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CLB Agenda 01/18/2023COLLIER COUNTY Board of County Commissioners Contractor Licensing Board I:�da"I .11 Board of County Commission Chambers Collier County Government Center 3299 Tamiami Trail East, 3rd Floor Naples, FL 34112 January 18, 2023 9:00 AM Todd Allen, Chair Stephen M. Jaron, Vice -Chair Matthew Nolton Robert P. Meister, III Patrick G. White Richard E. Joslin, Jr. Kyle E. Lantz Elle Hunt Terry Jerulle 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. 4A APPROVAL OF MINUTES - DECEMBER 21, 2022 5. PUBLIC COMMENTS 6. DISCUSSION 6.A. 6A. COLLIER COUNTY CODE OF ORDINANCE SEC. 2-833 - ATTENDANCE REQUIREMENTS 6.11. 6B EMERGENCY CERTIFICATES OF COMPETENCY 7. REPORTS 7.A. 7A. RENEWAL YEAR-END REPORTS FOR 2022 7.B. 7B. VIOLATION YEAR-END REPORTS FOR 2022 7.C. 7C. CITATION YEAR-END REPORTS FOR 2022 8. NEW BUSINESS 8.A. 8A. ORDERS OF THE BOARD (4 ITEMS) 8.B. 8B. DEAN W. CHRISTOPOULOS - REVIEW OF EXPERIENCE - BUILDING CONTR.-REGISTERED 8.C. 8C. JOHN R. RICHARDSON III - REVIEW OF EXPERIENCE AND CREDIT REVIEW- PAINTING CONTR. 8.D. 8D. IVAN E. MENDEZ - REVIEW OF CREDIT - TREE REMOVAL & TRIMMING CONTR. - I'SOURCE LANDSCAPING INC 8.E. 8E. SARAH P. BERRY - REVIEW OF EXPERIENCE AND CREDIT REVIEW - SWIMMING POOL CLEANING ONLY 8.F. 8F. PEYTON R. SILVER - REVIEW OF EXPERIENCE - SWIMMING POOL RESIDENTIAL. - REGISTERED 8.G. 8G. ANDREW P. MARTINEZ -SECOND ENTITY APPLICATION - LANDSCAPING RESTRICTED CONTR. 8.11. 8H. ANDREW P. MARTINEZ -SECOND ENTITY APPLICATION - IRRIGATION SPRINKLER CONTR. 9. OLD BUSINESS 9.A. 9A. JUAN MASSON -REVIEW OF PROBATION (CREDIT) - LANDSCAPING RESTRICTED CONTR. - US INTERMED CORP. 10. PUBLIC HEARINGS 10.A. 10A. 2022-14 DUANE O. THOMAS DBA DUANE THOMAS MARINE CONSTRUCTION LLC (CEMIS20220006771) 11. NEXT MEETING DATE 11.A. NEXT MEETING DATE - MONDAY, FEBRUARY 13, 2023 4.A 01/18/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 4.A Doc ID: 24376 Item Summary: 4A APPROVAL OF MINUTES - DECEMBER 21, 2022 Meeting Date: 01/18/2023 Prepared by: Title: — Contractor Licensing Name: Sandra Delgado 01/11/2023 3:47 PM Submitted by: Title: — Contractor Licensing Name: Tim Crotts 01/11/2023 3:47 PM Approved By: Review: Contractor Licensing Contractor Licensing Contractor Licensing Sandra Delgado Review item Tim Crotts Tim Crotts Review Item Meeting Pending Completed 01/11/2023 3:49 PM Completed 0 1 /11/2023 4:45 PM 01/18/2023 9:00 AM Packet Pg. 4 4.A.1 December 21, 2022 MINUTES OF THE COLLIER COUNTY CONTRACTORS' LICENSING BOARD MEETING December 21, 2022 Naples, Florida LET IT BE REMEMBERED that the Collier County Contractors' Licensing Board, having conducted business herein, met on this date at 9:00 a.m. in REGULAR SESSION in Administrative Building F, 3rd Floor, Collier County Government Center, Naples, Florida, with the following members present: Chairman: Kyle Lantz Vice Chairman: Terry Jerulle (excused) Matthew Nolton Richard E. Joslin Patrick G. White (excused) Todd Allen Robert Meister III Elle Hunt Stephen Jaron ALSO PRESENT: Kevin Noell, Esq., Contractors' Licensing Board Attorney Timothy Crotts, Contractor Licensing Supervisor Ron Tomasko, Assistant Collier County Attorney Timothy Broughton, Collier County Licensing Investigator 1 Packet Pg. 5 December 21, 2022 Any person who decides to appeal a decision of this Board will need a record of the proceedings and may need to ensure that a verbatim record of said proceedings is made, which record includes the testimony and evidence upon which any appeal is to be made. 1. ROLL CALL: Chairman Lantz opened the meeting at 9:00 a.m. Roll call was taken; six members were present in the BCC Chambers; a seventh joined later. Supervisor Crotts said Mr. White and Mr. Jerulle provided prior notice and asked that their absences be approved. Mr. Meister said he'd be here. 2. ADDITIONS OR DELETIONS: Supervisor Crotts asked that 9.A be removed and rescheduled to the January 18th meeting. 3. APPROVAL OF AGENDA: Mr. Joslin moved to approve the agenda. Ms. Hunt seconded the motion. The motion passed unanimously, 6-0. 4. APPROVAL OF MINUTES: A. September 21, 2022 Mr. Joslin moved to approve the September 21, 2022, meeting minutes. Second by Ms. Hunt. The motion passed unanimously, 6-0. B. October 19, 2022 Chairman Lantz noted that Mr. Jaron filed a Form 813 for the October 19th meeting and read the statement into the record: I, Stephen M. daron, hereby disclose that on October 19, 2022, a measure came or will come before my agency which inured to my special private gain or loss. The measure before my agency and the nature of my conflict, conflicting interests and the measure is as follows: I'm the owner of Renovate and Restore LLC and currently have open contracts with Carter Fence to provide temporary construction fencing on job sites. Mr. Nolton moved to approve the October 19, 2022, meeting minutes. Second by Mr. Joslin. The motion passed unanimously, 6-0. [Mr. Meister joined the meeting at 9: 04] 5. PUBLIC COMMENTS: None 6. DISCUSSION: A. Election of Chairman and Vice Chairman 2023 Term Supervisor Crotts said today they will be nominating and selecting a chairman and vice chair for 2 Packet Pg. 6 4.A.1 December 21, 2022 2023 who will start their terms at the January 2023 meeting. Chairman Lantz nominated Jerulle as Chairman. Mr. Joslin noted that he's not here to say no. Mr. Nolton said that on Jerulle's behalf, he has no interest, but would love to be vice chair again. Chairman Lantz asked if anyone was interested. Mr. Jaron nominated himself as vice chair. Second by Chairman Lantz. The motion passed unanimously, 7-0. Mr. Nolton nominated Mr. Allen as chairman. Second by Ms. Hunt. The motion passed unanimously, 7-0. B. Emergency Certificates of Competency Supervisor Crotts provided an update on Collier County's temporary Certificates of Competency: • They do not expire until the day after the January meeting. • We have not seen many temporary licenses come in this year. • We have issued five for carpentry, four for drywall, three for installation, five for roofing and one for tree trimming and removal. • That's not a lot compared to Hurricane Irma, when we had close to 268 licenses. • The County has not re-enacted the State of Emergency, but the City of Naples has, which allows us to continue with the licensing. • We will address this again at the January meeting, which is the 901h day. • The only thing that would change is if the City of Naples does not continue to renew its Declaration of the State of Emergency. Mr. Allen asked if there was an increase in complaints about unlicensed contractors. Supervisor Crotts said complaints are filed in groups for different areas. With emergencies like this, we do have an influx, but he's not sure it's an increase. It may be due to the frequency of notifications increasing. Even before the hurricane, we still averaged a lot of complaints against unlicensed contractors. Mr. Allen noted that he'd seen an increase. Chairman Lantz asked if the City of Naples continues its State of Emergency, have we had any discussions with them about what they'd want — the emergency license continued or discontinued? Supervisor Crotts said they haven't had any discussions. The City has been addressing the State of Emergency every seven days, so if they don't renew the State of Emergency between now and the January meeting, it would be null and void because the licenses will have been discontinued. C. Change Meeting Dates (February and March) Supervisor Crotts said we've been asked by the County Manager's Office if we could move our February and March meeting dates to February 13th, the Monday prior to our normal meeting, and March 13, the Monday before our usual meeting. This is because they want to be able to have a holdover day for the County Commissioners' meetings. They feel there may be meetings that exceed the time limit on their Tuesday meeting day and they would have to go into the following day to complete it. He checked the schedule and these are the only two days that would be in conflict. Packet Pg. 7 4.A.1 December 21, 2022 [No vote was required.] 7. REPORTS: None 8. NEW BUSINESS: A. Orders of the Board [16 items] Mr. Joslin made a motion to have the Chairman sign the Orders of the Board. Second by Mr. Nolton. The motion passed unanimously, 7-0. The Orders of the Board were approved. B. Gilbert Jules — Review of Credit — Plastering & Stucco Contractor — Collier County Plastering Company [Not heard.] C. Elvira Ortiz Sanchez — Feesco Builders Corp. — Residential Contractor — Review of Experience Chairman Lantz called Ms. Sanchez to the podium and she and a translator, Maria Rojas, a real estate agent, were sworn in. Supervisor Crotts reported that Ms. Sanchez came before the board last month, attempting to get a Building Contractor License, which requires 48 months of experience. We did not feel that Ms. Sanchez had the experience, based upon the information provided on her Verifications of Experience. There also were issues because those letters were determined to be false, written by the applicant and signed by contractors, with the company logos copy and pasted onto those letters. The letters were identical in wording. Ms. Sanchez was told to supply new documentation and to consider coming back with a firm application for Residential Contractor. Ms. Sanchez has done that. Staff has reviewed the new Verifications of Experience and we still do not feel that she has the experience for a Residential Contractor under the ordinance. Therefore, Ms. Sanchez has been asked to appear before the Board and was referred to the Board under Section 2.5.2, Referral of the Application to the Contractors' Licensing Board for a Decision. Ms. Sanchez is here to answer your questions. Chairman Lantz told Ms. Sanchez it's her job to explain that she has the experience, using as much detail as possible. During questioning, Ms. Sanchez, through her translator, provided detail on her experience: • She worked as a site supervisor, supervising jobs on work sites for Nian Custom Homes. • She worked directly with subcontractors to ensure jobs were done correctly. • She checked the work prior to inspections and communicated with the boss. • She worked for Nian Custom Homes from 2016-2020, when she got pregnant and took two months off. • She handled new construction, as well as renovations after Nian bought properties to remodel and put back on the market. • She was involved with 40 homes built on Linda Drive, which has a housing association. S Packet Pg. 8 4.A.1 December 21, 2022 • All the homes are the same. • Nian purchased the lots from Collier County to build new homes. • She also was involved with homes on Karen, Harbor, and Orchid Drive, and Harvest Court. • She was involved in a large single-family, two-story project on Orchid Drive. • Blue Diamond Home Builders purchased the lots to finish the project after deadlines weren't met. • Blue Diamond hired her as a site supervisor to perform the same job. Mr. Nolton asked Supervisor Crotts if he'd verified her experience and noted that the letters of reference were good and indicated she had the experience. Supervisor Crotts said he reached out to Nian's president, Antonio Brown, who said Ms. Sanchez never handled commercial work, just some residential. Her hands-on work was rough and fine carpentry only. Under questioning by the board, Ms. Sanchez provided more details about her experience: • She's never worked with houses on pilings or monolithic. • She's worked with houses built on concrete slabs on -grade. • She asked Nian and Blue Diamond to send new letters of recommendation after the first letters were questioned by the County. • Before pouring a slab, they start with fill, a compaction test, add rebar and underground plumbing. • There is 4 feet of spacing between rebar. • All the homes were concrete block on slabs that were on grade. Ms. Rojas testified that she (Ms. Rojas) works for the investor, the owner of the homes. After Nian Custom Homes lost the County contract after failing to meet deadlines, she recommended Blue Diamond and Ms. Sanchez because she was very familiar with the project, the area and worked in the field. She worked with the owners and Ms. Sanchez to get the jobs done, but they are being fined by the county due to FPL not providing electricity due to working on Hurricane Ian damage and they are fighting those fines. Mr. Joslin said that was a good character reference. Chairman Lantz noted that she's done a lot of scheduling and coordinating onsite but doesn't know much about construction. She's good at scheduling and solving problems, but he wouldn't hire her to build a home. Mr. Joslin agreed. Ms. Hunt noted her knowledge is limited to that type of homes and foundations. Not everything is on a slab and many waterfront homes here are on pilings. We didn't hear about foundation styles. There are many complexities. She has great experience with Bayshore, but that's only one type of construction style. Translator/Ms. Rojas asked what type she was looking for. Ms. Hunt said if she brought her to a lot on Marco Island on water, what would she do? What would she ask my client and how would she assess the lot to determine what to build there. Translator/Ms. Rojas said she'd have to see where it was located and know how high it should be due to flooding and the foundation. Not many people like stilt houses, even on the beach. Packet Pg. 9 4.A.1 December 21, 2022 Mr. Joslin noted that if the code requires pilings, she has no choice. It doesn't matter what people don't like. Ms. Hunt said pilings doesn't mean a stilt house. That doesn't make sense and is incorrect. Translator/Ms. Rojas said she would hire an engineer and architect for all projects, she'd ask them that question and work with them to determine the type of house and foundation that could be built. Nothing would be done without an architect's or engineer's advice. Mr. Joslin asked if the license could be restricted to single-family homes on grade. Supervisor Crotts said the Residential Contractor License is for single-family homes, but there are many aspects, different styles and methods of building single-family homes and that's one of the issues staff had and that's why Ms. Sanchez is here. After speaking with owners of the companies, the license holders, staff felt her experience was limited to some rough carpentry and some fine trim. Mr. Joslin made a motion to deny Elvira Ortiz Sanchez's/Feesco Builders Corp.'s application as a Licensed Residential Contractor. Second by Mr. Jaron. The motion passed 6-1, with Mr. Nolton voting for approval. Chairman Lantz told her they'd like her to get more hands-on experience, as opposed to scheduling and troubleshooting so she understands the bigger picture. Supervisor Crotts said staff would offer their services to Ms. Sanchez if she'd like to come in and speak with him. He can guide her on what the board and staff are looking for in terms of experience, so she may be able to come back at a later date and attempt to get this license. Ms. Hunt noted that Ms. Sanchez has a great deal of skill in project management and probably could offer her services to many contracting companies. It's a skill that's lacking here. It's hard to find qualified people who do what she does, looking at what code says and planning inspections. A project manager could be a different path she could take without being a general contractor. Translator/Ms. Rojas said Ms. Sanchez thanked them but wants to get the license. D. Michel Figueredo Romero — Gold Coast Electric of SWFL LLC — Electrical Contractor — Review of Experience Chairman Lantz called Mr. Romero to the podium and he was sworn in. Mr. Romero explained that his English was not that good, but he'd try his best. Supervisor Crotts said Mr. Romero submitted an application for the issuance of an Electrical Contractor License, which requires 24 months of experience as a journeyman or the equivalent. He was issued an Electrical Journeyman License on April 14, 2021. As part of the review process, Mr. Romero has held the Electrical Journeyman license for 20 months, four months shy of what the ordinance requires. Based upon the information received from Mr. Romero, it is staffs opinion that Mr. Romero does not meet the experience required under Ordinance 2006-46, Section 1.6.2.12, as it relates to the Cel Packet Pg. 10 4.A.1 December 21, 2022 trade of electrical contractor. Mr. Romero is being referred to the Board under Section 2.5.2, Referral of the Application to the Contractors' Licensing Board for a Decision. Mr. Romero is here today to answer your questions regarding his experience. Chairman Lantz noted that he'd been a journeyman for 20 months, not 24. Mr. Romero testified that he has nine years of experience and worked two years in Miami before coming to Collier County. He worked for another electric company before working for Casagrande Electric. During questioning, Mr. Romero testified that: • He was in school for four years as an apprentice at the Tri-County Apprentice Program then took his journeyman test while working and doing his master's electrician certificate. • He worked on about five houses in Port Royal, then moved to another company, Casagrande Electric Inc. • He's a supervisor of a team that works on new construction. • They also are building a new restaurant and building on Marco Island. • He's worked on new builds, residential and commercial and electric for Carter Construction Group LLC and also worked for Cotter Construction Company. • Those companies hired Casagrande Electric as a subcontractor and he's been a project foreman for more than 3'/2 years. • He also worked for Wilson Electric for two years. • His commercial work consists of restaurants, all three phases. Mr. Allen asked Supervisor Crotts for his recommendation. Supervisor Crotts said the information staff received indicates that Mr. Romeo does good work. The question is whether he should be required to continue to work as a journeyman for four more months to reach the required 24-month mark, when he will be issued the license. Mr. Allen asked if we could issue it today and put him on probation for four months. Supervisor Crotts said they could. Mr. Allen made a motion to approve a four -month probationary license for Michel Figueredo Romero and it would convert to a full license in four months. Second by Mr. Joslin. The motion passed unanimously, 7-0. Chairman Lantz explained that he'd be on probation for four months before probation is lifted. Supervisor Crotts said he could come to his office tomorrow, which would give staff time to process the paperwork. 9. OLD BUSINESS: A. Gabriela R. Rea — Florida Gulf Coast Roofing Inc. — Review of Credit and Reinstatement of Roofing Contractor License and New Application for Plastering & Stucco Contracting [Rescheduled to the January meeting.] B. Simon Aguirre — Red Level Construction LLC — Residential Contractor — Review of 7 Packet Pg. 11 4.A.1 December 21, 2022 Experience and Credit Review Supervisor Crotts said Mr. Aguirre hasn't shown up. He came before the Contractors' Licensing Board on August 17, 2022, regarding an application for the issuance of a Collier County Registered Residential Contractor's License. Based upon the information received at that meeting, the item was tabled until today so Mr. Aguirre could provide proof of experience and show an improved credit score. A copy of those minutes are included in your agenda packet. As of today, we have received no further information from Mr. Aguirre regarding his experience or credit. A phone call was received from Mr. Aguirre, but we've received no information. The recommendation would be that this matter be tabled indefinitely until Mr. Aguirre can provide staff with the required documentation. If it's not received, it will be marked as incomplete. Mr. Joslin moved to table the review of credit and experience as a Residential Contractor for Simon Aguirre — Red Level Construction LLC indefinitely, until he can provide staff with the required information. Second by Mr. Nolton. The motion passed unanimously, 7-0. C. Luis G. Patino — The Oasis Group of SWFL Inc. dba Oasis Renovations & Pools — Swimming Pool Maintenance & Repair — Review of Probation (credit) Supervisor Crotts reported that Mr. Patino has not shown up. He appeared before the Contractors' Licensing Board on April 20, 2022, regarding the suspension of his Swimming Pool License Class C Contractor's License due to his non-compliance with the Contractors' Licensing Board order dated June 16, 2021, for failing to timely appear before the Board to provide proof of payoff, a satisfactory close-out, or payment plans for outstanding debts. He also hasn 't provided information for the Board to review his credit. Staff has not received any records about any of the information required by the Board. Mr. Patino was notified of the Board requirements by e-mail on October 21, 2022, and December 2, 2022. It's our recommendation that Mr. Patino's license be placed in suspended status until a record of proof and a credit report are received from Mr. Patino. Once the record of proof is received, Mr. Patino shall be required to appear before the Contractors' Licensing Board after the next scheduled meeting to answer questions regarding his credit issues. Mr. Allen moved to accept staffs recommendation to place the Swimming Pool Maintenance & Repair License for Luis G. Patino/Oasis Renovations & Pools on suspended status until a record of proof, a credit report is received from Mr. Patino and he appears before the Board. Second by Mr. Joslin. The motion passed unanimously, 7-0. D. Duniel M. Busto — Pool MD Inc. — Swimming Pool/Spa Servicing Contractor — Review of Probation (credit) Chairman Lantz called Mr. Busto to the podium and he was sworn in. Supervisor Crotts reported that Mr. Busto appeared before the Contractors' Licensing Board on April 20, 2022, for consideration on an application submitted for the reinstatement and issuance of a specialty license of Swimming Pool/Spa Servicing Contractor. During the application -review Packet Pg. 12 4.A.1 December 21, 2022 process, Mr. Russo 's credit was listed as "not scored, " which is considered insufficient credit per Ordinance 2006-46. A minimum credit score of 660 is required. On April 20, 202Z Mr. Busto was ordered to provide an updated credit report to the Licensing Supervisor within six months to determine if there were any changes to his credit. A copy of the Finding of Facts is included in your packet. At 8 p. m. last night, a credit report was provided by Mr. Busto through Contractor Licensing, but he hasn't had a chance to review it. Mr. Busto was notified of the Board requirements by e-mail on October 21, 202Z and December 2, 2022. He is here today to answer questions regarding his credit. The credit score is now 736, but he hasn't had a chance to fully review the credit report. A discussion ensued and the following points were made: • All the Collier County Growth Management Division back fees were paid. • They can vote to approve the license, pending a review, and he won't have to return to the CLB if his license is approved by staff. • Mr. Busto said he had no credit before, but his mortgage company has since started reporting his automatic payments. Chairman Lantz said he hoped he would apologize for the delay in sending the credit report. Mr. Busto said he was sorry, but it took a long time, until last night, to get it. Mr. Nolton made a motion to move the matter of Duniel M. Busto — Pool MD Inc. to the January meeting to give Supervisor Crotts time to review the new credit report and if the credit report meets the County requirements, then Mr. Busto won't have to come back before the Board and probation for the Swimming Pool/Spa Servicing Contractor License will be lifted. Second by Mr. Joslin. The motion passed unanimously, 7-0. Chairman Lantz told him he's still on probation until he receives notice of an approval. Supervisor Crotts said he'd try to review the credit report by the end of the week. E. Reynaldo M. Blandon — Heavenly Kitchen & Bath LLC — Cabinet Install Contractor — Review of Probation (credit) Chairman Lantz called Mr. Blandon to the podium and he was sworn in. Supervisor Crotts reported that Mr. Blandon appeared before the Contractors' Licensing Board on October 20, 2021, for consideration of an application submitted for the reinstatement of a specialty license of Cabinet Contractor, which requires a minimum 660 credit score. During the application review, Mr. Blandon's credit was listed as serious/delinquent, with a credit score of 610. There were two areas of concern: • A collection by AT&T for $1,308. • A collection by Synchrony Bank for $2, 603. Per the Board's order on October 20, 2021, Mr. Blandon was placed on 12 months of probation. At the end of the probationary period, Mr. Blandon was required to appear before the Contractors' Licensing Board to provide proof that the debts were paid off or payments were being made. A copy C9 Packet Pg. 13 4.A.1 December 21, 2022 of the Finding of Facts is included in the agenda packet. Documents provided by Mr. Blandon show that he has entered a payment plan with Synchrony Bank and is scheduled to make a $425.52 payment every month, ending on April 20, 2023. Mr. Blandon has been contesting the AT&T charge. A credit report submitted by Mr. Blandon and dated September 5, 202Z shows a credit score of 632 and that collections by Synchrony Bank and AT&T are still pending. Mr. Blandon is here today to answer your questions regarding his credit issues. A discussion ensued and the following points were made: • His credit score improved from 610 to 632; he has a payment plan with Synchrony Bank. • He has a license and they could continue his license on probation. • Supervisor Crotts recommended continuing probation until June 15, 2023, until Mr. Blandon can provide documents to prove he's current with Synchrony Bank payments, that his score is above 632 and that he's still contesting the AT&T collections. • He's made only one payment to Synchrony Bank and he's contesting the AT&T charge. • The $2,553.17 amount is a bank settlement with a payment schedule. • The payments automatically come out of his bank account; another is scheduled for December 25. • The AT&T charge is not his; he's been with Verizon Wireless for a long time. Mr. Allen made a motion to adopt the County's recommendation to extend probation for Reynaldo M. Blandon — Heavenly Kitchen & Bath LLC until June 15, 2023, and at 90 days he shall provide documentation to prove he's current with Synchrony Bank payments and that his credit score is above 632. Second by Mr. Joslin. The motion passed unanimously, 7-0. Blandon asked when he should come to the Contractor Licensing Office. Supervisor Crotts said the office would contact him to specify what's required. [The board took a recess from 10:03 to 10:18 and then moved to 9.B.] 10. PUBLIC HEARINGS: A. 2022-12 — Roberto Gonzalez dba Master Gutters Inc. (CEMIS20220006073) Mr. Allen made a motion to open the public hearing for 2022-12. Second by Ms. Hunt. The motion passed unanimously, 7-0. The public hearing was opened. Chairman Lantz called Mr. Gonzalez to the podium and he and his son (his translator) and Investigator Broughton were sworn in. Investigator Boughton said a copy of the case packet and complaint was presented, signed and dated by the respondent. He asked to submit the Preamble and Case Packet for 2022-12 into evidence. Mr. Joslin made a motion to accept the Preamble and Case Packet for 2022-12 into evidence. Second by Mr. Nolton. The motion passed unanimously, 7-0. IN Packet Pg. 14 4.A.1 December 21, 2022 Investigator Broughton gave an opening statement: The respondent, Mr. Roberto Gonzalez, a Collier County licensed aluminum contractor with Issuance No. 27736, is the qualifier for and owner of Master Gutters Inc. Mr. Gonzalez contracted for and received payment from the property owner for stucco repair at 8970 Malibu St., Unit 1001, Naples, Florida. The stucco repair also commenced without a permit for which one was required. Mr. Gonzalez is in violation of Collier County Code of Laws and Ordinances Section 22-201-2, which states, in pertinent part, that is misconduct for the holder of a Collier County Certificate of Competency to contract to do work outside the scope of their competency, as listed on their Competency Card and as defined in this ordinance, or as restricted by the Contractors' Licensing Board. Mr. Gonzalez also is in violation of Collier County Code of Laws and Ordinances Section 22- 201-18, which states, in pertinent part, that is misconduct for the holder of a Collier County Certificate of Competency to proceed on any job without obtaining applicable permits or inspections from the City Building and Zoning Division or the County Building Review and Permitting Department. Mr. Gonzalez said he had no opening statement. Chairman Lantz asked Investigator Broughton to present his case. Investigator Broughton testified that on June 27, 2022, the Collier County Licensing Department received a phone complaint from contractor Jim Zanke about unpermitted work at 8970 Malibu St., Unit 1001, Naples, FL. Upon investigation, it was confirmed that Master Gutters Inc. contracted to do stucco work at 8970 Malibu St., Unit 1001, Naples. It also was confirmed that Master Gutters Inc had a standing contract dated February 2, 2021, with Ole at Lely Resort for construction repairs. The construction contract states that Master Gutters Inc. would be paid $SS per hour, plus IO% for materials and other job -related expenses. It also was confirmed with the owner of Master Gutters Inc., Mr. Robert Gonzalez, that his company was doing the stucco repair work at 8970 Malibu St., Unit 1001, Naples, and that his company would be paid approximately $5, 000 for the stucco repair work upon completion. It was revealed that stucco repairs on other units within Ole (Condominiums) at Lely Resort were contracted for and payment received by Master Gutters Inc. On June 28, 2022, while on site, I observed fresh stucco work on the second floor building of 8970 Malibu St., Unit 1001. A review of the Collier County City View database revealed no building permit was issued for the scope of work. On June 28, 2022, Collier County Building Official Mr. Robert Moore reviewed a photo of the stucco installation and determined a permit was required. On June 28, 2022, a Stop -Work Order was posted at the subject address. Chairman Lantz asked Mr. Gonzalez if he had any defense. Mr. Gonzalez said he had no excuse. Chairman Lantz asked if he was admitting guilt. Mr. Gonzalez said he was. 11 Packet Pg. 15 4.A.1 December 21, 2022 Mr. Allen made a motion accept Roberto Gonzalez's admission of guilt on Count I and Count 2, working outside the scope of his Certificate of Competency and working without a permit. Second by Mr. Nolton. The motion passed unanimously, 7-0. Mr. Gonzalez was found guilty on both counts. Supervisor Crotts said no restitution was required. Mr. Joslin made a motion to close the public hearing. Second by Mr. Allen. The motion passed unanimously, 7-0. Attorney Noell said the range of disciplinary sanctions that can be imposed is on page 416. Supervisor Crotts said county staff have a recommendation. He and Investigator Broughton met with Mr. Gonzalez on Monday and he realized what he did was wrong. He's never appeared before the Board before and assured us this will not occur again. We recommend assessing a $1,000 fine on Count 1, payable within 60 days. Failure to pay will result in automatic revocation of his license. We also recommend 12 months of probation, which will be lifted if probation continues without incident. The same is recommended for Count 2. Chairman Lantz asked if this license would go away in July. Supervisor Crotts said this would be part of a Specialty Construction License, which won't go away because it's listed with the state. Chairman Lantz asked if probation would be concurrent. Supervisor Crotts said it would. Chairman Lantz noted that there were other addresses involved and asked if there were other counts Supervisor Crotts said it was a single address. Mr. Joslin made a motion to accept the staffs recommendation and to fine Roberto Gonzalez,Master Gutters Inc. $1,000 on two counts ($2,000), which is payable within 60 days, and impose 12 months of probation on each count, to be served concurrently. Failure to pay the fines will result in revocation of his license. Second by Mr. Allen. The motion passed unanimously, 7-0. Chairman Lantz said the Board can now move on to findings of fact. Upon consideration of all testimony received under oath, evidence received and arguments presented by the parties during the public hearing, the Board issues the following findings and conclusions: • Service of the Administrative Complaint and notice was legal, sufficiently provided and in compliance with the applicable law. • The Respondent is the holder of the license as set forth in the Administrative Complaint. • The Respondent was present at the hearing and was not represented by counsel. • The Board has jurisdiction over the Respondent and subject matter raised in the Administrative Complaint. • The Respondent committed the violations set forth in Counts 1 and 2 of the Administrative Complaint. 12 Packet Pg. 16 4.A.1 December 21, 2022 Therefore, by a vote of 7-0, the Respondent is found guilty of both violations set forth in Count 1 and Count 2 of Administrative Complaint 2022-12 and the Board imposes the following sanctions against the Respondent: • Count 1. A fine of $1,000 to be paid within 60 days and 12 months of probation. • Count 2. An additional $1,000 fine to be paid within 60 days and 12 months of probation, to run concurrently. • If the fines are not paid within 60 days, the license will be suspended. This concludes the order of the Board in this matter. 11. NEXT MEETING DATE: WEDNESDAY, January 18, 2023 Commissioners' Chambers, Third Floor, Administrative Building F, Collier County Government Center, 3299 E. Tamiami Trail, Naples, FL Mr. Nolton made a motion to adjourn. Second by Ms. Hunt. The motion passed unanimously, 7-0. There being no further business for the good of the County, the meeting was adjourned at 10:35 a.m. Collier County Contractors' Licensing Board Kyle Lantz, Board Chairman These minutes were approved by the Chairman or Vice -Chairman of the Contractors' Licensing Board on , (check one) as submitted or as amended 13 Packet Pg. 17 6.A 01 / 18/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 6.A Doc ID: 24355 Item Summary: 6A. COLLIER COUNTY CODE OF ORDINANCE SEC. 2-833 — ATTENDANCE REQUIREMENTS Meeting Date: 01/18/2023 Prepared by: Title: — Contractor Licensing Name: Sandra Delgado 01/11/2023 3:07 PM Submitted by: Title: — Contractor Licensing Name: Tim Crotts 01/11/2023 3:07 PM Approved By: Review: Contractor Licensing Contractor Licensing Contractor Licensing Sandra Delgado Review item Tim Crotts Review Item Tim Crotts Meeting Pending Completed 01/11/2023 3:50 PM Completed 01/11/2023 4:46 PM 01/18/2023 9:00 AM Packet Pg. 18 6.A.1 COLLIER COUNTY CODE OF ORDINANCE Sec. 2-833. - Attendance requirement. It is the intent and strong desire of the commission that there be full attendance of advisory board members at all meetings of the boards, recognizing, however, that it may be necessary for board members to be absent from a meeting due to unusual or emergency circumstances. Nevertheless, full attendance at board meetings is encouraged and necessary for the proper operation of the boards and in furtherance thereof the following requirements are established: Any board member who is absent for more than one-half of the board's meetings in a given fiscal year shall be deemed to have tendered his or her resignation from such board. The commission shall, as soon as practicable after such resignation, declare the position to be vacant and shall promptly fill same pursuant to the provisions of section 2-51 herein. The board members shall not serve at any meetings after his or her position is declared vacant by the commission. (2) In the event that any board member is absent from two consecutive meetings without a satisfactory excuse acceptable to the board chairperson, the board chairperson shall state such fact at the next regularly scheduled board meeting and shall thereafter notify, in writing, the executive manager to the commission of the board member's failure to attend without a satisfactory excuse. The commission shall review the board chairperson's notification at the commission meeting and shall declare the board member's position to be vacant if the commission concurs that the board member was absent from two consecutive board meetings without a satisfactory excuse, and shall promptly fill same pursuant to the provisions of section 2-51 herein. The board member shall not serve at any meetings after his or her position is declared vacant. (3) A member of a board shall be deemed absent from a meeting when he or she is not present during at least 75 percent of the meeting. Packet Pg. 19 6.B 01/18/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 6.13 Doc ID: 24375 Item Summary: 6B EMERGENCY CERTIFICATES OF COMPETENCY Meeting Date: 01/18/2023 Prepared by: Title: — Contractor Licensing Name: Sandra Delgado 01/11/2023 3:42 PM Submitted by: Title: — Contractor Licensing Name: Tim Crotts 01/11/2023 3:42 PM Approved By: Review: Contractor Licensing Contractor Licensing Contractor Licensing Sandra Delgado Review item Tim Crotts Tim Crotts Review Item Meeting Pending Completed 01/11/2023 3:55 PM Completed 0 1 /11/2023 4:46 PM 01/18/2023 9:00 AM Packet Pg. 20 6.B.1 September 27, 2022 MINUTES OF THE COLLIER COUNTY CONTRACTORS' LICENSING BOARD SPECIAL MEETING September 27, 2022 Naples, Florida LET IT BE REMEMBERED that the Collier County Contractors' Licensing Board, having conducted business herein, met on this date at 2 p.m. in SPECIAL SESSION in at the Collier County Growth Management Department Building, Conference Room #609/610, 2800 Horseshoe Drive North, Naples, Florida, with the following members present: Chairman: Kyle Lantz Vice Chairman: Terry Jerulle Matthew Nolton (excused) Richard E. Joslin Patrick G. White (excused) Todd Allen (excused) Robert Meister III Elle Hunt (excused) Stephen Jaron ALSO PRESENT: Kevin Noell, Esq., Contractor Licensing Board Attorney Timothy Crotts, Contractor Licensing Supervisor Colleen Kerins, Assistant Collier County Attorney Packet Pg. 21 6.B.1 September 27, 2022 Chairman Lantz opened the meeting at 2 p.m. Roll call was taken; five members were present in Growth Management Department Conference Room 609/610. A quorum was present. Supervisor Crotts said Board Members Nolton, White, Allen and Hunt are not present and asked that their absences be excused. Chairman Lantz approved the absence. 2. ADDITIONS O: DELETIONS* We] KTOMMIXIV Board Member Joslin moved to approve the agenda. mice Chairman Jerulle seconded the motion. The motion passed unanimously, 5-0. 4. APPROVAL OF MINUTES: (None) 6. DISCUSSION: (None) 7. REPORTS: (None) 8. NEW BUSINESS: A. Emergency Certificates of Competency Supervisor Crotts reported that on September 25, 2022, the Collier County Board of County Commissioners declared a local state of emergency due to Hurricane Ian and its possible effects to Collier County under Collier County Ordinance 2006-46, Section 2.11, Emergency Restricted Certificates of Competency. Under Section 2.11.1, "Declare an emergency contracting trade shortage of designated categories of contractors and or subcontractors listed in this ordinance. This declaration shall be for a period not to exceed six months." Also under Subsection 2.11.2, "Authorize the Contractor Licensing Supervisor to prepare and regulate the selection of contractors or subcontractors from other jurisdictions whose licensing requirements are substantially comparable to those licensed in Collier County, and to issue temporary licenses to those contractors for a period not to exceed the declaration of the emergency. The contractors selected must be licensed in jurisdictions whose testing and licensing requirements have been predetermined by the Contractors' Licensing Board to be substantially comparable to the 2 Packet Pg. 22 6.B.1 September 27, 2022 contractor licensing requirements of Collier County. The County Commissioners have declared a Local State of Emergency, and we don't know if we're going to need the special trades, but we wanted to make sure that we had the authority to issue those licenses. With Hurricane Irma, we started out with tree trimming and removal and then we went to roofing and then there were other temporary licenses. If we can start with the recommendation today and move forward, then we can address and see where we are at the October 19th meeting and see if we need to expand or stay where we are. The recommendation will also include a time frame that starts at 60 days and will not exceed six months, or the length of the declaration by the Board of County Commissioners. If the Board of County Commissioners decides to revoke the Declaration of the State of Emergency, all those temporary licenses would end at that time. If it goes past 60 days, the Board has the authority to approve that, but it cannot go past six months. Chairman Lantz asked whether they could issue licenses over 60 days or six months. Supervisor Crofts said 60 days would be the timeframe. At the October 19th meeting, we can see if we need more. If not, the temporary licenses will be done after 60 days. If we do need more, and as long as the local Declaration of Emergency is in effect by the Board of County Commissioners, we can extend that time. By ordinance, it cannot go past six months. Vice Chairman Jerulle asked if they'd be voting on 60 days today. Supervisor Crotts said that's his recommendation. A discussion ensued and the following points were made: • We don't know what the quota is going to be or what the need is going to be. • We can determine if a quota is needed once damage assessments are completed. • During Hurricane Irma, we issued 84 landscape licenses and 100 tree -trimming licenses during the temporary licensing period; it's doubtful we'd hit that. • This temporary license would be good for 60 days, unless it's extended. • The temporary emergency license fee is $55 and it's good for 60 days. • Contractors won't have to reapply if the term is extended; the license period is automatically extended through the State of Emergency. • Permits would only be needed for roofing and roofers would have the authority to pull a permit. • Contractors must show proof of testing, a current license in their jurisdiction, liability insurance and Worker's Compensation insurance. • The trade of Tree -Trimming and Removal is exempt from Worker's Comp if the company has four employees or less. • If we determine we have too many emergency licenses, Supervisor Crotts has the authority to regulate that. Supervisor Crofts said the recommendation is to authorize the Contractor Licensing Supervisor to issue Emergency Certificates of Competency for the trades of Tree -Trimming and Removal, Landscaping Contractor restricted to tree trimming and removal and Roofing Contractor for a period Packet Pg. 23 6.B.1 September 27. 