- rcknowlcdg.d bcforc mc by m-[! of 6 dlyiql pr.r.ncr ff D oilina ndrizrtion on fiisThc fo.!8dng infiunlnt wrt -Lor a /.t--, .zo :1,L. bv Such p<flon(.) Ndlry hblic mud ch.* rpplic.blc B-rr. Frdl.tty lclolrn b mG E h8 prod&.d . qrcnt &ivar licarta tr h8 produc-cd .-.-.-.r ida ifcaridt (NorEy S..l) Ir.EGo(,oerwcorcrc rs2@ OCf€s:,lFl a.2gz Firm_Apptc.tion doo( R.v {6/2020 p.g. 13 of 15 I. mqe thrl fiva (5) y6a3 CLr lNoft**-t rwr,.,, 239-1t*61[n Noqry Signran! 8.H.1 Packet Pg. 329 Attachment: AGENDA_VIIIH_CHRISTOPHER WORKMAN – WAIVER OF EXAMS (15060 : CHRISTOPHER WORKMAN – WAIVER OF EXAMS) CDPR2307 - Qualif j.er Cer!if ica!ion IniormationCollier County Board of County Connissioners CD-Plus for i,iindors CERT NBR: CLASS CODE STATE NBR: STATE EXP DBA: ADDRESS: CITY: PHONE, 24564 QUAIIFIER NBR: 2341'l CIIRISTpPHER r'l WORKMAN 4220 IRRICATION SPRINKLEA CONTR. C!U}I[Y CIUP C}RD: L]AB E)(P I{C EJXP ORIG ISSD RENEWAL EI{PIRES r2lt7 / 2OO3 4/tO/2003 )/5/2003 9/30/2003 SUREFLOI IRRIGATION, INC WC EXEUPT: N OL ETEMPT: N 23T5 PINE RIDGE ROAD *452 EXEMPT EXP OATE: FL Printed on 3/5/2003 3:53:01pM 3 410 9-NAPLES (219) 353-5415 FA{ NOTE: IE i3 the qualj.tier'e responsibilily Eo keep all business, licensing and requirenenEEcurrent and tc plovide up to date copies for collier County files. This includes a.I insuracertificaLes and any change of addless j.nformation. Qualifier Gertiflcation lnformation 8.H.1 Packet Pg. 330 Attachment: AGENDA_VIIIH_CHRISTOPHER WORKMAN – WAIVER OF EXAMS (15060 : CHRISTOPHER WORKMAN – WAIVER OF EXAMS) CERTIFICATION INFORMATION C24564 Certmcation lnfomation Collier County Board of County Commissioners DBA; SUREFLOW IRRIGATION, INC ADDRESS: 4001 SANTA BARBARA BLVD. #177 NAPLES, FL 34104- PHONE: 2393042955 CELL: 2392895472 FAX: COLLIER COUNTY CERTIFICATE OF COMPETENCY QUALIFIER: CHRISTOPI"IER M. WORI0TAN TYPE IRRIGATION SPRINKLER CONTR, CLASS CODE: 4220 ISSUANCE NBR: 24564 ORIG ISSD October 24, 2011 LIcENSEE NBR: C24564 Date: Septembor 30, 2013 EXPIRATION September 30, 20'14 INSURANCE: General Liability February 01, 20'14 Worke/8 Comp Exemption Octobe.16, 2013 NOTE: lt ls thc Qualifirr'. rciponslbility to kaep.ll bullnost, llcentlng and raguiromant3 cuttstlt and to provlde up to d.ta coplos for Colllrr county fflec Thl! lncludes .ll lnsur.nc. ccrtillcatr! rnd any charga ot.ddror lntormdion, colIl.. Co(nty . Clty of lt.r.o . (ity ol lapl.r cont...to. l,1..nrina IifIGATIOi sPf, IMI'i CI"IR. Ce.t ltlbri Exp: statur:C21564 69/3O/7014 Actlv! sUTEFLO{ tiRIGAitOri,llic arlRrsloPruR n. roix,{ar{ itri,Z:,i"{"iil:Wi/A__ 8.H.1 Packet Pg. 331 Attachment: AGENDA_VIIIH_CHRISTOPHER WORKMAN – WAIVER OF EXAMS (15060 : CHRISTOPHER WORKMAN – WAIVER OF EXAMS) COLLIER COUNTY CERTIFICATE OF COMPETENCY CERTIFICATION INFORMATION C24564 Certirlcation lnlormation Collier County Board of County Commissioners Datei September 09, 2014 SUREFLOW IRRIGATION, INC 4OO1 SANTA BARBARA BLVD. #177 NAPLES, FL 34104. PHONET 2393042955 CELL: 2392895472 FAX LICENSEE NBR: C24564 CLASS CODE] 4220 INSURANCE DBA: ADDRESS: Intlclltoi SPtIf,LEI cot Tt.c..t r{br: frpr statusl42156. o9ttol2ols cttv. surrf [oltr tiBl6Arron, Ina CHII'IOPITER . ItliIIOi OUALIFIER TYPE: CHRISTOPHER M, WORKMAN IRRIGATION SPRINKLER CONTR. oRrG lssD: Odobet 24. 