2022 of 60 days and not to exceed six months or the declaration of the Local State of Emergency by the Collier County Board of County Commissioners. Board Member Joslin made a motion to authorize the Contractor Licensing Supervisor to issue Emergency Certificates of Competein r for the trades of Tree -Trimming and Removal, Landscaping Contractor restricted to tree trimming and removal, and Roofing Contractor for a period of 60 days and not to exceed sir months or the declaration of the Local State of Eiuergenc j- 6r the Collier Count), Board of County Commissioners. Second bt' Vice Chairman Jerulle. Vie motion passed unanimously, 5-0. 9. QUI BUSINESS: (None) 10. PUBLIC HEARINGS: (None) 11. NEXT MEETING DATE: WEDNESDAY, October 19, 2022 Commissioners' Chambers, Third Floor, Administrative Building F. Collier County Government Center, 3299 E. Tamiami Trail, Naples, FL Board Member Joslin made a motion to adjourn. Second b}- Vice Chairman Jerulle. The motion passed unanimoush', 5-0. There heina no further hu.siness for the hood of the Count}, the meeting ►►as adjourned at 2:10 p.m. Collier County Contractors' Licensing Board Kyle Lantz, Board (6frman These minules were approved bt, the Chairman or Vice -Chairman of the Contractors' Licensing Board on 1c� - , (check one) as submitted or as amended Packet Pg. 24 6.B.1 October 19, 2022 MINUTES OF THE COLLIER COUNTY CONTRACTORS' LICENSING BOARD MEETING October 19, 2022 Naples, Florida LET IT BE REMEMBERED that the Collier County Contractors' Licensing Board, having conducted business herein, met on this date at 9:00 a.m. in REGULAR SESSION in Administrative Building F, Yd Floor, Collier County Government Center, Naples, Florida, with the following members present: Chairman: Kyle Chairman Lantz Vice Chairman: Terry Jerulle Matthew Nolton Richard E. Josiin Patrick G. White Todd Allen Robert Meister III (absent) Elle Hunt Stephen Jaron ALSO PRESENT: Kevin Noell, Esq., Contractor Licensing Board Attorney Timothy Crotts, Contractor Licensing Supervisor Ronald Tomasko, Assistant Collier County Attorney Michael Bogert, Collier County Licensing Investigator Packet Pg. 25 6.B.1 October 19, 2022 guidance to contractors. • Work is being done all over without permits_ • The County is upgrading and posting guidelines on its website. Is it possible to create a graphic to make it easier to understand, above and below 18 inches? • A County official has spoken to the other three jurisdictions about guidance. • Investigators are out in the field. One is assigned to the City of Naples and another to the outskirts. • Gulfshore Boulevard is undergoing many teardowns and a lot of construction work. • Even if the County had 20 investigators, that may not be enough for all the activity taking place. • Investigators are checking the hardest hit areas, as well as non -hurricane related work. • The public is being encouraged to be very careful about unlicensed contractors who ask for payment upfront. They often don't come back the next day. • The average homeowner doesn't check to verify if contractors are licensed. • Both homeowners and contractors can apply for permits. • The DBPR is running ads warning homeowners to only hire state -licensed contractors. • The County has posted signs in hard-hit areas, warning homeowners about non -licensed contractors and a number to report that activity. • Growth hasn't stopped, so inspections continue, in addition to hurricane -related work. 7. REPORTS - None NEW BUSINESS. - A. Orders of the Board [Nine itemsl Board Member "ire made a motion to have the Chairman sign the Orders of the Board Second by Board Member Joslin. The motion passed unanimously, 8-0. The Orders of the Board were approved B. Emergency Certificates of Competency — Drywall Contractor, Insulation Contractor (buildings), and Carpentry Contractor Supervisor Crotts said that on September 27, the CLB held an emergency meeting to discuss the emergency issuance of licenses due to Hurricane Ian, which was pending. We based our information on Hurricane Irma, which was a major wind event, so we asked that emergency certificates include roofing and tree removal. Hurricane Ian didn't turn out to be a major wind event and was a flooding event for us, causing a lot of damage to homes and businesses that affected insulation, drywall, etc. Under Ordinance 2006-46 and under 2.11.1, he is asking that the Board also authorize emergency contractors and licensing for drywall, insulation and carpentry. We feel those licenses will help homeowners and business owners get build -backs done quickly and efficiently and ensure that contractors are licensed for the trade, know the trade and have the proper insurance. Board Member White asked what his request for a time frame was. Supervisor Crotts said he wanted the licenses that already were authorized, roofing, tree -trimming and removal and landscaping (restricted to tree -trimming and removal) to be extended for 60 days, and to approve the drywall contractor, insulating contractor and carpentry contractor for a 60-day period. Board Member White made a motion approve the certificates of competency for Drywall Contractor, Insulation Contractor (buildings), and Carpentry Contractor for an emergency period of 60 days. Board Member Joslin seconded it and it passed unanimously. [The motion was later amended.] 1.1 Packet Pg. 26 6.B.1 October 19, 2022 Board Member Joslin asked if 60 days was enough for the build -outs to happen. Supervisor Crotts said they can come back and assess where they are. Chairman Lantz asked if the next meeting is within 60 days. Supervisor Crotts said it was. Board Member Nolton said it's been two weeks. Have you had an influx of requests? Supervisor Crotts said not on drywall and carpentry, but we are averaging over 100 calls a day, with inquiries from homeowners and people from out-of-state who want to come in. We've told them that our goal is to get these licenses approved as emergency licenses so contractors can come in and start working. A lot of the contractors, especially major contractors, are still building homes. They have homes that have been sold, so they need to build them. There doesn't appear to be many spare contractors in these trades, so that's why he's asking for these license to be added to the emergency temporary licenses. Board Member Joslin pointed out that the 60 days would end after their next meeting in December. Supervisor Crotts said we can extend it and vote on it again, if needed. The State of Emergency in the County and city can be addressed at that meeting. Chairman Lantz said that 60 days will expire by the next meeting. Supervisor Crotts said he'd rather go with 90 days. Board Member White amended his motion to 90 days. Board Member Joslin amended his motion for a second. Board Member White made a motion to approve temporary Certificates of Competency for Drywall Contractor, Insulation Contractor (buildings), Carpentry Contractor for the emergency period of 90 days. Second by Board Member Joslin. The motion passed unanimously, 8-0. C. Elvirs Ortiz Sanchez — FEESCO Builders Corp. — Registered Building Contractor Review of Experience Chairman Chairman Lantz called Ms. Sanchez to the podium and she was sworn in. Supervisor Crotts reported that Ms. Sanchez has submitted an application for the issuance of a registered license as a building contractor, which requires 48 months of experience. As part of the staff -review process, Ms. Sanchez has submitted Verifications of Experience from the following licensed contractors outlining her experience: • Nian Custom homes —Antonio Brown, president, a certified building contractor. Ms. Sanchez was employed full-time from 2016 to 2020. Her duties were in a supervisory role overseeing subcontractors, but she did have some hands-on experience with rough and fine carpentry. Nian Custom Homes has only constructed residential homes and has never done any commercial projects. • Blue Diamond Home Builders — Hublar Lopez, president, a state certified building contractor. Ms. Sanchez has been employed full time from September 2020 to the present. Her primary role is to supervise crews. She has done some carpentry work. Blue Diamond Home Builders has only built one commercial -style building. The two letters received from the two contractors were reported to be on company letterhead, but that was determined to be false. They were written by the applicant and then signed by the contractors. The company logo was copy -and -pasted on a Word document. During an in person interview, Ms. Sanchez said she had very limited commercial building experience and has never built a commercial building. She reported that she's done some carpentry work, but her major duties with both employers were supervisory. Based upon the information received from Ms. Sanchez, it is staf's opinion that Ms. Sanchez does not meet Packet Pg. 27 6.B.1 October 19, 2022 Kenneth David Carter, the Collier County Board of County Commissioners and the Contractors' Licensing Board hereby stipulate and agree that Respondent admits the allegations in Administrative Complaint 2022-10 for the purpose of this stipulation and settlement of this matter. • Respondent and Board agree that the Respondent shall voluntarily pay a $10,000 fine. • The fine shall be paid within 90 days from the date of this Stipulated Settlement Agreement and Agreed Order. • Failure to pay the fine within 90 days shall result in the Respondent's license being revoked. • Respondent and the Board agree that the respondent shall be placed on probation until July 1, 2023. • In the event of any alleged violation that occurs subsequent to the date of this order, Respondent shall be notified of said violation by the Collier County Licensing Supervisor and the respondent shall be required to appear before the Board for a hearing on the matter. • The Respondent and the Board agree that the Respondent shall be responsible for completing and fnaling or satisfactorily resolving all outstanding permits where the respondent has commenced work without a permit, including any issues involving setback requirements or variances, as required by Collier County. • The Respondent shall submit proof that each permit has been filed or satisfactorily resolved. • Executed this 19°i day of October, 2022. This concludes the order of the Board in this matter. 11. NE2JT MEETING. DATE:: WEDNESDAY, December 21, 2022 Commissioners' Chambers, Third Floor, Administrative Building F, Collier County Government Center, 3299 E. Tamiami Trail, Naples, FL Board Member White made a motion to adjourn. Second by Board Member Allen. The motion passed unanimously, 8-0. There being no further business for the good of the County, the meeting was adjourned at 11:23 a.m Collier County Contractors' Licensing Board f %l -% �_ Kyle Lantz, Board Chairma f These minutes were approved by the Chairman or Vice -Chairman of the Contractors' Licensing Board on i r , (check one) as submitted ✓ or as amended 17 Packet Pg. 28 7.A 01/18/2023 COLLIER COUNTY Contractor Licensing Board Item Number: TA Doc ID: 24356 Item Summary: 7A. RENEWAL YEAR-END REPORTS FOR 2022 Meeting Date: 01/18/2023 Prepared by: Title: — Contractor Licensing Name: Sandra Delgado 01/11/2023 3:10 PM Submitted by: Title: — Contractor Licensing Name: Tim Crotts 01/11/2023 3:10 PM Approved By: Review: Contractor Licensing Contractor Licensing Contractor Licensing Sandra Delgado Review item Tim Crotts Review Item Tim Crotts Meeting Pending Completed 01/11/2023 3:56 PM Completed 01/11/2023 4:46 PM 01/18/2023 9:00 AM Packet Pg. 29 7.A.1 2022 Year -End Report for Local Specialty and State -Registered Licenses Renewed and Not Renewed 2022 Total Licenses Renewed = 2,834 ■ Local Registered ■ Local Specialty 2022 Total Licenses Not Renewed = 259 ■ Local Registered Local Specialty Note: Pursuant to Ordinance 2006-46 Sec. 22-191 (H): Any individual who renews his/her certificate of competency by September 30 of the year following its expiration, but after December 31 of that year, shall have a suspended certificate. Packet Pg. 30 7.A.1 2021 Year -End Report for Local Specialty and State -Registered Licenses Renewed and Not Renewed 2021 Total Licenses Renewed = 3,011 1 Local Registered, 230 Local Specialty, 2,781 ■ Local Registered Local Specialty 2021 Total Licenses Not Renewed = 181 Registered Specialty Packet Pg. 31 7.B 01/18/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 7.13 Doc ID: 24357 Item Summary: 7B. VIOLATION YEAR-END REPORTS FOR 2022 Meeting Date: 01/18/2023 Prepared by: Title: — Contractor Licensing Name: Sandra Delgado 01/11/2023 3:10 PM Submitted by: Title: — Contractor Licensing Name: Tim Crotts 01/11/2023 3:10 PM Approved By: Review: Contractor Licensing Contractor Licensing Contractor Licensing Sandra Delgado Review item Tim Crotts Tim Crotts Review Item Meeting Pending Completed 01/11/2023 3:57 PM Completed 01/11/2023 4:46 PM 01/18/2023 9:00 AM Packet Pg. 32 1/1/2022-12/31/2022 7.B.1 Violations by Case Type Misconduct 39.61'6 Fraud 1 Code Violation 34.16'i• - - - - - Site Developrent0.09% Unlicensed 24A7% Case Type Totals Code Violation 370 Fraud 18 Misconduct 429 Site Development 1 Unlicensed 265 Total 1083 N N O N I.- 0 U) L 0 Q. a� o! c w L m c 0 :r 0 m ti a� E z U 2 r Q Packet Pg. 33 Violations by Source 7.B.1 Field Obseriation17.73'� Complaint 61A4'o -- — —Public Portal 1M,8 Anonymous CompIaint2.033b Building Department 8,03 Violation Source Totals Anonymous Complaint 22 Building Department 87 Complaint 665 Field Observation 192 Public Portal 117 Total 1083 Packet Pg. 34 7.B.1 Jurisdiction CoIIier County73Al% Co ntracto is Licens i ng 2A9% City of Everg lades O28% 'ity of Ma rco 6R6 :yofNap les 17.36% Jurisdiction Totals City of Everglades 3 City of Marco 70 City of Naples 188 Collier County 795 Contractor's Licensing 27 Total 1083 Packet Pg. 35 7.B.1 1/1/2021-12/31/2021 Violations by Case Type M isco nd ucl 43.25% J Fraud 0,87%-- Unlicensed 31.05% —Code Violation 24,84% Case Type Totals Code Violation 228 Fraud 8 Misconduct 397 Unlicensed 285 Total 918 Packet Pg. 36 Violations by Source 7.B.1 I Complaint 54A4% - - i M Violation Source Anonymous Complaint Building Department Complaint Elected Official Field Observation Fire Department Public Agency Public Portal Sheriff's Office Walk-in Written Total I Elected Olificia1 0.11% Field Ob s ervatio n 15.9% Fire DepartmentO.33% Public Agency 4A4% Public Portal 8.5'% Sheriff s Office Walk-in 0.22% Written O.11'% AnonymoLis CompIaint937% Building Department 14.38% Totals 86 132 463 1 146 3 4 78 2 2 1 918 N N O N `0 V_ 0 Q. m c w L m c 0 :r 0 0 m ti a� E z U 2 r Q Packet Pg. 37 Jurisdiction 7.B.1 Collier Count; 76.14% -Contractor's Licensing 0.54% >% %Ih I %h- Cityof Everglades 0.11% City of Marco 6+439n -- -City of Maples 16.79% Jurisdiction Totals City of Everglades 1 City of Marco 59 City of Naples 154 Collier County 699 Contractor's Licensing 5 Total 918 N N O N `0 U) t= 0 Q. m c w L m c 0 :r 0 0 m ti a� E z U 2 r Q Packet Pg. 38 7.0 01/18/2023 COLLIER COUNTY Contractor Licensing Board Item Number: TC Doc ID: 24358 Item Summary: 7C. CITATION YEAR-END REPORTS FOR 2022 Meeting Date: 01/18/2023 Prepared by: Title: — Contractor Licensing Name: Sandra Delgado 01/11/2023 3:11 PM Submitted by: Title: — Contractor Licensing Name: Tim Crotts 01/11/2023 3:11 PM Approved By: Review: Contractor Licensing Contractor Licensing Contractor Licensing Sandra Delgado Review item Tim Crotts Review Item Tim Crotts Meeting Pending Completed 01/11/2023 3:58 PM Completed 01/11/2023 4:46 PM 01/18/2023 9:00 AM Packet Pg. 39 Contractor Licensing Citation Fee Report 2022 7.C.1 Year Number Of Citations Total Citation Amount Paid Amount Uncollected Issued Value 2022 TOTALS 227 $230,300.00 $156,700.00 $73,600.00 Paid vs Uncollected Citations by Year $200.000 $150.000 0 0 $100.000 0 a $50:000 $0 2022 Contractor Licensing Citation Fee Report 2021 M Amount Paid Amount Uncollected Year Number Of Citations Total Citation Amount Paid Amount Uncollected Issued Value 2021 TOTALS 268 $290,100.00 $193,100.00 $97,000.00 Paid vs Uncollected Citations by Year $200.000 $150.000 0 0 $100:000 t= 0 $50.000 $0 2021 Year M Amount Paid Amount Uncollected N N O N w O LL U) H O a w 0 Z W Q W Z O H Q H V U ti 00 M Nt N N N O N L O O a a� c w L c O U U ti r c m E t v .r a Packet Pg. 40 8.A 01/18/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 8.A Doc ID: 24359 Item Summary: 8A. ORDERS OF THE BOARD (4 ITEMS) Meeting Date: 01/18/2023 Prepared by: Title: — Contractor Licensing Name: Sandra Delgado 01/11/2023 3:12 PM Submitted by: Title: — Contractor Licensing Name: Tim Crotts 01/11/2023 3:12 PM Approved By: Review: Contractor Licensing Contractor Licensing Contractor Licensing Sandra Delgado Review item Tim Crotts Review Item Tim Crotts Meeting Pending Completed 01/11/2023 3:59 PM Completed 01/11/2023 4:47 PM 01/18/2023 9:00 AM Packet Pg. 41 8.A.1 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY BURNLEY, KAZIAH 918 SE 27TH TER CAPE CORAL, FL 33904 CLB Agenda Date: January 18, 2023_ Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 12504 CEUL20220009190 on 11/29122, to BURNLEY, KAZIAH, 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 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. If 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 TODD ALLEN Print Name Attorney to the CLB KEVIN NOELL Contractor Licensing Supervisor TIMOTHY CROTTS For Contractor Licensing Board * If 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 Packet Pg. 42 8.A.1 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY Hauke, Kevin W. 47 Front St. Unit 25 Marco Island, FL 34145 CLB Agenda Date: January 18, 2023 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 11835 CEUL20220010203 on 11/09122, to Hauke, Kevin W., 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 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. If 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 TQDD_AL1=EN_ Print Name Attorney to the CLB KEVIN NOELL Contractor Licensing Supervisor TIMOTHY CROTTS For Contractor Licensing Board * If 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 Packet Pg. 43 8.A.1 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY ALVARINO, ISLIER 765 JUNG BLVD. W Naples, FL 34120 CLB Agenda Date: January„ 1,8, 2023 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 12620 CEUL20220010270 on 11/14/22 to ALVARINO, ISLIER 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 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. If 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 TODD ALLEN Print Name Attorney to the CLB KEVIN NOELL Contractor Licensing Supervisor TIMOTHY CROTTS For Contractor Licensing Board * If 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 Packet Pg. 44 8.A.1 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY Hauke, Kevin W. 47 Front St. Unit 25 Marco Island, FL 34145 CLB Agenda Date: January 18, 2023 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 11836 CECV20220010264 on 11114/22, to Hauke, Kevin W., 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 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. if 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 TODD ALLEN Print Name Attorney to the CLB KEVIN NOELL DATE: Contractor Licensing Supervisor TIMOTHY CROTTS For Contractor Licensing Board * If 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 a 00 Packet Pg. 45 8.B 01/18/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 8.13 Doc ID: 24360 Item Summary: 8B. DEAN W. CHRISTOPOULOS — REVIEW OF EXPERIENCE - BUILDING CONTR.- REGISTERED Meeting Date: 01/18/2023 Prepared by: Title: — Contractor Licensing Name: Sandra Delgado 01/11/2023 3:14 PM Submitted by: Title: — Contractor Licensing Name: Tim Crotts 01/11/2023 3:14 PM Approved By: Review: Contractor Licensing Sandra Delgado Review item Completed 01/11/2023 4:00 PM Contractor Licensing Tim Crotts Review Item Completed 01/11/2023 4:47 PM Contractor Licensing Tim Crotts Meeting Pending 01/18/2023 9:00 AM Packet Pg. 46 Collier County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY Cn O FIRM APPLICATION FOR COLLIER COUNTY 0 CERTIFICATE OF COMPETENCY L Cif- 31 L o This application must be typewritten or legibly printed. The application fee must be paid upon approval and is NOT refundable. All checks should be made payable to: Collier County Board of County Commissioners. For further � information, consult Collier County Ordinance No. 2006-46, as amended. _ U Z Q TYPE OF CERTIFICATE OF COMPETENCY: o ❑ General $230.00 ❑ Electrician $230.00 LU w $L Building $230.00 ❑ Plumber $230.00 X LU a ElResidential $230.00 ❑ Air Conditioner $230.00 C7 ❑ Mechanical $230.00 ❑ Swimming Pool $230.00 w ❑ Roofing $230.00 ❑ Specialty $205.00 F- Specialty Trade: I. APPLICANT PERSONAL INFORMATION: Name: nf ]Sj Pill! First II Middle Initial Business Name: Delm Address: 3 1s- 45- JAI p- Street City State l0.S Last 1, i- e-- Telephone: %�'�.3� (a8� *SS # (Last 4 digits only): g�SQ Date of Birth: 021). Driver's License # (Last 4 digits only): a07 7 Pursuant to Collier County Contractor Licensing Ordinance No. 2006-46 Section 2.1.1., all applicants are required to submit their social security number, driver's license, and date of birth for the following purposes: a) Assess applicant's ability to satisfy creditors by reviewing their credit history. b) Verification of applicant's test scores and information. c) Verification of applicant's identity. Our office will only use the personal information noted above for those reasons pursuant to Chapter 119, Florida Statutes, and as may otherwise be authorized by law. We are fully committed to safeguarding and protecting your personal information and once collected, will be maintained as confidential and exempt under Chapter 119, Florida Statutes. Contractor Licensing — FIRM Application Rev. 7/2022 Page 3 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractorslicensin.gacolliercountvfl.gov Z Q w 0 tb 00 C d E t t) its Q Packet Pg. 47 8.B.1 I,6.1.2. Building Contractor requires forty-eight (48) months experience with a passing grade on and test and s twa-(Q}#aiff hUsiness and law test and means a contractor whose services are limited to construction of commercial buildings and single -dwelling or multiple -dwelling residential buildings, which commercial or residential buildings do not exceed three stories in height, and accessory use structures in connection therewith or a contractor whose services are limited to remodeling, repair, or improvement of any size building if the smices do not affect the structural members of the building. NOTE: Also see Sect. 1.6.2. Z Q w 0 m 00 c m E Q Packet Pg. 48 8.B.1 Colfler County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY Provide the names and1 telepholne_ numbers of two persons who will always know your whereabouts. Name: {,OC- ��tt' IS iy(JpVIOS Name: A�.We H 6,is tgc)V)aS Telephone: 73 L1 - K) L� Telephone: (/ 6 - ( 01 -` �2d II. NAME OF APPLICANT'S BUSINESS: l Business Name: In'�l� C- V�r�S4opo))o1 CooSf�rrhbll Co /-�� Business Address: 63J-9' S 4t 14 Old 7y&08 Street r� City State Zip Telephone: -/ /U �y Email: d Lco C comPan `"I 42 Q 01, ,LCq/) Federal ID Tax No.: III. FINANCIAL RESPONSIBILITY YES NO ALL APPLICANTS MUST ANSWER THE QUESTIONS BELOW: XFiled for or been discharged in bankruptcy within the past 5 years? Had a lien filed against you by the Internal Revenue Service or Florida Corporate Tax Division? Undertaken construction contracts or work that resulted in liens, suits, or judgments being filed? Undertaken construction contracts or work that a third party, such as a bonding or surety company, completed or made financial statements on? Made an assignment of assets in settlement of construction obligations for less than the debts outstanding? Been convicted or found guilty of, or entered a plea of nolo contendere to, regardless of adjudication, a crime in any jurisdiction within the past 10 years?' Had claims or lawsuits filed for unpaid or past due accounts by your creditors as a result of construction experience? Been charged with or convicted of acting as a contractor without a license, or if licensed as a contractor in this or any other state, been "subject to" disciplinary action by a state, county, or municipality? NOTE. If you have answer YES to any of the questions below, you must attach a written explanation including the nature of the charges, dates, and outcomes, sentences of conditions imposed. You must also attach proof of payment, satisfaction of lien or judgement, bankruptcy discharge, or agreements for payment.*lf you have had a felony conviction, proof that your civil rights have been restored will be required prior to licensure. Contractor Licensing — FIRM Application Rev. 7/2022 Page 4 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractorslicensing(a)colliercountvfl.gov Packet Pg. 49 CO�IeT County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY IV. EXPERIENCE VERIFICATION EDUCATION: List below and provide transcripts for any formal education you have obtained in the area of competency for which this application is being made: List below non formal education (on the job training) you have obtained in the area of competency for which this application is being made: �-(0 ��e�f.� L�P�.��nC� r'1 �.a.�. d��C�operneJl+ l ReS�.e.��-►�1 Con sic ~JcAj o,) cu-0 CoryliAge_S'C IaI Corr}(L)c_/o CURRENT/PREVIOUS LICENSE: List below and attach copies any other certificates of competency/licenses you hold/have held in Collier County or any other jurisdiction. Include the license #, Type, and county you hold it in. AFFIDAVIT Under the penalties of perjury, I declare that I have read the foregoing applicati n and the facts stated in it are true. Oew c6,4s %oaui czs Applicant (please rint) Signature of Applicant State of -Fcy$�FLA— County of C` OC The foregoin instrument was acknowledged before me by means ofOlsikhysical presence or ❑ online notarization on this ay of 0 0� �, by c /t� H �tC7C/LO Such person(s) Notary Public must check applicable box: ❑ are personally known to me 146as produced a current driver license ;�...' suSaN I3AfioN Notary Public • State of Florida Q bas produced 442X L--"C_Eas identification. `:�+,® Commission k HH 291eb3 (Notary Seal) Notary Signor Contractor Licensing — FIRM Application Rev. 712022 Page 5 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractors licensing colIiercountvfl.00v 8.B.1 Packet Pg. 50 Collier County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY CERTIFICATION OF APPLICATION The undersigned hereby makes application for Certificate of Competency under the provisions of Collier County No. 2006-46, as amended, and under penalties of perjury. I declare that I have read the foregoing qualifier information and that the facts stated in it are true. The undersigned hereby certifies that he is legally qualified to act on behalf of the business organization sought to be licensed in all matters connected with its contracting business and that he has full authority to supervise construction undertaken by himself or such business or organization and that he will continue during this registration to be able to so bind said business organization. The qualified license holder understands that in all contracting matters, he/she will be held strictly accountable for any and all activities involving his license. Any willful falsification of any information contained herein is grounds for disqualification. p� LG�r►S-Tdpoylo S Applicant (please print &Ln J-1- C Name of Company &4 Si nature of Applicant State of N.0 (z--Z4A- County of 0o4e-77E le—, The foregoing instrument was acknowledged before me by means of jZ^pllrysical presence or El online notarization on this day of��F c/� 20 �a— by 'AFff /(� ff 'S %n�QQCQ C D Such person(s) Notary Public must check applicable box: ❑ are personally known to me has produced a current driver license ..... �** SUSAN BARON -,,nC ,1� Notary Public -State of Florida Mas produced �yc�IS r��Ir��' as identification. di? Commission # HH 291%3 My Comm. Expires Jul 25, 2026 (Notary Seal) Notary Signatu (% Contractor Licensing — FIRM Application Rev. 7/2022 Page 6 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractorslicensinana colliercountvFl qoy 8.B.1 Packet Pg. 51 Co7r County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY WORKMEN'S COMPENSATION AFFIDAVIT It is understood and acknowledged by the Collier County Contractors' Licensing Board and myself that if I fail to acquire, or maintain at all times effective Workmen's Compensation Insurance it will result in the possible revocation of my Certificate of Competency. 0 c-:, tIr ).s Applicant (please print rk a) &�)Skycolcs CO/)S f. kiLC- Name of Company Si na ure of Applicant BEFORE ME this day personally appeared (}C co who affirms and Applicant (please int) says that he has less than one employee and does not require Workmen's Compensation understands that at any time he employees one or more persons he must obtain said Workmen's Compensation Insurance. State of FLDAa - (+ County of QUA--R` The foregoing instrument was acknowledged before me by means of�physical presence or ❑ online notarization on this ?, day ofjtt,�� 2(bl �-, by �,I� A /v Such person(s) Notary Public must check applicable box: ❑ are personally known to me 1 has produced a current driver license G has producedU�Ueez-S identification. (Notary Seal) SUSAN BARON State Florida Notary Public - of Commission k HH 291963 My Comm. Expires Jul 25, 2026 Contractor Licensing — FIRM Application Rev. 7/2022 Notary Signatn�-r Q�� Page 7 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractorslicensing(a)col I iercou ntvFl.00v 8.B.1 Packet Pg. 52 8.B.1 ,S�` Ujz r"tecl: : RS'.� �.'r�c�dif R�c��r�r•lii�;r.Sci•>t•ic•c•� PERSONAL CREDIT REPORT MERGED REPORT COMPILED FROM NATIONAL RECORDS Entry # 12013 Phone:850-539-8000 Fax: 866-651-5145 Email: cc@unitedcrs.com www.UnitedCRS.com 4583-A Capital Circle NW Tallahassee, FL 32303 December 12, 2022 SUBJECT NAME: CHRISTOPOULOS, DEAN W. SOCIAL SECURITY NUMBER -8250 DOB: 07/27/1955 CURRENT ADDRESS REPORTED: 05/2011 8315 E. 111TH ST., #H. BIXBY OK. 74008 FORMER ADDRESS REPORTED: 07/2002 11613 S. HUDSON CT., TULSA OK. 74137 7715 E. 111TH ST., #125. TULSA OK. 74133 EMPLOYMENT DATA REPORTED: DEAN CHRISTOPOULOS CONSTRUCTIO CHRISTOPOLUS CONSTRUCTION POSITION:PRESIDENT DATE VERIFIED:01/2019 DATE VERIFIED:12/2015 CHRISTOPOULOS CONSTRUCTIO DEAN CHRISTOPLOULOS CONST POSITION:OWNER POSITION: MGR DATE VERIFIED:07/2012 DATE VERIFIED:06/2008 THE SUBJECT'S TOTAL FILE HISTORY PUBLIC RECORDS: 0 CURRENT NEGATIVE ACCTS: 1 REVOLVING ACCTS: 15 COLLECTIONS: 0 PREVIOUS NEGATIVE ACCTS: 1 INSTALLMENT ACCTS:6 TRADE ACCTS: 22 PREVIOUS TIMES NEGATIVE: 2 MORTGAGE ACCTS: 1 CREDIT INQUIRIES: 7 EMPLOYMENT INQUIRIES: 1 OPEN ACCTS: 0 HIGH CRED CRED LIMIT BALANCE PAST DUE MNTHLY AVAIL REVOLVING: $475K $508K $37.6K $66 $530 93% INSTALLMENT: $60.4K $0 $37.5K $0 $982 MORTGAGE: $100K $0 $99.5K $0 $567 TOTALS: $636K $508K $174K $66 $2079 FICO CLASSIC SCORE - 750 CREDIT INFORMATION 1ST UNITD BK B 95MJ001 MORTGAGE ACCOUNT CONVENTIONAL REAL ESTATE MTG VERIF'D 12/2022 BALANCE: $99559 JOINT ACCOUNT OPENED 07/2022 MOST OWED: $100000 PAY TERMS: 360 MONTHLY $567 PAST DUE:$0 STATUS AS OF 12/2022 CURRENT; PAID OR PAYING AS AGREED IN PRIOR 04 MONTH/S FROM DATE VERIF'D NEVER LATE PAYMENT PATTERN:1111 JPMCB CARD B 260K001 REVOLVING ACCOUNT FLEXIBLE SPENDING CREDIT CARD VERIF'D 12/2022 BALANCE: $12555 JOINT ACCOUNT OPENED 09/1982 MOST OWED: $27154 CREDIT LIMIT: $26500 PAST DUE:$0 Page 1 of 4 Z Q W m 00 m E t r Q Packet Pg. 53 8.B.1 STATUS AS OF 12/2022 CURRENT; PAID OR PAYING AS AGREED IN PRIOR 48 MONTH/S FROM DATE VERIF'D NEVER LATE PAYMENT PATTERN:111111111111111111111111 COMMERCE BK B 8984007 LINE OF CREDIT ACCOUNT HOME EQUITY LOAN VERIF'D 11/2022 BALANCE: $0 JOINT ACCOUNT OPENED 11/2016 MOST OWED: $287163 CREDIT LIMIT: $297500 PAID OFF 02/2022 PAST DUE:$0 STATUS AS OF 02/2022 CURRENT; PAID OR PAYING AS AGREED IN PRIOR 48 MONTHS FROM DATE VERIF'D 2 TIME/S 30 DAYS LATE PAYMENT PATTERN:111111111111211121111111 BK OF AMER B 6331205 INSTALLMENT ACCOUNT AUTOMOBILE VERIF'D 11/2022 BALANCE: $10035 INDIVIDUAL ACCOUNT OPENED 12/2019 MOST OWED: $21770 PAY TERMS: 60 MONTHLY $403 PAST DUE:$O STATUS AS OF 11/2022 CURRENT; PAID OR PAYING AS AGREED IN PRIOR 35 MONTH/S FROM DATE VERIF'D NEVER LATE PAYMENT PATTERN:111111111111111111111111 WESTREET CU Q 948M00l INSTALLMENT ACCOUNT AUTOMOBILE VERIF'D 11/2022 BALANCE: $27500 INDIVIDUAL ACCOUNT OPENED O1/2021 MOST OWED: $38687 PAY TERMS: 72 MONTHLY $579 PAST DUE:$0 STATUS AS OF 11/2022 CURRENT; PAID OR PAYING AS AGREED IN PRIOR 22 MONTH/S FROM DATE VERIF'D NEVER LATE PAYMENT PATTERN:1111111111111111111111 MACYS/CBNA D 2A5T001 REVOLVING ACCOUNT CHARGE ACCOUNT VERIF'D 11/2022 BALANCE: $0 INDIVIDUAL ACCOUNT OPENED 10/2021 MOST OWED: $111 CREDIT LIMIT: $1200 PAID OFF 11/2021 PAST DUE:$0 STATUS AS OF 11/2021 CURRENT; PAID OR PAYING AS AGREED IN PRIOR 13 MONTH/S FROM DATE VERIF'D NEVER LATE PAYMENT PATTERN:1111111111111 JPMCB CARD B 26QK001 REVOLVING ACCOUNT FLEXIBLE SPENDING CREDIT CARD VERIF'D 11/2022 BALANCE: $2060 JOINT ACCOUNT OPENED 05/2001 MOST OWED: $59247 CREDIT LIMIT: $50000 PAST DUE:$0 STATUS AS OF 11/2022 CURRENT; PAID OR PAYING AS AGREED IN PRIOR 48 MONTH/S FROM DATE VERIF'D NEVER LATE PAYMENT PATTERN:111111111111111111111111 JPMCB CARD B 26QKOO1 REVOLVING ACCOUNT FLEXIBLE SPENDING CREDIT CARD VERIF'D 11/2022 BALANCE: $10512 INDIVIDUAL ACCOUNT OPENED 01/2003 FjOST OWED: $14507 CREDIT LIMIT: $14500 PAST DUE:$O STATUS AS OF 11/2022 CURRENT; PAID OR PAYING AS AGREED IN PRIOR 48 MONTH/S FROM DATE VERIF'D NEVER LATE PAYMENT PATTERN:111111111111111111111111 CITI B 64DB002 REVOLVING ACCOUNT FLEXIBLE SPENDING CREDIT CARD VERIF'D 11/2022 BALANCE: $272 AUTHORIZED ACCOUNT OPENED O1/2016 MOST OWED: $11080 CREDIT LIMIT: $28000 PAST DUE:$0 STATUS AS OF 11/2022 CURRENT; PAID OR PAYING AS AGREED IN PRIOR 48 MONTH/S FROM DATE VERIF'D NEVER LATE PAYMENT PATTERN:111111111111111111111111 BRCLYSBANKDE B 1ZZB001 REVOLVING ACCOUNT FLEXIBLE SPENDING CREDIT CARD VERIF'D 11/2022 BALANCE: $584 INDIVIDUAL ACCOUNT Page 2 of 4 ca O J D O a O U Z Q W 0 Z Q W 0 m 00 a N E t v ca El Packet Pg. 54 8.B.1 OPENED 07/2020 MOST OWED: $10481 CREDIT LIMIT: $12000 PAST DUE:$0 STATUS AS OF 11/2022 CURRENT; PAID OR PAYING AS AGREED IN PRIOR 28 MONTH/S FROM DATE VERIF'D NEVER LATE PAYMENT PATTERN:111111111111111111111111 BBY/CBNA H 292FO14 REVOLVING ACCOUNT CHARGE ACCOUNT VERIF'D 11/2022 BALANCE: $279 INDIVIDUAL ACCOUNT OPENED 08/2021 MOST OWED: $4142 CREDIT LIMIT: $4000 PAST DUE:$66 STATUS AS OF 11/2022 ACCOUNT 30 DAYS PAST DUE DATE IN PRIOR 14 MONTHS FROM DATE VERIF'D NEVER LATE PAYMENT PATTERN:11111111111111 CITI B 64DB002 REVOLVING ACCOUNT FLEXIBLE SPENDING CREDIT CARD VERIF'D 11/2022 BALANCE: $11369 INDIVIDUAL ACCOUNT OPENED 08/1989 MOST OWED: $58153 CREDIT LIMIT: $65000 PAST DUE:$0 STATUS AS OF 11/2022 CURRENT; PAID OR PAYING AS AGREED IN PRIOR 48 MONTH/S FROM DATE VERIF'D NEVER LATE PAYMENT PATTERN:111111111111111111111111 THD/CBNA B 26H3005 REVOLVING ACCOUNT INACTIVE ACCOUNT CHARGE ACCOUNT VERIF'D 07/2021 BALANCE: $0 INDIVIDUAL ACCOUNT OPENED 09/2015 MOST OWED: $156 CREDIT LIMIT: $2501 PAID OFF 04/2018 PAST DUE:$0 STATUS AS OF 03/2021 CURRENT; PAID OR PAYING AS AGREED IN PRIOR 48 MONTH/S FROM DATE VERIF'D NEVER LATE PAYMENT PATTERN:111111111111111111111111 BBY/CBNA H 292FO14 REVOLVING ACCOUNT INACTIVE ACCOUNT CHARGE ACCOUNT VERIF'D 04/2021 BALANCE: $0 INDIVIDUAL ACCOUNT OPENED 11/2016 MOST OWED: $3543 CREDIT LIMIT: $5200 PAID OFF 11/2018 PAST DUE:$0 STATUS AS OF 12/2020 CURRENT; PAID OR PAYING AS AGREED IN PRIOR 48 MONTH/S FROM DATE VERIF'D NEVER LATE PAYMENT PATTERN:111111111111111111111111 TRUITY CU Q 434TO02 INSTALLMENT ACCOUNT CLOSED AUTOMOBILE VERIF'D 02/2021 BALANCE: $0 JOINT ACCOUNT OPENED 12/2018 MOST OWED: $20522 PAY TERMS: 48 MONTHLY $0 CLOSED 02/2021 PAST DUE:$0 STATUS AS OF 02/2021 CURRENT; PAID OR PAYING AS AGREED IN PRIOR 26 MONTH/S FROM DATE VERIF'D NEVER LATE PAYMENT PATTERN:111111111111111111111111 WF/DILLARD B 21GJ638 REVOLVING ACCOUNT ACCT CLSD BY CONSUMER CREDIT CARD VERIF'D 10/2020 BALANCE: $0 INDIVIDUAL ACCOUNT OPENED 05/2017 MOST OWED: $0 CREDIT LIMIT: $1000 CLOSED 06/2020 PAST DUE:$0 STATUS AS OF 06/2020 CURRENT; PAID OR PAYING AS AGREED IN PRIOR 40 MONTH/S FROM DATE VERIF'D NEVER LATE PAYMENT PATTERN:111111111111111111111111 AMEX/CBNA B 2A5T006 REVOLVING ACCOUNT INACTIVE ACCOUNT CREDIT CARD VERIF'D 12/2019 BALANCE: $0 INDIVIDUAL ACCOUNT OPENED 03/2011 MOST OWED: $0 CREDIT LIMIT: $500 CLOSED 08/2014 PAST DUE:$0 STATUS AS OF 08/2014 CURRENT; PAID OR PAYING AS AGREED IN PRIOR 48 MONTH/S FROM DATE VERIF'D NEVER LATE PAYMENT PATTERN:111111111111111111111111 CAP ONE AUTO F 1W2K001 INSTALLMENT ACCOUNT Page 3 of 4 Z Q W 0 m 00 c N E t v ca El Packet Pg. 55 8.B.1 CLOSED AUTOMOBILE VERIF'D 11/2019 BALANCE: $0 INDIVIDUAL ACCOUNT OPENED 12/2015 MOST OWED: $19789 PAY TERMS: 49 MONTHLY $0 CLOSED 11/2019 PAST DUE:$0 STATUS AS OF 11/2019 CURRENT; PAID OR PAYING AS AGREED IN PRIOR 46 MONTH/S FROM DATE VERIF'D NEVER LATE PAYMENT PATTERN:111111111111111111111111 KOHLS/CAPONE D 12EN005 REVOLVING ACCOUNT INACTIVE ACCOUNT CHARGE ACCOUNT VERIF'D 07/2017 BALANCE: $0 INDIVIDUAL ACCOUNT OPENED 06/2014 MOST OWED: $0 CREDIT LIMIT: $1000 CLOSED 06/2017 PAST DUE:$0 STATUS AS OF 06/2017 CURRENT; PAID OR PAYING AS AGREED IN PRIOR 37 MONTH/S FROM DATE VERIF'D NEVER LATE PAYMENT PATTERN:111111111111111111111111 NISSAN MOTOR Q 507TO73 INSTALLMENT ACCOUNT CLOSED AUTOMOBILE VERIF'D 07/2016 BALANCE: $0 PRIMARY BORROWER OPENED 07/2012 MOST OWED: $18706 PAY TERMS: 48 MONTHLY $0 CLOSED 07/2016 PAST DUE:$0 STATUS AS OF 07/2016 CURRENT: PAID OR PAYING AS AGREED IN PRIOR 48 MONTH/S FROM DATE VERIF'D NEVER LATE PAYMENT PATTERN:111111111111111111111111 JPMCB CARD B 26QK001 REVOLVING ACCOUNT FLEXIBLE SPENDING CREDIT CARD VERIF'D 11/2015 BALANCE: $0 RELATIONSHIP TERMINATED OPENED 04/2015 MOST OWED: $3816 CREDIT LIMIT: $10000 PAST DUE:$0 STATUS AS OF 11/2015 CURRENT; PAID OR PAYING AS AGREED IN PRIOR 06 MONTH/S FROM DATE VERIF'D NEVER LATE PAYMENT PATTERN:111111 BMOHARRISBK B 9733006 INSTALLMENT ACCOUNT ACCT CLSD BY CONSUMER AUTOMOBILE VERIF'D 10/2014 BALANCE: $0 INDIVIDUAL ACCOUNT OPENED 10/2009 MOST OWED: $20541 PAY TERMS: 60 MONTHLY $0 CLOSED 10/2014 PAST DUE:$0 STATUS AS OF 10/2014 CURRENT; PAID OR PAYING AS AGREED IN PRIOR 48 MONTH/S FROM DATE VERIF'D NEVER LATE PAYMENT PATTERN:111111111111111111111111 PUBLIC RECORDS PUBLIC RECORDS HAVE BEEN CHECKED AT THE COUNTY, STATE, AND FEDRAL LEVELS RESULTS: NO PUBLIC RECORDS FOUND END OF REPORT It is with understanding that the credit score attached to this report can fluctuate daily and can change drastically. In some cases, over 100 points when making big purchases, etc. Page 4 of 4 Packet Pg. 56 8.B.1 St Phone: 850-539-8000 Fax: 866-651-5145 . � •teilia kr7L>L � Emailrcw.Un tedCRS.com •pras tiit,�,► ,Sc�!'�•icc : 4583-ll Capital Circle NW NOON -Tallahassee, FL 32303 BUSINESS CREDIT REPORT Entry # 12053 As of:12119122 DEAN CHRISTOPOULOS CONSTRUCTION Credit Summary: COMPANY LLC 8315 E. 111TH STREET ✓ Bankruptcies: H BIXBY, OK 74008 IV/Liens: PHONE: (191) 823-1108 ✓Judgments Filed: ✓Collections: Trade Lines Found: 4 Credit Standing: Good Standing Business Type: LLC FEIN Number: 73-1562176 Florida SOS Document #: L18000007133 Key Facts Years in Business: Key Personnel: Florida Registered Agent: DBPR PUBLIC RECORD STATEMENT: PUBLIC RECORDS HAVE BEEN CHECKED AT LOCAL, STATE AND FEDERAL LEVELS RESULTS: NONE FOUND 4 Years Manager: CHRISTOPOULOS, DEAN Page 1 of l BARTLETT, THOMAS 2405 CRAYTON RD NAPLES, FL 34108 Packet Pg. 57 12/15/22, 11:55 AM Detail by Entity Name DIVISION OF CORPORATIONS /,orgr� r�f Department of State / Division of Corporations / Search Records I Search by Entity Name / search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetaiI?inquirytype=EntityName&directionType=1 nitial&searchNameOrder=DEANCH RISTO... 112 Z Q W m Ib r.+ C G1 E t v r Q Packet Pg. 58 12/15/22, 11:55 AM Detail by Entity Name 8.B.1 03104/2022 -- ANNUAL REPORT 02/22/2021 —ANNUAL REPORT 01 /20/2020 —ANNUAL REPORT View image in PDF format View image in PDF format View image in PDF format 02/08/2019 --ANNUAL REPORT View image in PDF format 01/08/2018 — Florida Limited Liability. View image in PDF format Fltxi�a Oepartrnen- 0: St2:e; Diti5 an of Corp orabon:i search.sunbiz.org/Inquiry/CorporationSearch/Search ResultDetail?inquirytype=EntityName&directionType=l nitial&searchNameOrder=DEANCH RISTO... 2/2 Z Q W 0 m 00 C N E t u to Ef Packet Pg. 59 8.B.1 Electronic Articles of Organization L18000ED 8 00133 For January 08, 2018 Florida Limited Liability Company sec. Of state crico Article I The name of the Limited Liability Company is: DEAN CHRISTOPOULOS CONSTRUCTION COMPANY LLC Article II The street address of the principal office of the Limited Liability Company is: 8315 E. 111TH STREET H BIXBY, OK. 74008 The mailing address of the Limited Liability Company is: 8315 E. I IITH STREET H BIXBY, OK. 74008 Article III The name and Florida street address of the registered agent is: THOMAS BARTLETT 2405 CRAYTON RD NAPLES, FL. 34108 Having been named as registered agent and to accept service of process for the above stated limited liability company at the place designated in this certificate, I hereby accept the appointment as registered agent and agree to act in this capacity. I further agree to comply with the provisions of all statutes relating to the proper and complete performance of my duties, and I am familiar with and accept the obligations of my position as registered agent. Registered Agent Signature: THOMAS BARTLETT El Packet Pg. 60 8.B.1 Article IV L18000007133 The name and address of person(s) s authorized to manage LLC : FILED 8 : 00 AM p �� g January 08, 2018 Title: MGR Sec. Of State DEAN CHRISTOPOULOS crico 8315-H EAST 111TH ST BIXBY, OK. 74008 Signature of member or an authorized representative Electronic Signature: DEAN CHRISTOPOULOS I am the member or authorized representative submitting these Articles of Or anization and affirm that the facts stated herein are true. I am aware that false information submitted in a document to the Department of State constitutes a third degree felony as provided for in s.817.155, F.S. I understand the requirement to file an annual report between January 1 st and May 1 st in the calendar year following formation of the LLC and every year thereafter to maintain "active" status. z a w 0 00 00 a N E U El Packet Pg. 61 Fdrm SS-4 Application for Employer Identification Number (Rev, February 1896) (For use by employers, corporations, partnerships, trusts, estates, churches, government agencies, certain individuals, and others. See instructions.) Dapartmeat of in* Tnaaury OMB No. 1545-0003 bri Revenue service ► Keep a copy for your records. i Name of applicant (legal name) (see instructions) DEAN CHRTSTOPOULOS CONSTRUCTION COMPANY, L.L.C. -' 2 Trade name of business (if different from name on line 1) 13 Executor, trustee, "care. of" name 4a Mailing address (street address) (room, apt., or suite no.) 5a Business address Of different from address on lines 4a and 4b) 7020 South Yale Suite 270 4b City, state, and ZIP code 5b Clty, state, and ZIP code Tulsa, Oklahoma 74136 n 6 County and state where principal business is located m Tulsa, Oklahoma li 7 Name of principal officer, general ^attner, grantor, owner, or trustar—SSN'ar IT1N may be required (see instructions) - 8 2 5_. Dean Christc pculos Sa Type of entity (Check only one box.) (see instructions) Caution: If applicant is a limited liability company, see the instructions for line Sa. ❑ Sole proprletor (SSN) ❑ Parnership ❑ Personal service corp. ❑ REMIC ❑ National Guard ❑ StateAccal government ❑ Farmers' cooperative ❑ Church or church -controlled organization Other nonprofit organization (specify) ► i! Other (sDecifvi ► Estate (SSN of decedent) Plan administrator (SSN) Other corrsoraticn(specify)► Limited Liability Co. Trust Federal governmert/miiitary (enter GEN A applicable) 8b If a corporation, name the state or foreign country State Foreign country (if applicable) where incorporated Oklahoma Reason for applying'(Check only one box.) (see instructions) LJ Banking purpose (specify purpose) ► ❑ Started new business (specify type) ► ® Changed type of organization (specify new type) 11 Limited Liabi 11 ❑ Purchased going business Co. ❑ Hired employees (Check the box and see line 12.) ❑ Created a trust (specify type) F7 Created a oension plan (seecifv tvoel ► ()ate business started or accuired (month, day, year) (see L Other (specify) 0- Closing month of accounting year (see instruct Cris) January 1999 1 December 12 First dale •Maces or annuities wire pain or will be paid (month, day, year). Note: If applicant is a withholding agent, enter date income wilt +ir- )a card to nonre:'.:ent alien. 4morri day. year) . ► L'�:, 13 Highest number of employees expected in the next 12 months. Note: If the applicant does not Nanagncuitural Agricultural Household expect to have any employees dung the period, enter -0-. (see instructions) ► N / A 14 Prir ipak activity (see instructions) ► 110 15 15 the principal business activity manufacturing? . . . . . . . . . . . . . . . . . . . . El Yes 4L No If "Yes," principal product and raw material used ► 16 To wriom are most of the prcducts or services sold? Please check one box. L Business (wholesale) �j Public (retail) _ Other (spec:ty) ► ❑ N/A 17a Has the appl!cant ever applied for an employer Identification number for this or any other business? , , . . ❑ Yes ❑ No Note: If "Yes," please cempiete lines 17b and 17c. 17b If you checked "Yes" on line 17a, give applicant's legal name and trade name shown on prior application, if different from line 1 or 2 above. Legal name ► Trade name ► 17c Approximate date wren and city and state where the application was filed. Enter previous employer identification number if known Apprommate date wren filed (nro., day, yean i City and State where filed i Previous E!N prier penalties at nerini i olicare mi i have 9aarmneo mis upntption. and to pie Cast of r:y keo'medQe aid Delia! -kit =iri conetlt. ind mmakte. Name and title!P!easitypearartrstclaarrv.) ► Dean Christopoulos, Manat ®bamata )euphoria number tircluda Ina cddel 918) 481-1285 Fax telepaaae Puri (include area catlq Signature ► y, - 1� Y. ,.,� l�rl,•• o>vru ► / ! �l I 8.B.1 Note: 01c net wnta Delow this line. For orfic:al use onrv. Please IBaVYGeo. I lrci. ' C:3ss S. ze ?eason iar aooryng Z b!znic • Q For P30erwarK Reauction act Notice. see page 4. :..s�i c. '!a. iscs°:rn W SS-4 Rev. d•781 0 m 00 C N E L V tD El Packet Pg. 62 Corr coxHty Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY STATEMENT OF OWNERSHIP This certifies that I, IJ��-V�(`IS �pjJ�O S am a member or managing APPLICANT'S NAME (please print) member of oeQ) C.L�Cl- �O(bUkA 601),i } C UC40A (y, 14(- (LIMIT D LIABILITY COMPANY NAME) I own /00 % of the units issued by the Limited Liability Company listed above. Affidavit of Applicant: I certify under penalty of perjury that the information contained is a true and correct statement to the best of my knowledge. Applicant (please print) egC6&' vlA�-Lc Name of Company 4A Signature of Applicant State of Roj?-t&/ - County of The foregoing instrument was acknowledged before me by means oft -physical presence or ❑ online notarization on this Yof 1 2,20d�, by �� E�/t� C /4��L/Z-0 �-- Such person(s) Notary Public must check applicable box: ❑ are personally known to me �ZKjas produced a current driver license ,O*as produced 1f`-2'V C—Rs 4.lae6l�5g— as identification. (Notary Seal) SUSAN BARON •`. Notary Signatur �, Notary Public State of Florida D-r c=:S� 4'4k�� Commission it HH 291963 My Comm. Expires Jul 25, 2026 Contractor Licensing — FIRM Application Rev. 7/2022 Page 9 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractors] icensing(g)colIiercountvFl.gov 8.B.1 Packet Pg. 63 8.B.1 Collier County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY RESOLUTION OF AUTHORIZATION Complete this form if multiple people own part of the company the license will be attached to. If there is only 1 owner, then this form is not required for the application. In accordance with Collier County Ordinance 2006-46, as amended, L(�� LYl(ISTv podas proposes Company, Namei to engage in contracting as O w ner1 O F� ICQ� in Collier County where XC0 C_6S rD AbS Officers/Owners/Partners (n��n I t� Applicant Name proposes to qualify for a Certificate of Competency with company l�oii L�1(ISrcjO(�u�bS (oo1 �-� Comp ny It is hereby agreed upon that we the undersigned ©�%��,CS IBC S of(��M &,IS� C UFO✓,UJ �b S� Officers/Owners/Partners Company resolve and represent to the Collier County Contractor's Licensing Board that the proposed qualifying agent, N&I � rl-S i-QQJLs , is active in all matters connected with the company named ��"" Applicant me 11 j,� J/rt9ij CAICISi 2N� Q� ��^ST We further resolve and represent that I Cv4 -06 1w is legally Comp ny (��,,�� I - Applicant Na e empowered to act on behalf of I�Vn (_6SloP;?`AUJ CCU(%.Sbn all matters connected with its contracting Company business and has the authority to supervise construction Officers/Owners/Partners 1-, Officers/Owners/Partners Officers/Owners/Partners by MI C60Avla( (fooli 1.G•C Compan dL S l o Witness I Witness Witness Officers/Owners/Partners of the above -mentioned company need to sign on the left and a witness to the signature signs on the right. State of ft0J2-_*A County of The foregoing instrument was acknowledged before me by means ofEhysical presence or ❑ onlie notarization on this �day of J; fffpLi5e, 20 2,?-, by C H ��r�MCP L L) A/l./ Such person(s) Notary Public must check applicable box: ❑ are personally known to me 70.4as produced a current driver license &as produced 62-7t7 �iPS C��'E � as identification. (Notary Seal) i:Y%� •.. f SUSAH BARON Notary Public •State of Florida Commission a HH 291963 Notary Sig re: My Comm. Expires Jul 25, 1— Contractor Licensing — FIRM Application Rev. 2 2 Page 8 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractorslicensinq(o)colliercountyfl.gov Packet Pg. 64 8.B.1 DEAN CHRISTOPOULOS CONSTRUCTION 918-231-1088 cell 918-481-1285 8315 East 111th Street Suite H Bixby, Oklahoma 74008 I have been involved in one facet or another in the construction industry for over fifty years. I grew up working for my father. He owned a concrete construction company in Chicago. In Tulsa, Oklahoma, I have built over one hundred fifty homes, as well as several commercial projects. In addition, I have partnered on several residential development projects. Through my partnership, with Trademark Development Group, we built four executive homes in the Naples area: 2405 Crayton Road 401 Wedge Drive 700 Ketch Drive 888 10th Avenue South Throughout my live I have actively done carpentry, concrete, painting, and masonry as well as other fields in construction. I have been self employed for over forty years in the construction. I have held a residential builder's license in Collier County since 2017. For over forty years I have been a member of the Tulsa Homebuilder's Association. Last year I was honored to receive the Legacy Award. have been married for forty-four years, have two daughters and six grandchildren. Please consider my immense experience in approving my building contractor's license. Sincerely, Dean Christopoulos Packet Pg. 65 8.B.1 COfifer County Growth Management Crlmmunfty Oevelrlpment Deonnmenr APPLICATION FOR C0111FR COUNTY CERTIFY-47 r)F CnM?FTFNCY VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Name. r Ca')_ (, Certificate Category Requested: K ( Jr Yl 1- }C The applicant is seeking a Collier County Certificate of Competency in the trade indicated above, As part of the application for this cart{fieale, the applicant must venfy his/her experience within this trade You are being requested to provide information that will aid the applicant in meeting this requirement. You should verify time of active experience working as an apprentice or a skilled worker (e g . as a worker commanding the wage of mechanic or better in the trade) Time served solely in a supervisory or administrative role should be described. but may or may not be considered sufficient to demonstrate required trade experience The person verifying trade experience for the above -named applicant must provide the following information. Name. + `J r_ "t Title. Business Name: Phone n' ? I 1 t License No. (if applicable): Business Address II - Street City I State Zip The applicant was employed by me from f % to Applicant's title, L F•j rid 7 •� ti l ~,' The applicant's scope of work (specrfic duties) included ` ht t -' - Additional comments NOTE TO LICENSED CONTRA ORSFa b°ifyying nA�ormafi Under penalty of perjury. I declare that the facts stated here are true. State of Q }-�_� C011llt}' Of iw�y subject our license to revocation. person pfovrding the statement The foregoing instrument was acknotvledged before me by means of M physical presence or ❑ online notarization on this Such personal Nolary Public must check applicable box: ktttt I rnnrtrrrrr�� -9l,to me ❑ has produced a current driver Iicense 3rnd-•'s'y : as identification. 030006� : --I - E(Niar% tea = ch.. Jal.TA,2023i .� ? .• T��•, G` c Notan Signature: r��_G� Contractor L+cenS+ng - FIRM Application Rev V2022 Page 10 of 14 Operavoas & Reguiatory Management Drvwor. Contractor bcens+ng • 2800 North Morrreshoe Drove o Naples FL 34104 • (2391 252 2431 Antregwslx�nytna�coltrercauntvM go• Packet Pg. 66 Applicant's collier county Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE (0s _ pp !!�� r I_ Certificate Category Requested: Hui,pL2q C01)HaCkC The applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate, the applicant must verify his/her experience within this trade. You are being requested to provide information that will aid the applicant in meeting this requirement. You should verify time of active experience working as an apprentice or a skilled worker (e.g., as a worker commanding the wage of mechanic or better in the trade). Time served solely in a supervisory or administrative role should be described, but may or may not be considered sufficient to demonstrate required trade experience. The person verifying trade experience for the above -named applicant must provide the following information: Name: 5�1N' A J. 4 -,A 4?2 f ev 5 Title: Zwwc- Zse'14 ZG Business Name: L �4wy -, TAJ Phone:_¢,( T�L 39 C%z 121 _. Licennsse /No, (if applicable): Ay�z 4SG� Business Address: �d ' � � Se Street City State Zip The applicant was employed by me from to Applicant's title: z7v r e--"b sQ The applicant's scope of work (specific duties) included: � Additional comments: �GLi GJ'Gr7��.4�l� >✓ LLCe .75i�+,�►L NOTE TO LICENSED CONTRACTORS: Falsifying any information provided herein may subject your license to revocation. Under penalty of perjury, I declare that the facts stated here are true. ature of perso viding the statement State of County of The foregoing instrument was acknowledged before me by means of physical presence or ❑ online notarization on this I day of �LQrh,20�,aby o.�a�r�K'rN S Such person(s) Notary Public must check applicable box: 1Il:r El are p� pAidly �q lay;o me has produced a current driver license ❑ hal;,'tiiLnq�';DA't as identification. (Nola r);,Sea¢acpires �•, Jan. 13, 2023=Q F �F 0� OKL Notary Signatu e: ///1/111111lilll\\\\ '�'J Contractor Licensing — FIRM Application Rev. 712022 Page 10 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contraotorslicens ing@coll iercountyfi.gov 8.13.1 Packet Pg. 67 8.B.1 COMICr c074,111ty Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Name: ✓L1 ;=( Lk-/ 4 -O, 0 C U /(i� 1 Certificate Category Requested:y /� U; 6614 fl-e,- .%fir The applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate, the applicant must verify his/her experience within this trade. You are being requested to provide information that will aid the applicant in meeting this requirement. You should verify time of active experience working as an apprentice or a skilled worker (e.g., as a worker commanding the wage of mechanic or better in the trade). Time served solely in a supervisory or administrative role should be described, but may or may not be considered sufficient to demonstrate required trade experience. The person verifying trade experience for the above -named applicant must provide the following information: Name: (%.i �' 1,1 (�v� (rr" j� Title: 1`!2" a 't i Business Name: ,A'U4 1 t a7 Q,�( fir` cwyle Phone: 1466 bC Tom' — License No. (if applicable): Business Address: ligou d03 M j� . SCE' IS -y.1 ti C. Street City State zip The applicant was employed by me from Applicant's title: The applicant's scope of work (specific duties) included: Y° �;,Lr� d1CLJ be -en ✓11A�u�-{� 2'.)t[Aln� 11orALI -fietr oJer _3v Qyi u k1- I1{'p,-,_ryit Additional comments: 'rt-cKo ,�\ OA1 o ky o Ci f tflL"-_ a �}b—'p� J a ) viy Wl tr -��j;�i'. �� `'SrJ Ulu.. L\CU S;;i✓ G'•'1 rv7 �''r NOTE TO LICENSED CONTRACTORS: Falsifying any information provided herein may subject your license to revocation. Under penalty of perjury, I declare that the facts stated here are true. Signature of person providing the statement State of County of �=\Sc>, The foregoing instrument was acknowledged before me by means o physical presence or ❑online notarization on this (day of 20z by -- Such person(s) Notary Public must check applicable box: 1111111111!/ Se�W own to me ❑ has produced a current driver license �©'••oti :_ as identification. ? 4: ZSc tvss8 s, a Jan. S Qc'rt��``O�� Notary Signature:rl - u�1 r4/11ln/n nVVr1 Contractor Licensing - FIRM Application Rev. 712022 Page 10 of 14 Operations & Regulatory Management Division, Contractor Licensing . 2800 North Horseshoe Drive . Naples, FL 34104 . (239) 252-2431 rontractorslicensinn(�colliercountvfl, oov fn O J 0 O a O H 2 U Z Q w 0 0 Z_ 0 J_ 0 M w tU Z w_ FE w a X w LL O w_ w W O J O a O I— to 2 U Z Q w 0 m 00 C d E t t) r15 Q Packet Pg. 68 _.t_ 17W Collier Cottrnty APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE Applicants Name: Certificate Category Requesiea: The applicant Is seeking a Collier Gounly Cee-Hficale of Competency in t4etrw;io tridicatod above As pail of the opp4C"orl for this certificate, the applicant must verity his her expenence whin this trade. Yoe. are tieing requested in provide Information that will aid the applicant in meeting this requirement. You shmAd verify time of active experience working as an apprerylice or a skilled worker (e 9, as a worker commanding the wage of mechanic or better in the trade). Time Served solely in a supervisory of administrative role should be 0090A,*d W1 may v may ,rat be t;uffn>ent to demonstrate coquired tradle experience. The person verifyurtp irade experierce for Me above-names!appfir.-w- -i,ist provide the followmg,nfo rin ton: Name: k* S* , - 1, jy� I r, 0 W Jt C_ Phone: I?— e, 9 9-- 7,2- f2_5_ License No. (it aptilwat: -,-01(,-,) Business Address: y O 9-k Street *1 he applicam q: I.y ^ fru'l I IVY-, Applic ;jryl*s title The applicant's scope of work (specific dullesi included: .11 AC-3 /^ A a r Y*A,•�1 hC<l4�tr,,44 NOTE TO LICENSED CONTRACTORS: Fals4vig any oirwtztw,, provided herein may subiert your ksn,,;e In ievpcstW) Unger penalty of perluty. I declare that the facts stated hers! X_ nn Stale of Count)� (if Sr �al, �f penlott "i ,N the sf*wtrW j 5 c;k The Wegoing instrument was ack-inGwIcciged bcfoicHi. I)v ii.i -r i, of 0 Oiysicai pre-sruce cv D online nalarim km tsis III is —day of—. _.. _ 20 b) I- a-- 14 0 _Cz_ Aa Such pffson(s) Notary Public must cbeck applicable box. Ware pet-srostilly known to me L64< Produced a imirrent driver liccrisc C his F-ol.Lj N Notary Pubft State of Oklahom LA HOMA BASSM -rULSA COUNTY COMMISSION #020 Comm. Exp. 09. IrorSmo - 28CO Norr Hcllseehrx D,ve. . Nat., ar, FLSL 1 "L . '2. N ca 0 _j D 0 [L 0 L) z LU a z W 0 Cd 00 r_ 0 E U El IPacket Pg. 69 1 8.13.1 _I RENAISSANCE HARDWOOD FLOORS To whom it may concern: I have known Dean Christopoulos for 44 years. We originally met at Oklahoma State University in 1978, both working on degrees in Construction Management. After college, Dean started his general contracting business. I started Renaissance, Inc., a hardwood flooring specialty company. Since day one of my opening, Dean has used us for all of his hardwood flooring needs. During his peak, Dean would build 30, sometimes more, homes every year. These were large homes...4500 ft.' to 6000 ft.', and larger, each containing $20-$25k, worth of hardwood floors. At NO TIME during our tenure of doing business have I ever worried about getting paid within our terms. Because of that, he has always had an OPEN account. That is a designation we extend to very few builders. Dean has always been considered a top tier builder in our city. His clientele will reflect that. The quality of his builds year after year never waivers, and because of that, he has an impeccable reputation. Being able to list him as a client of Renaissance, in turn gives us instant credibility with our clients. My trust in Dean and his contracting company comes from our many years of working together. Because of that, I can with confidence, offer my endorsement of Dean. He is a man of impeccable character, and I am both lucky and proud to work with him and call him my friend. Sincerely, Tom Nicklas President Renaissance Inc. �/� �\J� =01A SEN- ^' A1/ B,- Manlynn McQuilkin 4 Notary Pualo in �rd/or fha $y1a of Oklahoma CommiBmn #05008D'f5 My Commfcsion expires 7MO12025 Packet Pg. 70 8.B.1 i . LUMBER & SUPPLY COMPANY Ir ACCOUNTING DEPT 6974 EAST 38" TULSA, OK 74112 (918)747-8027 MAILING ADDRESS: P.O. BOX 4770 TULSA, OK 74159 December 13t11, 2022 To Whom It May Concern: Dean Christopoulos Construction has been a customer of Mill lumber & Supply for 35 years. Dean has an exceptional reputation in the community and is very well respected. His Mill Creek account over the last 35 years has always remained in good standing. Sincerely, d f-r Brad Morgan Director of Credit Mill Creek Companies dEANETTAPATE r� NviaryPublijK lnandta STATE OF OLAH0M Commission 05pp5510Expires:l4 We 2025 ►! Z Q W m 00 r.+ C G1 E t v r Q Packet Pg. 71 FIRST CLASS ELECTRIC LLC . OK LIC #88004 8191 E . 16th st . Tulsa Oklahoma 74112 8.B.1 To Whom This May Concern, I am writing this letter to recommend Dean Christopoulos Builder. We have doing Business together for a period of 6 years and has been a valuable asset to our company. Dean Christopoulos is reliable, a team player, and always gives 100% effort every day. His professionalism in all the service he offers to his clients and team helped us succeed. He has also been a great coworker and never had a problem with anyone else in his company. For these reasons, I can confidently recommend you Dean Christopoulos as a qualified and experience Builder. If you have any further questions regarding Dean Christopoulos Builder, feel free to contact me at any time. Kind Regards, Gabriel Ruiz Owner It [Signature ] Subscribed and sworn to or affirmed before me this ,;&)" day of r.LSc , 20-Z-Q-, by i"a- 6 r" [Applicant's Name - Please Print] [Signature of Notary] My Commission Expires:Z r . 13 �p�3 My Commission Number: bOC)(o (Notary Sea!) ►,gtyqunieiq Sincerely : First Class Electric Llc . M Atte: Gabriel Ruiz President . n bd C CU(Z 12/12/22 woo If 'Iko asoo°o'sas Expires ^ n. 13, 2023 %Jq AVB1-�� p,�, l ,.:P� OFQK\-111111001 Packet Pg. 72 8.B.1 Coiiier County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER i STATE OF '-)kid COUNTY OF I f ,[�L-' i__ 11 C'� F , 1 i 1 1 ` 1� having been first duly sworn, state and affirm: I am a resident of `v; county, I ('F .l�lfa' _ (State) and have resided here for more than five (5) years. } I rn During the last five (5) years I have known .1 ,�t1 l i I <?tToDb TJ(applicant). I have had the opportunity to observe his or her business and personal dealings and find him or her to be a person of honesty, integrity and good character. l I C / Signature i La{�1q —13rinted Name Address: 4L��L�/�(iirl l�u� trees City State Zip Telephone: q f �( i�(� "I ,'� 70 State of C.�� , County of `n,- s D The foregoing instrument was acknowledged before me by means of M physical presence or ❑ online notarization on this l i;j�"* day of ".QLerhjq J- , 20 �, by C to r : C� : �� c� ✓l Such person(s) Notary Public must check applicable box: are R6j�R tally known to me ❑ has produced a current driver license I'I fill", �, .�GtilUdu�as identification. 1""C3Expirrees N Jan.18, 2023 Notary Signatur 'a x h• c Contractor Licensing — FIRM Application Rev. 7/2022 Page 13 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples. FL 34104 • (239) 252-2431 contractorslicens ingia).colliercountyfl.g ov Packet Pg. 73 8.B.1 Colfier County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF ojr.LA!-Age COUNTY OF =uC..S ^, i, �� e having been first duly sworn, state and affirm: I am a resident of 19L.5a County, n �tiA f-W-r Ma (State) and have resided here for more than five (5) years. During the last five (5) years I have known 2g%6j 0;J1115TOP000OS (applicant). I have had the opportunity to observe his or her business and personal dealings and find him or her to be a person of honesty, integrity and good character. O Signature Printed Name Address: CfC�OG C? S. Street 4a4 o City State Zip Telephone: 966' ' 23 / • a--S &-Z State of �� 1 n�c County The foregoing instrument was acknowledged before me by means of ®phy11sJiical presen e or ❑online notarization on this l a��'' day of � CAE ►� , 0 �, by Q d`1-� `t Such person(s) Notary Public must check applicable box: VI are personally known to me ❑ has produced a current driver license ``►►►►►Ul 1ll4q', ❑ h Cebl n;0,. as identification. 0 T ' 0.'9�:'oy 03000648 Expires Jan. 13, 2023cQ %yN�• A�BL\V �0��I Notary Signatur �. ►-�. o. (1 �� l• ......,...•P.� . Contractor Licensing — FIRM Application Rev. 7/2022 Page 14 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractorslicensing o�colliercountvfl.gov Packet Pg. 74 8.B.1 1 OKLAHOMA DRIVER LICENSE 4d1-k N, R 77 41, 07/31/2029 3 r�o 07/27/1955 n 1 CHRISTOPOULOS DEAN W 811613 S HUDSON CT " TULSA, OK 74137-8510 9 rD }— !. 9acn.NONE 4a 10/10/2022 12F,: NONE 5 IV, 17 190 lb 18 BRO 1s 5'-10" 28 5 P080602077072755101022D Packet Pg. 75 DEANCHR-03 RADA ,acoiro CERTIFICATE OF LIABILITY INSURANCE DATE(MMIODIYYYY) 711212022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: N the certificate holder Is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER License # 100101$91 CONTACT NAME: Hub International Mid -America PHONE FA% 6100 S- Yale Avenue fAIC. No, Exit (800) 375-8631 Nn : 918 747-8619 Suite 1900 jDDREsttIM: d-AmercaMiilNFOQ HUBINTERNATIONAL.CO_M ... -- - .- -- -_ - Tulsa, OK 74136 eISURERLSj AFFORDING COVERAGE_____ NAICi INSURED Dean Christopoulos Construction Company, LLC 8315 E 11 1th St S Ste H Bixby, OK 74008 INSURER B : ComD$Ource Mukwl Insurance Comp>Rrt INSURERD: INSURERE.' rr%ww0A r=Rc rFOTICICATC All I110109:97• RFV1Rll1W IN11pRPR• THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTVATHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSITTYPE OF INSURANCE AIDOL'INSID'SURRTAIVO _- POLICY NUMBER; POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LIABILITY j EACH OCCURRENCE $ 1,000,000 CLAIMS MADE C OCCUR 04GL001082150 71112022 7/112023 pAMIAGETO aENTEDrence, IS 100,000 E=Iuded _ MED EXP (Any one pw PERSONAL&AOV INJURY_6'�� GEMLAGGREGATF LIMIT APPLIES PER: ! GENERAL AGGREGATE 2'fl10'1*1 X POLICYn Ppe LOC _ 2,000,000 PRODUCTS-COMPIOPAGG — .� . OTHER: AUTOMOBILE LIABILITY I COMBINED SINGLE LIMIT (Ea -mdanI T _ _ ANY AUTO BODILY PWURY Ep f AUTOSOWNONLY _ ALITNOaSyU�L,�ED 9GDILY INJURY P& a Kwo AUTOS P1.1 E. SAGE AUTOS ONLY ONLY UMBREL UAe OCCUR EACH OCCURRENCE ExC E55 LIAR CLAIMS4AADE - AGGREGATE DED RETENTIONS B MRXERSCOMPENSATHDN X PER OTH- AND EMPLOYERS' LIABILITY Y t -_ _..STATUTE _ ER ANY PROPRIETCRIPARTNERIEXECUTIYE �REXCLUDEO? Y MIA 03053173221 711Yt022 T11l2023 E L, EACH ACCIDENT -$ 1.0mlo00 FICERAAEM ndatory in ggpIl 1'�'W M yes ��`� DESCRIPTION F OPERATIONS below EL DISEASE • EA EMPLOYEES E L DISEASE - POLICY LIMIT 110001000 ' r I I DESCRIPTION OF OPERATIONS I LOCATIONS 1 VENRCLES IACORD 101, AddOional Remarks Schedule, mn may be attached it matpOl f Y pllYatl) The State of Florida is covered on the General Liability polity. I Construction Industries Licensing Board 2601 Blair Stone Road / Tallahassee, FL 32399-0783 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE AcoKU zs (zU15I03) Cfl 1988-2016 ACORD CORPORATION. All rights reserved, The ACORD name and logo are registered marks of ACORD 8.B.1 Ito 0 J 0 a 0 U Z Q W 0 Z Q W 0 m 00 J C 0 E t V ns r� El Packet Pg. 76 TR2263-R01 185 'l 0 2,2- 278 5940 F07 $ B 1 JOHN M. FOTHERGILL TULSA COUNTY TREASURER 218 W. 6TH ST., 8TH FL TULSA, OK 74119-1004 918-596-5071 TIN 73-6006419 To view your tax account online, log on to www.treasurer.tulsacountv.ora and select "Payments" and "Your Tax Account". 02/22/2022 00256465 BOK PIC1084222053140 2021 BUSINESS PERSONAL TAX 00000-51-40-00793 21-04-2771140-034-7 P: 278 PAGE 1 OF 1 SINGLE �. DEAN CHISTOPOULOS CONSTRUTiON LLC 8315 E 11 1TH ST S STE H BIXBY OK 74008-2466 59.00 8315EIll STS#H .00 .00 Mil TAX YEAR 2021 DISTRIBUTION OF YOUR AD VALOREM TAX DOLLARS FOR TAXING UNIT: BI-4A The County Treasurer distributes taxes among the schools, cities, City -County Library, City -County Health Department and county instead of each taxpayer paying separate amounts to these agencies. All of the money you pay to the County Treasurer stays within your community. The tax rate (sometimes referred to as "millage rate") is based upon budgets submitted by these agencies, and includes the amounts necessary to pay bonded indebtedness awroved by a vote of the oeoole. Distribution of your ad valorem tax amount certified is as follows. Special assessments are distributed to the certifying entity. Health $2.32 Tulsa Technology Center $11.98 City $11.50 School 4-Mill $3.59 Tulsa Community College $6.48 County $10.21 School District $67.14 Emergency Medical Service THANK YOU FOR YOUR 2021 BUSINESS PERSONAL TAX PAYMENT. $0.00 Library $4.78 Retain This Receipt For Your Records U) O J O a. O 2 U z Q w Packet Pg. 77 8.0 01 / 18/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 8.0 Doc ID: 24362 Item Summary: 8C. JOHN R. RICHARDSON III — REVIEW OF EXPERIENCE AND CREDIT REVIEW - PAINTING CONTR. Meeting Date: 01/18/2023 Prepared by: Title: — Contractor Licensing Name: Sandra Delgado 01/11/2023 3:15 PM Submitted by: Title: — Contractor Licensing Name: Tim Crotts 01/11/2023 3:15 PM Approved By: Review: Contractor Licensing Sandra Delgado Review item Completed 01/11/2023 4:02 PM Contractor Licensing Tim Crotts Review Item Completed 01/11/2023 4:48 PM Contractor Licensing Tim Crotts Meeting Pending 01/18/2023 9:00 AM Packet Pg. 78 8.C.1 Collier County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY FIRM APPLICATION FOR COLLIER COUNTY LWZOZZ• Z70 3 CERTIFICATE OF COMPETENCY LMZoZ.Z- &OS" This application must be typewritten or legibly printed. The application fee must be paid upon approval and is NOT refundable. All checks should be made payable to: Collier County Board of County Commissioners. For further information, consult Collier County Ordinance No. 2006-46, as amended. TYPE OF CERTIFICATE OF COMPETENCY: ❑ General $230.00 ❑ Electrician $230.00 ❑ Building $230.00 ❑ Plumber $230.00 ❑ Residential $230.00 ❑ Air Conditioner $230.00 ❑ Mechanical $230.00 ❑ Swimming Pool $230.00 ❑ Roofing $230.00 iSISpecialty $205.00 Specialty Trade: par rt 4i'n9 I. APPLICANT PERSONAL INFORMATION: Name: To " P- P ckc,r4Soti First Middle Initial Last Business Name: R'chardSon h lZoyct P-t,li�441 .k Gore Address: 2028 Par Or /Japle5 FlaJa SgIZO Street City State Zip Email: S"nn7 R cha�dSon,I) J�t)6ma:l.Cdr^ Telephone: 239 -7-%-6a`16 Date of Birth: i' 20 - tg8q *SS # (Last 4 digits only): .3881 Driver's License # (Last 4 digits only):y 2 0 — 0 Pursuant to Collier County Contractor Licensing Ordinance No. 200646 Section 2.1.1., all applicants are required to submit their social security number, driver's license, and date of birth for the following purposes: a) Assess applicant's ability to satisfy creditors by reviewing their credit history. b) Verification of applicant's test scores and information. c) Verification of applicant's identity. Our office will only use the personal information noted above for those reasons pursuant to Chapter 119, Florida Statutes, and as may otherwise be authorized by law. We are fully committed to safeguarding and protecting your personal information and once collected, will be maintained as confidential and exempt under Chapter 119, Florida Statutes. Contractor Licensing — FIRM Application Rev. 7/2022 Page 3 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive . Naples, FL 34104 • (239) 252-2431 contractorslicensingaeolliercountvtl aov u Packet Pg. 79 8.C.1 1.6.3.30. Painting Contractor requires twenty-four (24) months experience, a passing grade on a N,e {3# anapru%cd test and a Passing g grade on a PA4*t244%)- f business and law tcst and means those who are qualtficd to use spraying equipment as well as hand tools to finish both exterior and interior work. A painting contractor may do paperhanging, sandblasting, waterproofing. and may clean and paint roofs. W Z 2 O U 00 r c d E t v Ca Q Packet Pg. 80 8.C.1 Conr County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY Provide the names and telephone numbers of two persons who will always know your whereabouts. Name: JOhvt Q c hardSer, J'Z- Name: Telephone: (Q I b i) 13 - I ISI Telephone: 616 4y 0027 il. NAME OF APPLICANT'S BUSINESS: Business Name: f'<I/Coycc i k I�a��fevahCC Carp Business Address: ZO 2 ec r Pr lyap/C S fL 2ql 2 0 Street Telephone: 239 7 7 4. fv 9 L/ 6 City Email: _r'cha.r8Son, t �6A .2. Cep Federal ID Tax No.: � g - 2 q -7 �y0() Ill. FINANCIAL RESPONSIBILITY State Zip YES NO ALL APPLICANTS MUST ANSWER THE QUESTIONS BELOW: Filed for or been discharged in bankruptcy within the past 5 years? Had a lien filed against you by the Internal Revenue Service or Florida Corporate Tax Division? Undertaken construction contracts or work that resulted in liens, suits, or judgments being filed? Undertaken construction contracts or work that a third party, such as a bonding or surety company, completed or made financial statements on? Made an assignment of assets in settlement of construction obligations for less than the debts outstanding? een convicted or found guilty of, or entered a plea of nolo contendere to, regardless of adjudication, a crime in any jurisdiction within the past 10 years?' 1<11 Had claims or lawsuits filed for unpaid or past due accounts by your creditors as a result of construction experience? Been charged with or convicted of acting as a contractor without a license, or if licensed as a contractor in this or any other state, been "subject to" disciplinary action by a state, county, or municipality? NOTE. If you have answer YES to any of the questions below, you must attach a written explanation including the nature of the charges, dates, and outcomes, sentences of conditions imposed. You must also attach proof of payment, satisfaction of lien or judgement, bankruptcy discharge, or agreements for payment.'If you have had a felony conviction, proof that your civil rights have been restored will be required prior to licensure. Contractor Licensing — FIRM Application Rev. 7/2022 Page 4 of 14 Operations & Regulatory Management Division. Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 . (239) 252-2431 contractorslicensinq,,Wcolliercountvflgov z x O U 00 C d E t t� ct3 r-� Q Packet Pg. 81 8.C.1 CO�r County Growth Management Community Development Department W U APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY } O W IV. EXPERIENCE VERIFICATION ad Z EDUCATION: O List below and provide transcripts for any formal education you have obtained in the area of competency for which N this application is being made: Q x U List below non formal education (on the job training) you have obtained in the area of competency for which this application is being made: -T S4.%, eX as a apPrcnf.te WFww ,r Wg.s 14. = a rn r,oi W a1w,05 f' have Wei( over. to/ 000 Inovrs o e on41..e '1ob_ p� elcper enlc CURRENT/PREVIOUS LICENSE: List below and attach copies any other certificates of competency/licenses you hold/have held in Collier County or any other jurisdiction. Include the license #, Type, and county you hold it in. AFFIDAVIT Under the penalties of perjury, I declare that I have read the forego' g a lication and the facts stated in it are true. Applicant (please print) Signature of App scant State of tL'U(: ' n County of c, a L. 4-- . P"k 'I1ie foregoing instrument was acknowledged before me by means of Arphysical presence or ❑ online notarization on this 1 ci day of 04C, <- .202r1 , by .3 G *A f'9 t2, 5: t (. H A IZ Q SC) Q izu Such person(s) Notary Public must check applicable box: ❑ are personally known to me )�(Iias produced a current driver license ❑ has produced as identification. (Notary Seal) " Nowyrede is J OhmShore °"d° Frederic J 3fwte XCkatwr �n ►Ni oe��z Contractor Licensing — FIRM Application Rev. 7/2022 Page 5 of 14 Operations & Regulatory Management Division. Contractor Licensing . 2800 North Horseshoe Drive . Naples, FL 34104 • (239) 252-2431 contractorslicensina()colliercountvfl qov Z 2 O U 00 C d E t t� c0 r-� Q Packet Pg. 82 8.C.1 Cor County Growth Management Community Development Department W U APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY O W CERTIFICATION OF APPLICATION ad The undersigned hereby makes application for Certificate of Competency under the provisions of Collier County No. 2006-46, as amended, and under penalties of perjury. I declare that I have read the foregoing qualifier information and that the facts stated in it are true. The undersigned hereby certifies that he is legally qualified to act on behalf of the business organization sought to be licensed in all matters connected with its contracting business and that he has full authority to supervise construction undertaken by himself or such business or organization and that he will continue during this registration to be able to so bind said business organization. The qualified license holder understands that in all contracting matters, he/she will be held strictly accountable for any and all activities involving his license. Any willful falsification of any information contained herein is grounds for disqualification. State of County of C o l t ,`e r 70b,w 1Z." I,&rCIS on Applicant (please print C.rd SOh f Qoy(( Aii'4'I, S Ma"'r'!CM411Ce Cor Name of Company 4, 2 &'� ig ature of Applicant The foregoing instrument was acknowledged before me by means of Q(physical presence or O online notarization on this .?- day of U(,e . 201'L, by do hit) Qt,c q a_Q A s r,I, ) "t!17 Such person(s) Notary Public must check applicable box: ❑ arc personally known to me Dias produced a current driver license 0 has produced (Notary Seal) as identification. Puewe stall. a EI«a. Frederic J Shore Etroary «oj My CemrNMion HH Oe2972 E.xpkM it/tYR024 Contractor Licensing — FIRM Application Rev. 7/2022 Notary Page 6 of 14 Operations & Regulatory Management Division. Contractor Licensing • 2800 North Horseshoe Drive • Naples. FL 34104 9 (239) 252-2431 contractorslicensinoCaDco Iliercou ntyfl. aov u Z 2 O U 00 C 0 E t t� cts r-. Q Packet Pg. 83 8.C.1 COr County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY WORKMEN'S COMPENSATION AFFIDAVIT It is understood and acknowledged by the Collier County Contractors' Licensing Board and myself that if I fail to acquire, or maintain at all times effective Workmen's Compensation Insurance it will result in the possible revocation of my Certificate of Competency. BEFORE ME this day personally appeared Sohn R.ctiairdSgn ZI�L- Applicant (please print P..��.ocdsan Z Qoyce Qa,I,E�`1 S 1�+,1^KhKn� G (�r•P Name of Company i Si nature of Applicant zakv —G — Applicant (please print) who affirms and says that he has less than one employee and does not require Workmen's Compensation understands that at any time he employees one or more persons he must obtain said Workmen's Compensation Insurance. State of f `=, a % PA County of c o t_ % 0,1- '11te foregoing instrument was acknowledged before me by means OA physical presence or ❑ online notarization on this 14 ay of 1 t C- 20:- , by -1 n+1 N a RiCr1-&RQ SU k) >T Such person(s) Notary Public must check applicable box: ❑ are personally known to me has produced a current driver license ❑ has produced as identification. (Notary Seal) 40P Notary Pubbc State of Florida Frederic J Shore My Cgnnyayon HN 062tit2 Expires 11/1OM24 Notary Contractor Licensing - FIRM Application Rev. 7/2022 Page 7 of 14 Operations & Regulatory Management Division, Contractor Licensing a 2800 North Horseshoe Drive a Naples. FL 34104 a (239) 252-2431 contractorslicensing aecolliercountyfl.cloy IX Z 0 U 00 r C d E t U to Q Packet Pg. 84 8.C.1 Score Report Pro I - Name: JOHN I RICHARDSON Test: Business and Law, end edition Sponsor: Collier County Date: 11/16/2022 ID #: Test ID: 427794266 Score: 80 Result: Pass # Unanswered Questions: 0 Module Subject Area Status LOW FLBO Business Organization P --- ---- OLLIC----------------------------------------- FLTL Licensing F ---- --------- FLTL ------------------------------------- Tax Laws---------------------------------- ----- ----------------- FLSRR --------------------------------------------------- Safety OSHA P FLLL -------------- Labor Laws --------------------------- F--- ---- FLCM --------------------------------------------------- Contract Management P ---- FLPM --------------------------------------------------- Project Management P ---- FLEBB Estimating & Bidding P ---- - ------------- FLFM --------------------------------------------------- ------------------------------ Financial Management ------- P ---- FLRM Risk Management P --------------------------------------------------- FLLIEN Lien laws ---- F Cut Score HIGH Packet Pg. 85 Score Report Name: JOHN I RICHARDSON Test: Sponsor: Collier County Date: ID #: Test ID: Score: 88 Result: # Unanswered Questions: 0 Pro✓ Painting - (FL08128) 11/15/2022 325304410 Pass Module Subject Area Status LOW Cut Score HIGH -------------------------------- P -------- --- ------------ ----------------------- IFLIVIAT Materials 13" ---------------------------------- Substrates & Preparation F --- ----------------------------------------------- FLAA Ap-pilication Planning n- i-n-g &- -E-s-ti-m- Estimating ---------------- V FLJP&E Jab ----------------- ............... -------------------------------------------------------- FILE Equipment P M 71A I Packet Pg. 86 1 CR.-EVETCHECK CONFIDENTIAL 8•C.1 Individual Credit Report Name. ..:RICHARDSON JOHN ROYCE III Ordered By:16456 Address:2028 PAR DRIVE Customer :9999 NAPLES FL 34120 Received :12/02/22 Social#: Applicant: ` -3831 Completed :12/02/22 CREDIT SCORE: APPLICANT FICO SCORE: Q (scores range from 300 to 850) SOURCE(S): EXPERIAN TRANSUNION PUBLIC RECORDS: PUBLIC RECORDS HAVE BEEN CHECKED AT THE LOCAL, STATE AND FEDERAL LEVELS WITH THE FOLLOWING RESULTS AS OF 12102/22: CLEAR CREDIT RECORD (Credit history has been checked for a period of seven years or from open date.) Creditor Data ramie Hi g., L'r,paid Y3s_ Historic S[aCus Currant Mcs Account Number Rer—ted .Drene9 Ralarce L.— 30 Go 9� Status Rev ECOR FIFTH THIRD BAN AS AGREED S46700160036 12/13 03/05 1147 0 0 00 00 00 R01 99 J DLA=05/07 Total trade lines on this report: 1 INQUIRIES: 10/13/22 by BK OF AMER (EXP) ##1197678 10/13/22 by GROW FINANCIAL FCU (EXP) ##1846970 10/13/22 by TD AUTO FINANCE (EXP) #3620242 10/12/22 by CDK/BERT SMITH INTERNA (EXP) #0964357 10/12/22 by CAPITAL ONE AUTO FIN (EXP) 41254780 10/12/22 by SANTANDER CONSUMER USA (EXP) #1912477 10/12/22 by JPMCB AUTO (EXP) #1950217 10/12/22 by GLOBAL LENDING SERVICE (EXP) 41966277 10/12/22 by EXETER FINANCE LLC/WCG (EXP) #2898460 09/20/22 by SUNCOAST CREDIT UNION (EXP) #1879040 06/01/22 by COMENITYCB/EL DORADO (EXP) #2220780 10/13/22 by SOLERA AUTO (TU) #4831386 10/13/22 by TD AUTO FIN (TU) #3025836 10/12/22 by JPMCB AUTO (TU) #2422552 10/12/22 by LOAF (TU) 41246538 10/12/22 by BERT SMITH (TU) #206683 Licensee Applicant: APPLICANT - SEE NAME ABOVE Reporting Agency: Credit Check, Inc. - 3017 Exchange Court, Suite H, West Palm Beach, Fl- 33409. (561) 616-5556 w Z 2 O U 00 d U Ca Q Packet Pg. 87 CREDIT CHECK CONFIDENTIAL 8•C.1 Name: RICHARDSON , JOHN ROYCE III Customer: 9999 Page:2 RESIDENCE HISTORY: 15189 KELLY ST, SPRING LAKE MI 49456 10695 N CEDAR DRIVER, GRAND HAVEN MI 49417 5012 PO BOX 5012, MUSKEGON MI 49445 COMMENTS: ***OFAC NAME SCREEN ALERT - CLEAR*** OFAC (OFFICE OF FOREIGN ASSET CONTROL) IS A FEDERAL AGENCY WHICH MAINTAINS A DATABASE OF TERRORISTS, DRUG TRAFFICKERS AND CRIMINAL ORGANIZATIONS. FRAUD RECORDS HAVE BEEN SYSTEMATICALLY CHECKED BY THE ACCESSED BUREAUS. CHECKS FOR IDENTITY THEFT, FAKE SSN, DECEASED SSN AND OFAC DATABASE PERFORMED. CREDITOR PHONE DIRECTORY: BERT SMITH A 0206683 (813) 527-1111 3800 34TH ST SAINT PETERSBU FL. 33714 TD AUTO FIN F 3025836 (248) 427-6538 POB 9223 FARMINGTON HIL MI. 48334 SOLERA AUTO F 4831386 (844) 973-2886 7301 N. STATE HIGH IRVING, TX. 75039 CREDIT CHECK Z 0630273 (877) 616-5556 3017 EXCHANGE COUR WEST PALM BEAC FL. 33409 JPMCB AUTO B 2422552 (800) 336-6675 PO BOX 901076 FORT WORTH TX. 76101 COAF F 1246538 (800) 946-0332 3905 N DALLAS PARK PLANO TX. 75093 *** END OF REPORT *** This information is confidential and is not to be divulged except as required by the Fair Credit Reporting Act This personal report is furnished simply as an aid in determining the credit desirability of the app6cant(s). It is based upon information obtained in good faith by this agency from sources deemed reliable The accuracy of same. however, is in no way guaranteed By your acceptance and use of this report, you specifically agree to hold Credit Check. Inc. harmless from any liability whatsoever. Licensee Applicant: APPLICANT - SEE NAME ABOVE Reporting Agency: Credit Check, Inc. - 3017 Exchange Court, Suite H, West Palm Beach, FL 33409 . (561) 616-5556 u Z 0 i U 00 r- m t c� r Q Packet Pg. 88 DIVISION OF CORPORATIONS 8.C.1 impartment of State / Division of Corporations / Search Records / Search by Entity Name / u Packet Pg. 89 8.C.1 Electronic Articles of Incorporation For RICHARDSON & ROYCE PAINTING & MAINTENANCE CORP P22000046763 FILED June 07 2022 Sec. Of Mate hleblanc The undersigned incorporator, for the purpose of forming a Florida profit corporation, hereby adopts the following Articles of Incorporation: Article I The name of the corporation is: RICHARDSON & ROYCE PAINTING & MAINTENANCE CORP Article II The principal place of business address: 2028 PAR DR NAPLES, FLORIDA, . 