2011 EXPIF"qNON: Seplember 30, 2015General Liability Febru6ry 01, 2015 Workeds Comp Ersmpiion Oc'tober 16, 2015 NOTE: lt is the Qualifier'9 re3pgngiblllty to keep all busines!, llcensing and .equirements curront and to provide up to date cople3 for Colller county files. Thl! lncludes all lnsurance certlflcatos and any change of address lnformatlon. cotli.r acani, ' aii,, Ji x.r.o , Clty ol t p1.. tdtF..to. ti.a!i.a ISSUANCE NBR 24564 8.H.1 Packet Pg. 332 Attachment: AGENDA_VIIIH_CHRISTOPHER WORKMAN – WAIVER OF EXAMS (15060 : CHRISTOPHER WORKMAN – WAIVER OF EXAMS) Florida }il\ ORIvtn UCE 'E TJ .*w :?' !I 8.H.1 Packet Pg. 333 Attachment: AGENDA_VIIIH_CHRISTOPHER WORKMAN – WAIVER OF EXAMS (15060 : CHRISTOPHER WORKMAN – WAIVER OF EXAMS) Qor.ttttll Gro\ dr Man4enEnt Deparfn€r Contractor Licensing 2800 N Horseshoe Dr. Naples FL 34104 239-252-2Aco APPTICATION FOR COTTIER COUNTY CERTIFICATE OF COMPEIENCY oalo: APRIL 06, 2020 To: Applicants for Cortficate ol Competenry From: Timothy Crotts, Conkaclor Licensing Supervisor Pursuanl to Chapter l-19, Florida Slatutes and Collier County Contractor Licensing Ordanance 2006-46 Seclion 2 1 1., all applicants are required lo submit lheir social seclnty numb€r(SSN) for the following purposes: a) Ass€ss applicanl's ability to satisfy creditors by reviewing lheir credit history b) Verificetion of applicant s test scores and informalion Our office will only use your SSN noted above for those roasons pursu€ni to Chapter l-19, Florida Statutes, end as may otherwiso be authoaized by law. l4le ar6 fully commrttod to safe-guardrng and protecting your SSN and once collocted, will be mainta,ned as confidentialand exempt und€r Chapt€r l-19, Florida Statutes. Firm_Applic€lion.docx Rev 4/06/2020 Page 15 of 15 COTTECTION OF SOCIAt SECURITY NUMBERS 8.H.1 Packet Pg. 334 Attachment: AGENDA_VIIIH_CHRISTOPHER WORKMAN – WAIVER OF EXAMS (15060 : CHRISTOPHER WORKMAN – WAIVER OF EXAMS) 02/17/2021 COLLIER COUNTY Contractor Licensing Board Item Number: 11.A Item Summary: WEDNESDAY, MARCH 17, 2021 Meeting Date: 02/17/2021 Prepared by: Title: – Contractor Licensing Board Name: Michelle Ramkissoon 02/12/2021 8:28 AM Submitted by: Title: – Contractor Licensing Board Name: Tim Crotts 02/12/2021 8:28 AM Approved By: Review: Contractor Licensing Board Michelle Ramkissoon Review Item Completed 02/12/2021 8:28 AM Contractor Licensing Board Tim Crotts Review Item Completed 02/12/2021 9:10 AM Contractor Licensing Board Tim Crotts Meeting Pending 02/17/2021 9:00 AM 11.A Packet Pg. 335