34120 The mailing address of the corporation is: 2028 PAR DR JOHNNYRICHARDSONIII@GMAIL.COM _ . NAPLES. FLORIDA34120 Article III The purpose for which this corporation is organized is: RICHARDSON & ROYCE PAINTING & MAINTENANCE PROUDLY SERVES A COMMUNITYOF RESIDENTIAL, COMMERCIAL, AND INDUSTRIAL CLIENTS PROVIDING PRACTICAL UPKEEP SOLUTIONS ACROSS A RANGE OF SKILLED TRADES. 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: JOHN R RICHARDSON III 2028 PAR DR NAPLES, FL. 34120 I certify that I am familiar with and accept the responsibilities of registered agent. Registered Agent Signature: JOHN ROYCE RICHARDSON III Packet Pg. 90 P22000046763 8.C.1 FILED Article VI June 07 2022 Sec. Of state The name and address of the incorporator is: hieblanc JOHN ROYCE RICHARDSON III 2028 PAR DR NAPLES, FLORIDA 34120 Electronic Signature of Incorporator: JOHN R RICHARDSON III I am the incorporator submitting these Articles of Incorporation and affirm that the facts stated herein are true. I am aware that false inforniation submitted in a document to the Department of State constitutes a third degree felony as provided for in s.817.155, F.S. I understand the requirement to file an annual report between January 1 st and May I st in the calendar year following formation of this corporation and every year thereafter to maintain "active" status. Article V11 The initial officer(s) and/or director(s) of the corporation is/are: Title: CHMN JOHN R RICHARDSON M 2028 PAR DR NAPLES, FL. 34120 a z x 0 v as E s a Packet Pg. 91 State of Florida Department of State I certify from the records of this office that RICHARDSON & ROYCE PAINTING & MAINTENANCE CORP is a corporation organized under the laws of the State of Florida, filed electronically on June 07, 2022. The document number of this corporation is P22000046763. I further certify that said corporation has paid all fees due this office through December 31, 2022, and its status is active. I further certify that said corporation has not filed Articles of Dissolution. I further certify that this is an electronically transmitted certificate authorized by section 15.16, Florida Statutes, and authenticated by the code noted below. Authentication Code: 220611091927-500389098135#1 Given under my hand and the Great Seal of the State of Florida at Tallahassee, the Capital, this the Eleventh day of June, 2022 8.C.1 Packet Pg. 92 8.C.1 x OF fA I RS INTERNALNREVENUEESERVICERY PHILADELPHIA PA 19255-0023 03352 003352,446206.135364.1857 1 M8 0.485 926 Ilrr��rrl1l�Illi�rlrl��l�l�lillr��nr��rlfr+n�lrlrr�r�lrrili�l RICHARDSON 8 ROYCE PAINTING & MAINTENANCE 2028 PAR DR NAPLES FL 34120 Date of this notice: 06-30-2022 Employer Identification Number: 88-2978400 Form: SS-4 Number of this notice: CP 575 A For assistance you may call us at: 1-800-829-4933 IF YOU WRITE, ATTACH THE STUB OF THIS NOTICE. WE ASSIGNED YOU AN EMPLOYER IDENTIFICATION NUMBER Thank you for applying for an Employer Identification Number (EIN). We assigned you EIN 88-2978400. This EIN will identify your entity, accounts, tax returns, and documents, even if you have no employees. Please keep this notice in your permanent records. Taxpayers request an EIN for their business. Some taxpayers receive CP575 notices when another person has stolen their identity and are opening a business using their information. If you did not apply for this EIN, please visit, www.irs.gov/ einnotrequested. When filing tax documents, making payments, or replying to any related correspondence, it is very important that you use your EIN and complete name and address exactly as shown above. Any variation may cause a delay in processing, result in incorrect information in your account, or even cause you to be assigned more than one EIN. If the information is not correct as shown above, please make the correction using the attached tear -off stub and return it to us. Based on the information received from you or your representative, you must file the following forms by the dates shown. Form 1129 04/15/2023 If you have questions about the forms or the due dates shown, you can call us at the Phone number or write to us at the address shown at the top of this notice. If you need help in determining your annual accounting period (tax year), see Publication 538, Accounting Periods and Methods. We assigned you a tax classification (corporation, partnership, etc.) based on information obtained from you or your representative. It is not a legal determination of your tax classification and is not binding of the IRS. If you want a legal determination of your tax classification, you may request a private letter ruling from the IRS under the guidelines in Revenue Procedure 2020-1, 2020-1 I.R.B. I (or superseding Revenue Procedure for the year at issue). Note: Certain tax classification elections can be requested by filing Form 8832, Entity Classification Election. Sea Form 8832 and its instructions for additional information. W Z 2 O U 00 r c d E t v Ca Q Packet Pg. 93 (IRS USE ONLY) 575A 06-30-2022 RICH B 0509905636 SS-4 8.C.1 C3352 Keep this part for your records. CP 575 A (Rev. 1-2022) Return this part with any correspondence so we may identify your account. Please correct any errors in your name or address. Your Telephone Number CP 575 A 0509905636 Best Time to Call DATE OF THIS NOTICE: 06-30-2022 EMPLOYER IDENTIFICATION NUMBER: 88-2978400 FORM: SS-4 NOBOD INTERNAL REVENUE SERVICE PHILADELPHIA PA 19255-0023 III-- III- 'Iinl.1il11I,lilnnN-nli11H III III III,I-I.... lii1,l1 RICHARDSON & ROYCE PAINTING & MAINTENANCE 2028 PAR DR NAPLES FL 34120 W Z 2 O U 00 r d E U Ca a Packet Pg. 94 Comer County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY STATEMENT OF OWNERSHIP T-�- This certifies that IR �� k a '-d S 0v, � am a member or managing , ✓C �"'`- n APPLICANT'S NAME (please print) member of R,chc�rdS0n Sgo'lef 19, +�F�1-c� ,� 04 c,,), 1-t ri 4 n " C 60r(I (LIMITED LIABILITY COMPANY NAME) I own t D 0 % of the units issued by the Limited Liability Company listed above. Affidavit of Applicant I certify under penalty of perjury that the information contained is a true and correct statement to the best of my knowledge. Applicant (please print) /{,Cltir<iAlans /2oycr Pa•l.A.a� 9 MOL4,knomce �D(P 'Name of Company Signature of Applicant State of �L.OL\ Qk County of The foregoing instrument was acknowledged before me by means of physical presence or ❑ online notarization on this 3 day of..20 3-1, by �c�'e� tJ QtZ►aJ�0.Q tttS� "�' Such person(s) Notary Public must check applicable box: ❑ are personally known to me ❑ has produced 4/las produced a current driver license (Notary Seal) ►r"�y Notary Funk sate of Fior as `h Frederic J Shore •� MY Commission HH 062972 4 Expires 11/190024 as identification. Notary Contractor Licensing - FIRM Application Rev. 7/2022 Page 9 of 14 Operations & Regulatory Management Division, Contractor Licensing . 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractorslicensing(g colliercountvfl gov 8.C.1 IX Z 2 O U 00 c 0) E t U to Q Packet Pg. 95 ��!! 8.C.1 Coilr County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Name: T�, ry Certificate Category Requested: The applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate, the applicant must verify his/her experience within this trade. You are being requested to provide information that will aid the applicant in meeting this requirement. You should verify time of active experience working as an apprentice or a skilled worker (e.g., as a worker commanding the wage of mechanic or better in the trade). Time served solely in a supervisory or administrative role should be described, but may or may not be considered sufficient to demonstrate required trade experience. The person verifying trade experience for the above -named applicant must provide the following information: Name: Soh., Qn cln.ardSOn Title: (90f is / ©perahw Business Name: z oy c t Pdt I n i^r%q cm— P` 7 Phone: 23 a 776 6 W 4 Business Address: f Sfey x4ay Sq" Street The applicant was employed by me from J c,, •, Z 0 I f License No. (if applicable): S�r,�,y►gke jM ; ygyS 6 city State Zip to neeewvb-fr 2021 Applicant's title:y W✓%.r /� The applicant's scope of work (specific duties) included. 9CS'd e" d"L L 5 Ha"!� rvt q, nyj b f k Additional comments: W1`� ^ S sf&,-"J dLa. 6vs'nt.s3 I corv,vea 4nd 4.%41 35/000.00 ,�.. Qcve"ve BVcr `f%,{ Lq ycors ai ver. ,cd by +ke IG r0vr&5fvhw-CK#$ NOTE TO LICENSED CONTRACTORS: Falsifying any information provided herein may subject your license to revocation. Under penalty of perjury, I declare that the facts stated here are true. n n Signature of person providing the statement State of P , P` County of GO w The foregoing instrument was acknowledged before me by means of Rphysical presence or ❑ online notarization on this tY day of .20 z.a by asyyq Such person(s) Notary Public must check applicable box: Z O rn 0 are personally known to me ;Oas produced a current driver license Q ❑ has produced as identification. _ _V (Notary S 1) ;t HoyPubiestwaFWWa Frederic J Shore My Corm is im HH 082972 « arEVOU 1111W2024 Z 2 Notary Sidature: K 0 ao Contractor Licensing - FIRM Application Rev. 7/2022 Page 10 of 14 0 ; c Operations & Regulatory Management Division. Contractor Licensing . 2800 North Horseshoe Drive . Naples, FL 34104 . (39) 252-2431 d contractorslicensing�col!iercountyfl.gov t� its r- Q Packet Pg. 96 8.C.1 JOH N RICHARDSON 111 239-776.6946 PROFILE johnnyrichardsoniii@g EXPERIENCE TO WHICH IT CONCERNS mail.com 2028 Par Dr, Naples, FI I have been in the trades my whole life and owned my own referral 34120 based painting company for 4+ years. I am also a writer/poet/philosopher/intellectual currently editing/ publishing my first book on ethics, morality, phenomenology, philosophy and psychology. Hobbies : Family, anything outdoors and ocean related, reading and writing. EXPERIENCE Richardson & Royce Painting & Maintenance Corp June 2022 - Present A full service painting company. I branded this company on myself, who I am, and what I stand for. I am a 33 year old, Christian, clean-cut, fit, well spoken, meticulously detailed, transparent, open and honest professional tradesman. I am a personable and pleasant gentleman who cares for people and their homes and I have always given my customers my all, for example cleaning the upper windows when I am doing exteriors, and they have always recognized the extra effort, been very welcoming, warm, and awesome in return. I hold myself to VERY high standards in detail and craftsmanship and developed the soft skills on the people side attending seminars and reading books. I am going to do a very good job serving Naples. Royce Painting Company January of 2018 - December of 2021 1 started this company, kept it afloat through referrals, and did $135,000 in total revenue over the 4 years before moving to Florida and starting Richardson & Royce Painting & Maintenance Corp. I would take anything when I began but then specialized in hard to paint residential homes which often required large equipment where quality was of the upmost importance. I also did a lot of commercial painting work, general maintenance, and troubleshooting. Packet Pg. 97 8.C.1 EDUCATION Class of 2008 Rockford High School - Certificate in Precision Machining Technology SKILLS *Highly skilled in nearly all painting/coating applications. Residential to Industrial. *Proficient in 10+ other skilled trade applications. I have worked as a tradesman beginning as an apprentice and earning money since I was 13 years old. My dad and brother and I built a houseboat when I was about 10 years old which still floats to this day. My dad said I could swing hit the nail on the head when I was 4 years old. I grew up working with my hands. *1 have read hundreds and hundreds of books and have done my best to apply to my life what I've read. Some examples are; the Bible cover to cover, Plato's Republic, 1984 and Brave New World, Dostoevsky, Solzhenitsyn, and Tolstoy, Hayek, The Federalist Papers, and Shakespeare, Goethe, Kierkegaard, Ayn Rand, Dale Carnegie, and John Maxwell. )30 CJ The foregoin, instrument was acknowledged before me by means of �ysical presence or ❑ online notarization on this 3 day of T,, T� , 20 -13 by Such person(s) Notary Public must checopplicable box_ ❑ re personally known to me ®/has produced a current driver license t/J has produced D. L as identification. � N NN Notary PubhC StM d FW Viral Patel .fir w My Gom n"on GG 354350 �i Empires 07I222023 u Z 2 O U 00 c 0 E t co r Q Packet Pg. 98 8.C.1 SCHEDULE C Profit or Loss From Business OMB No. 1545-0074 (Form 1040) (Sole Proprietorship) 2018 Department of the Treasury ►Go to www.irs.gov ScheduleC for instructions and the latest information. Attachment to terna! Revenue service (99) ►Attach to Form 1040, 1040NR, or 1041; partnerships generally must file Form 1065. Sequence No. 09 Name of proprietor Social security number (SSN) IOHN R RICHARDSON ETI 38� A Principal business or profession, including product or service (see instructions) B Enter code from instructions PAINTING 0,236320 C Business name. If no separate business name, leave blank. D Employer ID no. (EIN) see nst,i F2,-�YC'F. PATNTING COMPANY E Business address (including suite or room no.) ►1518 9 KELLY ST City, town or post office, state, and ZIP code SPRING LAKE MI 49456 F Accounting method. (1) Lj Cash (2) Accrual (3) Other (specify) ► G Did you "materially participate" in the operation of this business during 2018? If "No," see instructions for limit on losses - • • • YesLj No H If you started or acquired this business during 2016, check here • ...... ... • • • " ' • ' ► Did you make any payments in 2018 that would require you to file Forms) 1099? (see instructions) • • • • . • • • • • • . • • • • • • . . Yes No J If "Yes." did you or will you file required Forms 1099? . . • • • • Yes No Income 1 Gross receipts or sales. See instructions for line 1 and check the box if this income was reported to you on Form W-2 and the "Statutory employee" box on that form was checked • L . . . . . • ' • - - - ► 0 2 Returns and allowances................................................................. 3 Subtract tine 2 from line 1............................................ . . ............. 4 Cost of goods sold (from line 42).................................. _ . ................... 5 Gross profit. Subtract line 4 from line 3 ............ • • . ....... • • ... r • • • • • . • • .. • ... " "' 6 Other income, including federal and state gasoline or fuel tax credit or refund (see instructions) .... , ..... 7 Gross income. Add lines 5 and 6 ..... • • ... • .......... ...... • .. ... ` ............ ► 1 31 900 2 0 3 31 900 4 4,288 5 27,612 6 7 27, 612 8 Advertising ... ............ 9 Car and truck expenses (see instructions) ................ 10 Commissions and fees .. .... 11 Contract labor (see instructions) 12 Depletion .................. 13 Depreciation and section 179 expense deduction (not included in Part 111) (see instr,) .. 14 Employee benefit programs (other than on line 19) ....... 15 Insurance (other than health) 16 Interest (see instructions) a Mortgage (paid to banks, istc.) , b Other ....... . ............. 17 Legal and professional services 8 908 18 Office expense (see instructions) 19 Pension & profit-sharing plans . 20 Rent or lease (see instructions): Ili 'Vehicles, nacrt,nery, and equ,prneni b other business property . • • . • 21 repairs and maintenance • . . • 22 Supplies lnotincludeain Partup• • • 23 Taxes and licenses . • . . • • • • • • 24 Travel and meals: a Travel .... • ... .. • • • • • .. • b Deductible meals (see instructions) 25 Utilities . • . • • • • • • . • • • • . • • 26 Wages (less employment cred,ts) • • • 27 a Other expenses (from line 48) • • b Reserved for future use . . • • . 18 s 9 6 304 19 20a 10 11 20b 12 21 13 22 23 24a 14 2411; is 7 Q Q 16a 25 26 16b 27a 2,094 17 27b 28 Total expen"s beitxle expenses for business use of home, Add lines 8 through 27a ... . ........... ► 29 Tentative profit or (toss). Subtract line 26 from line 7 • . • .. • ..... • • .. • . • • • • • • • - • • • • . • • . 30 Expenses for busirleas use of your home. Do not report these expenses elsewhere. Attach Form 8829 unless using the simplified method (see instructions). Simplified method filers only: enter the total square footage of: (a) your home: 800 and (b) the part of your home used for business: 18 4 . Use the Simplified Method Worksheet in the instructions to figure the amount to enter on line 30 . • ..... . . • • • • • • • • . • . • 31 Net profit or (loss). Subtract line 30 from line 29, —I • If a prom, enter on both Sch 1 (Form 1040), line 12 (or Form 1040NR, line 13) and on Schedule SE, line 2. (if you checked the box on line 1, see instructions). Estates and trusts, enter on Form 1041, line 3. 28 10, 006 29 1 17 606 1 30 920 31 L 6 6 86 • If a loss you must go to Line 32. J 32 If you have a loss, check the box that describes your investment in this activity (see instructions). • If you checked 32a, enter the loss or, both Schedule 1 (Form 1040), fine 12 (or Form 1040NR, 32a All investment is at risk. line 13) and on Schedule SE, line 2. (If you checked the box on line 1, see the line 31 instructions), 32b Some investment is not Estates and trusts, enter on Form 1041, line 3. at risk. If you checked 32b, you must attach Form 6198. Your loss may be limited. For Paperwork Reduction Act Notice, see the separate instructions. Schedule C (Form 1040) 2018 `CA 18 C1 91AF 1040 Fc rm. Sa'tware Capynpht /996-20 t9 HRn TaY Gro up, Inc. fY Z 2 0 U 00 r C Cd G t U Ca Q Packet Pg. 99 8.C.1 SCHEDULE C Profit or Loss From Business OMB No. 1545-0074 (Form 1040 or 1040-SR) (Sole Proprietorship) 2019 Department or the Treasury ►Go to www.irs.gov/ScheduleC for instructions and the latest information. Attachment Internal Revenue se—ce (99) ► Attach to Form 1040, 1040-SR, 1040•NR, or 1041; 0artnerships generally must file Form 1065. 1 Sequence No 09 Name of proprietor JOHN R RT_CHARDSON III Social security number (SSN) A Principal business or profession, including product or service (see instr coons) i9 Enter code from instructions PAINTING ► 238320 C Business name. It no separate business name, leave blank. D Employer ID no. (EiN) s;r, ROYCE PAINTING COMPANY E Business address (including suite or roam no.) 0'1518 9 KELLY ST City, town or post office, state. and ZIP code SPRING LAKE MI 49456 F Accounting method: (1) Cash (2) Accrual (3)11 Other (specify) ► G Did you "materially participate" in the operation of this business during 2019? If "No," see instructions for limit on losses • • • • X Yes No H If you started or acquired this business during 2019, check here .. • ........... • ....... • ................... • . • ► I Did you make any payments in 2019 that would require you to file Form(s) 1099? (see instructions) ........ • .. • • . • • • • • • • Yes No J It -Yes," did you or will you file required Forms 1099? . • • ..... • • . • .. • • ... • • • • • Yes No Income 1 Gross receipts or sales. See instructions for line 1 and check the box if this income was reported to you on Form W-2 and the "Statutory employee" box on that form was checked • • • • . • • . • • • • • • • • • • • • • ► n 1 28, 400 2 0 2 Returns and allowances................................................................. 3 Subtract line 2 from line 1......................................... ...................... 3 28,400 4 Cost of goods sold (from line 42)........................................................ . . 4 3 983 5 Gross profit. Subtract line 4 from line 3 •••••••••.••• ......••••• ••••-.• ............•• 5 24 417 6 6 Other income, including federal and state gasoline or fuel tax credit or refund (see instructions) .......... 7 Gross income. Add lines 5and 6••• ......••• ••••••••••••-•-•••••••........ ........... ► 7 24,417 EX enseS. Enter expenses for business use of your home only on Lne 30. 8 Advertising ................ 8 1 13 0 18 Office expense (see instructions) 18 19 9 Car and truck expenses (see 19 Pension & profit-sharing plans. instructions) . . .............. 9 c 57' 20 Rent or lease (see instructions): 10 10 Commissions and fees . - a Veh,cles 200 11 20b 11 Contract labor (see instructions) b Other business property . • • • • 12 21 12 Depletion ... . .............. 21 Repairs and maintenance .... 22 13 Depreciation and section 179 22 Supplies mc[mclivaedm Fart Ili) • • • 23 expense deduction (not 23 Taxes and licenses • • • included in Part Ili) (see instr.) .. 13 24 Travel and meals. 14 Employee benefit programs a Travel ................. . .. 24a (other than on line 19) ....... 14 b Deductible meads 15 Insurance (other than health) 700 (see instruclians) 24b 1s 25 16 Interest (see instrucharis): 25 Utilities • • • • • • • • • • • • • • • • • • a Mortgage (paid to banks, efc.) 16a 26 Wages (less employment credits). • • 26 11i 27a 1,772 b Other ..................... 27a Other expenses (from line 48) • • 17 Legal and professional services 17 125 b Reserved for future use - 27b 28 Total expenses before expenses for business use of home. Add fines 8 through 27a . , ........ <.... ► 28 9 384 29 Tentative profit or (loss). Subtract line 28 from line 7 . • ....... • . • . • ........................ , .... 29 1 15, 033 30 Expenses for business use of your home. Do not report these expenses elsewhere. Attach Form 8829 unless using the simplifiea method (see instructions). Simplified method filers only: enter the total square footage of: (a) your home: 800 and (b) the part of your home used for business: 16 4 . Use the Simplified Method Worksheet in the instructions to figure the amount to enter on line 30 ..... . ................ 30 920 31 Net profit or (loss). Subtract line 30 from line 29. • If a profit. enter an both Sch 1 (Form 1040 or 1040-SR), line 3 (or Form 1040-1 line 13) and on Schedule SE, line 2. (If you checked the box on line 1, see instructions). Estates and trusts, enter on 31 14,113 Form 1041, line 3. • tf a loss, you must go to line 32, 32 if you have a loss, check the box that describes your investment in this activity (see instructions). • If you checked 32a, enter the loss on both Schedule 1 (Form 1040 or 1040-SR), line 3 (or Form 32a All investment is at risk. 1040-1 line 13)and on Schedule SE, line 2. (if you checked the box on line 1, see the line 31 32b Some investment is not instructions). Estates and trusts, enter on Form 1041, line 3. at risk. • If you checked 32b, you must attach Form 6198, Your lass may be limited. For Paperwork Reduction Act Notice, see the separate instructions, Schedule C (Form 1040 or 1040-SR) 2019 FAA 19 c1 SWF 1340 Form Software Copyright 1996- 2020 HRB Tax Groap, Inc IX Z 2 0 U 00 r C d E t U Ca a+ Q Packet Pg. 100 #1 SCHEDULE C (Form 1040) Department of the Treasury Internal Revenue Service (99) Profit or Loss From Business OMB No. 1545-0074 (Sole Proprietorship) 2020 10- Go to www.irs.gov/ScheduleC for instructions and the latest information. Attachment ► Attach to Form 1040, 1040-SR, 1040-NR, or 1041; partnerships generally must file Form 1065. Sequence No. 09 Name of proprietor Social security number (SSN) JOHN R RICHARDSON III -3831 A Principal business or profession, including product or service (see instructions) B Enter code from instructions PAINTING 11,238320 C Business name. If no separate business name, leave blank. D Employer ID no. (EIN) (see instr.) ROYCE PAINTING COMPANY E Business address (including suite or room no.) 0015189 KELLY ST City, town or post office, state, and ZIP code SPRING LAKE MI 49456 F Accounting method: (1) Ij Cash (2) Accrual (3)11 Other (specify) ► G Did you "materially participate" in the operation of this business during 2020? If "No," see instructions for limit on losses • • • • • • X Yes Lj No H If you started or acquired this business during 2020, check here • • • • • • • • • • • • • • • • • • • • . • • • • • ................... • ► I Did you make any payments in 2020 that would require you to file Form(s) 1099? See instructions • • • • . • • • • • • • • • • • • • • • • • • Yes No INci J if "Yes," did you or will you file required Form(s) 1099?..................................... • • ... • . • • • • • • • • • • • • • Yes + Income 1 2 3 4 5 Gross receipts or sales. See instructions for line 1 and check the box if this income was reported to you on Form W-2 and the "Statutory employee" box on that form was checked • • • • • • • • • • • • • • • . • • • • • • • ► [] Returns and allowances.............................................4................... Subtract line 2 from line 1 ..........................•..................................... Cost of goods sold (from line 42).......................................................... Gross profit. Subtract line 4from line 3••••••••••••••••••••••.......•.•••••................. 1 36,000 2 0 3 36, 000 4 5,601 5 30,399 6 6 7 Other income, including federal and state gasoline or fuel tax credit or refund (see instructions) ........ Gross income. Add lines 5and 6.................................... --......i ••••• ► 7 30 399 8 Advertising ................ 9 Car and truck expenses (see instructions) ................ 10 Commissions and fees . . . . . . . 11 Contract labor (see instructions) 12 Depletion .................. 13 Depreciation and section 179 expense deduction (not included in Part III) (see instr.).. 14 Employee benefit programs (other than on line 19) ....... 15 Insurance (other than health) 16 Interest (see instructions): - . a Mortgage (paid to banks, etc.) - b Other ..................... 17 Legal and professional services 8 1,893 1101; : Office expense (see instructions) 19 . Pension S profit-sharing plans . 20 `Rent or lease (see instructions): a vehicles, machinery, and equipment b Other business property • • • • • 21 Repairs and maintenance • . . . 22 Supplies (not included m Partill). 23 Taxes and licenses .••..••••• 24 Travel and meals: a Travel . • • . • • • • . • • • • • • • • • • • b Deductible meals (see instructions) 25 Utilities • • • • • • • • • • • • • • • • • • • 26 Wages (less employment credits)• . • 27a Other expenses (from line 48) • • b Reserved for future use • • • • • 18 9 2,679 19 20a 10 =. 11 20b 12 21 13 22 23 24a 14 = - 24b 15 710 16a `' 25 26 16b 27a 2,242 17 150 27b 28 Total expenses before expenses for business use of home. Add lines 8 through 27a ............... ► 29 Tentative profit or (loss). Subtract line 28 from line 7 . • • • • . • • • .. • • • • • • ...... • • • ............. • • • • 30 Expenses for business use of your home. Do not report these expenses elsewhere. Attach Form 6629 unless using the simplified method. See instructions. Simplified method filers only: Enter the total square footage of (a) your home: 800 and (b) the part of your home used for business: 18 4 . Use the Simplified Method Worksheet in the instructions to figure the amount to enter on line 30 ........................ 31 Net profit or (loss). Subtract line 30 from line 29. • If a profit, enter on both Schedule 1 (Form 1040), line 3, and on Schedule SE, line 2. (If you checked the box on line 1, see instructions). Estates and trusts, enter on 28 7 674 29 22,725 30 920 31 21 805 Form 1041, line 3. • If a loss, you must go to line 32. J 32 If you have a loss, check the box that describes your investment in this activity. See instructions. • If you checked 32a, enter the loss on both Schedule 1 (Form 1040), tine 3, and on 32. H All investment is at risk. Schedule SE, line 2. (If you checked the box on line 1, see the line 31 instructions). Estates 32bSome investment is not and trusts, enter on Form 1041, line 3. at risk. • If you checked 32b, you must attach Form 6198. Your loss may be limited. For Paperwork Reduction Act Notice, see the separate instructions. Schedule C (Form 1040) 2020 FDA 20 C1 BW F 1040 Form Software Copyright 1998 - 2021 HRB Tax Group, Inc. 8.C.1 1A Packet Pg. 101 #1 8.C.1 SCHEDULE C Profit or Loss From Business OMB No, 1545-0074 2021 (Form 1040) (Sole Proprietorship) ►Go to www.irs.gov;ScheduleC for instructions and the latest information. Attachment Department of the Treasury Internal Revenge Service (99) ► Attach to Form 1040, 1040SR, 1040-NR, or 1041; partnerships must generally file Form 1065. sequence No. 09 Name of proprietor Social racurity number (SSN) JOHN R RICHARDSON III _ .. 3831 A Principal business or profession, including product or service (see instructions) B Enter code from instructions PAINTING ► 238320 C Business name. If no separate business name, leave blank. D Employer ID no. (EIN) :sPe •,5: . ROYCE PAINTING COMPANY E Business address (including suite or room no.) * 1518 9 KELLY ST -- City, town or post office, state, and ZIP code SPRING LAKE MI 49456 F Accounting method: (1) tj Cash (2) Accrual (3) Other (specify) ► Yes No G Did you "materially participate" in the operation of this business during 2021? If "No," see instructions for limit on losses • • • • • H If you started or acquired this business during 2021. check here • • • • • • • . • • • • • • • • . • • • • • • • .. ► I Did you make any payments in 2021 that would require you to file Form(s) 1099? See instructions • • • • • • • • • . • • • • • • • • • • Yes No J If "Yes," did you or will you file required Form(s) 1099? ........................ • ...... • • • ... "' • • ' ...... • . . • Yes No OffIff Income 1 Gross receipts or sales. See instructions for line 1 and check the box if this income was reported to you on Form W-2 and the "Statutory employee" box on that form was checked • • • • • • • • • • • • • • • • • • ► 1 3 8 9 0 0 2 Q 2 Returns and allowances .............. ................................................... 3 38,900 3 Subtract line 2 from line 1......................................... ...... ...... 4,854 4 Cost of goods sold (from line 42)......................................... .............. 4 5 34,046 5 Gross profit. Subtract line 4 from line 3................................... ....... I ........ 6 6 Other income, including federal and state gasoline or fuel tax credit or refund (see instructions) .......... T 314 046 ► ..... 7 Gross Income. Add lines 5 and 6 .................. ............. ... ................... u� w•aca.-1— cwycr vcc — .,— ................ y..... ns) 8 Advertising ................ a 64 18 Of5Ce expense (see inFF Car and truck expenses (see r19 Pension & profit-sharis . 189 - 19instructions) 20aI1 ................ 9 9 393 20 Rent or lease (see inst):10 Commissions and fees .....•• 10 S VehiSlee, maehinery.and nt Contract labor (see instructions) 11 b Other business prope• • Depletion .................. 12 21 Repairs and maintena• • • Depreciation and section 179 22 Supplies (not included m • • deduction (not 23 Taxes and licenses • 20b12 2113 22expense 23 included in Part 111) (see instr.).. 13 24 Travel and meals: 14 Employee benefit programs =` a Travel . . • • • . . • • • • . • • • • • • 24a 24b (other than on line 19) ....... 14 b Deductible meals 15 Insurance (other than health) 15 710 (see instructions) 16 Interest (see instructions): 25 Utilities • • • • • • • 25 26 a Mortgage (paid to banks, etc.) _ 1fia 26 Wages (less employment [red,ls). • • b Other ..................:.. 16b 27a Other expenses (from line 48) • • 27s 3.000 27b 28 13,920 17 Legal and professional services 17 17 5 b Reserved for future use • • • • • 28 Total expenses before expenses for business use of home. Add lines 8 through 27a ........ . ...... ► 29 Tentative profit or (loss). Subtract line 28 from line 7 • • • • . • ............. • • • • • • • • ........ • .. • . 29 20, 12 6 30 Expenses for business use of your home. Do not report these expenses elsewhere. Attach Form 81829 unless using the simplified method. See instructions. Simplified method filers only: Enter the total square footage of (a) your home: 8 0 0 and (b) the part of your home used for business: 18 4 . Use the Simplified Method Worksheet in the instructions to figure the amourtt to enter on line 30 .... - • • • • • • 30 92 O 31 19,206 31 Net profit or (loss). Subtract line 30 from line 29. • If a profit, enter on both Schedule 1 (Form 1040), line 3, and on Schedule SE, line 2. (It You checked the box on line 1, see instructions). Estates and trusts, enter on Form 1041, line 3. • If a loss, you must go to line 32. 32 If you have a loss, check the box that describes your investment in this activity. See instructions. • If you checked 32a, enter the loss on both Schedule 1 (Form 1040), line 3, and on 32a All investment is at risk. Schedule SE, line 2. (if you checked the box on line 1, see the line 31 instructions). Estates 32b Some investment is not and trusts, enter on Form 1041. line 3. J at risk. • If you checked 32b, you roust attach Form 6198. Your loss may be limited. For Paperwork Reduction Act Notice, sae the ferrate instructions. Schedule C (Form 1040) 2021 FDA 21 C1 BWF 1040 Form Software Copyright 1996- 2022 HRB Tax Group. Inc. 0Y Z 2 O fJ 00 r-� C N E t fi M y.+ a Packet Pg. 102 8.C.1 ?ca.202- 11.22 1 ? IeS' 111E AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF �'�i CDUNTY Or n hewing been ft-st duty swan state and afttrri `{�/1� t am a restd"I cf 001 _ (VilCtl County. r (State) arsd have resided nere for rro•e than five (51 years `. During ;he last five ($? years t have knowr J (appitcartt) I Itave had the Cprmclu?Ity to observe his or her business and aerconal dealings and fine him or her to be a person of honesty integnty and good character d&R& mei* 46wo, TTIP 5gnah�rr Address: UlcSt Telephoie (2L 3) G7,25 �S 0 L 4 Florida Orange �t.rtti ut t, tM,ua ,ti 9 )lie foregoing in•truitior u:n K-16re air h. rlcall% l'C plly4-al prc.c1wV :a'wt►irw 1wrinrolits" on 1111, 23rd ,l,,. i,I- _November. :l{ 22= h, Ilene Marie Gilmore tiurh pentrou, i Nt" 11uhlic roust check :tpplii;ah'r Nix. Mare pLrwin.'i} ktww(i tit we t^.t.Ix:xluutl a utmta dri%;r `i+Ync t.1-�m3arrr�� 6Tn.ts proJtk�d _ _ as ink t\ thin qUU�/�4G 04► a�: !� AARON DU BOIS �n Notary Public • State of Florida w ��E Commission p HH165097 +� eQ Expires on August 15, 2025 OF, mIt IIA Contracto, ltccnwril F OW, AppOWttor Rev nlil,wili, 11. Nolan SiLrtallVt Aaron Du Bois Notarized online using audio -video communication ougr 13 cl 14 ope-a:rtr.s d H"-48tsry W44;ierront D V x cc CcR',w1c , l ww -,rg a 711.03' Nwt:i KAu ftf" D,,re a N*Vles FL :A 104 a '2Mi, 252-201 :'.-t =--,,= ens.-(, - r�g��sr,,Ity Wont `:mall rmoe..roavttail!r-01?ex--drfvelt5soksR/i�tnx/t'1:fcp[:rhHpgVTMthRhPFlt}I:erawl�er}k14,'}'tpRlft:trM®{ Z O 7 U ib C d E L t� to r-, Q Packet Pg. 103 Collier County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF F "r l d - COUNTY OF C0I1 rCr I, l Fc_ , having been first duly sworn, state and affirm: I am a resident of __ County, f`i r:3Pi►4n (State) and have resided here for more than five (5) years. During the last five (5) years I have known � C�ck4.A41425nr,,)-;Piapplicant). I have had the opportunity to observe his or her business and personal dealings and find him or her to be a person of honesty, integrity and good character. Signature Printed Name Address: 2Z4-� Ljv Q Stre VUr�7s�- ��u">ro- City State Zip Telephone: 4a , , 2-2- -2- t State of FL_O2t d A County of aj+A9_Lc i 1 'P_ The foregoing instrument was acknowledged before me by means of Aphysical presence or ❑ online notarization on this $day of W011 A B10 e, 20 7-2 , by 1) AV 1 d L f—e- Such person(s) Notary Public must check applicable box: ❑ are personally known to me 9 has produced a current driver license ❑ has produced (Notary Seal) v 0tj�' Notary public State of Florida Constance R Scopel My Commission HH 059329 Expires 11/02/2024 identification. Notary Signature: , M P-- E Contractor Licensing - FIRM Application Rev. 7/2022 Page 14 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples. FL 34104 • (239) 252-2431 contractorslicensino a colliercountvfl gov Z x O 7 U 00 c d E t t� co r-� Q Packet Pg. 104 8.C.1 Florida mm ucEmw O AifDyCI iR i I 3, a ^_hu Qf iSaEx '. yM V -W rr VQSt wetlts NONE SAFE FJiiW@*:;. N ii6 OD W2 OpMatlaM al i0nitNuleS �`SS .ons�m ro aer/ xw W raw w Z 0 i U 00 r c d E t v Ca Q Packet Pg. 105 8.C.1 61G4-15.006 Financial Responsibility and Financial Stability, Grounds for Denial. (1) The financial responsibility ground on which the Board shall refuse to qualify an applicant is failure to provide a current consumer credit report, as defined in Rule 61G4-12.01I, F.A.C., which consumer credit report does not disclose any unsatisfied judgments or liens against the applicant. In addition, there must not be any unsatisfied judgments or liens against the business entity which the applicant previously qualified as a primary qualifier or which the applicant has applied to qualify. (2) The financial stability ground on which the Board shall refuse to qualify an applicant is failure to provide proof of either a financial stability bond or an irrevocable letter of credit from a bank authorized to do business in the State of Florida. The bond or letter of credit must be in a form acceptable to the Board and must remain in effect until the applicant can demonstrate a credit score, FICO derived, of 660 or higher, and must be payable as provided in Rule 61G4-15.0021, F.A.C., for Financially Responsible Officers in the amount of: (a) $20,000 for Division I applicants. (b) $10,000 for Division It applicants. (3) Fifty percent of the financial stability bond or the letter of credit requirement may be met by completion of a 14-hour financial responsibility course approved by the Board. (4) An applicant may meet both the financial responsibility and financial stability requirements by providing proof of a current consumer credit report, as defined in Rule 61G4-12.011, F.A.C, with a credit score, FICO derived, of 660 or higher, which consumer credit report does not disclose any unsatisfied judgments or liens against the applicant. In addition, there must not be any unsatisfied judgments or liens against the business entity which the applicant previously qualified as a primary qualifier or which the applicant has applied to qualify. Specific Authority 489.115(5), (6) FS. Law Implemented 489.115(5), (6) FS History -New 1-6-80. Amended 5-4-80. Formerly 21E-15.06. 21E- 15.006. Amended 10-31-96, 11-13-97, 1-12-08, Packet Pg. 106 8.D 01 / 18/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 8.13 Doc ID: 24363 Item Summary: 8D. IVAN E. MENDEZ — REVIEW OF CREDIT - TREE REMOVAL & TRIMMING CONTR. - FSOURCE LANDSCAPING INC Meeting Date: 01/18/2023 Prepared by: Title: — Contractor Licensing Name: Sandra Delgado 01/11/2023 3:16 PM Submitted by: Title: — Contractor Licensing Name: Tim Crotts 01/11/2023 3:16 PM Approved By: Review: Contractor Licensing Sandra Delgado Review item Completed 01/11/2023 4:03 PM Contractor Licensing Tim Crotts Review Item Completed 01/11/2023 4:48 PM Contractor Licensing Tim Crotts Meeting Pending 01/18/2023 9:00 AM Packet Pg. 107 Corlr County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY FIRM APPLICATION FOR COLLIER COUNTY GAn��ISIO CERTIFICATE OF COMPETENCY LCC�2&,-;,a This application must be typewritten or legibly printed. The application fee must be paid upon approval and is NOT refundable. All checks should be made payable to: Collier County Board of County Commissioners. For further information, consult Collier County Ordinance No. 2006-46, as amended. TYPE OF CERTIFICATE OF COMPETENCY: ❑ General ❑ Building ❑ Residential ❑ Mechanical ❑ Roofing Specialty Trade: $230.00 ❑ Electrician $230.00 $230.00 ❑ Plumber $230.00 $230.00 ❑ Air Conditioner $230.00 $230.00 ❑ Swimming Pool $230.00 $230.00 n Specialty $205.00 Tree Trimming & Removal I. APPLICANT PERSONAL INFORMATION: Ivan E Mendez First Middle Initial Last Business Name: 1'Source Landscaping Inc. Address: 1818 Benton Rd. Naples, FI 34177 Street Email: Ivan @ 1 sourcescape.com Telephone: 239-919-4668 Date of Birth: 6/14/1980 City State *SS # (Last 4 digits only): 3948 Zip Driver's License # (Last 4 digits only): 2140 Pursuant to Collier County Contractor Licensing Ordinance No. 2006-46 Section 2.1.1., all applicants are required to submit their social security number, driver's license, and date of birth for the following purposes: a) Assess applicant's ability to satisfy creditors by reviewing their credit history. b) Verification of applicant's test scores and information. c) Verification of applicant's identity. Our office will only use the personal information noted above for those reasons pursuant to Chapter 119, Florida Statutes, and as may otherwise be authorized by law. We are fully committed to safeguarding and protecting your personal information and once collected, will be maintained as confidential and exempt under Chapter 119, Florida Statutes. Contractor Licensing — FIRM Application Rev. 7/2022 Page 3 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractors licensing ancolliercountvfl.gov 8. D.1 6 00 M W M Iq Packet Pg. 108 8.D.1 1.6.3.49. free Removal and Trimming Contractor requires twelve (12) months cxPerience with a passing grade on a PA*+2H"ff business and !aw test and means those who are qualified to tntn and remove trees and stumps. A!l new a Ilea n !'a rec s cc !i- s ate Hired [c obtarn a assin rode on an a rov ex nin tyre nin a d safet in a d n to t busine4 nd law exam. 0 eo M M 11 N Packet Pg. 109 Corr County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY Provide the names and telephone numbers of two persons who will always know your whereabouts. Name: Joe Cerna Name: Yolanda Gonzalez Telephone: 786-395-1610 Telephone: 305-484-9477 II. NAME OF APPLICANT'S BUSINESS: Business Name: 1'Source Landscaping Inc. Business Address: 1818 Benton Rd. Naples, fl 34117 Telephone: Street 239-300-1864 Email: office@1sourcescape.com Federal ID Tax No.: 26-0626401 I11. FINANCIAL RESPONSIBILITY City State Zip YES NO ALL APPLICANTS MUST ANSWER THE QUESTIONS BELOW: X Filed for or been discharged in bankruptcy within the past 5 years? X Had a lien filed against you by the Internal Revenue Service or Florida Corporate Tax Division? X Undertaken construction contracts or work that resulted in liens, suits, or judgments being filed? Undertaken construction contracts or work that a third party, such as a bonding or surety company, X completed or made financial statements on? X Made an assignment of assets in settlement of construction obligations for less than the debts outstanding? Been convicted or found guilty of, or entered a plea of nolo contendere to, regardless of X adjudication, a crime in any jurisdiction within the past 10 years?" X( Had claims or lawsuits filed for unpaid or past due accounts by your creditors as a result of construction experience? Been charged with or convicted of acting as a contractor without a license, or if licensed as a contractor in this or any other state, been "subject to" disciplinary action by a state, county, or X municipality? NOTE. If you have answer YES to any of the questions below, you must attach a written explanation including the nature of the charges, dates, and outcomes, sentences of conditions imposed. You must also attach proof of payment, satisfaction of lien or judgement, bankruptcy discharge, or agreements for payment.'If you have had a felony conviction, proof that your civil rights have been restored will be required prior to licensure. Contractor Licensing — FIRM Application Rev. 7/2022 Page 4 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractors licensing J)colliercountyfl.gov 8. D.1 6 00 M W M Iq F4 Packet Pg. 110 Co*e-r County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY IV. EXPERIENCE VERIFICATION EDUCATION: List below and provide transcripts for any formal education you have obtained in the area of competency for which this application is being made. Text List below non formal education (on the job training) you have obtained in the area of competency for which this application is being made: CURRENT/PREVIOUS LICENSE: List below and attach copies any other certificates of competency/licenses you hold/have held in Collier County or any other jurisdiction. Include the license #, Type, and county you hold it in. Pest Control License #JF273358.Commercial Fertilizer License #LF221432 AFFIDAVIT Under the penalties of perjury, I declare that I have read the foregoing pplication and the facts stated in it are true. Ivan Mendez Applicant (please print) Sign atu rig of Applicant _ State of loin I R County of C"14 eA— Th foregoing instrument was acknowledged before me by means i f�day of�PWfo , 202,a , by :1y f}gQ HI Such person(s) Notary Public must check applicable box ❑ are personally known to me ❑ has produced a current driver license ,thas producedJI// " :b Lkas identification. (Notary Sea[) Notary Signature: Contractor Licensing - FIRM Application Rev. 712022 presence or ❑ online notarization on this MYCOMMISSION EXPIRES 8-16-2024 P,�'o,^� Page 5 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive v Naples, FL 34104 • (239) 252-2431 contractorslicensing(&collie rcountyfl.gav 8. D.1 6 00 M W M Iq F4 Packet Pg. 111 8.D.1 CERTIFICATION OF APPLICATION 0 The unders�gred hereby makes application !or Certt¢aie of Competency under tre provsons of Collier County No 2006-46 as amended, and under oerialt,es of perjury I declare that I have read the foregoing qua*titer �M ,ntor^. s!,on and that the facts slated it', d are true N The undersigned hereby cerr,ftes that he ,s legally qualfled 10 tact on bef'ao c+ the business organusl,on sought to U be 6Cersed n at, matters connected wdh ds corlracltng btl511e55 and that he has fut, authonly to supervise Z construction urdertaken by himself Of such business or organization and that he will continue during this registfalton _ to be able to so bind said bus,ness organization The qualified license holder understands that in ail contractirvg Ur maltefs helshe will be held strictly eccot aitabk+ for any and ah activili", involving his I- ease Z_ Any wtVul fals+lica-wr of ary informal on contained herein is grounds for disqualthcal on t2 Q Ivan Mendel Fyphcem tMesse Mint 1lSQurce Landsca in Inc Name cr Cotnlrany y r The Eeatytotn rnsfnvmte 1 was avkm wledutd heixe mr by means nPf4.pht steal prewnce ,r n online Milanr� thr� )..r day �r 2 . hs 1 LIAN— such pe,.ont.l M,tary Pttt+tes rnuxl rhtck applrcablo M+. :2 arc pvrvarilty known to me C has pmJttcrd a curttnt driver licrow lltas pn:vtucrd/' bL as tdentilicalinn troiarn Sean n __ QEEQ Hrp, w. S. • • • RC'',, \Ivan• 1;WMm*1urc MY COMM SSION EXPIRE: 8•16•20Z4 f lk OF ne' Can►ucevv' tFIRM +pMcehan Rer T.20" i;,r+aLa,s. A 4: 11t . v ,'.,.a i .... :NvM , ....x nar+ . , , .'P,C.7 `r<vm Hi.. ,. ..:.. n 1 e 0 00 Packet Pg. 112 Collier County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY CERTIFICATION OF APPLICATION The undersigned hereby makes application for Certificate of Competency under the provisions of Collier County No. 2006-46, as amended, and under penalties of perjury. I declare that I have read the foregoing qualifier information and that the facts stated in it are true. The undersigned hereby certifies that he is legally qualified to act on behalf of the business organization sought to be licensed in all matters connected with its contracting business and that he has full authority to supervise construction undertaken by himself or such business or organization and that he will continue during this registration to be able to so bind said business organization. The qualified license holder understands that in all contracting matters, he/she will be held strictly accountable for any and all activities involving his license. Any willful falsification of any information contained herein is grounds for disqualification. Ivan Mendez Applicant (please print 1 Source Landscaping Inc. Name of Company Sig ature of Applicant State of 4111 b4 County of e A... The foregoing instrument was acknowledged before me by means o hysical presence or ❑ online notarization on this j�day of ee yrl , 20 �� , by pJ g s >fT 6 (-'jAQ43G o n Such person(s) Notary Public must check applicable box: ❑ are personally known to me ❑ has produced a current driver license 7fhas produced 1>L4� as identification. (Notary Seal) OtPRy PUSZ/C MY COMMISSION EXPIRES 8-16-2024 Cozo ��T9TFOF FVO1°j,^ %••........• GCS Contractor Licensing - FIRM Application Rev. 7/2022 Notary Signature: Page 6 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contra ctorslicensinciacolliercountvfl.qov 6 00 M W M Iq Packet Pg. 113 8.D.1 WORKMEN'S COMPENSATION AFFIDAVIT It -s unoerstoad and ackrowtedaed Cy the Collier County Contractors' Licers<gg Board and myse4 that f I tail to acquireor meintam at 40 times effective ft(kmer s CO-persaflOr InSva'9ce it w4l result In me poss Ve revoceltor of my Cert4gate of Competency Ivan Mendez AW. KOM tire~ prnr 11Source landscaping Inc Name nr ^..nrpilny 514n Iw grR�,.,,•�r BEFORE ME the day personally appeared _ZU444 E. "t-p4 wz. Garb whir a+r:r—s and Amlirani !Dense rrinil says that he has less than nine er^plovee and does ntll require Workmen's Corrvensal'on urldefs'ards mat al at,., !ime he wrployees cite or mQre persms he must oDtaln said Wori mer's Compensal or Insurance Sl.ee :d 1�✓+✓"�� C'ottnts of o �NG�' Th ifnCprsntt srishunwini wa,sackiwjwladvht lhei'mnee n�ir by onvA�ns of /*lWMClt 14 W OCC ur /C/Itonlnrt gkAA[L tfatnn 1+r1 Otis tieit�[�. Such prrwnl,r ticaar% Nhhc nru><r chcd applriahle ho. �J/{ C are permmally knmtiri to rite Xhas pruauerd a current dm er license 'Psill"INhas pntlu avl _FL. -bt sdentificatimi (Velar. %eeli rp'�SER !+EPunN T x�T •�Vi tnftY''a � Jl tdYCCrrdb115$,r:t,� EXPIRES&15T9?s f J s'�lf CIF F...r7 ��j • c C Ilfft a L"nuns FIRM �A��M""' .. Rage C ".wr. •1.. : 0 00 Packet Pg. 114 8. D.1 Coitier County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY WORKMEN'S COMPENSATION AFFIDAVIT It is understood and acknowledged by the Collier County Contractors' Licensing Board and myself that if I fail to acquire, or maintain at all times effective Workmen's Compensation Insurance it will result in the possible revocation of my Certificate of Competency. Ivan Mendez Applicant (please print 1 Source Landscaping Inc. Name of Cc any Sign Applicant el AIPz BEFORE ME this day personally appeared T UA-N E' MCN b zZ &one who affirms and Applicant (please print) says that he has less than one employee and does not require Workmen's Compensation understands that at any time he employees one or more persons he must obtain said Workmen's Compensation Insurance. State of County of (f. ZI/G4' Th.ejoregoing instrument was acknowledged before me by means of *hysical presence or ❑ online notarization on this ( day of Q(pA6&4- 20 27— , by d4 Da e i, i de2 e—'Oh Such person(s) Notary Public must check applicable box: ❑ are personally known to me 'has produced a current driver license Tit has produced T as identification. (Notary Seal) — - \\\1",kk1111111 I i ! , Illl o•oQ�IER HERgRp'% �(PRY PU O B�j' Notary Signature MY COMMISSION EXPIRES 8-16-2024 I�i�T9�FOF FLC�NO.-.- Contractor Licensing — FIRM 4"11 Page 7 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 con tractorslicensing acolliercountvfl.aov 6 00 M W M Iq F4 Packet Pg. 115 Score Report IVAN E MENDEZ Name: GONZALEZ Sponsor: Collier County ID #: Score: 76 # Unanswered 0 Questions: Module Subject Area Status LOW FLBO Business Organization P I'Lud Licensing --- F �Ei-L ----- t;x -Civ�s ----------------------------- �7 --- --- FLSRR Safety --- -OSHA---- --------------------------- 0 ---- FELL ----- Labor Laws ---------------------------P---- FLCM Contract Management ---- F FLPM Project Management F .... FLE&B --- - - - - -------------------- Estimating -& -Bidding --------------------- ---- ---- F ---- --- FLFM Financial Management P -----Management-- hRM ---------------------------- Risk sk --- F I'LLIEN ------------------------------- Lienlaws -' F Test: Date: Test ID: Result: Pro Business and Law, 2nd edition 12/12/2022 590969828 Pass Cut Score HIGH 6 00 M W M I Packet Pg. 116 Score Report 0 co M tD M AM/U IVAN E MENDEZ Name: GONZALEZ Test: Tree Trimming and Removal Sponsor: Collier County Date: 12/05/2022 ID #: Test ID: 658056625 Score: 80 Result: Pass # Unanswered 0 Questions: Module Subject Area Status LOW Cut Score HIGH ----------------------------------------------- Safety ---- F ----------------------------------------- -- - FLT&E----------quip-n---------------------------- Tools &Equipment --------- -------------------------------- P - --------------------------------------------- FLTPM Tree Pruning and Maintenance ------ --------------------------- P 1� ----------------------------- --------------------------------------------------- FLTPT Tree Planting and Transplanting ------------------------------------ P --------------- --------------------------------------------------- FLTSR Tree & Stump Removal --------------------------------------- P -- ------ Packet Pg. 117 8.D.1 27911 Crown Lake Blvd Suite #6 Bonita Springs, FL 34135 Phone: 239.777.1028 Fax: 877.275.3593 www.LicensesEtc.com PERSONAL CREDIT REPORT (Compiled From National Records) <FOR> <SUB NAME> <MKT SUB> <INFILE> <DATE> <TIME> (I) P NP7771028 LICENSES ETC 16 NP 8/04 12/13/22 12:31CT <SUBJECT> MENDEZ, IVAN E. <CURRENT ADDRESS> 4981 CORRADO AV., AVE MARIA FL. 34142 <FORMER ADDRESS> 1818 BENTON RD., NAPLES FL. 34117 2610 43RD ST., LEHIGH ACRES FL. 33971 <CURRENT EMPLOYER AND ADDRESS> 1SOURCE LANDSCAPING <FORMER EMPLOYER AND ADDRESS> ONE SOURCE SCAPE <SSN> <BIRTH DATE> 948 6/80 <DATE RPTD> 1/22 <POSITION> <VERF> <RPTD> MANAGING OWNER 12/19 11/20 PRESIDENT 2/09 5/08 / 9/20 9/20 M O D ELN;PROPORTION O F I L E *** A L E R T * * * ***FICO SCORE +639 : PROPO ION OF BALANCES TO CREDIT LIMITS IS T00 ***HIGH REVOLVING OR OTHE REVOLVING ACCOUNTS;NUMBER OF ACCOUNTS ***WITHENCY;TIME SINC LINQUENCY IS T00 RECENT OR ***UNKN OF BALANCES TO LOAN AMOUNTS IS T00 HIGH*** IN ***ADDIORS LISTED ABOVE, THE NUMBER OF INQUIRIES ON THE ***CONSUMER'S CREDIT FILE HAS ADVERSELY AFFECTED THE CREDIT SCORE. PUBLIC RECORDS HAVE BEEN SEARCHED AT THE COUNTY, STATE AND FEDERAL LEVELS — NONE FOUND ---------------------------------------------------------------------------- T R A D E S SUBNAME SUBCODE OPENED HIGHCRED TERMS MAXDELQ PAYPAT 1-12 MOP ACCOUNT# VERFIED CREDLIM PASTDUE AMT-MOP PAYPAT 13-24 ECOA COLLATRL/LOANTYPE CLSD/PD BALANCE REMARKS MO 30/60/90 SYNCB/PPC B 999221L 11/15 $6837 MIN180 111111111111 R01 12/22A $6320 $0 111111111111 I CREDIT CARD $5506 43 0/ 0/ 0 CITI B 64DB002 3/17 $1492 MIN41 12/22A $1500 $0 I CREDIT CARD $1241 SHEFFIELD F 40ZM002 10/21 $15.1K 048M314 11/22A $0 I SECURED $8435 GS BANK -GM B 2GSZO04 4/17 $560 11/22A $500 $0 I CREDIT CARD $19 111111111111 R01 11111111111E 68 0/ 0/ 0 111111111111 101 1 13 0/ 0/ 0 8/17 EEEE11X1X111 R01 02 111111111111 66 1/ 0/ 0 Page Iof3 Packet Pg. 118 8.D.1 BBY/CBNA H 292FO14 7/14 $3753 11/22A $3900 I CHARGE ACCOUNT $1953 MACYS/CBNA D 2A5T001.12/13 $1039 11/22A $700 I CHARGE ACCOUNT $20 CAPITAL ONE B 1DTV001 2/12 $1098 11/22A $1100 I CREDIT CARD $143 CAP1/WMT D 1DTV237 12/14 $373 11/22A $350 I PFROM SYNCBWALMAR 11/22 $0 CREDITONEBNK B 54MR013 12/20 $594 11/22A $600 I CREDIT CARD $68 SYNCB/CTYFRN B 328QO05 5/22 $1028 11/22A $1000 I CHARGE ACCOUNT $206 WELLS FARGO B 908N664 7/14 $4440 11/22A $4300 I CREDIT CARD $4408 CREDITONEBNK B 54MR013 11/12 $2672 11/22A $2500 I CREDIT CARD $2273 CAPITAL ONE B 1DTV001 12/15 $1735 11/22A $1650 I BUSINES CRDT CARD $229 CAPITAL ONE B 1DTV001 1/13 $6515 11/22A $6300 I CREDIT CARD $5316 AMERIHOM MTG F 2F7W001 11/21 $468K 11/22A I FHA R.E. MORTGAGE $459K TBOM RETAIL B 22EL018 12/12 $4235 10/22A $5400 I CREDIT CARD 9/21 $0 SHEFFIELD F 40ZM002 4/17 $8679 6/20A I SECURED 6/20C $0 MACYS/CBNA D 2A5T001 8/14 $553 12/19A $100 C CHARGE ACCOUNT 9/16C $0 SYNCB/WALMAR D 235057X 12/14 $1482 10/19M $350 MIN29 111111111111 R01 $0 EE1111111111 82 0/ 0/ 0 MIN20 6/19 111111EEEEEE R01 $0 02 E1111111111E 82 1/ 0/ 0 MIN25 111111111111 R01 $0 1EEE11EElEEE 82 0/ 0/ 0 111EEEEEEEEE R01 $0 EEEEEEEEEEEE 37 0/ 0/ 0 MIN30 111111111Ell R01 $0 E111111111 22 0/ 0/ 0 MIN28 111111 R01 $0 6 0/ 0/ 0 MIN123 111111111111 R01 $0 E11111111111 82 0/ 0/ 0 MIN114 111111111111 R01 $0 111111111111 82 0/ 0/ 0 MINIS 1/22 111111111211 R01 $0 $47 02 111111111111 82 1/ 0/ 0 MIN171 6/22 111121111111 R01 $0 02 111111111111 DISP INV CMP-BY GRNTR 82 1/ 0/ 0 360M2818 1111111111 M01 $0 11 0/ 0/ 0 9/18 EEEEEEEEEEEE R01 $0 02 E11111111111 82 1/ 0/ 0 036M 111111111111 I01 $0 111111111111 CLOSED 38 0/ 0/ 0 EEEEEEEEEEEE R01 $0 EEEEEEEEEEEE ACCT CLSD BY CONSUMER 64 0/ 0/ 0 111111111111 R01 $0 111111111111 Page 2 of 3 0 00 ce) M N U Z O Z a Q U N 0 z Q J W U O cn H z O U C9 Z 06 J a O 2 w w w w Packet Pg. 119 I SLDTO CAPITAL ONE 10/19C $0 PURCH BY OTHER LENDER 28 0/ 0/ 0 8.D.1 REGIONALAC F 85UD059 3/11 $19.8K 054M 111111111111 I01 6/14A $0 111111111111 I AUTOMOBILE 6/14C $0 CLOSED 38 0/ 0/ 0 ---------------------------------------------------------------------------- I N Q U I R I E S DATE SUBCODE SUBNAME TYPE AMOUNT 12/13/22 PNP7771028(FLA) LICENSES ETC 5/21/22 FNY4853553(EAS) SYNCB 10/13/21 FHO5746472(SCT) CROSSCOUNTRY 8/12/21 FHO5746472(SCT) CROSSCOUNTRY 6/09/21 FHO5746472(SCT) CROSSCOUNTRY ---------------------------------------------------------------------------- END OF REPORT Page 3 of 3 0 00 Packet Pg. 120 BUSINESS CREDIT REPORT 27911 Crown Lake Blvd Suite # 211 Bonita Springs, FL 34135 Phone: 239.777.1028 p Fax: 877.275.3593 00 M �D www.LicensesEtc.com F4 : 12/13/22 13:40 ET 1'Source Landscaping Inc Fed Tax ID# 26-0626401 Address: 1818 Benton Rd Key Personnel: Officer: Ivan E Gonzalez Naples, FL 34117-7853 Ucc Debtor: Ivan Mendez United States Shaina Michael Phone: 239-878-7430 SIC Code: 0781-Landscape Counseling & Experian BIN: 874000362 Planning 0782-Lawn & Garden Agent: Gonzalez Ivan Eivan Me Services Agent Address: 1818 Benton Road NAICS Code: 541320-Landscape Naples, FL Architectural Services 561730-Landscaping Services Business Type: Corporation Experian File September 2007 Established: Experian Years on 15 Years File: Years in Business: More than 15 Years Total Employees: 2 Sales: $90,000 Filing Data Florida Provided by: Page 1 of 2 Packet Pg. 121 8.D.1 Date of 08/02/2007 Incorporation: PUBLIC RECORDS HAVE BEEN SEARCHED AT THE COUNTY, STATE AND FEDERAL LEVELS. Bankruptcies: v Liens: v Judgments Filed: V Collections: END OF REPORT 0 00 M <o M 14 F4 0 00 r Page 2of2 m E s .r .r Q Packet Pg. 122 12/15/22, 12:48 PM Detail by Entity Name 8.D.1 6 00 M (D M Iq F4 Dgoartment of State / Division of Corporations / Search Records / Search by EntityName / Detail by Entity Name Florida Profit Corporation 1'SOURCE LANDSCAPING INC Filing Information Document Number P07000087114 FEI/EIN Number 26-0626401 Date Filed 08/02/2007 Effective Date 08/02/2007 State FL Status ACTIVE Last Event REINSTATEMENT Event Date Filed 10/24/2019 Principal Address 1818 BENTON ROAD NAPLES, FL 34117 LE Changed: 06/11/2014 Mailing Address 1818 BENTON ROAD NAPLES, FL 34117 LE Changed: 06/11/2014 Registered Agent Name & Address GONZALEZ, IVAN E, Ivan Mendez 1818 BENTON ROAD NAPLES, FL 34117 Name Changed: 10/24/2019 Address Changed: 06/11/2014 Officer/Director Detail search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=EntityName&directionType=lnitial&searchNameOrder=1 SOU RCELAND... 1 /2 Packet Pg. 123 Detail by Entity Name 12/15/22, 12:48 PM Name & Address Title Officer Gonzalez, Ivan E 1818 BENTON ROAD NAPLES, FL 34117 Annual Reports Report Year Filed Date 2020 04/29/2020 2021 08/22/2021 2022 08/31/2022 Document Images 08/31/2022 -- ANNUAL REPORT View image in PDF format 08/22/2021 --ANNUAL REPORT view image in PDF format 04/29/2020 -- ANNUAL REPORT View image in PDF format 10/24/2019 -- REINSTATEMENT View image in PDF format 03/01/2018 -- ANNUAL REPORT View image in PDF format 08/24/2017 —ANNUAL REPORT View image in PDF format 04/23/2016 —ANNUAL REPORT View image in PDF format 04/28/2015 --ANNUAL REPORT View image in PDF format 06/11/2014 -- REINSTATEMENT View image in PDF format 12/04/2008 -- REINSTATEMENT View image in PDF format 08/02/2007 -- Domestic Prof View image in PDF format search.sunbiz.org/Inquiry/CorporationSearch/Search ResultDetaiI?inquirytype=EntityName&directionType=Initial&searchNameOrder=l SOU RCELAND... 2/2 6 Co M co M N Packet Pg. 124 2022 FLORIDA PROFIT CORPORATION ANNUAL REPORT DOCUMENT# P07000087114 Entity Name: 1'SOURCE LANDSCAPING INC Current Principal Place of Business: 1818 BENTON ROAD NAPLES, FL 34117 Current Mailing Address: 1818 BENTON ROAD NAPLES, FL 34117 LE FEI Number: 26-0626401 Name and Address of Current Registered Agent: GONZALEZ, IVAN E IVAN MENDEZ 1818 BENTON ROAD NAPLES, FL 34117 US FILED Aug 31, 2022 Secretary of State 316140062OCC Certificate of Status Desired: Yes The above named entity submits this statement for the purpose of changing its registered office or registered agent, or both, in the State of Florida. SIGNATURE: IVAN GONZALEZ 08/31/2022 Electronic Signature of Registered Agent Date Officer/Director Detail Title OFFICER Name GONZALEZ, IVAN E Address 1818 BENTON ROAD City -State -Zip: NAPLES FL 34117 I hereby certify that the information indicated on this report or supplemental report is true and accurate and that my electronic signature shall have the same legal effect as it made under oath; that / am an officer or director of the corporation or the receiver or trustee empowered to execute this report as required by Chapter 607, Florida Statutes; and that my name appears above, or on an attachment with all other like empowered. SIGNATURE: IVAN GONZALEZ PRES. 08/31/2022 Electronic Signature of Signing Officer/Director Detail Date CID 6 M W M Iq F4 Packet Pg. 125 8.D.1 Electronic Articles of Incorporation For FSOURCE LANDSCAPING INC P07000087114 FILED August 02, 2007 Sec. Of State jshivers The undersigned incorporator, for the purpose of forming a Florida profit corporation, hereby adopts the following Articles of Incorporation: Article I The name of the corporation is: FSOURCE LANDSCAPING INC Article II The principal place of business address: 2610 43 ST. W LEHIGH ACRES, FL. LE 33971 The mailing address of the corporation is: 2610 43 ST. W LEHIGH ACRES, FL. LE 33971 Article III The purpose for which this corporation is organized is: LAWN CARE Article IV The number of shares the corporation is authorized to issue is: I Article V The name and Florida street address of the registered agent is: IVAN E GONZALEZ 261043STW LEHIGH ACRES, FL. 33971 LEE 0 00 Packet Pg. 126 8.D.1 I certify that I am familiar with and accept the responsibilities of registered agent. Registered Agent Signature: IVAN GONZALEZ Article VI The name and address of the incorporator is: IVAN GONZALEZ 2610 43 ST W LEEHIGH ACRES FL 33971 Incorporator Signature: IVAN GONZALEZ Article VII The initial officer(s) and/or director(s) of the corporation is/are: Title: P IVAN E GONZALEZ 261043STW LEEHIGH ACRES, FL. 33971 LE Article VIII The effective date for this corporation shall be.- 08/02/2007 P07000087114 FILED August 02, 2007 Sec. Of State jshivers 0 00 Packet Pg. 127 8.D.1 Fonn� 1 20-S U.S. Income Tax Return for an S Corporation ► Do not file this form unless the corporation has flied or Is Department of the Treasury attaching Form 2553 to elect to be an 5 corporation. Internal Revenue SeMoe ► Go to www.frs.gov/Forn 4YOS for instructions and the latest information. For calendar year 2021 or tax year beginning , ending OMB No. 1545-0123 2021 A Selection effective date Name D Employer identification number 01 01 2021 TYPE l'Source Landsca in Inc 26-0626401 B Business activity code Number, street, and room or suite no. If a P.O. box, see instructions. E Date incorporated number (see instructions) OR 08 02 2007 561730 PRINT 1818 Benton Road LE 1 rotalassets (see instructions) C Check if Sch. M-3 City or town, state or province, country, and ZIP or foreign postal code attached Naples, FL 34117 $ 186 471. G Is the corporation electing to bean S corporation beginning with this tax year? See instructions. ❑j( Yes ❑ No H Check if: (1) ❑ Final return (2) ❑ Narr:e ci-arge (3) ❑ Address change (4) ❑ Amended ret.r- (5) ❑ 5 election termination I Enter the number of shareholders who were shareholders during any part of the tax year - - - - - - - - - - - - - - - - - - - - ► 1 J Check 4 corporation: (1)❑ Aggregated activities for section 465 at -risk purposes (2)❑ Grouped activities for section 469 passive activity purposes Caution: Include only trade or business income and expenses an lines 1 a through 21. See the instructions for more information. fa Gross receipts or sales . . . .. . . . .. . . .. . . . . . .. . . . to 412,187 . b Returns and allowances . . . . . . . . . . . . . . . . . . . . . . . . lb 70. Balance. Subtract line lb from line la . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1c 412,117. EC 0 2 Cost of goods sold (attach Form 1125-A) . . . . . . . 2 3 412,117. C3 Gross profit. Subtract line 2 from line 1c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 4 Net gain (loss) from Form 4797, line 17 (attach Form 4797) . . . . . . . . . . . . . . . . . . . . . . . 5 5 Other income (loss) (see instructions - attach statement) . . . . . . . . . . . . . . . . . . . . . . . . . 6 412,117. 6 Total Income (loss). Add lines 3 through 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . ► 7 Compensation of officers (see instructions - attach Form 1125-E) . . . . . . . . . . . . . 7 8 214,939. 8 Salaries and wages (less employment credits) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 .4 9 Repairs and maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E 10 Bad debts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 5,285. 11 Rents . . . . . . . . . . . . . . . . . . . . 11 12 16,303. 0 12 Taxes and licenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 1,251. z 13 Interest (see instructions) . . . ........... .... ....... ....... .... ... 14 20,113. 14 Depreciation not claimed on Form 1125-A or elsewhere on return (attach Form 4562) . . . . . . . . . . 15 Depletion (Do not deduct all and gas depletion.) . . . . . . . . . . . . . . . . . . . - 15 16 c 16 Advertising . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 O 17 Pension, profit-sharing, etc., plans . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 18 Employee benefit programs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 118,688. d 19 Other deductions (attach statement) . . . . . . . . . . . . . ..... .. . . . . . . . . . . . . . . 20 376,579. O 20 Total deductions. Add lines 7 through 19. . . . . . . . . ... . . .. . . . . . . . . . . . . ► 21 35,538. 21 Ordinary business income (loss). Subtract line 20 from line 6 . .................... 22a Excess net passive Income or LIFO recapture tax (see Instructions). . . . 22a b Tax from Schedule D (Form-1120-S) . . . . . . . . . . . . . . . . . 22b c Add lines 22a and 22b (see instructions for additional taxes) . . . . . . . . . . . . . . . . . . . . . . . 22c 0. 8 23a 2021 estimated tax payments and 2020 overpayment credited to 2021 - - 23a a to b Tax deposited with Form 7004 . . . . . . . . . . . . . . . . . . . 23b a c Credit for federal tax paid on fuels (attach Form 4136) . . . . . . . . . . 23c d Add lines 23a through 23c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23d 24 K24 Estimated tax penalty (see instructions). Check ff Form 2220 is attached . . . . . . . . . . . . . ► ❑ 25 0. 25 Amount owed. If line 23d is smaller than the total of lines 22c and 24, enter amount owed. . . . . . . 26 26 Overpayment. If line 23d is larger than the total of lines 22c and 24, enter amount overpaid . . . . . . 27 1 0. 27 Enter amount from line 26: Credited to 2022 estimated tax► Refunded ► Under penalties of perjury. I declare that 1 have examined this return, including accompanying schedules and statements, and to the best of my knowledge Sign and belief, it is true, correct, and complete Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge. May the IRS discuss this return Here ) Mr • with the preparer shown below(? ' ` see Instructions. Signature of officer Date Title No Paid Printn-ype preparer's name Preperefs signature Date Check if PTIN Charlene Ramirez self-employed 01621668 Preparer Firm'sname *Charlene Ramirez Firm'sEIN 10,45-5193873 Use Only Firm's address 27501 South Dixie Hvv. 408 Nal FL 33032 Phone no. 305 248-1010 For Paperwork Reduction Act Notice, see separate instructions. 10/03/2022 04.09.41FM VYA Form 1120-S (2021) 0 00 M to M Packet Pg. 128 Collier County Growth Management Community Development Department 00 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY co M STATEMENT OF OWNERSHIP N U Z Ivan Mendez This certifies that I, am a member or managing Z APPLICANT'S NAME (please print) d member of 4e4-el(4 U (LIMITED LIABILITY C MPA Y NAM ) Z I own 1 00 % of the units issued by the Limited Liability Company listed above. ,J Affidavit of Applicant: I certify under penalty of perjury that the information contained is a true and correct statement to the best of my knowledge. Ivan Mendez Applicant (please print) 1 source Landscaping Inc. Name of Company Signature of Applicant State of 4�0 1L.I p 11' County of a Z6 e ti Th foregoing instrument was acknowledged before me by means --ot'WI.hysical presence or ❑ online notarization on this day of� 20 22 , by Y1� Such person(s) Notary Public must check applicable box: ❑ are personally known to me / *as produced a current driver license °f9.has produced '}�\/a• �li �C, as identification. (Notary Seal) Contractor Operations & ,Q", jER HERgRo,,,, '.�p.2Y Pus,' . MY COMMISSION I EXPIRES 8-16-2024 :ETA, 7/2022 Notary Signature Page 9 of 14 Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractorslicensinoCcDcolliercountvfl.Qov Packet Pg. 129 STATEMENT OF OWNERSHIP 0 00 This rwl lips that I Ivan Mendez am a -ern ter or manaping APPLICANTS SAME fultose 9") member JOPAI-ED UA11601"16:WA-P hl;M* I I own 100 % of *.re Une's 'sSied try the Limled Liftflity COMPanY listed above AN davit of Aopitca-: I certify under penalty of perjury that the information contained is a true and correct statement to the best of my knowledge Ivan Mendez :.Vplw—1 t,'—e F,P- 1 source Landscaping Inc N.— , Sqnstio of "cart State 16 eA- Th I'oregoin Instrument was acknowledged Wore me by means oilpiKphysical piesetivir of CI online marization M this By of�& pef%orij ti NDtfin Puhlic mum check Ipplicable box :3 ant: perxnallv known to me *as pri:A"ed a current driver license 4)K1m5prodUCed its iderfliflesticm JNotarY Seel) 5k m CR4jp Y Conhadtu • LPow 9 of 14 m 4 0� - —A�= C - (230125,'-.1431 X R,qA.tw-q Dw*w) Co,t---j, '�—wq N,�* Htrtwth�- D,we qatti", FL 34104 I Packet Pg. 130 Ivan Mendez 8.D.1 Naples, FL 34117 239-919-4668 Ivan@lsourcescape.com December 15, 2022 I would like to thank Collier county as a whole in the consideration of approving my tree trimming and removal license. I believe that my skillset and experience match well and would love to assist this beautiful community that I fell in love with instantly. It became a goal of mine to move my family here, and within a few years was able to do so. Have lived here for roughly 20 years, experienced several hurricanes, lost our home during Irma, I know first hand how important it is to have professionals ready to assist. The opportunity to work with a wide range of educated and skilled professionals have developed me as a professional and the person I have become, and although some folks that I dedicated many years and sweat too did not assist me in signing my experience affidavits, I still have respect for all my teachers. They just don't want to understand most of us want to carry -out our own dreams. I have included my resume for your review and pay stubs from my previous employers. please let me know if there is any requests that our under my ability to satisfy. I look forward to keep serving this community and expanding my services. Respectfuly, Ivan Mendez ?otN�'PU�o MICHEL * LE L. PUENT'E � e Cw"'Sslon # HH 266848 9j`�or n , Expires May 23, 2026 STATE OF FL RI A COUNTY OF _ The foregoing instrument was acknowledged before me by means of physical presence or [ onlinQ rgat Y j� day of 20 . by M Notary Public's Signature Notary Name Personally Known OR Produced Identification Type of Identification Produced: -PC l-L_ 0 00 ce) M Packet Pg. 131 8.D.1 IM IVAN MENDEZ 00 lvanPisourcescape.com 1 239-919-4668 1 Naples, FL 34117 � M Summary Experienced leader with well over 20 years in the industry demonstrated strategic planning, problem -solving and team -building abilities. Successful at Z developing training staff with the passion of working outdoors while enjoying nature. My goal is to continue to peruse my training, education and one — day become a landscape architect. 0 Sldlls Z a • Committed • Attention to detail (landscaping) U • Dependable • Tree work fn • Problem solving • Irrigation management 0 • extensive experience with equipment • Pest management Z Experience Q J 1 Source Landscaping • Schedule and execute daily operations. W Owner Opperator • Meet with potential and current customers. 08/2007 - Current • Scout and identify issues with lawns and ornamentals. Pinnacle Landscapes • Ensure daily activities are met in a timely manner. N Working Suppervisor • Train employees to company standards. 0612012 - 05/2016 • Assist in every aspect of landscaping. (design/install plant material, irrigation systems; trim trees/shrubs, apply pesticides). a; • Worked closely with owner and managers to execute a profitable and safe workplace. flick Roberts Lawn service • Maintained all aspects of trimming within company's accounts. Z Crew Leader •Developed and train employees. 0 06/2009 - 04/20i3 • worked dose with manager to develop strategies, scheduling, and assist with work over -load. 0 Sunny Grove Landscaping & Nursery • Operated landscaping equipment. Landscape Technician • Install replace plant material. 0512008 - 0612009 • Assisted in maintenance/installation of irrigation systems. • Prune shrubs, trees and palms. Pinnacle: Landcapes • Pruned and trimmed trees and hedges with shears, primers, or chain saws. Landscape Technician • Mowed lawns using commercial mowers and hand equipment. 0312005 - 0112008 • General labor. • Irrigation maintenance. Signature Trees & Paims • Pruned/trimmed trees and hedges with shears, pruners, or chain saws. Landscaping Technician • Operated wood chippers. 1012004 - 0212005 • General labor. Native Tree N ursery • Worked closely with owner and supervisor learning technics in planting seedlings and Native Plant Horticulturist Assistant propagating plants. 0512002 - 1012004 • Assisted in developing a 20 acre Native tree container nursery. • Maintained and assisted in installing irrigation system. • Prune/ shape trees to develop into florida # 1. AshBritt Groundsman 0612000 - 0312001 OmniComm Equipment Operator 0111997 - 0512000 Education and Training LandscapesGed Testing I Melbourne, FL GED 0212018 Certifications • Licensed pest control operator. • Licensed commercial fertilizer applicator • Hmp certificate ,f1I%ra,n f4jenCteI • Removal/trimming trees using chainsaws, pole saws and hand tools. • Operate stump grinders and wood chippers. • operated equipment such as directional bore machines, skidsteers, backhoes, trenchers. • Install underground utilities. (many Collier county conduit for traffic light security cameras). STATE OF FL Ri COUNTY O The foregoing instrument was acknowledged before me by ,aY rub 2011 1AICHELLF L, PU68TE means of k physical presence or [ ] online rota ' lion this day of � f Dy �V CiEM - s� * commissbn it HH 266848 . Exd�s Y 23. �2fi Notary Signature Notary Name For n°QP personally Known OR Produced Identification Type of Identification Produced: L- 1:)L- Packet Pg. 132 CO. FILE DEPT. Cl OCK NUMBER U2W 112266 997000 2997 0000068850 1 CENTURY I/ STAFFING, INC. OMNICOMM, INC. Social Security Number: 528-77-3948 Taxable Marital Status: Single Exemptions/Allowances: Federal: 0 State: No State Income Tax Earnings rate hours this period year to date Regular 500.00 500.00 1,000.00 Grass Pay' 1,000.00 Deductions Statutory Federal Income Tax -59.71 119.42 Ci,l Q.rih, To.. 11 nn cn nA EMPLOYEE NUMBER EMPLOYEE NAME h .,ertime 10.00 TI) f'OTAL EARNINGS TOTAL YEAR-TO-DATE 112 50 61",7 510 3taffAmerica, Inc. - Payroll Account '000 Fairview Road. Suite 1500 • Charlotte, NC 28287 Earnings Statement -2 22 _P* 0 Period Ending: 11 /21 /1999 Pay Date: 11/26/1999 IVAN GONZALES PO BOX 8283 HUALAPAI,AZ 86412 SOCIAL SECURITY HOME REGULAR! rOVERTIME PREMIUM,: PERIOD ENDING, NUMBER DEPT RATE RATE RATE DATE DEDUCTIONS AND BENEFITS TAXES a TOTAL DEDUCTIONS TOTAL BENEFITS FJIT 5 4 2Z, "'f F, C A-11 5 98 9.211 TOTAL TAXES CHECK DATE CHECK NO. c' CHECK AMOUNT V 095379 NATIVE TREE NURSERY 1418 Check Number 30048983 EMPLOYEE ID EMPLOYEE NAME DATE SOC SEC NUM START PERIOD END PERIOD C76419 IVAN E MENDEZ 06-28-2002 3948 06-19-2002 06-25-2002 FED TAX STATUS : S FED TAX ALLOW - 2 STATE TAX STATIUS: STATE TAX ALLOW: EARNINGS EMPLOYEE DEDUCTIONS TAXES Description Rate Hours Amount YTD Description Amount YTD Description Amount YTD P,EG PAY 6.5000 42.61 276.97 1,080.57 FICA - MEDIC 4.02 15.67 FICA - OASDI 17.17 67.00 6 00 M to M Iq F4. IPacket Pg. 133 K & D TREE FARM, INC. 7183 7183 EMPLOYEE I.D. EMPLOYEE NAME DATE I VACATION SICK SOCIAL SEC. NO. START PERIOD END PERIOD 528 77 3948 IVAN MENDEZ 3/28/2002 0.00 0.0 7-3948 3/18/2002 3/24/2002 EARNINGS TAXES DEDUCTIONS BENEFITS CODE I RATE HOURS AMOUNT CODE WITHHELD YEAR-TO-DATE CODE AMOUNT YEAR-TO-DATE CODE AMOUNT YEAR-TO-DATE NOURL OT PW $7.01 $10.51, $8.99 37.0 13.2 3.0 $259.0 $139. 15 $26.9 FICA MED. S.S. FEDERAL STATE LOCAL $6.1 $26.3e $50.4 $17.4 $74. $128.Ti Ti S0.0 $0.00 $0.00 $0.00 GROSS YEAR-TO-DATE NET YEAR-TO-DATE $1,205.9 $984.89 NET PAY TtITAI i` EMPLOWE ID EMPLOYEE NAME DATE START PERIOD END PERIOD U16820 IVANT E MENDEZ O t-12-2n07 XXX-XX-194R 12.25-2006 nl.nz')nn I EARNINGS DEDUCTIONS TAXES Description Rate flours Amount YTD, Description Amount YTD Description Amount YTD HOLIDAY 18.0000 16.00 288.00 288.00 FEDERAL INCO 126.62 126.62 REGULAR 18.0000 70.00 1.260.00 1,260.00 FICA -MEDIC 22.45 22.45 FICA - OASDI 95.98 95.98 TOTAL 86.00 1,548.00 1,548.00 0.00 0.00 245.05 245.05 PINNACLE LANDSCAPES, INC. 92139 LNetFay 1,302.95 YTD 1,302.95 EMPL.NO. EMPLOYEF. NAME SOCIAL SECURITY NO, HOME DEPr. REG, RATE O.T.RATE PREM, RATE PER. END DA 0140 Ivan Mendez - 03 788.46 10/20/09 F.ARtiT1VC:C ANII RFNFFiTC r.r-,.. ............. ..... ..�..-.-__ - 11FL AMOUNT ( YEAR-TO-DATE Reg 19.71 40.00 788.46Ck:125101 675.a0 2703.20 Federa 52.35 366.45 Holid OASDI- 48.88 361.71 Medica 11.43 84.58 Florid .00 YTD Gross YTD Taxable 5834.60 5834.60 788.46 flu -UAL 5834.60 I TOTAL 03 1 TOTAL 75 Rick Roberts Lawn Service .CLE LANDSCAPES, INC. - MAIN (085) voucher #: 022314 Sort Order: 23 oyee Information Check Date Soc-Sec-Num Period Start Date Period End Date Check No; 1 E MENDEZ - (U16820) 01-02-2015 xxx-xx-3948 12-15-2014 12-28-2014 70253r 112 6 00 M to M N Packet Pg. 134 PINNACLE LANDSCAPES, INC. Employee In ormation - MAIN (085) Check Date Soc-Sec-NUM Voucher #: 022314 Sort Order: 23 ' Period Start Date Period End Date Check Noy 8 D 1 IVAN E MENDEZ - (U16820) 01-02-2015 Xxx-xx-3948 12-15-2014 12-28-2014 70253E Federal Tax- Status: S Allowances: 4 State Tax- Status: NONE Allowances: NONE, CURRENT EARNINGS DETAIL DEDUCTIONS / TAXES Charge Description Rate Hours/ Amount Description Amount Y-T-D 00 Date Units •• 12-28-2014 REGULAR 2140.00 MEDICAL 125 87.37 87.37 FEDERAL INCOME 184.58 184.5E M FICA - MEDICARE 29.76 29.7E FICA - OASDI 127.26 127.2E V Total(s): DIRECT DEPOSIT ( Net Pay Type Account Amount l /� CHECKING 25101 1,711.03 1 1.7 1 1, Q 3 Packet Pg. 135 CO Y cOLiHty Growth Management Department Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 Phone - 239-252-2431 Fax - 239-252-2469 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF Cl COUNTY OF I, f \JO- n lhU Z.t'\1Lt v1 having been first duly sworn, state and affirm: n I am a resident of Co Ll t e-C County, T:Ao f \" Aa (State) and have resided here for more than five (5) years. During the last five (5) years I have known S\/0.y\ RPV14e- Z (applicant). I have had the opportunity to observe his or her business and personal dealings and find him or her to be a person of honesty, integrity and good character. Signature Sya.Y\ Gzy-Z w,A" Printed Name Address:-6-,RC( Street ftvp- City State Zip Telephone: C gST4) s - F [s a. State of Fk0- \l;6c%\ Countyof CO Mk C-tr The foregoing instrument was acknowledged before me by means orvl�hysical presence or ❑ online notarization on this LLA-day of Dec a 4e l , 20 d1a, by S v a.!2, G� U Z. vna. v-� Such person(s) Notary Public must check applicable box: ' re personally known to me ❑ has produced a current driver license ❑ has produced as identification. o a d "v4 Notary Public state or Florida Molly Goebel My Commssion HH 069364 Expire. 01/17/2025 Notary Signor . Individual Application New.docx REV 1/22/2021 Page 11 of 13 6 e0 M W M Iq F4 Packet Pg. 136 17T con `Y C014"ty Growth Management Community Development Department00 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY cMo M AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF Fk)(-\ d a COUNTY OF CONe(' I, )CSu e- &(`T AZ , having been first duly sworn, state and affirm: I am a resident of co e(- County, F Lo i` � A (State) and have resided here for more than five (5) years. During the last five (5) years I have known I" ]a Ae4 [ 6e2Z (applicant). I have had the opportunity to observe his or her business and personal dealings and find him or her to be a person of honesty, integrity and good character. Signature Printed Name Address: .�olq�i �e-c�LTOh Street City I State Zip Telephone: C3�.LS�a2� -35-7 I State of Floc % Q, County of CO t l^t C The foregoing instrument was acknowledged before me by m ans of�physical presence or ❑online notarization on this day of Decen►tW , 20a�, by JoSJ L r -' "'D Such person(s) Notary Public must check applicable box: are personally known to me ❑ has produced a current driver license ❑ has produced (No ;Q,'Ay 'Qq ; Molly er F State a Florida MCic Mnxnssion HH 069364 xpe01/0diP Es 17/225 Contractor Licensing — FIRM Application Rev. 7/2022 as identification. Notary Signa . Page 14 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractorslicensino a()colliercountyfl.gov Packet Pg. 137 Florida DmvER 1-ICENSE M: 214-0' _'. E 8.D.1 iE.YUEZ 50NZALEZ iAh EDUARDO - $18 SENTON RD IAPLE S. FL 341 i , -78E3 ;,s 05�14t2028 : . 5' iC" ne - NONE +., .: ~NONE sa 0712b&2019 py :�„�� J�atnn :naseocr Np.crt ca+eaerrss ormnr r� vrp awe/ fea'AQYHln Dy +o.. 11 0 00 M tD M 0 00 Packet Pg. 138 ,acoao® CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 12/14/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER CONTACT NAME: Aaron Weber PHONE xt (813) 262-0059 ac No,. (813) 282 4646 AB Capital Group, LLC E-MAIL o thorne ales rou com ADDRESS: I y C 9 p 1408 N Westshore Blvd. #708 INSURERS AFFORDING COVERAGE NAIC # INSURERA: NORTHFIELD INS CO 27987 Tampa FL 33607 INSURED INSURERS: PROGRESSIVE EXPRESS 10193 INSURERC: 1'SOURCE LANDSCAPING INC INSURER D: 1818 Benton Road INSURER E 1 INSURER F Naples FL 34117 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADOL SUER POLICY NUMBER MMIDD/YYYY MMIDDVYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS -MADE FXI OCCUR DAMAGE To RENTED PREMISES tE.occurrence) $ 100,000 MED EXP(An oneperson) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 A WS523925 07/27/2022 07/27/2023 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $-2,000,000 X POLICY D JER° LOC PRODUCTS - COMP/OP AGG $ 2,000,000 $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT a accident)___ $ BODILY INJURY (Per person) $ 10,000 ANY AUTO B OWNED X SCHEDULED AUTOS ONLY AUTOS 03206957 07/08/2022 07/08/2023 BODILY INJURY (Per accident) $ 20,000 PROPERTY DAMAGE er accident $_ 10,000 HIRED NON -OWNED AUTOS ONLY AUTOS ONLY $ UMBRELLA LIAB HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAB DIED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN PER OTH- STATUTE I I ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N I A (Mandatory in NH) E.L. DISEASE - EA EMPLOYE $ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Collier County Contractor Licensing Board AUTHORIZED REPRESENTATIVE 2800 N. Horseshoe Dr. Naples FL 34104--- (0 1988-2015 A(;UKL) GUKPUKA I IUN. All rignis reservea. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 8. D.1 6 e0 M w M N Packet Pg. 139 ACORO® CERTIFICATE OF LIABILITY INSURANCE DATE (MMDDVI YM 12/13/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTAc NAME: Automatic Data Processing Insurance Agency, Inc. Automatic Data Processing Insurance Agency, Inc. ENE Ext : 1-800-524-7024 No): E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC #t 1 Adp Boulevard Roseland NJ 07068 INSURER A : NorGUARD Insurance Company 31470 INSURED 1 Source Landscaping Inc. INSURER B : INSURER C : INSURER D : 1818 Benton Rd INSURER E INSURER F Naples FL 34117 COVERAGES CERTIFICATE NUMBER: 2760947 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE L SUBRI POLICY NUMBER MMID POLICY EFF M� Y FJ(P LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR EACH OCCURRENCE $ HtNItIJ PREMISES Ea occurrence $ GEN'L N ED EXP (Any one person) $ PERSONAL & ADV INJURY $ AGGREGATE LIMIT APPLIES PER: POLICY ❑ JECTPRO 1-1LOC OTHER: GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY Ea accident $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accident $ UMBRELLA LIAS EXCESS LIAB OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ DIED I I RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? ❑N (Mandatory in NH) It es. describe under DESCRIPTION OF OPERATIONS below N/A N ONWC335607 07/11/2022 07/11/2023 ST ATUTE ER E.L. EACH ACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYE $ 100,000 E.L. DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER 1 Source Landscaping 1818 Benton Rd Naples ACORD 25 (2016/03) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE FL 34117 © 1988-2015 The ACORD name and logo are registered marks of ACORD All rights reserved. 6 00 M (o M N Packet Pg. 140 COLLIER COUNTY BUSINESS TAX BUSINESS TAX NUMBER: 132869 COLLIER COUNTY TAX COLLECTOR - 2800 N. HORSESHOE DRIVE - NAPLES FLORIDA 34104 - (239) 252-2477 VISIT OUR WEBSITE AT: www.colliertaxcoleclor.com THIS RECEIPT EXPIRES SEPTEMBER 30, 2023 DISPLAY AT PLACE OF BUSINESS FOR PUBLIC INSPECTION, LOCATION: 10818 BENTON RD FAILURE TO DO SO IS CONTRARY TO LOCAL LAWS ZONED: HOME OCCUPATION BUSINESS PHONE: 239-304-1307 LEGAL FORM STATE OR COUNTY LIC #: G V6241-1 Corporation 1'SOURCE LANDSAPING, INC 2-5 EMPLOYEES NO PLANTING OR TREE SVC CLASSIFICATION: LAWN MAINTENANCE ONLY CLASSIFICATION CODE: 03702701 This document is a business tax only. This is not certification that licensee is qualified. It does not permit the licensee to violate any existing regulatory zoning laws of the state, county, or cities nor does it exempt the licensee from any other taxes or permits that may be required by law. MENDEZ, IVAN 10818 BENTON RD NAPLES, FL 34117 -THIS TAX IS NON -REFUNDABLE - DATE 11/28/2022 AMOUNT 48.30 RECEIPT WWW-23-00315288 �O� �iDf'1.PiG�rVLYt�P/L 6 e0 M co M Iq F4 Packet Pg. 141 8.D.1 61G4-15.006 Financial Responsibility and Financial Stability, Grounds for Denial. p (1) The financial responsibility ground on which the Board shall refuse to qualify an applicant is failure to provide a current 00 consumer credit report, as defined in Rule 61G4-12.011, F.A.C., which consumer credit report does not disclose any unsatisfied ce) judgments or liens against the applicant. In addition, there must not be any unsatisfied judgments or liens against the business entity which the applicant previously qualified as a primary qualifier or which the applicant has applied to qualify. v (2) The financial stability ground on which the Board shall refuse to qualify an applicant is failure to provide proof of either a U financial stability bond or an irrevocable letter of credit from a bank authorized to do business in the State of Florida. The bond or Z letter of credit must be in a form acceptable to the Board and must remain in effect until the applicant can demonstrate a credit score, O FICO derived, of 660 or higher, and must be payable as provided in Rule 61G4-15.0021, F.A.C., for Financially Responsible Z Officers in the amount of: a Q (a) $20,000 for Division I applicants. U to (b) $10,000 for Division It applicants. 0 (3) Fifty percent of the financial stability bond or the letter of credit requirement may be met by completion of a 14-hour Q financial responsibility course approved by the Board. J (4) An applicant may meet both the financial responsibility and financial stability requirements by providing proof of a current LLJ U consumer credit report, as defined in Rule 61G4-12.01 1, F.A.C, with a credit score, FICO derived, of 660 or higher, which consumer credit report does not disclose any unsatisfied judgments or liens against the applicant. In addition, there must not be any unsatisfied O judgments or liens against the business entity which the applicant previouslyqualifed as a primaryqualifier or which the applicant cn has applied to qualify. Specific Authority 489.115(5), (6) FS. Law Implemented 489.115(5), (6) FS. History —New 1-6-80, Amended 5-4-80, Formerly 21E-15.06, 11E- H 15.006. Amended 10-31-96, 11-13-97, 1-12-08. Z Packet Pg. 142 8.E 01 / 18/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 8.E Doc ID: 24364 Item Summary: 8E. SARAH P. BERRY — REVIEW OF EXPERIENCE AND CREDIT REVIEW— SWIMMING POOL CLEANING ONLY Meeting Date: 01/18/2023 Prepared by: Title: — Contractor Licensing Name: Sandra Delgado 01/11/2023 3:18 PM Submitted by: Title: — Contractor Licensing Name: Tim Crotts 01/11/2023 3:18 PM Approved By: Review: Contractor Licensing Sandra Delgado Review item Completed 01/11/2023 4:04 PM Contractor Licensing Tim Crotts Review Item Completed 01/11/2023 4:48 PM Contractor Licensing Tim Crotts Meeting Pending 01/18/2023 9:00 AM Packet Pg. 143 Collier County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY FIRM APPLICATION FOR COLLIER COUNTY Z-_ ?(�>�;), —(By1 CERTIFICATE OF COMPETENCY �GC This application must be typewritten or legibly printed. The application fee must be paid upon approval and is NOT refundable. All checks should be made payable to: Collier County Board of County Commissioners. For further information, consult Collier County Ordinance No. 2006-46, as amended. TYPE OF CERTIFICATE OF COMPETENCY: ❑ General $230.00 ❑ Electrician $230.00 ❑ Building $230.00 ❑ Plumber $230.00 ❑ Residential $230.00 ❑ Air Conditioner $230.00 ❑ Mechanical $230.00 ❑]Swimming Pool $230.00 Elt Roofing $230.00 Specialty $205.00 Specialty Trade: I. APPLICANT PERSONAL INFORMATION: Name: Middle Initial Business Name: V"6- Address: G4P�4 l t (`(� Ci rri t° Nowtcs _"— p Sttrreeep�L'nD City State Email: /V"�t W1 �/C,rvu► I onwyi ii� .rrfAn Telephone: �03-J V Z Date of Birth: ' 31 "SS # (Last 4 digits only): _ tQ-� Driver's License # (Last 4 digits only):A1 �Z'10 Pursuant to Collier County Contractor Licensing Ordinance No. 2006-46 Section 2.1.1., all applicants are required to submit their social security number, driver's license, and date of birth for the following purposes: a) Assess applicant's ability to satisfy creditors by reviewing their credit history. b) Verification of applicant's test scores and information. c) Verification of applicant's identity. Our office will only use the personal information noted above for those reasons pursuant to Chapter 119, Florida Statutes, and as may otherwise be authorized by law. We are fully committed to safeguarding and protecting your personal information and once collected, will be maintained as confidential and exempt under Chapter 119, Florida Statutes. Contractor Licensing — FIRM Application Rev. 7/2022 Page 3 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive . Naples, FL 34104 • (239) 252-2431 contractorslicensing0collie rcountvflgov 8.E.1 IL 2 Q Q N W 00 r C d E s w r Q Packet Pg. 144 8.E.1 1.6.2.9.1. Swimming Pool/Spa Servicing Contractor requires twenty-four (24) months experience with a passing grade on a deaf business and law test and means any person whose scope of work includes servicing or water treatment of any public or private swimming Pool, hot tub or spa, and, subject to Section 487.0437, Florida Statutes, may include direct infusion of chlorine gas. These contractors may disassemble equipment permanently attached to or associated with the respective pool or spa for the purpose of water treatment or cleaning the pool or spa, a. x Q Q u.i co r c m E s w r Q Packet Pg. 145 Contractor Licensing Ci01 ker CON.rity 2800 N. Horseshoe Dr. 4104 Growth Management Department Naples, FL Phone - 239-252-2431-2431 Fax - 239-252-2469 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY Providethe names and telephone numbers of two persons who will always know your whereabouts. Name 4�.) 1(� { Name :N11� 1(P Telephone: ZW • Z�� - «-1 II. NAME OF APPLICANT'S BUSINESS: Business Name: i � K� LAX, Telephone:2Z I UZt 9s,�-q Business Address: !M`t1�t�C�1_ Street tity State Zip Telephone: ( �) 11�7j' 11-1C- Email: Federal ID Tax No.: III. FINANCIAL RESPONSIBILITY YES NO ALL APPLICANTS MUST ANSWER THE QUESTIONS BELOW: Filed for or been discharged in bankruptcy within the past 5 years? Had a lien filed against you by the Internal Revenue Service or Florida Corporate Tax Division? Undertaken construction contracts or work that resulted in liens, suits, or judgments being filed? / Undertaken construction contracts or work that a third party, such as a bonding or surety company, V completed or made financial statements on? Made an assignment of assets in settlement of construction obligations for less than the debts outstanding? Been convicted or found guilty of, or entered a plea of nolo contendere to, regardless of adjudication, a crime in any jurisdiction within the past 10 years?* Had claims or lawsuits filed for unpaid or past due accounts by your creditors as a result of construction experience? een charged with or convicted of acting as a contractor without a license, or if licensed as a contractor in this or any other state, been "subject to" disciplinary action by a state, county, or municipality? NOTE. If you have answer YES to any of the questions below, you must attach a written explanation including the nature of the charges, dates, and outcomes, sentences of conditions imposed. You must also attach proof of payment, satisfaction of lien or judgement, bankruptcy discharge, or agreements for payment."If you have had a felony conviction, proof that your civil rights have been restored will be required prior to licensure. Firm_Application. docx Rev 4/06/2020 Page 4 of 15 w 00 v m M Iq U J J N W tU w N Q U Q m a d Packet Pg. 146 8.E.1 cJrye r cQuvitty Growth Management Department Contractor Licensing 2800 N. Horseshoe Dr. Naples, FL 34104 Phone - 239-252-2431 Fax - 239-252-2469 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY IV. EXPERIENCE VERIFICATION EDUCATION: List below and provide transcripts for any formal education you have obtained in the area of competency for which this application is being made: �Sbtqf' P- 11ac, 6ff A6Wogt •r)c, t-E ntcrtcyv DeSlAVI VA List below non formal education (on the job training) you have obtained in the area of competency for which this application is being made: List below and attach copies any other certificates of competency/licenses you hold/have held in Coilier County or any other jurisdiction. Include the license #, Type, and county you hold it in. AFFIDAVIT Under the penalties of perjury, I declare that I have read the foregoing application and the facts stated in it are true. �� ....�. �i...iiWA Applicant (please print) State of C rO A County of //� er" The foregoing nstn ment was acknowledged before me by means of hysical presence or O online notarization on this 9- day of 1l i"L 20 ZZ , bySuch persons) Notary Public must check applicable box- Karc personally known to me ❑ has produced a current driver license F3 has produced as identification. (Notary Seal) ip'"*Y•� •r� PAMELA A. MORRES . C0mT1j$knrGG94W5 Expires Fepruary8, 2024 Notary Signaturei_JP'lm�.. Firm _Application.docx Rev 4106/2020 Page 5 of 15 IL x iY Q N Uj e0 r c to E s w r Q Packet Pg. 147 AgWo Contractor Licensing CO le-r Cobinty 2800 N. Horseshoe Dr. FL 34104 Growth Management Department Naples, Phone - 239-25252-2431-2431 Fax - 239-252-2469 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY CERTIFICATION OF APPLICATION The undersigned hereby makes application for Certificate of Competency under the provisions of Collier County No. 2006-46, as amended, and under penalties of perjury. I declare that I have read the foregoing qualifier information and that the facts stated in it are true. The undersigned hereby certifies that he is legally qualified to act on behalf of the business organization sought to be licensed in all matters connected with its contracting business and that he has full authority to supervise construction undertaken by himself or such business or organization and that he will continue during this registration to be able to so bind said business organization. The qualified license holder understands that in all contracting matters, he/she will be held strictly accountable for any and all activities involving his license. Any willful falsification of any information contained herein is grounds for disqualification. Applicant (p ease print Name of Company S n re of Applicant State of ROfI d A- County of LD I /l e—1' The foregoing instrument was acknowledged before me by means ofXphysical presence or ❑ online notarization on this day of ce*ber,20 ZZ ,by S*-4h 3'If rrV Such person(s) Notary Public must check applicable box: %—re personally known to me ❑ has produced a current driver license ❑ has produced R4 as identification. (Notary Seal) $0.Mn kelON 18W8 "i Pep09 4Z0Z ,g tienjga j saildx3 a 989046 00 M uolss"woO o= SlaaoW'V V13WVd Notary Signature: Firm_ Application. docx Rev 4/06/2020 Page 6 of 15 LU 00 v m M N U J J N LU U_ w U) Q U Q m a d 2 a Q w 00 r- m t tv .r r Q Packet Pg. 148 Contractor Licensing ker CO COu-nty 2800 N. Horseshoe Dr. Naples, FL 34104 Growth Management Department Phone - 239-252-2431-2431 Fax - 239-252-2469 ui APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY 00 v WORKMEN'S COMPENSATION AFFIDAVIT N_ It is understood and acknowledged by the Collier County Contractors' Licensing Board and myself that if I fail to U acquire, or maintain at all times effective Workmen's Compensation Insurance it will result in the possible revocation J of my Certificate of Competency. N LLI U Applicant (please print w W N CCU!1, l- L) Name of Company m a reof Applicant J Z O O Z BEFORE ME this day personally appeared S,q /A "Ct'/ y who affirms and z w Applicant (please print) J says that he has less than one employee and does not require Workmen's Compensation understands that at any time he employees one or more persons he must obtain said Workmen's Compensation Insurance. State of �74 /'f d �- County of Cj l't t r The foregoing instrumentwasacknowledged before me by means ofxphysical presence or ❑ online notarization on this Y—day of�(f6ejV Y, 20 Z Z , by .Sof rAh 13 c_r-r y Such person(s) Notary Public must check applicable box: X-4re personally known to me ❑ has produced a current driver license ❑ has produced as identification. (Notary Seal) ?0lF3YP°B PAMELA A. MORRIS „ Commission # GG 940f385 or Expires February 8, 2024 _ 1'OF P8011094rhN 4YdWtlYMIy:MYWW Notary Signature: r Firm_ Application. docx Rev 4/06/2020 Page 7 of 15 y E Packet Pg. 149 Score Report Pro Name: SARAH PAGE BERRY Test: Business and Law, 2nd edition Sponsor: Collier County Date: 09/19/2022 ID #: Test ID: 065959374 Score: 92 Result: Pass # Unanswered Questions: 0 Module Subject Area Status LOW FLBO Business Organization P FLU6 Licensing ------------------------------- P ---- FLTL ia-x- P FLSRR - i�ty O§W ---------------- Safety i - i� FLLL Labor _a�s P FLC-M ---- Contract Management ------------------- P ---- i FLPM ---- Project- Management --------------------- P ---- FLE&-B --- Estimating-& -Biddi-n-g --------------------- P ---- FLFM ---- Financial --- -Management ---------------------- P ---- FLRM - ---- Risk Management P FLUEN : ---------------------------------------- Lien laws F Cut Score HIGH (L I Packet Pg. 150 8.E.1 _ 27911 Crown Lake Blvd Suite #6 Bonita Springs, FL 34135 Phone: 239.777.1028 Fax: 877.275.3593 www.LicensesEtc.com PERSONAL CREDIT REPORT (Compiled From National Records) <FOR> <SUB NAME> <MKT SUB> <INFILE> <DATE> <TIME> (I) P NP7771028 LICENSES ETC 16 NP 9/01 12/09/22 12:45CT <SUBJECT> <SSN> <BIRTH DATE> BERRY, SARAH P. -0634 11/82 <CURRENT ADDRESS> <DATE RPTD> 4641 ABACA CI., NAPLES FL. 34119 3/16 <FORMER ADDRESS> 6 TOWLE HILL RD., KENSINGTON NH. 03833 9/01 3 ROGERS LN., EAST KINGSTON NH. 03827 4/06 <POSITION> <CURRENT EMPLOYER AND ADDRESS> <RPTD> CAPITAL PIZZA HUT 11/06 <FORMER EMPLOYER AND ADDRESS> PIZZA HUT DRIVER 9/02 M O D E L P R O F I L E * * * A L E R T * * * ***FICO SCORE 8 SCORE +652 : SERIOUS DELINQUENCY;T00 FEW ACCOUNTS CURRENTLY ***PAID AS AGREED;LENGTH OF TIME ACCOUNTS HAVE BEEN ESTABLISHED;NUMBER OF ***ACCOUNTS WITH DELINQUENCY*** IN ADDITION TO THE FACTORS LISTED ABOVE, THE ***NUMBER OF INQUIRIES ON THE CONSUMER'S CREDIT FILE HAS ADVERSELY AFFECTED ***THE CREDIT SCORE. PUBLIC RECORDS HAVE BEEN SEARCHED AT THE COUNTY, STATE AND FEDERAL LEVELS - NONE FOUND ---------------------------------------------------------------------------- T R A D E S SUBNAME SUBCODE OPENED HIGHCRED TERMS MAXDELQ PAYPAT 1-12 MOP ACCOUNT# VERFIED CREDLIM PASTDUE AMT-MOP PAYPAT 13-24 ECOA COLLATRL/LOANTYPE CLSD/PD BALANCE REMARKS MO 30/60/90 TDRC/SAMS AG H 1427996 3/18 $2816 12/20 LLLLLLLLLLLL R09 11/22A $300 $114 $114 05 LLLLLLLLL554 I CHARGE ACCOUNT 2/21F $114 UNPAID BLNC CHRGD OFF 56 1/ 1/ 3 CITI B 64DB002 9/17 $3592 8/22A $3000 I FLEX SPND CRT CRD 10/20F $0 DISCOVERBANK B 9616003 7/17 $6072 5/22A $5200 I CREDIT CARD 12/20F $0 BK OF AMER B 1597029 9/18 $12.4K 4/22A $10.9K I CREDIT CARD 8/20F $0 11/20 LLLLLLLLLLLL R9P $0 $531 05 LLLLLLL55432 SETTLED < FULL BLNC 58 1/ 1/ 3 11/20 LLLLLLLLLLLL R92 $0 $641 05 LLL555432111 SETTLED < FULL BLNC 58 1/ 1/ 4 10/20 LLLLLLLLLLLL R9P $0 05 LLL555432111 SETTLED < FULL BLNC 42 1/ 1/ 4 Page 1 of 2 W 00 Cl) N U J J W _U W Q U a m Q IL Packet Pg. 151 8.E.1 CAPITAL ONE B lDTV001 1/22 $751 MIN25 1E111EEll R01 11/22A $1000 $0 I CREDIT CARD $147 9 0/ 0/ 0 LLI 00 BK OF AMER B 1597029 12/21 $428 MIN35 ElEElEl1E1E R01 11/22A $2000 $0 A SECURED CRDT CARD $278 11 0/ 0/ 0 M N_ DPT ED/AIDV B 6372061 10/08 $3500 086M 111111111111 101 U 5/15A $0 111111111111 J J I STUDENT LOAN 5/15C $0 CLOSED 41 0/ 0/ 0 y W THE PROVIDNT B 26T4001 1/07 $18.OK 010M 111111111111 MO1 U 5/15A $0 111111111111 w I HOME EQUITY LOAN 5/15C $0 CLOSED 66 0/ 0/ 0 uJ ---------------------------------------------- ---------------------- a I N Q U I R I E S U a DATE SUBCODE SUBNAME TYPE AMOUNT m 12/09/22 PNP7771028(FLA) LICENSES ETC a 1/15/22 BPC3575459(NTL) CAPITAL ONE ---------------------------------------------------------------------------- J END OF REPORT a x a W 00 Page 2 of 2 E t c� co a Packet Pg. 152 8.E.1 27911 Crown Lake Blvd Suite # 211 �waP Bonita Springs, FL 34135 Phone: 239.777.1028 r Fax: 877.275.3593 www.LicensesEtc.com BUSINESS CREDIT REPORT Abaca Services LLC Address: 4641 Abaca Cir Naples, FL 34119-9736 United States Experian BIN: 523134765 Agent: Richart Carlos Agent Address: 4641 Abaca Circle Naples, FL as of: 1 Fed Tax ID# 86-3149841 Key Personnel: Manager: Richart Carlos Manager: Berry Sarah Business Type: Corporation Experian File April 2022 Established: Experian Years on Less than 1 Year File: Filing Data Florida Provided by: Date of 03/30/2021 Incorporation: PUBLIC RECORDS HAVE BEEN SEARCHED AT THE COUNTY, STATE AND FEDERAL LEVELS. ✓ Bankruptcies: 0 ✓Liens: 0 ✓Judgments Filed: 0 ✓ Collections: 0 END OF REPORT Page 1 of 1 a Packet Pg. 153 12/9/22, 12.46 PM Detail by Entity Name DIVISION OF CORPORATIONS 8.E.1 rrn o)/%, irt! Sfnre „)Fluncen trrb;irr Department of State / Division of Corporations / Search Records / Search by nti Name / https://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=EntityName&directionType=Initial&searchNameOrder-ABACASE... 1 /2 00 to M Iq r1 U J J N W U_ W N Q U Q In a a a Q w 00 r- d E t t) r Q Packet Pg. 154 12/9/22, 12.46 PM Detail by Entity Name Document Images 04/26/2022 — ANNUAL REPORT View image in PDF format 03/30/2021 — Florida Limited Liability New image in PDF format W tb F110de Def,ttment of SUM, Di-1- W C,ry—tl— M Iq r1 U J J N W U_ W N Q U Q m a :_ https://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=EntityName&directionType=Initial&searchNameOrder-ABACASE... 2/2 E t v r Q Packet Pg. 155 8.E.1 Electronic Articles of Organization FLED 8 Od AM For March 30 2021 Florida Limited Liability Company sec. Of state jsdennis Article I The name of the Limited Liability Company is: ABACA SERVICES LLC Article II The street address of the principal office of the Limited Liability Company is; 3250 BONITA BEACH ROAD 205-302 BONITA SPRINGS, FL. 34134 The mailing address of the Limited Liability Company is: 3250 BONITA BEACH ROAD 205-302 BONITA SPRINGS, FL. 34134 Article III Other provisions, if any: ANY AND ALL LAWFULL BUSINESS. Article IV The name and Florida street address of the registered agent is: CARLOS RIC14ART 4641 ABACA CIRCLE NAPLES, FL. 34119 Having been named as registered agent and to accept service of process for the above stated limited liability company at the place designated in this certificate, I hereby accept the appointment as registered agent and agree to act in this capacity. I further agree to comply with the provisions of all statutes relating to the proper and complete performance of my duties, and I am familiar with and accept the obligations of my position as registered agent. Registered Agent Signature: CARLOS RICHART w 00 M Iq U J J w U_ w U) Q U Q m a a- x a Q uj 00 r- d E a Packet Pg. 156 8.E.1 Article V The name and address of person(s) authorized to manage LLC Title: MGR CARLOS RICHART 4641 ABACA CIRCLE NAPLES, FL. 34119 Title: MGR SARAH BERRY 4641 ABACA CIRCLE NAPLES, FL. 34119 Article VI The effective date for this Limited Liability Company shall be: 03/29/2021 Signature of member or an authorized representative Electronic Signature: CARLOS RICHART L21000146984 FILED 8:00 AM Sec. Of State21 jsdennis I am the member or authorized representative submitting these Articles of Organization and affirm that the facts stated herein are true. I am aware that false information submitted in a document to the Department of State constitutes a third degree felony as provided for in s.817.155, F.S. I understand the requirement to file an annual report between January 1 st and May 1 st in the calendar year following formation of the LLC and every year thereafter to maintain "active" status. 00 co M v r1 U J J U) w tU w a U Q m a a Packet Pg. 157 8.E.1 CIS I R DEPARTMENT OF THE TREASURY em INTERNAL REVENUE SERVICE CINCINNATI OH 45999-0023 ABACA SERVICES LLC CARLOS RICHART MBR 4641 ABACA CIR NAPLES, FL 34119 Date of this notice: 04-09-2021 Employer Identification Number: 86-3149841 Form: SS-4 Number of this notice: CP 575 B For assistance you may call us at: 1-800-829-4933 IF YOU WRITE, ATTACH THE STUB AT THE END OF THIS NOTICE. WE ASSIGNED YOU AN EMPLOYER IDENTIFICATION NUMBER Thank you for applying for an Employer Identification Number (EIN). We assigned you EIN 86-3149841. This EIN will identify you, your business accounts, tax returns, and documents, even if you have no employees. Please keep this notice in your permanent records. When filing tax documents, payments, and related correspondence, it is very important that you use your EIN and complete name and address exactly as shown above. Any variation may cause a delay in processing, result in incorrect information in your account, or even cause you to be assigned more than one EIN. If the information is not correct as shown above, please make the correction using the attached tear off stub and return it to us. Based on the information received from you or your representative, you must file the following form(s) by the date(s) shown. Form 1065 03/15/2022 If you have questions about the form(s) or the due date(s) shown, you can call us at the phone number or write to us at the address shown at the top of this notice. If you need help in determining your annual accounting period (tax year), see Publication 538, Accounting Periods and Methods. We assigned you a tax classification based on information obtained from you or your representative. It is not a legal determination of your tax classification, and is not binding on the IRS. If you want a legal determination of your tax classification, you may request a private letter ruling from the IRS under the guidelines in Revenue Procedure 2004-1, 2004-1 I.R.B. 1 (or superseding Revenue Procedure for the year at issue). Note: Certain tax classification elections can be requested by filing Form 8832, .Entity Classification Election. See Form 8832 and its instructions for additional information. A limited liability company (LLC) may file Form 8832, Entity Classification Election, and elect to be classified as an association taxable as a corporation. If the LLC is eligible to be treated as a corporation that meets certain tests and it will be electing S corporation status, it must timely file Form 2553, Election by a Small Business Corporation. The LLC will be treated as a corporation as of the effective date of the S corporation election and does not need to file Form 8832. To obtain tax forms and publications, including those referenced in this notice, visit our Web site at www.irs.gov. If you do not have access to the Internet, call 1-800-829-3676 (TTY/TDD 1-800-829-4059) or visit your local IRS office. W 00 m M Iq N U J J N W U_ Q' W N Q U Q m a d 2 a Q w 00 r- d E a Packet Pg. 158 (IRS USE ONLY) 575B 04-09-2021 ABAC B 9999999999 SS-4 8.E.1 IMPORTANT REMINDERS: * Keep a copy of this notice in your permanent records. This notice is issued only one time and the IRS will not be able to generate a duplicate copy for you. You may give a copy of this document to anyone asking for proof of your EIN. * Use this EIN and your name exactly as they appear at the top of this notice on all your federal tax forms. * Refer to this EIN on your tax -related correspondence and documents. If you have questions about your EIN, you can call us at the phone number or write to us at the address shown at the top of this notice. If you write, please tear off the stub at the bottom of this notice and send it along with your letter. If you do not need to write us, do not complete and return the stub. Your name control associated with this EIN is ABAC. You will need to provide this information, along with your EIN, if you file your returns electronically. Thank you for your cooperation. Keep this part for your records. CP 575 B (Rev. 7-2007) ---------------------------------------------------------------------------------------------- Return this part with any correspondence so we may identify your account. Please CP 575 B correct any errors in your name or address. 9999999999 Your Telephone Number Best Time to Call DATE OF THIS NOTICE: 04-09-2021 ( ) - EMPLOYER IDENTIFICATION NUMBER: 86-3149841 FORM: SS-4 NOBOD INTERNAL REVENUE SERVICE CINCINNATI OH 45999-0023 ABACA SERVICES LLC CARLOS RICHART MBR 4641 ABACA CIR NAPLES, FL 34119 W 00 to M Iq N U J J N W U_ W N Q U Q 00 a d 2 a Q Uj 00 r C d E t v r Q Packet Pg. 159 Contractor Licensing Ci0 pler C;0'94"ty 2800 N. Horseshoe Dr. Growth Management Department Naples, 04 239-252-2400 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY STATEMENT OF OWNERSHIP This certifies that I, am a member or managing ((,,.,��A��PPL CANTT'S�NA/M� (please print) member of Amak- c. e V k ce-c, L (LIMITED I own W % of the units issued by the Limited Liability Company listed above. Affidavit of Applicant: I certify under penalty of perjury that the information contained is a true and correct statement to the best of my knowledge. State of �/0fI d13, County of CO "1 e✓ Applicant (please print) 1« ls-C Name of Company Signature of Applicant The forego instrument was acknowledged before me by means of physical presence or ❑ online notarization on this day of (5,-ce [ &.r, 20 2 Z by 54I-A- h 5e- Such person(s) Notary Public must check applicable box: Xare personally known to me ❑ has produced a current driver license ❑ has produced (Notary Seal) +r N� r �;OF FLOP /V'* as identification. PAMELA A. MORRIS Commission # GG 940685 Expires February 8, 2024 Bonded Tluu BudW Notary $*vim w I" v m M N U J J N LLl tU W N Q U Q m a IM W �-%`�, J V �• Notary Signature: Md 2 a Q w 00 r c m Firm_Application.docx Rev 4/06/2020 Page 9 of 15 E t ra .r r Q Packet Pg. 160 8.E.1 Contractor Licensing CQ eY Ci011YLty 2800 N. Horseshoe Dr. Growth Management Department Naples, FL 34104 239-252-2400 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY RESOLUTION OF AUTHORIZATION Complete this form if multiple people own part of the company the license will be attached to. If there is only 1 owner, then this form is not required for the application. In accordance with Collier County Ordinance 2006-46, as amended. AbCLCti t Y LA((S 1A1. proposes Company Name to engage in contracting as in Collier County where _ Officers/Owners/Partners Applicant Name proposes to qualify for a Certificate of Competency with companyAb5L CcC _ C_,eX V lCA_� ou, Company It is hereby agreed upon that we the undersigned of I Officersl0wners/Partners Company resolve and represent to the Collier County Contractor's Licensing Board that the proposed qualifying agent, is active in all matters connected with the company named f�.�,, Applicant Name C�c�i.s�IrUtc't.S_1. We further resolve and represent that is legally Company Applicant Name empowered to act on behalf of ft I[L)1(6 A. in all matters connected with its coat acting Company business and has the authority to supervise construction undertaken by Company OwnerslPartne y � 4 O ers/Ow S1Pariners \\�` Officers/Owners/Pa, hers Witness Officers/Owners/Partners of the above -mentioned company need to sign on the left and a witness to the signature signs on the right. State of ��IC1r A- County of � o �� ek- The foregoing instrument was acknowledged before me by means of 1physical presence or online notarization on this - _dayof—D`C K _.20 ZZ_,by s�r44. IJe/ �Fif�C�) C'i/�f Such person(s) Notary Public trust check applicable box: Kre personally known to the ❑ has produced a current driver license ❑ has produced /,,/A' as identification. =o,�¢Y p'ik� PAMELA A MMIS (Notary Seal) y i Commissian0GG940685 Expires February 8, 21124 T opr��°P TNV all," Notary Signature: Firm_Application.dorx Rev 4/06/2020 Page 8 of 15 a Packet Pg. 161 8.E.1 C.DLL7eY co"Jity Growth Management Comnnondy De-mbprnent department APPLICATION FOR COLLIER COUNTY CERTIFICATE Of COMPSENCY VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Name t Certificate Category Requested: $ rnm L�,J(` The applicant is seeking a Collier county Certificate of Competency in the trade indicated above. As part of the application for this certificate, the applicant must verity his/her experience withfn this trade. You are being requested to provide information that will aid the applicant in meeting this requirement. You should verify time of active experience working as an apprentice or a skilled worker (e.g., as a worker commanding the wage of mechanic or better in the trade). Time served solely in a supervisory or administrative role should be described, but may or may not be considered sufficient to demonstrate required trade experience. The person verifying trade experience for the above -named applicant must provide the following information Name _� L e-, V , c, Title fi C� Business Name: rJ e Qc.' ~ _4"/ Ic, C U " Phone' � I C; L't 'L License No. (rf applicable): C G C Q� 2 'i �r Business Address: j14Z- LJ,% % { 40r �L 5 Street CAY State zip The applicant was employed by me from to U ! 1^c Applicant's title: V The applicant's scope of work (specific duties) included: —>l' 2 t%S / cr 8F/n a /, Additional comments: ngf �_� } rr- . a✓ i �t G a C _ 14,Y- S``6S, NOTE TO UCENSEd CONTRACTORS. Falsifying any information provided herain may subject your license to revocation. Under penalty of perjury, I declare that the facts stated here am true. State of co�,ty of � l �@r Sig ature of pefson proMing the statement or/ �r� The forego' instrument was acknowledged me by means of pity I presence or ❑ online notarization on this day of C6(41 20 Z Z , by _ �� Such perron(s) Notary Public must check si pliable box: ,8re personally known to me ❑ has produced a current driver license ❑ has produced /I A as identification. (Notary Seso OATry4 PAMELA A. MORRIS Commisalon A ti0 NOW * r Egwes Pe"ryll, 2024 171 or Of PonadTtewWdpmNO*7 *AM Notary Signature: Cwtriidor Llcefring - FIRM Apiobcatwn Rev. 712022 Page 10 of 14 Operations S Rwgulatory Managerent DP/ isicn, Contractor LrcenSing • 2800 North "M85hCe brave • Naples FL 341(A • (239) 252.24it smart radaslioensinnnacoilrerux rstTlf oo, Packet Pg. 162 8.E.1 coe-►- coKHry Grcmlh Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Name: Sarah Serra Certificate Category Requested: Sin Lvmvui." Pool z trbi:ct — cAaml y-n ©,u�:J The applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate, the applicant must verify his/her experience within this trade. You are being requested to provide information that will aid the applicant in meeting this requirement. You should verify time of active experience working as an apprentice or a skilled worker (e.g., as a worker commanding the wage of mechanic or better in the trade). Time served solely in a supervisory or administrative role should be described, but may or may not be considered sufficient to demonstrate required trade experience. The person verifying trade experience for the above -named applicant must provide the following information: Name 1,10,Y: ER .'vaP.vL Title: T', %si er.`_ �; TA?r:C ISi2N_1 PI.^;eC`. MisA.?el Business Name: Dl`%^ CIG� 04 Hovxes Phone: 2??-25s 36 License No. (if applicable): Business Address: C Q = 1n' li w. 114 i Z 1>✓ NRTa"S Street City State y Zip The applicant was employed by me from )ravi,uarl + 2�n (2 to pye."Pv l Applicant's title: The applicant's scope of work (specific duties) included: ..... ,. . [„r ..,..I p. .: .F.S�'� 5�`CS .. �v ...2 _. �!?::. •.._I...sv.C.tYL;1 P..:! +.�A:�,:T.� 7..... ..� Jrl :._�,a , . �L?a....1.-� . .. _ . �..�. r 1 - Additional comments: NOTE TO LICENSED CONTRACTORS: Falsifying any information provided herein may subject your license to revocation. Under penalty of perjury, I declare that the facts stated here are true. t� v �''" / / Signtature of person providing the 3tateme State of (—+ ed rt f' Countyof Gil ► eY The foregoing instrument was acknowledged before me by means 000physical presence or ❑ online notarization on this day of cCR�v , 20 ZZ , b) %y? 4r-K �. L .4S7rAI�iV — Such person(s) Notary Public must check applicable box: Aare personally known to me 0 has produced a current driver license 0 has produced _ /�� as identification. (Notary Seaq PAMELA A. MORRIS yp ... Cornmisaion • GG NIMS .. i�c Expires Febnrary S, 2024 �EOf M1�lP RmdldtrN 6dpsr t�OW/.Snlbq X+An l J Notary Signature -__— Contractor Licensing - FIRM Application Rev. 7/2022 Page 10 of 14 Operations & Regulatory Management Division. Contractor Licensing • 2800 North Horseshoe Drive • Naples. FL 34104 • (239) 252.2431 rt _r W 00 v m M v N U J J N W U_ W N Q U Q m a d 2 a Q W 00 r C d E t V f� a+ Q Packet Pg. 163 Contractor Licensing C,owit--Y C;ULri'iity 2800 N Horseshoe Dr. Growth Management Department Naples, FL 04 239-252-24-2400 APPLICATION FOR COLLIaP COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Name: Y_x -*�ry�f_ Certificate Category Requested: The applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate, the applicant must verify his/her experience within this trade. You are being requested to provide information that will aid the applicant in meeting this requirement. You should verify bme of active experience working as an apprentice or a skilled worker (e.g., as a worker commanding the wage of mechanic or better in the trade). Time served solely in a supervisory or administrative role should be described, but may or may not be considered sufficient to demonstrate required trade experience. The person v�j�nfying trade experience for the above -named applicant must provide, the following information: Name:_{ L Ir "^ Title:y Business Name: r UC U Cc" fp Phone: i License No. (if applicable). �-^ �J Business Address w' �`w' _ �r AJV (� !� �/ �� Street p City Slate Zi The applicant was employed by me from - 1 J � i/ j Applicant's title: (f rr1(* 4 t-1,A, W) The applica t s scope of work (specific duties) included: Additional comments: NOTE TO LICENSED CONTRACTORS: Falsifying any information provided herei , subjecty Under penalty of perjury, I declare that the facts stated here are true. Signature of person providing the State of _ F7/00_/_ ,dCounty of �o l� eI' �-- L/ tr The foregoing imtniment was acknowledged before me by means off( physi presence or El online notarization on this day of ineet. b t-, 20 ?Z , bySuch persontsl Notary Public inust check applicable box �nre personally known to me Cf has produced a current driver license L3 has produced — /f as identification. (Votary Seal) "SyP PAMELA A, MORRIS r� Commission p GG 94WS a Expires Nbruary8„,� 2024 $OF new B-d*d rn, &WL10 L^�� .W I Sm m Notary Signatu. /�i�`d/✓l�� Firm_Application.docx Rev 4/06/2020 Page 11 of 15 LI.I 00 M IL Packet Pg. 164 Contractor Licensing CA ker County 2800 N. Horseshoe Dr. Growth Management Department Naples, 04 239-252-2400 u.i APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY 00 v m AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER N U STATE OF F (OY/ `�• J A J N w l��Cr COUNTY OF U u.l I, Jo �V � � Z -S ,having been first duly sworn, state and affirm: Q U r i Q I am a resident of <d 1116 -' County, /' �/�� (State) and have resided here for Q more than five (5) years. J Z During the last five (5) years I have known y (applicant). I have had the opportunity O to observe his or her business and personal dealings and find him or her to be a person of honesty, inte rit and good character. // Signa o n n/ S ly-)oy-nS Printed Name Address: 262a Street City State Zip Telephone: 2 37 —293 a State of O Yj Al County of IX LL The foregoing instrument was acknowledged bete by means of ysical presence or ❑ online notarization on this p day of / 'L2 by V J ,� �Jo T j j `� 3: LU Such person(s) Notary Public must check applicable box: W d' personally known to me ❑ has produced a current driver license I ❑ has produced as identification. d'W W (Notary Sea]) M 'w • STAGY JO CHERNESKY = MY COMMISSION i HH 170268 EXPIRES: September 19, 2025 Bonded Thru Notary Signature: Q Notary PUW Undenfters W 00 r C d Firm_Application.docx Rev 4/06/2020 Page 13 of 15 E t ra .r r Q Packet Pg. 165 8.E.1 Collier County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF Florid A COUNTY OF Co I CI er I am a resident of U more than five (5) years. having been first duly sworn, state and affirm: County, F L - r . -.L- (State) and have resided here for During the last five (5) years I have known ��G t P' Q 1c✓ �j (applicant). I have had the opportunity to observe his or her business and personal dealings and find him or her to be a person of honesty, integrity and good character. S�-c II Signature Printed Name Address: (8 b o %{ e c- ,� C-Cl- Pr, Street Za . 1--t ciS FL 33`10 8 City State Zip / Telephone: 23 1 1 t -i - 3 `(� - b `` State of Vi I d A Countyof �o f l i e r The foregoing -instrument was acknowledged before me by means of)<physical presence or ❑ online notarization on this Z( day of E & • 202-Z- ,by 54,4q Chermc-51<y Such person(s) Notary Public must check applicable box: are personally known to me ❑ has produced a current driver license ❑ has produced as identification. (Notary Seal) PAMELA A. MORRIS Commission M GG 940N5 Expires February 8, 2024 y'tO...o.P am" TtruaudoNotarySmkes Notary Signatur � 'c Contractor Licensing — FIRM Application Rev. 7/2022 Page 14 of 14 Operations & Regulatory Management Division, Contractor Licensing . 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractorsli censi ng0col liercountvfl.00v W eo m CO) v N U J J N W U_ W N Q U Q 00 a d Packet Pg. 166 8.E.1 4641 ABACA CIR MAPLES. FL 34119-0000 DOS: 11-13.1982 SEX: ISSUED: 11 02-2015 EKMES: 11-13-2e - oer„r,. t— 'w.w by A— w Co m M N IL x Q Q u.i Co r c m E s w r Q Packet Pg. 167 8.E.1 w Construction Estimating Institute (Provider #0C M 01 N Proudly Presents To J J N Sarah Berry W U W LCC20220001841 a U Q 00 a In Recognition of Having Successfully Completed the Following Col z e: 0 14 - Hour Financial Responsibility Course CILB # 0613097 z z Q w J U J O O Certificate of Achievement z Awarded 12/27/2022 U) nsvuc iou y W President Total Hours: w INSTITUTE W a )C w w sin<r ivxz O W_ W W d' W m d 2 a Q w 00 r- d E a Packet Pg. 168 ,rAx < S -ql�3-7- -7-7?-�, L� 8.E.1 Far, 2553 Election by a Small Business Corporation {Under section 1362 of the Internal Revenue Code) (Rev. December 2017) (including a late election filed pursuant to Rev. Proc. 2013-30) OMB No. 154;-0123 Department of the Treasury ► You can fax this form to the IRS. see separate instructions. W 00 Internal Revenue Service ► Go to www.irs.gov/Form25W for instructions and the latest information. Note: This election to be an S corporation can be accepted only if all the tests are met under Who May Elect in the instructions, all shareholders have signed the consent statement, an officer has signed below, and the exact name and address of the corporation Cl) (entity) and other required form information have been provided. N JUM Election Information .. Name (see instructions) A Employer Identification number U J Type ABACA SERVICES LLC 86-3149841 J Number, street, and room or suite no. If a P.O. box, see instructions. B Date incorporated w or Print 4641 ABACA CIR 03/29/21 tJ City or town, state or province, country, and ZIP or foreign postal code C State of incorporation 5; NAPLES, FL, 34119 FLORIDA W W D Check the applicable box(es) If the corporation (entity), after applying for the EIN shown in A above, changed its ❑ name or ❑ address E Election is to be effective for tax year beginning (month, day, year) (see instructions) . . . . . . ► 3129121 U Caution: A corporation (entity) making the election for its first tax year in existence will usually enter the Q beginning date of a short tax year that begins on a date other than January 1. Q F Selected tax year: r (1) i] Calendar year } J (2) ❑ Fiscal year ending (month and day) ► Z (3) ❑ 52-53-week year ending with reference to the month of December O (4) ❑ 52-53-week year ending with reference to the month of ► O If box (2) or (4) is checked, complete Part II. Z G If more than 100 shareholders are listed for item J (see page 2), check this box if treating members of a family as one shareholder results in no more than 100 shareholders (see test 2 under Who May Elect in the instructions) ► ❑ H Name and title of officer or legal representative whom the IRS may call for more information Telephone number of officer or legal representative CARLOS RICHART, MEMBER 239-253.1775 If this S corporation election is being filed late, I declare I had reasonable cause for not filing Form 2553 timely. If this late election is being made by an entity eligible to elect to be treated as a corporation, I declare I also had reasonable cause for not filing an entity classification election timely and the representations listed in Part IV are true. See below for my explanation of the reasons the election or elections were not made on time and a description of my diligent actions to correct the mistake upon its discovery. See instructions. ...•-•------------------------------------•---------•--------....... ------------••---------------------•----------------------------------- ------------------- a Under penalties of perjury, I declare that I have examined this election, including accompanying documents, and, to the best of my = knowledge and belief, the election contains ail the relevant facts relating to the election, and such facts are true, correct, and complete. Sign i Q Here MEMBER in / Slgneturo of officer Title Date co For Paperwork Reduction Act Notice, see separate instructions. Cat. No, 18629R Form 25M (Rev. 12-2017) C d E s w r Q Packet Pg. 169 Form 2553 (Rev. 12-2017) Page 2 8.E.1 ABACA SERVICES LLC 86.3149841 Electlon Information conflnued Note: If you need more rows, use additional co ies of page 2. K Shareholder's Consent Statement Under penalties of perjury, I declare that I consent to the election of the above -named corporation (entity) to be an S corporation under section 1362(a) and that I have examined this consent statement, including accompanying documents, and, to the best of my knowledge and belief, the election contains all the relevant facts relating to the election, and such facts are true, correct, L Stock owned or percentage of ownership (see instructions) and complete. I understand my consent is binding and may not be withdrawn after the corporation (entity) has made a valid election, If seeking relief for a late filed election. I also declare under penalties of perjury that I have reported my Income on all M affected returns consistent with the S Social security J Name and address of each corporation election for the year for which the election should have been filed (see Number of number or employer N Shareholder's shareholder or former shareholder beginning date entered on line E) and for all shares or Identification tax year ends required to consent to the election. subsequent years. percentage Date(s) number (see (month and Signature Date (see instructions) of ownership acquired instructions) day) CARLOS RICHART 4641 ABACA CIR NAPLES, FL, 34119 50 % 3129l21 152-72-4250 12131 SARAH BERRY 4641 ABACA CIR NAPLES. Ft_, 34119 XL 50 % 3/29121 003-66-0634 12131 Form c,-Nja Inev. 1 r-zul fl W 00 to Cl) N U J J W W U_ W Q U a m Q Packet Pg. 170 8.E.1 Note; Form 2553 begins on the next page. Where To File Form 2553 after 6/17/19 If the corporation's principal business, office, or agency is located in =UsefoNowing ress fax number Connecticut, Delaware, District of Columbia, -Department of the Treasury Georgia, Illinois, Indiana, Kentucky, Maine, Internal Revenue Service Maryland, Massachusetts, Michigan, New Kansas City, MO 64999 Hampshire, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Rhode Island, South Carolina, Tennessee, Vermont, Virginia, West Virginia, Fax # 855-887-7734 Wisconsin Alabama, Alaska, Arizona, Arkansas, California, Depar menthe Treasury Colorado, Florida, Hawaii, Idaho, Iowa, Kansas, Internal Revenue Service Louisiana, Minnesota, Mississippi, Missouri, Ogden, UT 84201 Montana, Nebraska, Nevada, New Mexico, North Dakota, Oklahoma, Oregon, South Dakota, Texas, Utah, Washington, Wyoming Fax # 855-214-7520 w 00 to CM N a Packet Pg. 171 8.E.1 PARTNERSHIP AGREEMENT l� THIS PARTNERSHIP AGREEMENT (the "Agreement") made and entered into this day of ��1 l , � — (the "Execution Date"), BETWEEN: Carlos Richart of 4641 Abaca Circle, Naples, FL 34119, and Sarah Berry of 4641 Abaca Circle, Naples, FL 34119 (individually the "Partner" and collectively the "Partners"). BACKGROUND: A. The Partners wish to associate themselves as partners in business. B. This Agreement sets out the terms and conditions that govern the Partners within the Partnership. IN CONSIDERATION OF and as a condition of the Partners entering into this Agreement and other valuable consideration, the receipt and sufficiency of which consideration is acknowledged, the parties to this Agreement agree as follows: Formation By this Agreement the Partners enter into a general partnership (the "Partnership") in accordance with the laws of The State of Florida. The rights and obligations of the Partners will be as stated in the applicable legislation of The State of Florida (the 'Act') except as otherwise provided in this Agreement. Name 2. The firm name of the Partnership will be: Abaca Services LLC. Purpose 3. The purpose of the Partnership will be: Service. a x a a Page 1 of 15 u.i 00 r c m E �a r Q Packet Pg. 172 Partnership 4 reement Page 2 of 15 8.E.1 Term 4. The Partnership will begin on March 29th, 2021 and will continue until terminated as provided in this Agreement. Place of Business 5. The principal office of the business of the Partnership will be located at 3250 Bonita Beach Rd 205-302, Bonita Springs, FL 34134 or such other place as the Partners may from time to time designate. 6. 7. 8. 9 Capital Contributions Each of the Partners has contributed to the capital of the Partnership, in cash or property in agreed upon value, as follows (the "Capital Contribution"): Partner Contribution Description Agreed Value Carlos Richart $1400 USD Sarah Berry $7000 USD All Partners will contribute their respective Capital Contributions fully and on time. Withdrawal of Capital No Partner will withdraw any portion of their Capital Contribution without the express written consent of the remaining Partners. Additional Capital Capital Contributions may be amended from time to time, according to the requirements of the Partnership provided that the interests of the Partners are not affected, except with the unanimous consent of the Partners. No Partner will be required to make Additional Capital Contributions. Whenever additional capital is determined to be required and an individual Partner is unwilling or unable to meet the additional contribution requirement within a reasonable period, as required by Partnership business obligations, remaining Partners may contribute in proportion to their existing Capital Contributions to resolve the amount in default. In such case the allocation of profits or losses among all the Partners will be adjusted to reflect w 00 m M N U J J w U w Q U a CO Q Packet Pg. 173 8.E.1 Partnership Agreement Page 3 of 15 the aggregate change in Capital Contributions by the Partners. 00 m 10. Any advance of money to the Partnership by any Partner in excess of the amounts provided for N in this Agreement or subsequently agreed to as Additional Capital Contribution will be deemed a v debt owed by the Partnership and not an increase in Capital Contribution of the Partner. This liability will be repaid with interest at rates and times to be determined by a majority of the w Partners within the limits of what is required or permitted in the Act. This liability will not v entitle the lending Partner to any increased share of the Partnership's profits nor to a greater w voting power. Such debts may have preference or priority over any other payments to Partners as Q U may be determined by a majority of the Partners. Q m Q Capital Accounts J 11. An individual capital account (the "Capital Accounts") will be maintained for each Partner and z their Initial Capital Contribution will be credited to this account. Any Additional Capital 0 z Contributions made by any Partner will be credited to that Partner's individual Capital Account. z Interest on Capital 12. No borrowing charge or loan interest will be due or payable to any Partner on their agreed Capital Contribution inclusive of any agreed Additional Capital Contributions. Financial Decisions 13. Decisions regarding the distribution of profits, allocation of losses, and the requirement for Additional Capital Contributions as well as all other financial matters will be decided by a unanimous vote of the Partners. Profit and Loss 14. Subject to the other provisions of this Agreement, the net profits and losses of the Partnership, for both accounting and tax purposes, will accrue to and be borne by the Partners according to the following schedule (the "Profit and Loss Distribution"): Packet Pg. 174 Partnership Agreement Page 4 of 15 8.E.1 PARTNER PROFIT/LOSS PERCENT Carlos Richart 50% Sarah Berry 50% Compensation for Services Rendered 15. Partners may be compensated for services actually rendered as from time to time may be agreed by unanimous consent of the Partners. Books of Account 16. Accurate and complete books of account of the transactions of the Partnership will be kept in accordance with generally accepted accounting principles (GAAP) and at all reasonable times will be available and open to inspection and examination by any Partner. The books and records of the Partnership will reflect all the Partnership's transactions and will be appropriate and adequate for the business conducted by the Partnership. Annual Report 17. As soon as practicable after the close of each fiscal year, the Partnership will furnish to each Partner an annual report showing a full and complete account of the condition of the Partnership. This report will consist of at least the following documents: a. a statement of all information as will be necessary for the preparation of each Partner's income or other tax returns; b. a copy of the Partnership's federal income tax returns for that fiscal year; and C. any additional information that the Partners may require. Banking and Partnership Funds 18. The funds of the Partnership will be placed in such investments and banking accounts as will be designated by the Partners. Partnership funds will be held in the name of the Partnership and will not be commingled with those of any other person or entity. w 00 m M N U J J W W U_ w a U a CO a Packet Pg. 175 Partnership Agreement Page 5 of 15 8.E.1 Fiscal Year 19. The fiscal year will end on the 1 st day of January of each year. Audit 20. Any of the Partners will have the right to request an audit of the Partnership books. The cost of the audit will be borne by the Partnership. The audit will be performed by an accounting firm acceptable to all the Partners. Not more than one (1) audit will be required by any or all of the Partners for any fiscal year. Management 21. All the Partners will be consulted and the advice and opinions of the Partners will be obtained as much as is practicable. However, the Managing Partner will have management and control of the day-to-day business of the Partnership for the purposes stated in this Agreement. All matters outside the day-to-day business of the Partnership will be decided by a unanimous vote of the Partners. 22. Carlos Richart will be the Managing Partner. The term "Managing Partner" will also include any party subsequently appointed to that role. 23. In addition to day-to-day management tasks, the Managing Partner's duties will include keeping, or causing to be kept, full and accurate business records for the Partnership according to generally accepted accounting principles (GAAP) and overseeing the preparation of any reports considered reasonably necessary to keep the Partners informed of the business performance of the Partnership. 24. A Managing Partner can voluntarily withdraw from the position of Managing Partner or can be replaced by a unanimous vote of the remaining Partners. In the event of a withdrawal or removal of the Managing Partner from the position of Managing Partner or from the Partnership, the remaining Partners will have equal rights in the management of the Partnership until they appoint a successor Managing Partner. 25. The Managing Partner will not be liable to the remaining Partners for any action or failure to act resulting in loss or harm to the Partnership except in the case of gross negligence or willful misconduct. w 00 to M N U J J W w U w Q U a CO Q Packet Pg. 176 8.E.1 Partnership 4greement Page 6 of 15 Contract Binding AuthorityLU 00 26. All actions and decisions with respect to binding the Partnership in contract requires the unanimous consent of the Partners. V N U Partnership Representative 27. An independent tax professional, to be appointed in due course by the Partners, will be the w partnership representative ("the Partnership Representative") with the sole authority to act on U behalf of the Partnership in relation to IRS tax audits pursuant to Chapter 63 Subchapter C of the W Internal Revenue Code of 1986. a U a 28. The Partnership Representative is appointed for the current tax year and subsequent tax years Q until otherwise designated by the Partners. >-. 29. The Partnership Representative will promptly advise the Partners of any audit of the Partnership initiated by the IRS and provide regular updates to the Partners on the progress of such audits and any resulting settlement negotiations. The Partnership Representative will be generally accountable to the Partners and will obtain the unanimous approval of the Partners for (i) any decisions affecting the tax liability of the Partnership or the Partners; and (ii) any decision finalizing tax settlement with the IRS. 30. The Partnership Representative may resign from the position by serving notice in writing on both the Partnership and the IRS. The Partnership, acting by majority vote, may revoke the designation of the Partnership Representative by serving notice on the Partnership Representative and the IRS and simultaneously appointing a new Partnership Representative for that taxable year. 31. Whether serving in an active capacity or not, any person who has served as Partnership Representative in respect of any given taxable year or portion thereof will remain accountable to the Partnership, throughout the period of limitation relating to that taxable year, in respect of any notification received from the IRS and will promptly advise the Partnership of any and all such correspondence. 32. In the event that a tax settlement reached between the IRS and the Partnership Representative is not satisfactory to one or more of the Partners and the matter cannot be resolved through negotiation in good faith at a meeting of the Partners, then, two weeks, or such longer period as Packet Pg. 177 Partnership Agreement Page 7 of 15 8.E.1 the partners may agree, following such meeting the Partners agree to submit the dispute to mediation. Meetings 33. Regular meetings of the Partners will be held only as required. 34. Any Partner can call a special meeting to resolve issues that require a vote, as indicated by this Agreement, by providing all Partners with reasonable notice. In the case of a special vote, the meeting will be restricted to the specific purpose for which the meeting was held. 35. All meetings will be held at a time and in a location that is reasonable, convenient and practical considering the situation of all Partners. Admitting a New Partner 36. No new Partners may be admitted into the Partnership. Voluntary Withdrawal of a Partner 37. Any Partner will have the right to voluntarily withdraw from the Partnership at any time. Written notice of intention to withdraw must be served upon the remaining Partners at least six (6) months prior to the withdrawal date. 38. The voluntary withdrawal of a Partner will result in the dissolution of the Partnership. 39. A Dissociated Partner will only exercise the right to withdraw in good faith and will act to minimize any present or future harm done to the remaining Partners as a result of the withdrawal. Involuntary Withdrawal of a Partner 40. Events resulting in the involuntary withdrawal of a Partner from the Partnership will include but not be limited to: death of a Partner; Partner mental incapacity; Partner disability preventing reasonable participation in the Partnership; Partner incompetence; breach of fiduciary duties by a Partner; criminal conviction of a Partner; Expulsion of a Partner; Operation of Law against a Partner; or any act or omission of a Partner that can reasonably be expected to bring the business or societal reputation of the Partnership into disrepute. w 00 m M N U J J M W U w Q U a Co Q Packet Pg. 178 Partnership Agreement Page 8 of 15 8.E.1 41. The involuntary withdrawal of a Partner will result in the dissolution of the Partnership. 42. A trustee in bankruptcy or similar third party who may acquire that Dissociated Partner's interest in the Partnership will only acquire that Partner's economic rights and interests and will not acquire any other rights of that Partner or be admitted as a Partner of the Partnership or have the right to exercise any management or voting interests. Dissociation of a Partner 43. Where the dissociation of a Partner for any reason results in the dissolution of the Partnership then the Partnership will proceed in a reasonable and timely manner to dissolve the Partnership, with all debts being paid first, prior to any distribution of the remaining funds. Valuation and distribution will be determined as described in the Valuation of Interest section of this Agreement. 44. The remaining Partners retain the right to seek damages from a Dissociated Partner where the dissociation resulted from a malicious or criminal act by the Dissociated Partner or where the Dissociated Partner had breached their fiduciary duty to the Partnership or was in breach of this Agreement or had acted in a way that could reasonably be foreseen to bring harm or damage to the Partnership or to the reputation of the Partnership. Dissolution 45. Except as otherwise provided in this Agreement, the Partnership may be dissolved only with the unanimous consent of all Partners. Distribution of Property on Dissolution of Partnership 46. In the event of the dissolution of the Partnership, each Partner will share in any remaining assets or liabilities of the Partnership in proportion to the Partners' Capital Contributions inclusive of any Additional Capital Contributions (the "Dissolution Distribution"). 47. Upon Dissolution of the Partnership and liquidation of Partnership Property, and after payment of all selling costs and expenses, the liquidator will distribute the Partnership assets to the following groups according to the following order of priority: a. in satisfaction of liabilities to creditors except Partnership obligations to current Partners; w 00 to M N U J J M ua U_ w Q U a CO Q Packet Pg. 179 Partnership Agreement Page 9 of 15 8.E.1 b. in satisfaction of Partnership debt obligations to current Partners; and then to the Partners according to the Dissolution Distribution described above. 48. The claims of each priority group will be satisfied in full before satisfying any claims of a lower priority group. Any excess of Partnership assets after liabilities or any insufficiency in Partnership assets in resolving liabilities under this section will be shared by the Partners according to the Dissolution Distribution described above. Valuation of Interest 49. In the absence of a written agreement setting a value, the value of the Partnership will be based on the fair market value appraisal of all Partnership assets (less liabilities) determined in accordance with generally accepted accounting principles (GAAP). This appraisal will be conducted by an independent accounting firm agreed to by all Partners. An appraiser will be appointed within a reasonable period of the date of withdrawal or dissolution. The results of the appraisal will be binding on all Partners. A withdrawing Partner's interest will be based on that Partner's proportion of the Dissolution Distribution described above, less any outstanding liabilities the withdrawing Partner may have to the Partnership. The intent of this section is to ensure the survival of the Partnership despite the withdrawal of any individual Partner. 50. No allowance will be made for goodwill, trade name, patents or other intangible assets, except where those assets have been reflected on the Partnership books immediately prior to valuation. Goodwill 51. The goodwill of the Partnership business will be assessed at an amount to be determined by appraisal using generally accepted accounting principles (GAAP). Title to Partnership Property 52. Title to all Partnership Property will remain in the name of the Partnership. No Partner or group of Partners will have any ownership interest in such Partnership Property in whole or in part. Voting 53. Any vote required by the Partnership will be assessed where each Partner receives one vote carrying equal weight. w CO to M N U J J w U w Cn Q U a m Q Packet Pg. 180 Partnership Agreement Page 10 of 15 8.E.1 Force Majeure 54. A Partner will be free of liability to the Partnership where the Partner is prevented from executing their obligations under this Agreement in whole or in part due to force majeure, such as earthquake, typhoon, flood, fire, and war or any other unforeseen and uncontrollable event where the Partner has communicated the circumstance of said event to any and all other Partners and taken any and all appropriate action to mitigate said event. Duty of Loyalty 55. No Partner will engage in any business, venture or transaction, whether directly or indirectly, that might be competitive with the business of the Partnership or that would be in direct conflict of interest to the Partnership without the unanimous written consent of the remaining Partners. Any and all businesses, ventures or transactions with any appearance of conflict of interest must be fully disclosed to all other Partners. Failure to comply with any of the terms of this clause will be deemed an Involuntary Withdrawal of the offending Partner and may be treated accordingly by the remaining Partners. Duty of Accountability for Private Profits 56. Each Partner must account to the Partnership for any benefit derived by that Partner without the consent of the other Partners from any transaction concerning the Partnership or any use by that Partner of the Partnership property, name or business connection. This duty continues to apply to any transactions undertaken after the Partnership has been dissolved but before the affairs of the Partnership have been completely wound up by the surviving Partner or Partners or their agent or agents. Duty to Devote Time 57. Each Partner will devote such time and attention to the business of the Partnership as the majority of the Partners will from time to time reasonably determine for the conduct of the Partnership business. Actions Requiring Unanimous Consent of the Partners 58. The following list of actions will require the unanimous consent of all Partners: a. committing the Partnership to new liabilities or obligations totaling over $1,000.00 USD; w CO to M N U J J M w U_ w Q U a m Q Packet Pg. 181 Partnership Agreement Page 11 of 15 8.E.1 59. 60. 61 62. 63 64 65 66. b. incurring single expenditures that exceed $1,000.00 USD; C. selling or encumbering of any Partnership asset whose fair market value exceeds $1,000.00 USD; and d. endangering the ownership or possession of Partnership property. Any losses incurred as a result of a violation of this section will be charged to and collected from the individual Partner that acted without unanimous consent and caused the loss. Forbidden Acts No Partner may do any act in contravention of this Agreement. No Partner may permit, intentionally or unintentionally, the assignment of express, implied or apparent authority to a third party that is not a Partner in the Partnership. No Partner may do any act that would make it impossible to carry on the ordinary business of the Partnership. No Partner may confess a judgment against the Partnership. No Partner will have the right or authority to bind or obligate the Partnership to any extent with regard to any matter outside the intended purpose of the Partnership. Any violation of the above Forbidden Acts will be deemed an Involuntary Withdrawal of the offending Partner and may be treated accordingly by the remaining Partners. Indemnification All Partners will be indemnified and held harmless by the Partnership from and against any and all claims of any nature, whatsoever, arising out of a Partner's participation in Partnership affairs. A Partner will not be entitled to indemnification under this section for liability arising out of gross negligence or willful misconduct of the Partner or the breach by the Partner of any provisions of this Agreement. w CO to M N U J J M w U_ w Q U a m Q Packet Pg. 182 8.E.1 Partnership Agreement Page 12 of 15 LiabilityUJ 00 67. A Partner will not be liable to the Partnership, or to any other Partner, for any mistake or error in judgment or for any act or omission done in good faith and believed to be within the scope of authority conferred or implied by this Agreement or the Partnership. N U J J Liability Insurance Cn w 68. The Partnership may acquire insurance on behalf of any Partner, employee, agent or other person V engaged in the business interest of the Partnership against any liability asserted against them or w incurred by them while acting in good faith on behalf of the Partnership. Q U a Life Insurance m Q 69. The Partnership will have the right to acquire life insurance on the lives of any or all of the Partners, whenever it is deemed necessary by the Partnership. Each Partner will cooperate fully J zz with the Partnership in obtaining any such policies of life insurance. 0 Amendments 70. This Agreement may not be amended in whole or in part without the unanimous written consent of all Partners. Governing Law and Jurisdiction 71. This Agreement will be construed in accordance with and exclusively governed by the laws of The State of Florida. 72. The Partners submit to the jurisdiction of the courts of The State of Florida for the enforcement of this Agreement or any arbitration award or decision arising from this Agreement. Definitions 73. For the purpose of this Agreement, the following terms are defined as follows: a. "Additional Capital Contributions" means Capital Contributions, other than Initial Capital Contributions, made by Partners to the Partnership. b. "Capital Contribution" means the total amount of cash or Property contributed to the Partnership by any one Partner. Packet Pg. 183 Partnership Agreement Page 13 of 15 8.E.1 C. "Dissociated Partner" means any Partner who is removed from the Partnership through a voluntary or involuntary withdrawal as provided in this Agreement. d. "Expulsion of a Partner" can occur on application by the Partnership or another Partner, where it has been determined that the Partner: has engaged in wrongful conduct that adversely and materially affected the Partnership's business; has willfully or persistently committed a material breach of this Agreement or of a duty owed to the Partnership or to the other Partners; or iii. has engaged in conduct relating to the Partnership's business that makes it not reasonably practicable to carry on the business with the Partner. e. "Initial Capital Contribution" means Capital Contributions made by any Partner to acquire an interest in the Partnership. f. "Operation of Law" means rights or duties that are cast upon a party by the law, without any act or agreement on the part of the individual including, but not limited to, an assignment for the benefit of creditors, a divorce, or a bankruptcy. Additional Clauses 74. Managing Partner Salary- As long as Carlos Richart is the one performing service he will receive a weekly salary. This salary will start at $600 a week once the customer base allows this. This can be reviewed for a raise after the income is substantial enough. 75. If Carlos Richart decides at any time that he does not want to continue providing the service he will need to notify Sarah Berry. The partners will find a suitable employee and Carlos Richart will need to train the new employee. 76. Buy Out Agreement -In the event Carlos Richart decided not to fulfill his service duties he will receive a severance payment of $1200 and the company would be dissolved. Packet Pg. 184 Partnership Agreement Page 14 of 15 8.E.1 Miscellaneous 77. Time is of the essence in this Agreement. 78. This Agreement may be executed in counterpart. 79. Headings are inserted for the convenience of the parties only and are not to be considered when interpreting this Agreement. Words in the singular mean and include the plural and vice versa. Words in the masculine gender include the feminine gender and vice versa. Words in the neuter gender include the masculine gender and the feminine gender and vice versa. 80. If any term, covenant, condition or provision of this Agreement is held by a court of competent jurisdiction to be invalid, void or unenforceable, it is the parties' intent that such provision be reduced in scope by the court only to the extent deemed necessary by that court to render the provision reasonable and enforceable and the remainder of the provisions of this Agreement will in no way be affected, impaired or invalidated as a result. 81. This Agreement contains the entire agreement between the parties. All negotiations and understandings have been included in this Agreement. Statements or representations which may have been made by any party to this Agreement in the negotiation stages of this Agreement may in some way be inconsistent with this final written Agreement. All such statements are declared to be of no value in this Agreement. Only the written terms of this Agreement will bind the parties. 82. This Agreement and the terms and conditions contained in this Agreement apply to and are binding upon the Partner's successors, assigns, executors, administrators, beneficiaries, and representatives. 83. Any notices or delivery required here will be deemed completed when hand -delivered, delivered by agent, or seven (7) days after being placed in the post, postage prepaid, to the parties at the addresses contained in this Agreement or as the parties may later designate in writing. 84. All of the rights, remedies and benefits provided by this Agreement will be cumulative and will not be exclusive of any other such rights, remedies and benefits allowed by law. w 00 to M N U J J Cn w U w Q U a Co Q Packet Pg. 185 Partnership Agreement Page 15 of 15 8.E.1 IN WITNESS WHEREOF the Partners have duly affixed their signatures under hand and seal on this � day of 2021 n i Car Richart C_.�A QAwk arah Berry =Otp0.Y P .BjC PAMELA A. MORRIS * Commission # GG 940685 N9r `oe Expires February 8, 2024 Foppl.oQ` Bonded ThruBudget NolaryServices ©2002-2021 LawDepot.com@ w 00 v m M N U J J N w U_ W N Q U Q m a d a Q W 00 r C d E t v r Q Packet Pg. 186 8.F 01 / 18/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 8.17 Doc ID: 24366 Item Summary: 8F. PEYTON R. SILVER — REVIEW OF EXPERIENCE - SWIMMING POOL RESIDENTIAL. — REGISTERED Meeting Date: 01/18/2023 Prepared by: Title: — Contractor Licensing Name: Sandra Delgado 01/11/2023 3:19 PM Submitted by: Title: — Contractor Licensing Name: Tim Crotts 01/11/2023 3:19 PM Approved By: Review: Contractor Licensing Contractor Licensing Contractor Licensing Sandra Delgado Review item Tim Crotts Review Item Tim Crotts Meeting Pending Completed 0 1 /11/2023 4:05 PM Completed 0 1 /11/2023 4:48 PM 01/18/2023 9:00 AM Packet Pg. 187 Contractor Licensing 8•F.1 2800 N. Horseshoe Dr. Naples, FL 34104 Phone - 239-252-2431 Fax - 239-252-2469 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY FIRM APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY LIT- 20Lsr - 0721 %a Z.Q ZZ- 3Zz(-e This application must be typewritten or legibly printed. The application fee must be paid upon approval and is NOT refundable. All checks should be made payable to: Collier County Board of County Commissioners. For further information, consult Collier County Ordinance No. 2006-46, as amended. TYPE OF CERTIFICATE OF COMPETENCY: ❑ General $230.00 ❑ Electrician $230.00 ❑ Building $230.00 ❑ Plumber $230.00 ❑ Residential $230.00 ❑ Air Conditioner $230.00 ❑ Mechanical $230.00 Swimming Pool $230.00 ❑ Roofing $230.00 ❑ Specialty $205.00 Specialty Trade: Co\ Cbr,V� V—" - Q-5 I 6e, f\ �1 Ca I. APPLICANT PERSONAL INFORMATION: Name: Middle Initial Business Name: Lo, V ,( u_ voo �� L L C S'1(v-er Last Address: �2 ✓ 8 � 3. J� ��- JJp U L , J "I 0 Street City �- State Zip Email: Y ` �� 1\ l �jM�c;� �� i3O w\_ Telephone:-. --),O� - 0 *SS # (Last 4 digits only): 16 -1 Date of Birth:l q— I Z 1 Driver's License # (Last 4 digits only): 9 6 1 - 0 *Pursuant to Chapter 1-19, Florida Statutes and Collier County Contractor Licensing Ordinance 2006-46 Section 2.1.1., all applicants are required to submit their social security number (SSN) for the following purposes: a) Assess applicant's ability to satisfy creditors by reviewing their credit history. b) Verification of applicant's test scores and information. Our office will only use your SSN noted above for those reasons pursuant to Chapter 1-19, Florida Statutes, and as may otherwise be authorized by law. We are fully committed to safe -guarding and protecting your SSN and once collected, will be maintained as confidential and exempt under Chapter 1-19, Florida Statutes. Firm_Application.docx Rev 4/06/2020 Page 3 of 15 Z O H W f1 LL 00 C d !_ t U co Q Packet Pg. 188 8.F.1 1.6.18. Residential PoollSpa Contractor requires twenty-four (24) months experirncC with a passing grade on *4hfe&+44*0"F an appro��ed test and a passing grade on a i-A kein business and law test and means a contractor whose scope of work involves, but is not limited to, the construction, repair, and servicing of any residential swimming pool, or hot tub or spa, regardless of use. The scope of work includes the installation, repair, or replacement of existing equipment, any cleaning or equipment sanitizing which requires at least a partial disassembling, excluding filter changes, and the installation of new pool/spa equipment, interior finishes, the installation of package pool heaters, the installation of all perimeter piping and tiller piping, and the construction of equipment rooms or housing for poollspa equipment, and also includes the scope of work of it swimming poollspa servicing contractor. The scope of such work does not include direct connections to a sanitary sewer system or to potable water lines. The installation, construction, modification, or replacement of equipment permanently attached to and asso6uted with the pool of spa for the purpose of water treatment or cleaning of the pool or spa requires licensurc; however, the usage of such equipment for the purposes of water treatment or cleaning shall not require licensure unless the usage involves construction, modification, or replacement of such equipment. Rater treatment that does not require such equipment does not require a license. In addition, a license shall not be required for the cleaning of the pool or spa in any way that does trot affect the structural intcgnty of the pool or spa or its associated equipment. lY Z O f— w a ti 00 w c d E a Packet Pg. 189 Contractor Licensing CO le'Y C,'01414ty 2800 N. Horseshoe Dr. Growth Management Department Naples, FL 34104 Phone - 239-252-2431 Fax - 239-252-2469 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY Provide the names and telephone numbers of two persons who will always know your whereabouts. Name: �{� f�6� U Name: r✓'J� 5 /yw Telephone: 3 - ? - p _�6� Telephone: 2-3 �1 ' �j` C3 r 2 Oct II. NAME OF APPLICANT'S BUSINESS: Business Name: LQ U , Oa` (2o0(5 L L Business Address: 25 9b 5q Ph Rue- N L �iatOl ei, C` L - -�q! 2 6 Street ICityllState Zip Telephone: (`2� 6 \ g 8 Email: �Qi:D f�hS AIM @a o v� c> ,, Federal ID Tax No.: -2 III. FINANCIAL RESPONSIBILITY YES NO ALL APPLICANTS MUST ANSWER THE QUESTIONS BELOW: Filed for or been discharged in bankruptcy within the past 5 years? Had a lien filed against you by the Internal Revenue Service or Florida Corporate Tax Division? Undertaken construction contracts or work that resulted in liens, suits, or judgments being filed? 'K Undertaken construction contracts or work that a third party, such as a bonding or surety company, completed or made financial statements on? Made an assignment of assets in settlement of construction obligations for less than the debts outstanding? Been convicted or found guilty of, or entered a plea of nolo contendere to, regardless of adjudication, a crime in any jurisdiction within the past 10 years?* Had claims or lawsuits filed for unpaid or past due accounts by your creditors as a result of construction experience? / Been charged with or convicted of acting as a contractor without a license, or if licensed as a contractor in this or any other state, been "subject to" disciplinary action by a state, county, or C�(1 municipality? NOTE. If you have answer YES to any of the questions below, you must attach a written explanation including the nature of the charges, dates, and outcomes, sentences of conditions imposed. You must also attach proof of payment, satisfaction of lien or judgement, bankruptcy discharge, or agreements for payment.*If you have had a felony conviction, proof that your civil rights have been restored will be required prior to licensure. Firm_Application.docx Rev 4/06/2020 Page 4 of 15 8.F.1 W z O H w d u: 00 c m E t U co Q Packet Pg. 190 Contractor Licensing 8•F.1 C;OIL!e,Y Ci014 ty 2800 N. Horseshoe Dr. FL 34104 Growth Management Department Naples, Phone - 239-25252-2431-2431 Fax - 239-252-2469 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY IV. EXPERIENCE VERIFICATION EDUCATION: List below and provide transcripts for any formal education you have obtained in the area of competency for which this application is being made: List below non formal education (on the job training) you have obtained in the area of competency for which this application is being made: CURRENT/PREVIOUS LICENSE: List below and attach copies any other certificates of competency/licenses you hold/have held in Collier County or any other jurisdiction. Include the license #, Type, and county you hold it in. 2-C Z47_q-4� AFFIDAVIT Under the penalties of perjury, I declare that I have read the foregoing application and the facts stated in it are true. �JoY� Applicant (please print) State of __ 4Ci (Qb_ County of UA i-ey Signature of Applicant The foregoing instrument was acknowledged before me by means oUA:physical presence or ❑ online notarization on this 111"day of pT V , 20 2-2—, by p A S i `0/ Lr Such person(s) Notary Public must check applicable box: M are personally known to me ❑ has produced a current driver license ❑ has produced (Notary Seal) DIANE BUBB Notary Public -State of Florida Commission ft HH 242647 My Commission Expires March 20, 2026 as identification. W Z O H w Notary Signature: ��,�� r� d rb C d Firm_Application.docx Rev 4/06/2020 Page 5 of 15 E t U cs Q Packet Pg. 191 Contractor Licensing 8•F.1 COLL7er C014"ty 2800 N. Horseshoe Dr. G4104 rowth Management Department Naples, FL Phone - 239-252-2431-2431 Fax - 239-252-2469 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY CERTIFICATION OF APPLICATION The undersigned hereby makes application for Certificate of Competency under the provisions of Collier County No. 2006-46, as amended, and under penalties of perjury. I declare that I have read the foregoing qualifier information and that the facts stated in it are true. The undersigned hereby certifies that he is legally qualified to act on behalf of the business organization sought to be licensed in all matters connected with its contracting business and that he has full authority to supervise construction undertaken by himself or such business or organization and that he will continue during this registration to be able to so bind said business organization. The qualified license holder understands that in all contracting matters, he/she will be held strictly accountable for any and all activities involving his license. Any willful falsification of any information contained herein is grounds for disqualification. Applicant fplease print % U t6,, Name of Company Signature of Applicant State of -VTor� V 0\ County of (aV Q ) The foregoing instrument was acknowledged before me by means �of, tKphysical presence or ❑ online notarization on this `I day of CC , 20 22, by P� Y� S► W $ t' Such person(s) Notary Public must check applicable box: are personally known to me ❑ has produced a current driver license ❑ has produced (Notary Seal) as identification. �ottAY °Uain JASMINE CALDUCH *� r• Corr,'Jssion N HH 106961 `7 -o.' .c res 5'zrch 22, 2025 Notary Signaturecht� � %i� OF F% fiorwea riuu &Ayel Notary Senio" Firm_Application.docx Rev 4/06/2020 Page 6 of 15 W Z 0 F- LU L6 00 C d E t U to Q Packet Pg. 192 Contractor Licensing 8•F.1 COLL7eY CO 4"ty 2800 N. Horseshoe Dr. Naples, FL 34104 Growth Management Department Phone - 239-252-2431 Fax - 239-252-2469 APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY WORKMEN'S COMPENSATION AFFIDAVIT It is understood and acknowledged by the Collier County Contractors' Licensing Board and myself that if I fail to acquire, or maintain at all times effective Workmen's Compensation Insurance it will result in the possible revocation of my Certificate of Competency. Applicant (please print 1A %; m, Uc Name of Company Signature of Applicant BEFORE ME this day personally appeared E,�r-d 66\ S "1yt-1- who affirms and Applicant (please print) says that he has less than one employee and does not require Workmen's Compensation understands that at any time he employees one or more persons he must obtain said Workmen's Compensation Insurance. State of 9c d a County of \V The forego in instrument was acknowled ed before me b means of� physical presence or ❑ online notarization on this �N day of �C 20 ZZ by {�)�'�n �1 Such person(s) Notary Public must check applicable box: Dare personally known to me ❑ has produced a current driver license ❑ has produced (Notary Seal) ,,AV 1.Ve, JASMINE CALDUCH � yp ; ...• -ommission # HH 106961 s , { Expires March 22, 2026 ��OF FI�PV 6NNlid rrYY 6uupwNary 3Mvlas as identification. Notary Signature: V� ()(Vd Firm_ Application.docx Rev 4/06/2020 Page 7 of 15 IY Z O F— LU 00 yr i E t U co Q Packet Pg. 193 8.F.1 GITS, LLC Examination Operations Division Providing the services and products to assist Government Agencies to make informed educated decisions. Official Score Report: Candidate Information: Name — Peyton Silver Candidate #: 76974610S Testing Site: Fort Myers, FL Final Score Result: Official Examination Score Report February 25, 2019 Roofing Contractor Business Procedures Score: 80% (07/19/2018) Score: 78% (08/06/2018) 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. If you have any further questions, please do not hesitate to contact us. Sincerely, Jay E. Bowermeister President PO Box 831127 Ocala, Florida 34483-1127 — Voice (352) 369-GITS - Fax (352) 387-2443 800 997 2129 w z O F- LU a Li 00 C d E L U co Q Packet Pg. 194 8.F.1 GITS, LLC Examination Operations Division Providing the services and products to assist Government Agencies to make informed educated decisions. Official Examination Score Report Official Score Report: Candidate Information: Name — Peyton R Silver Candidate #: 76974610S Online Testing Site: Ocala, FL Final Score Result: July 7, 2022 Residential Pool Contractor Score: 76% These results represent the grade that has been achieved on the above named examination(s) administered by Gainesville Independent Testing Service for Collier County, Florida on July 7, 2022. If you have any further questions, please do not hesitate to contact us. Sincerely, Jay E. Bowermeister President PO Box 831127 Ocala, Florida 34483-1127 — Voice (352) 369-GITS — Fax (352) 387-2443 800 997 2129 U- 00 r-� C d E t c� ca r .r Q Packet Pg. 195 8.F.1 PERSONAL CREDIT REPORT MERGED REPORT COMPILED FROM NATIONAL RECORDS Entry # 12022 Phone: 850-539-8000 Fax:866-651-6145 EwkaFf, cc@unitedcrs.core www.UttftdCRS.cor n 4583-A Capital Circle NW Tallahassee, FL 32303 December 17, 2022 SUBJECT NAME: SILVER, PEYTON R. SOCIAL SECURITY NUMBER: -7690 DOB: 12/21/1997 CURRENT ADDRESS REPORTED: 11/2018 3865 NE. 27TH AV., NAPLES FL. 34120 FORMER ADDRESS REPORTED: 07/2019 4142 NE. 16TH AV., NAPLES FL. 34120 1896 PAR DR., NAPLES FL. 34120 THE SUB3ECT'S TOTAL FILE HISTORY PUBLIC RECORDS: 0 CURRENT NEGATIVE ACCTS: 0 REVOLVIHG-'ACCTS:' 4 COLLECTIONS: 0 PREVIOUS NEGATIVE ACCTS: 0 INSTALLMENT ACCTS:2 TRADE ACCTS: 7 PREVIOUS TIMES NEGATIVE: 0 MORTGAGE ACCTS: 1 CREDIT INQUIRIES: 2 EMPLOYMENT INQUIRIES: 1 OPEN ACCTS: 0 HIGH CRED CRED LIMIT BALPIW-E PAST DUE MI"HLY AVAIL REVOLVING: $66.4K $79.OK $12.1K $0 $121 85% INSTALLMENT: $32.IK $0 $27.1K $4 $477 MORTGAGE: $216K $0 $200K $0 $1621 TOTALS: $315K $79.OK $240K $0 $2219 FICO CLASSIC SCORE - 730 CREDIT INFORMATION DISCOVERBANK B 9616003 REVOLVING ACCOUNT CREDIT CARD VERIF'D 12/2022 BALANCE: $0 INDIVIDUAL ACCOUNT OPENED 06/2019 MOST OWED: $3556 CREDIT LIMIT: $8000 PAID OFF 06/2021 PAST DDE:$0 STATUS AS OF 06/2021 CURRENT; PAID OR PAYING AS AGREED IN PRIOR 41 MONTH/S FROM DATE VERIF'D NEVER LATE PAYMENT PATTERN:111111111111111111111111 NEW AMRCN FU F 2DJF003 MORTGAGE ACCOUNT CONVENTIONAL REAL ESTATE MTG VERIF'D 12/2022 BALANCE: $200894 INDIVIDUAL ACCOUNT OPENED 06/2019 MOST OWED: $216810 PAY TERMS; 360 MONTHLY $1621 PAST DUE:$0 FRD744930685 100376303000334385 STATUS AS OF 12/2022 CURRENT: PAID OR PAYING AS AGREED IN PRIOR 41 MONTH/S FROM DATE VERIF'D NEVER LATE PAYMENT PATTERN:1111111111111111I1111111 SUNCOAST CU Q 298QOOI INSTALLMENT ACCOUNT AUTOMOBILE VERIF'D 11/2022 BALANCE: $27122 INDIVIDUAL ACCOUNT OPENED 10/2021 MOST OWED: $32112 PAY TERMS: 72 MONTHLY $477 PAST DUE-$C1 'age 1 Of 2 w Z O LLI 0- LL 00 C d E L u M Q Packet Pg. 196 8.F.1 STATUS AS OF 11/2022 CURRENT; PAID OR PAYING AS AGREED IN PRIOR 13 MONTH/S FROM DATE VERIF'D NEVER LATE PAYMENT PATTERN:1111111111111 RK/RFCU Q 933NO09 REVOLVING ACCOUNT CREDIT CARD VERIF'D I1/2022 BALANCE: $0 INDIVIDUAL ACCOUNT OPENED 09/2020 MOST OWED: $8212 CREDIT LIMIT: $8000 PAID OFF 10/2021 PAST DUE:$0 STATUS AS OF 10/2021 CURRENT; PAID OR PAYING AS AGREED IN PRIOR 26 MONTH/S FROM DATE VERIF'D NEVER LATE PAYMENT PATTERN:111111111111111111111111 CAPITAL ONE B lDTV001 REVOLVING ACCOUNT BUSINESS CREDIT CARD VERIF'D 11/2022 BALANCE: $12145 INDIVIDUAL ACCOUNT OPENED 12/2021 MOST OWED: $41522 CREDIT LIMIT: $40000 PASTDUE:$0 STATUS AS OF 11/2022 CURRENT; PAID OR PAYING AS AGREED IN PRIOR 10 MONTH/S FROM 'DATE VERIF'D NEVER LATE PAYMENT PATTERN:1111111111 DISCOVERBANR B 9616003 REVOLVING ACCOUNT DISP INV CMP—BY GRNTR CREDIT CARD VERIF'D 02/2021 BALANCE: $0 RELATIONSHIP TERMINATED OPENED 06/2000 MOST OWED: $13152 CREDIT LIMIT: $23000 PAST DUE:$0 STATUS AS OF 02/2021 CURRENT; PAID OR PAYING AS AGREED IN PRIOR 48 MONTH/S FROM DATE VERIF'D NEVER LATE PAYMENT PATTERN:111111111111111111111111 SUNCOAST CU Q 298QOOI INSTALLMENT ACCOUNT CLOSED AUTOMOBILE VERIF'D 05/2017 BALANCE: $0 INDIVIDUAL ACCOUNT OPENED 06/2016 MOST OWED: $9488 PAY TERMS: 48 MONTHLY $0 CLOSED 05/2017 PAST DUE-.$0 STATUS AS OF 05/2017 CURRENT; PAID OR PAYING AS AGREED IN PRIOR 11 MONTH/S FROM DATE VERIF'D NEVER LATE PAYMENT PATTERN:11111111111 PUBLIC RECORDS PUBLIC RECORDS HAVE BEEN CHECKED AT THE COUNTY, STATE, AND FEDRAL LEVELS RESULTS: NO PUBLIC RECORDS FOUND END OF REPORT It is with understanding that the credit score attached to this report can fluctuate daily and can change drastically. In some cases, over 100 points when making big purchases, etc. Page 2 of 2 W Z 0 F- LU d LL 00 c m E t U m Q Packet Pg. 197 8.F.1 Detail by Entity Name Florida Limited Liability Company LA VIDA POOLS LLC Filina Information Document Number L22000489898' FE" Number 92-1133568 Date Filed 11/16/2022 Effective Bate W1612022 State FL status ACTIVE Principal Address 2586 39TH AVE NE NAPLES, FL 34120 Mailing Address 2586 39TH AVE NE NAPLES, FL 34120 Registered Agent Name & Address HERRERA, OSIEL 2586 39TH AVE NE NAPLES, FL 34120 Authorized Persons) Detail Name & Address Title AP VANSTON, JESSICA L 2586 39TH AVE NE NAPLES, FL 34120 UN Annual Reports w z O H w a 00 c m E t U ca a Packet Pg. 198 8.F.1 Electronic Articles of Organization anization L22000489898 FILED 8:00 AM Florida Limited For Company November ate' 2022 grkersey Article I The name of the Limited Liability Company is: LA VIDA FOOLS LLC Article TI The street address of the principal office of the Limited Liability Company is: 2586 39TH AVE NEE NAPLES, EL. UN 34120 The mailing address of the Limited Liability Company is: 2586. 39TH AVE NE NAPLES, FL. UN 34120 Article fIt The name and Florida street address of the registered agent is: OSIEL HERRERA 2586 39TH AVE NE NAPLES, FL. 34120 (laving been named as registered agent and to accept service of process for the above stated limited r11n Ttoyat Fthe ace desisted sin this cetaficate`I hereby accept the aoixitrne[nt as registered agnact in ils capprelroperand coploboy position asr regagent. Registered Agent Signature: OSIEL HERRERA U- ao a a) E ns a Packet Pg. 199 8.F.1 Article IV The name and address of person(s) authorized to manage LLC Title: AP 3ESSICA L VANSTON 2586 39TH AVE NE NAPLES, FL. 34120 UN Article V The effective date for this Limited Liability Company shall be: 11/15/2022 Signature of member or an authorized representative Electronic Signature: JESSICA L VANSTON L22000489898 FILED 8:00 AM November 16, 2022 Sec. Of State grkersey I am the member or aulhorized representative submitting these Articles of Orgganization and affirm that the facts stated herein are true. I am aware that false information submitted in a document to the Department of State constitutes a third degree felony as provided for in s.817.155, F.S. I understand the requirement to file an amival report between January 1 st and May 1 st in the calendar year following formation of the LLC and every year thereafter to maintain "active" status. a Packet Pg. 200 _1EPARIKENT OF 71;z TSZASURy :X-TERMAL REMMN-kM SERVICE C114CJm.NTI O.i 45999-3023 Z li-21-2022 Date of this Ptbco EMLoyer ldenrif,catl.on Number: 92-1133566 Form: SS-4 NIL Tj)er Q! this notice: Cjp 575 A ,L;k %:,,rZA PWLS LLC CS'EE-- HERMRA NWR For asaistance yo,-: may cdil UZ 2586 39TH AVT WE 1-800-929-4933 NM7rs, FT_ 34120 IF YOU 'WRITE, ATTACK TFS STLO AT TM n.ND 01F 7111S NOTICE. j. ASS:Wv_o y3U Xlc LV?1.0YER T3E',1r:r1CAT1Cm W'M?:R han. U ssigned you T k for applying ter in FjVl_-yRr 1ceutit--ca-cinn mtuber MIN) - WP a .0 yo-.*r br.3"reSS ACCOWLSO tax returns, and rmanent F,TN sZ-1,133568. Tbis SM will ldcrtiCy you . even it you have no ePpIoVees- PI ase keen- L�`_'3 notice in your per -ecords. To-cpayers x4cr4est an Lis for their busincss. s.unte taxpayers receive CP575 notices when a=rlher rersor has stolen their idtntlty and ale oFS-11110gi 6usinpss using their informatior. ::f yol; did not apply for this ZI*40 please contact, is a:- the Vhcr,0,nU:11bCT Or address lisLei Or. the top of this not_,CO. tax occur,,unts, rax-ng payments, or rep_ylng-to any related correspondence, t e very irportant t"nat you use yo,4r E:H and CCff3w)P ?tC -V,'an d address exactly as zhown Aay variat-Icn may cause a delay in pzocessiN,.re5v'-t in incorrect infamation it y,�t,r acctL:r.t, or even cause you to be ass-,qn,2d more tnan C;; E-N. If the mtormat:.on is r:t rcrzect as shown above* V:ease make tte correcticn Cuing the attached tear -off stub ind return it to US. Based on tat. information received from you or your representative, you must file the fol-lowina !crrz by a.e dates ShC%'n. Form 94i ^4/30/2025 ,FO=. 940 01/31/2024 Fora :065 03115/ZC23 t yc.,j ha:r,, �ons at t1re fozns or the dtie dates shown, you can call u _ q4esr. s at the phore nurber or write to us az the addtesaz gh*wr at, the top of tAis notice. If YOU need help in determinirg your ar_nuzj accozntinq period (tax year), -wee Publication 538, Acccunt.Ln7 Periods and Pethods. ,tie asz:cned you a tax cla3aification (corporatior., partneruhilo, etc.; rased on rformaticf, obtainod iron you or yow representative. It is ", z a legal deter-minat an Ot YOLr tax and is not tirding or. tl.ie M. !f you Want a laqal der-orminatiral s yo�.:r tax clatttffcv.'�on, you way rem-est a r.r)wstIR 'e-ter ruling tr-,im the IRS cinder the qut&-lines in Revenue procedure 7C2C-1, 2020-1 I.R.B. (or supersed3rq Rc,,r,,r%e Procer,--;rc for tho year AL iss'-W) - ftte: Certair tax clansi fication elcctiors can to remies-,,od by til"nq -'-*om 0832, Enricy Clas.-ific-at.m. Election. See F0_-j-j 9432 ane- its ins-:r,;,_tior.% for addItionat intormation. `)P, S CO9R)RA7,_Ot, FLECTIMI'- if you Ln-.Prd to elel--L to file your ret=n as a sma-1 b,:;siness corpora7Wn, LU an elec-:ior to ie o ;;crrr. 112CC-S# U.S. :ncc..m.w Tax Penurn for an S Co:pordktion, IL mist be rade, wit -hill -_M_trd-nwi and tre corporation must mc-e: Certain tests. LL: A-LI of if, in ztw ins--tnxt:.ons rox Farm. 2-�s3, bjtctj:�n by 00 a Sma-'! 3,.;.i1ness Corpora-.ion- E ca I Packet Pg. 201 1 Collier County 8.F.1 Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY RESOLUTION OF AUTHORIZATION Complete this form if multiple people own part of the company the license will be attached to. If there is only 1 owner, then this form is not required for the application. In accordance with Collier County Ordinance 2006-46, as amended, L•'y t� (�. � � S 1 L proposes Company Name to engage in contracting as o.S 3� . _ in Collier County where Ln... S. 16 T Officers/Owners/Partners r t Applicant Name proposes to qualify for a Certificate of Competency wL with company L" V AA Cot Ll C. Company It is hereby agreed upon that we the undersigned _ ?�_ of Lp�LLC Ort,cers'Ov.,ners/Partners Company resolve and represent to the Collier CourAy Board that the proposed qualifying agent, ,' � Si.,��( _-. - is sdive .At tr,: flans connected with the company named Applicant Name to 4 oL5 �U( --_-. We furt1,ci a,,d represent that 1'5 71 �� is legally Com an Applicant Name p 7 empowered to act on behalf of _ky V .11tA .�0 5S,L(,_ in all matters connected with its contracting Company (1 business and has the authority to supervise cotlstnxtam undertaken by i v r� CL Obcc1 ,) L L(_ Company c s • � , �oti4 Oft'icers/Ownerswartne 1 Witness 4 I"I e !Yen`,, Officers/Owners/Partners Witness Officers/Owners/Partners Witness officers/Owners/Partners of the above -mentioned company need to sign on the left and a witness to the signature signs on the right. State of I bf j County ofCol I IQA- The foregoing instrument was acknowledged before me by means of*dphy,ic tience or ❑ online notarization on this 2 k day of J)C QMW20 22 by 2 1 e ii(�_/ii\ Such person(s) Notary Public must check applicable box: -Fare personally known to me ❑ has produced a current driver license JASMINE CALDUCH „ * Comml&*n # HH 106961 ❑ has produced as identification. ';��Oe ExplrnMarch 22,2025 ofnc OarMalhuEudprttladryttNvtn� (Notary Seal) Notary Signature: Contractor Licensing — FIRM Application Rev. 7/2022 Page 8 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractorslicensing(a)colliercountvfl.gov IY Z O I— LLI a ti 00 r-i C d E t R a Packet Pg. 202 8.F.1 COLLier County Growth Management Community Development Department H� r it A T ie✓iv FOR Ct ii Li tt COUNTY s Y C R f (FICA E OF C Om% ETENCY STATEMENT OF OWNERSHIP This certifies that 1, I L S�k n S f kt e , am a member or managing APPLICANTS NAME (please print) LIABROTY COMPANY NAME) I own % of the units issued by the Limited Liability Company listed above. Affidavit. of Appiicani: t certify writer penalty of perjury that the Wormation contakied is a true and correct statement to the best of my knowledge. S i Iyer Applicant (please print) Poi [s L. l- L Name of Company Signature of Applicant State of N-7- o- \ A N County of Qd\ The foregoing iristnment was acknowledged before me by means of lbphysical presence or ❑ online notarization on this day of_, 20ZZ, by Such person(s) Notary Public must check applicable box: 6caZ+e personally known to me ❑ has produced a current driver license has produced as identification. (Notary Seal) t►AY°�e� JASMINE r'AI.DUCH Commissic :. nN 106961 aloe Expires March 22, 202`_ -1!yp_ & dod I hFU SWPI14OWY SO"" Contractor Licensing - FIRM Application Rev. 712022 Notary Signature: Page 9 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 a (239) 252-2431 oontractmslicensinct oncoltiercountvfl.aov w Z O F- LU d LL. 00 C d E t U co Q Packet Pg. 203 Co ter County 8.F.1 Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Name:pfamlli S1t�yE� Certificate Category Requested:—L��Lr�'f -�Ci 0 f 0I )�1'CC C-t c�YL- The applicant is seeking a Collier County Certificate of Corr;p,-tency in the trade indicated above. As part of the application for this certificate, the applicant must verify his!her experience witnir this trade. You are being requested to provide information that will aid the applicant in meeting this rc=qu,remf:nt. YD:, she•;!' verify time of active experience working as an apprentice or a skilled worker (e.g., as a worker commanding the k:,-age of or better in the trade). Time served solely in a supervisory or administrative role shou% t:a desvihc:d, trait .3y c, may not be conside ied sufficient to demonstrate required trade experience. Thr Berson verif -mo 'r-ide expeti:_,,co fa- tr,> di.rve-narned applicant must provide the following information: i II II / Name: e I I ( C,Pk_ )tt/ci e v _ Business Name: i is ense No. (if epplicable):.0 C I Z Q y 3 2 Phone: -- Business Address: _ c_ C(--- '3treet % City State ip The applicant was employed by rre from _ ) /J4?—._ _ to Applicant's title:" The applicant's scope of work (specific duties) included: —vq l c� hS �h f �S ✓_ t ✓ �'r V—e 61 Additional comments: ✓e ' NOTE TO LICENSED CONTRACTORS: Falsifying any information provided herein may subject your license to revocation. Under penalty of perjury, I declare that the facts stated here are true. Sig4ure person providing the statement State of��d�� County of_11� _ The foregoin instrument was acknowledge efore me by means of ,'physical presence or ❑online no riw,attion on this day of 20, by -- -`2 Such person(s) Notary Public must check applicable box: are personally known to n1e O has produced a current driver license ❑ has produced (Notary Seal) as identification. JASMINE CALDUCH Ccmmissicn # HH 106961 Notary Signatur Expires Maith ?2, 2025 6aiCN ihu E,4w"sa'J" Contractor Licensing — FIRM Application Rev. 7/2022 Page 10 of 14 operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive . Naples, FL 34104 • (239) 252-2431 contractors licensing(aDcolliercountvfl.gov Ix Z O LU a ti 00 r-i C d E t V R a Packet Pg. 204 c41 er county Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Name: Pe �(I �i-ice- Certificate Category Requested: ��?�'� i 1 t�Yl2 CIZ iZ The applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate, the applicant must verify his/her experience within this trade. You are being requested to provide information that will aid the applicant in meeting this requirement. You should verify time of active experience working as an apprentice or a skilled worker (e.g., as a worker commanding the wage of mechanic or better in the trade). Time served solely in a supervisory or administrative role should be described, but may or may not be considered sufficient to demonstrate required trade experienc.,The person verifying trade experience for the above named applicant must provide the following information: Name: h-4 Al Business Name: V ~ P P c Phone: j�— 7 7 7 q� % Business Address: Street Title: 044&P4 , License No. (if applicable): State Zip 1--l" i /) 1 The applicant was employed by me from _Jy'VQ �Q �� to 40 c1S 7 Applicant's title: The applicant's scope of/ work (specific duties) included: /i Ze oom n��i (, 4_ C $ O-c, eUe� �-b cyC._ Additional comments: NOTE TO LICENSED CONTRACTORS: Falsifying any information provided he in rr/ay subject your license to revocation. Under penalty of perjury, I declare that the facts stated here are true. � / gn re of person providing the statel ent (rd State of County of LLI mr- / �Tlhhe foregoing instrument was acknowledged before me b means of� physical presence or El online notarization on this U✓ day of � 0 22; by FYCV) k � IcI 1),CLy-lG Such person(s) Notary Public must check applicable box: personally known to me ❑ has produced a current driver license ❑ has produced as identification. (Notary Seal) =ot'}`Y'ut%n JASMINE CALDUCH * * COMrnissbtt # HH 106961 N'�a' oe�* ssMarch22,2025 Notary Signature: Zhu &KIM Nft y Sw&, mm Contractor Licensing - FIRM Application Rev. 7/2022 Page 10 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractorsl icens ina(d..col liercountyfl.gov 8.F.1 W Z O LU IL LL 00 C d E L V to Q Packet Pg. 205 8.F.1 COY County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Name: I el�-�M S f Iye- ,/� f _- L Certificate Category Requested: i' O D L . �}17 / Ci�V17 The applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the application for this certificate, the applicant must verify his/her experience within this trade. You are being requested to provide information that will aid the applicant in meeting this requirement. You should verify time of active experience working as an apprentice or a skilled worker (e.g., as a worker commanding the wage of mechanic or better in the trade). Time served solely in a supervisory or administrative role should be described, but may or may not be considered sufficient to demonstrate required trade experience. The person verifying trade experience for the above -named applicant must provide the following information: Name: 6�_e4 - k Title Business Namye� /� 7ti.�t'il�-01, P�L� K-p%1'�D10_,+J' 3-1� Phone: Z✓1 - Z"11/ - � "► IS License No. (if applicable): Business Address: 5(00 Over tlnAes NOA G I OkPLES R_ 5,1 I 1 -7 Street /� City State Zip The applicant was employed by me from CD a- ( �2,02-1 to OCt- 1 t 20 7Ze� Applicant's title: The applicant's scope of work (specific duties) included: +yu, Additional comments: NOTE TO LICENSED CONTRACTORS: Falsifying any information provided herein may subject your license to revocation. Under penalty of perjury, I declare that the facts stated here are true. State of i1 `_ l �� Signature of person providing the statement County of �TThe foregoin instrument was acknowled ed before me by means ofphysical presence or ❑ online notarization on this �o day of � 0 22, by br J P ) Such person(s) Notary Public must check applicable box: ire personally known to me ❑ has produced a current driver license ❑ has produced (Notary Seas YPu e ��'OE PtO�P JASMINE CALDUCH Commls" i HH 106961 ExpW Marsh 22, 2025 kWW ftu WIpd*"Ur*84 Contractor Licensing - FIRM Application Rev. 7/2022 as identification. Notary Signature: ` � 9a4l Page 10 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractorslicensina(o)col liercountvfl.gov W Z O LU d Li 00 C d E L U to Q Packet Pg. 206 8.F.1 To Whom It May Concern I've worked, beside Peyton and seen his work first hand. He completed a multitude of projects ranging from pump outs. to coping and tile. I've reached out when we've had labor issues and he's atways been able to provide knowledgeable advice and handle the issues instantly. Throughout the years of working with this company there's few people you can rely on and Peyton is definitely one you can count on when it comes to professionafism and timeliness and we wifl continue to use hire in our future projects. Sincerely, Gabriel Gonzalez Owner Complete Pool Renovation 239-292-1978 W z O F- LU a 00 c m E t U ca a Packet Pg. 207 8.F.1 To Whom It May concern. Peyton worked with: me for a few years, it has always been a pleasure having hire for work. He`s a hard worker and trustworthy. He would be a great addition to Collier counties pool contractors. 'I'm always impressed with his ability to learn and salve problems, high character and a great work ethic. Frank Siciliano VIP Pool Care 239-777-9607 W z O H w a 00 c m E t U ca a Packet Pg. 208 8.F.1 :CRE:ATIVE COTTAGES, INC To Mom It May Concern, Peyton Silver has done various duties over the years from framing roofing to concrete pool excavation and tying rebar. He works in an efficient professional manner and always exceeds expectations. From manpower to material everything is always managed effectively through each ,project and as a result all jobs are done on time and on budget. William C. Silver WCS Construction, Inc. LIC: CBC1251432 (239)250-5911 W z O H w a 00 c m E t U ca a Packet Pg. 209 8.F.1 COr County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERitFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF t" I, COUlW OF � - I, having been first duly sworn, state and affirm: I am a resident of W ;k County, more than five (5) years. C (State) and have resided here for During the "t five (5),years I have known P�VCf U I V (applicant). I have had the opportunity to observe his or her business and -personal dealings and find .him or .her tR be a ,person of honesty, integrity and good character. ( Arc f0 -6JA P�_� C� ernimeaNalm�e Address: /� Street NO O/L [� I 1 �"I ity State Zip Telephone: �� ' > ' V�V �!✓ w I w i—i f �Y 1Gf Q County of ID (') W State of w The foregoin instrument was acknowledged before me by Tef s oNThysical presence or 0 online notarization on this O 2Dday of L C_ 20 2Z , by 3Q SS�C O( V M'i 5�'G{� 1 w Such perswKs).Notary Public must check applicable box: LU personally known to me ® has produced a current driver license w ❑ has produced as identification. U) (Notary Seal) tr�rPu, 0� JASMINE CALDUCH Z * Commission # HH 106961 O �> 7 Expires March 22, 202s oM°P ea*amusWMr�u,ysWl0n Notary Signature:foZw,w Contrador Licensing — FIRM Application Rev. 7/2022 Page 14 of 14 Operations & Regulatory Management Division, Contractor Licensing a 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contrac torslicensina &coiliercountvfl.aov Q Packet Pg. 210 8.F.1 Collier County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF f-L COUNTY OF C_ kl �, a./ I, ::iga-�4 Y1.0 , having been first duly sworn, state and affirm: I am a resident of C ok , 4- r County, FL (State) and have resided here for more than five (5) years. During the last five (5) years I have known i OV1 (� AQ a-/ (applicant). I have had the opportunity to observe his or her business and personal dealings and find him or her to be a pers n of honesty, integrity and good character. Signature Printed Name Address: 3 86; 27 Street / e(e--, 3y/Z6 city State Zip Telephone: 'L3 1-176'Y962 State of r-1 Ix I J0, Countyof C0111er The foregoing instrument was acknowledged before me by means of Rphysical presence or ❑ online notarization on this day of .__.G0_C_ , 20 2.Z, by w-p-A Such person(s) Notary Public must check applicable box: ❑ are personally known to me ❑ has produced a current driver license ❑ has produced as identification. U) (Notary Seal) cl� z O �o"Ay Puet� JASMINE CALDUCH �' 1, •V�. Commission k HH 106961 Notary Signature: W Expires March 22,2025 (L ry Smvim� Contractor Licensing - FIRM Application Rev. 7/2022 Page 14 of 14 00 C Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 a) contractorslicensinaacolliercountyFl.aov t U co Q Packet Pg. 211 8.F.1 it E Packet Pg. 212 8.G 01/18/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 8.G Doc ID: 24367 Item Summary: 8G. ANDREW P. MARTINEZ -SECOND ENTITY APPLICATION — LANDSCAPING RESTRICTED CONTR. Meeting Date: 01/18/2023 Prepared by: Title: — Contractor Licensing Name: Sandra Delgado 01/11/2023 3:20 PM Submitted by: Title: — Contractor Licensing Name: Tim Crotts 01/11/2023 3:20 PM Approved By: Review: Contractor Licensing Contractor Licensing Contractor Licensing Sandra Delgado Review item Tim Crotts Review Item Tim Crotts Meeting Pending Completed 01/11/2023 4:11 PM Completed 01/11/2023 4:48 PM 01/18/2023 9:00 AM Packet Pg. 213 8.G.1 Colf-r <Z7o-c4nty GMD Operations & Regulatory Management Licensing Section 33 �� 2800 North Horseshoe Drive Naples, FL 34104 APPLICATION FOR COLLIER COUNTY/CITY OF NAPLES/CITY OF MARCO FIRM -SECOND ENTITY INSTRUCTIONS: This application must be typewritten or legibly printed. The application fee must be paid upon approval and is not refundable. All checks should be made payable to: Collier County Board of County Commissioners. For further information, consult Collier County Ordinance No. 90-105, as amended. NAME OF COMPANY CURRENTLY OUALIFIED: Exact Corporate/Business Name: A Pin Fiction Name/ DBA: Qualifier Name: yn1 a z ti rev ,� Z Physical Address: it-, I GCJ'i4 ciw S 1 AM eFS , /-L 3 Y/L3 (Number & Street) (City) (State) (Zip Code) Mailing Address: e- (Number & Street) (City) (State) (Zip Code) Telephone: 73q - ,y4-S- Zg33 E-mail: L>y-ew AQ , ,,, �� ? 9C� &-11-0 : C-0 TYPE OF LICENSE: General $230.00 Electrician $230.00 Building $230.00 Plumber $230.00 Residential $230.00 Air Conditioner $230.00 Mechanical $230.00 Swimming Pool $230.00 Roofing $230.00 Specialty $205.00 Specialty Trade: " T' 0 Application Fee $105.00 CHANGE OF STATUS: ( ) Reinstatement J,-From One Business to Another ( ) Dormant License to Active 0 eo c m E U r r a Packet Pg. 214 8.G.1 December 29/2022 I, Andrew Martinez from APM Solution INC. Am aware that ANDREW MARTINEZ will Be the qualifying for ADS LANDSCAPING & IRRIGATION LLC. Andrew Martinez APM SOLUTIONS INC. I, SERGIO JIMENEZ from ADS LANDSCAPING & IRRIGATION SYSTEMS LLC. Am aware that ANDREW MARTINEZ will be the qualifying of my company. , GFft -to �c Nc c1s SERGIO JIMENEZ ADS LANDSCAPING & IRRIGATION SYSTEMS LLC, State of County of The foregoirl Instrument tivas acno:srfP.dd before me by means ofi plop of prey ee or online rMlariza ' thfs 2 day of C , 20 , by (premed name of owner or quallfiei) Such pepn(s) Notary Public must check applk-able hoz; eke fsmIly hmn to me Has prodixed a cuffeni dri*fs lie Has ptodut 79 ^ �t os entif Ofl, rotarySl nalcife: NdRIfl1A PEREZ GUTIERREZHoWly PORc - State of Flotida R CogkijssEoq # HH 112784 1Ay Cortiiiii; EHires Apr 1, ZOZ5ed through HationalNotary Assn. (9 00 c m E t U r r Q Packet Pg. 215 8.G.1 December 29/2022 I, Andrew Martinez from APM Solution INC. Am aware that ANDREW MARTINEZ will Be the qualifying for ADS LANDSCAPING & IRRIGATION LLC. Andrew Martinez APM SOLUTIONS INC. I, SERGIO JIMENEZ from ADS LANDSCAPING & IRRIGATION SYSTEMS LLC. Am aware that ANDREW MARTINEZ will be the qualifying of my company. SERGIO JIMENEZ ADS LANDSCAPING & IRRIGATION SYSTEMS LLC. State of Ead "Q County of J:ak- The foregoi instrument was acknowledged before me by means of physical presence or Joni tarlaation this —2!Y— da y of 20.2i�by (printed name of owner or qualifier) �a�YS,r� Uil Such person(s) Notary Public must check applicable box: Are persotlally known to me 0 Has produced a current drivers license ® Has produced Notary Signature: MIRIAM PEW GUTIERREZ Notary Public - State of Florida Commission M HH 112784 My Comm. Expires Apr 1, 2025 P.onded through National Notary Assn. 0 00 c m E t r r Q Packet Pg. 216 8.G.1 1. The naures, titles, borne address and phone numbers of all Officers/Managing Members of the Firm. 2. List all businesses, fines, entities or contracting businesses you have been associated with during � the last ten years (i.e. held a license for or been a partner). Attach extra pages if needed. � �71iY�7i�Cl� `.'i' 3. List all debts you or any coinpany(s) associated with you that you refused to pay and the reasons for the refusal to pay. Attach extra pages if needed. AFFIDAVIT Under the penalties of perjury I declare that T have read the foregoing application and that the facts stated in it are true, Authorized Officer of the Firm r State of County of The foregoing instrum t was cknowledged Wore me by means of Whysical presence or ❑ online notarization ' q on this day of � C ; 20 ; by Z Such person(s) Notary Public must check applicable box; v0 Clare personally known to me Z phas produced a current driver license ❑ has produced as identification. Q (Notary Seal) w oS�ttYAUg(' SANDRADELOADO COMMI981011 # HN 101710 9 \�4 Expires March 8, 2025 Notary Signature; a 'FOFFV 13ond0d7h[QaUdg0lNolary8mkos W C d E L V tC r r Q Packet Pg. 217 8.G.1 QUALIFIER INFORMATION: Name: - o y° a -r_-r Leo Address: 1 6 i GF C) 4,z - G n , . s : e 7— (Number & Street) (City) (State) (Zip Code) Telephone: 7-; y-- 'lks z 413 -5 SS#: :�,L`7 y•_ /fig` Date of Birth: I /l S I ;7 `/ E-mail: i__>iZcWy-nrtyJ-Q&Z,0 71 Driver's License #: 14? 1. Type of Certificate of Competency for which application is made. 2, The names and telephone numbers of two persons who will know your whereabouts, G ��yLSF A � �U 1nSG 7tt -0,3 2" P 6 11 — 3. Have you ever been convicted of a crime related to Contracting? 1VD (If yes, attach extra sheet with explanation,) 4. Have you or any hams you have been associated with ever fled bankruptcy? U 6 S. List all debts you or any company(s) associated with you that you refused to pay and the reasons for the refusal to pay and reasons why. 90 6JGei 6. List your business or work experience during the last ten years, AV0JV-r 4`,,a")a riv Gr 6! M, 7. Statement of any formal training you have had in the area for which the application is made, 0 00 c m E M U r r a Packet Pg. 218 AFFIDAVIT 8.G.1 The undersigned hereby makes application for Certificate of Competency under the provisions of Collier County No. 2006-46, as amended, and under penalties of perjury. I declare that I have read the foregoing qualifier information and that the facts stated in it are true. The undersigned hereby certifies that he is legally qualified to act on behalf of the business organization sought to be licensed in all matters connected with its contracting business and that he has full authority to supervise construction undertaken by himself or such business or organization and that he will continue during this registration to be able to so bind said business organization. The qualified license holder understands that in all contracting matters, he/she will be held strictly accountable for any and all activities involving his license. Any willful falsification of any information contained herein is grounds for disqualification. State of County of The foregoing instrument was ack notarization on this �U) day of by A ' p a Vii .n-IZ Applicant (please print) A,Pyv\ s .,,-n Name of Company 4ignature of Applicant ledged before me by means of physical presence or O online 20r- Such person(s) Notary Public must check applicable box: ❑ are personally known to me�� JIhas produced a current driver license ---.Q -�— Ohas produced as identification. (Notary Seal) ��gY Pflg�� SA�bRADELQApO a°.• '• ° Commission#Nli1ot71s * Ex pis Marc4� 8, 2A25 Notary Signature: 97— Nh9TFofY4°�o rSondediiwt�u808tHolagSOO- 0 W C d E L V R r r Q Packet Pg. 219 AFFIDAVIT 8.G.1 The undersigned hereby makes application for Certificate of Competency under the provisions of Collier County No. 2006-46, as amended, and under penalties of perjury. I declare that 1 have read the foregoing qualifier information and that the facts stated in it are true. The undersigned hereby certifies that he is legally qualified to act on behalf of the business organization sought to be licensed in all matters connected with its contracting business and that he has full authority to supervise construction undertaken by himself or such business or organization and that he will continue during this registration to be able to so bind said business organization. The qualified license holder understands that in all contracting matters, he/she will be held strictly accountable for any and all activities involving his license. Any willful falsification of any information contained herein is grounds for disqualification. hk'a iz r,:'W t Applicant (please print) Name of Company Wgnature of Applicant State of _ ky. 7 - N- County of t' The foregoing instruiAent was ackn wledged before me bs of hysical presence or El online notarization on this day of 07. , 20 by Such person(s) Notary Public inust check applicable box: ❑are personally known to me liras produced a current driver license Alas produced as identification, (Notary Seal.) SANORADROADO "q Notary Signature: 9r�OFFboo cviWddlldUl;��9bi,i�wi/GuhdtW SANDRADELGADO egOXII , Commisslon# h10170 r Expires March 8, 2025 a A��oFFtO�� Bond" TLtubudge[ MdtarySOMcoo (D 00 C d E L V R r r Q Packet Pg. 220 AFFIDAVIT 8.G.1 It is understood and acknowledged by the Collier County Contractor's Licensing Board and myself that if I fail to acquire, or maintain at all times effective Workmen's Compensation Insurance it will result in the possible revocation of my Certificate of Compete cy. Signature o Applicant -Ila A-1 W, /%I s, -OW/ Business Name Date State of D County of The foregoing instrument was ackno ledged before me by means of �411ysical presence or ❑ online notarization on this ,. day of , , 20 _.. by Such person(s) Notary Public must check applicable box: ❑are personally known to me pL ,bi as produced a current driver license `F ❑has produced as identification. (Notary Seal) ;olvaum�,� SANDRADEl.0AD0 * Commission it HH 301VO m O� Expires March 8, 2025 1)'or 41.04- Bonded Thru nudge!Notary Services Notary Signature: 0 CO C d E L V R r r Q Packet Pg. 221 8.G.1 GMD Operations & Regulatory Management Licensing Section 2800 North. Horseshoe Drive Naples, FL 34104 APPLICATION TO QUALIFY SECOND ENTITY THIS FORM MUST BE COMPLETED IF YOU WISH TO INITIATE OR CHANGE THE STATUS OF AN EXISTING LICENSE, READ ALL INSTRUCTIONS AND MAKE SURE YOU HAVE SIGNED WHERE INDICATED. TYPE OR PRINT IN INK. NAME OF COMPANY Exact Corporate/Business Name: Fiction Name/ DBA: Qualifier Name: Physical Addres Mailing Address: (Number & Street) (City) (State) (Zip (Zip Code) Telephone: �� E-mail: Sbu d Federal ID Tax Number: �y — Zq 6 6.2 6)1 ALL APPLICANTS MUST APPEAR BEFORE THE CONTRACTOR LICENSING BOARD FOR FINAL APPROVAL. 'S ZZC THE BOARD, AT THEIR SOLE DISCRETION, MAY REQUIRE ADDITIONAL DATA IN ORDER THAT THE WELFARE OF THE CONSUMER IS PROTECTED AT ALL TIMES. 0 00 c m E U r r a Packet Pg. 222 8.G.1 FINANCIAL RESPONSYIIILITY ALL APPLICANTS/LICENSEES MUST ANSWER THE QUESTIONS BELOW. If you answer yes to any of the questions, a written explanation is required. Additional documentation is also required, as indicated. If you are applying to qualify a corporation, partnership or other legal entity, ALL OFFICERS OF THAT ENTITY MUST ALSO EXPLAIN IF ANY OF THE BELOW WOULD PERTAIN TO THEM. This would include the president, vice president, secretary, and/or partners or owners of the proprietorship. Have you, the business organization, or any of the above mentioned individuals in any capacity ever: YES NO � i. Undertaken construction contracts or work for a third party, such as a bonding or surety company, completed or made financial settlements? _k-Z2, Had claims or lawsuits filed, or unpaid or past due accounts by your creditors as a result of construction experience? t/ 3. Undertaken construction contracts or work which resulted in liens, suits or judgments being filed? i,/ 4. Had a lien filed against you by the Internal Revenue Service or Florida Corporate Tax Division? If yes, you MUST attach a copy of the Notice of Lien, and any payment agreement, satisfaction, Release of Lien or other proof of payment. I// 5. Made an assignment of assets in settlement of construction obligations for less ` than the debts outstanding? v 6. Been charged with or convicted of acting as a contractor without a license, or if licensed as a contractor in this or any other state, been "subject to" disciplinary action by a state, county, or municipality? If yes, you must attach a copy of any state, county, municipal or out of state disciplinary order of judgment. t/7. Filed for or been discharged in bankruptcy within the past five years? If yes, you must attach a copy of the Discharge Order, Order Confirming flan, or if a Corporate Chapter 7 case, a copy of the Notice of Commencement. t� 8. Been convicted or found guilty of, or entered a plea of nolo contendere to, regardless of adjudication, a crime in any jurisdiction within the past 10 years? NOTE: IF YOU, THE APPLICANT/LICENSEE, HAVE HAD A FELONY CONVICTION, PROOF THAT YOUR CIVIL RIGHTS HAVE BEEN RESTORED WILL BE REQUIRED PRIOR TO LICENSURE. 0 00 c m E t U r r Q Packet Pg. 223 8.G.1 QUESTIONNAIRE FOR QUALIFYING A SECOND ENTITY THIS FORM MUST BE COMPLETED BY THE APPLICANT REQUESTING TO QUALIFY A SECOND ENTITY OR REQUESTING A CHANGE TO AN EXISTING SECOND ENTITY QUALIFICKrION. THE APPLICANT AND PRESIDENTS/PARTNERS/OWNERS OF ALL COMPANIES INVOLVED MIST SIGN WHERE INDICATED. USE THIS SHEET, AND ADDITIONAL SHEETS IF NECESSARY. 1. Explain why you wish to maintain your present license(s) while qualifying this additional business. 2. Has the proposed entity been previously qualified? If so, explain why the previous qualifier is no longer willing to continue to qualify this entity. 3. If the proposed entity has been qualified within the last 12 months, list three recent jobs completed by the proposed entity. Include dates of completion, address, description of work, name of previous qualifier and name of owner. LA. ou MA4r"-r1; -C-19- z-`1 pass Ca 2L't!n3 i+t i�E MAZ. - 2 7 2 4h 7 /yz' 4. List the last three jobs completed by you under your existing license. Include dates of completion, address, description of work, name of previous qualifier and name of owner. k1A y dy 16r- 4) 5. Does the business(es) you presently qualify and/or wish to qualify have any outstanding liens against them- or against the property of consumers as a result of construction work or a contract they had with you firm? YES— NO If yes, identify business and provide explanation. 6. List principal suppliers for the past six months for the business you presently qualify. fS 7. List principal suppliers for the past six months for the business you are applying to qualify. '5✓J�" & 8. List persons authorized (currently and in the past 6 weeks) to pull permits on your license(s). a LfLT J�ryn�r,G 00 W d /alun2yw l� rZ�.a.��rr��rz E t v r r Q Packet Pg. 224 8.G.1 9. How are you being paid by the business(es) you presently qualify (salary, % of profit, etc.)? 10. How will you be paid by the business you are applying to qualify? 11. What percentage of ownership do you have in the present business(es) you qualify and what percentage of ownership will you have in the business you are attempting to qualify? &() A'G 12. Do you (applicant) have check writing authority for the present and proposed entities? YES NO I'*— If yes, provide a letter froin the bank. 13. List all officers/partners/owners of the business you are applying to qualify and position held. SEfzG�r� 14. List all officers/partners/owners of the business you presently qualify and position held. 15. Do the business(es) you presently qualify and wish to qualify have any other licenses presently qualifyi ose businesses? YES NO If yes, list licensee's name, license number and address. 16. Submit notarized statements signed by an authorized agent of the entity(ics) you presently qualify and f g proposed coin an authorized agent of the entity attesting to the fact that each is I,/ aware of what entity you presently qualify, and what entity you are requesting to qualify. 0 00 c m E M U r r Q Packet Pg. 225 RESOLUTION OF AUTHORIZATION 5 WHEREAS `�c� proposes to engage (Name dBusiness En ' ) in contracting as (Type of legal entity: corp,, partnership, etc.) in Collier County, Florida, according to Collier County Ordinance 2006-46, as mended: and WHEREAS S oz, top es tqualify (Name 6tBusiness nti ) for a Certificate of Competency with (Name of Individual) NOW, THEREFORE, BE IT HERE Y RESOLVED THAT: We the undersigned .�lL �ti^�h� of .� , (O cers, Owners, Partners) c fin} -t F�L hereby resolve and represent to the Collier County (Na in ofBu nessEntity) Contractor's Licensing Board that the qualifying agent, �� 141 s active P. (Name of I d' Id a])�and in all matters connected with the contracting business of 1 �� c.e�D �lr,� (Nam of B ine s Entity) We further resolve and represent that —, � Q is (Naymeof ndivr awl) Legally empowered to act for �l "'`[` in a � matters connected with its (Name of Busid4ss Entity) contras 'ng business, and has the authority to su avise c nshu on and rtaken by �Zot"(-cc (ame of Busings DULY PASSED EAN) AND ADOPTED THIS J DAY OF (Officers, Partners, Owners- with designation underneath) State of County of The foregoing iUtl-umentyvas acknowledged before me by means of plrysical presence or © online notarization on this `dayof ,20, by FVVIZ114-- Sus) person(s) Notary Public must check applicable box: are personally ]mown to me ❑has produced a our•rent driver license ❑has produced as identification, (Notary Seal) wr iii" , MIRIAM pERE7. GUTIERREI ttotery public • Slate of Florida .} Cnmmisslon N HN 112704 �! Notary Signature'i+ �dy my Comm. Expires Apr t, 2025 � Bane t rauµ a ON 0 Assri. MM 06 0 Z FL Q U to 0 Z a J Cn a H Z O U 0 w U H U) w c� Z d Q U C3 Z Q J Z O a U_ J a (L Q H H Z w 0 Z O U W U) N LI.I Z H IY Q d W IY 0 Z Q r, 00 C d >_ L v R r Q Packet Pg. 226 cD 00 c m E u m r r a Packet Pg. 227 i 8.G.1 00 C d E L V Q Packet Pg. 228 AC �® CERTIFICATE OF LIABILITY INSURANCE ❑ATE(MMIDDIYYYY) 11123/2022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Andis Insurance Agency, Inc 5951 Pine Ridge Road Naples FL 34119 CONTACT Angela Allen NAME: AHCNNo Ext : (239) 529-5566 AfC No ; (239) 529-5534 pon lless: Angela@andisinsurance.com INSURER(S) AFFORDING COVERAGE NAIC N INSURER A: Cypress insurance Group Inc. INSURED APM Solutions Corp 101 Cedar Crest Court Naples FL 34113 INSURER B : INSURER C: INSURER D : INSURER E : INSU RER F: COVERAGES CERTIFICATE NUMBER: CL22112301581 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED EY PAID CLAIMS. INSR I LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDONYYY EXP MMIDDYIYYYY LIMITS A X COMMERCIALGENERALLIABILITY CLAIMS -MADE Fx_1 OCCUR FGL 5032300 00 81 10/06/2022 10106/2023 EACH OCCURRENCE 5 1,000,000 DAMAGE TO RENTED PREMISES Ea occurrence 100,000 $ MED EXP(Any one person) $ 5,000 PERSONALaADV INJURY $ 1,000,000 GI AGGREGATE LIMIT APPLIES PER: PRO- X POLICY ❑ PRO JECT ❑ LOG OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS-COM PIOPAGG $ INCLUDED AUTOMOBILE LIABILITY ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOSONLY AUTOS ONLY H q COMBINED SINGLE LIMIT Ea ouldent $ „ BODILYINJURY(Par person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Peraccldent $ $ ELLA LIAB S LIAa E OCCUR CLAIMS -MADE EACH OCCURRENCE $ AGGREGATE $ RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YI N ANY PROPRIETORIPARTNEWEXECUI Wr, ❑ OFFICERIMEMBER EXCLUDED? (Mandatory In NH) Ifyes, dascdbe under DESCRIPTION OF OPERATIONS below NIA I STATUTE EIR E,L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE -POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 161, Additional Remarks Schedule, maybe attached if Inorn space Is regvired) COLLIER COUNTY CONTRACTORS LICENSING BOARD 2800 N. HORSESHOE DR NAPLES FL 34104 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 11�1� U 191141-201b ALiUKU UUKYUKAI IUN. An rignis reserveu. ACORD 25 (2016103) The ACORD name and logo are registered [narks of ACORD 0 00 C d E L U R r r Q Packet Pg. 229 8.G.1 s JIMMY PATRONIS CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * * CONSTRUCTION INDUSTRY EXEMPTION This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 11/29/2022 PERSON: ANDREW P MARTINEZ FEIN: 862566783 BUSINESS NAME AND ADDRESS: APM SOLUTIONS CORP 101 CEDAR CREST CT NAPLES, FL 34113 SCOPE OF BUSINESS OR TRADE: Landscape Gardening & Drivers EXPIRATION DATE: 11/28/2024 EMAIL: DREWMARTINEZ079@YAHOO.COM IMPORTANT: Pursuant to subsection 440,05(14), F.S., an officer of a corporation who elects exemption Itom this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter. Pursuant to subsection 440.05(12), F.S., Certificates of election to be exempt Issued under subsection (3) shall apply only to the corporate officer named on the notice of election to be exempt and apply only within the scope of the business or trade listed on the notice of election to be exempt, Pursuant to subsection 440.05(13), F.S., notices of election to be exempt and certificates of election to be exempt shall be subject to revocation it, at any lime after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for Issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. DFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08.13 E01630126 QUESTIONS? (850) 413-1609 0 00 c d E t v r r Q Packet Pg. 230 AnALA.2 8.G.1 OP In, KS CERTIFICATE LIABILITY INSURANCE ATE1lat2M1 0rr2 Fe2o22 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER 305-648-2445 Lindq Risk Management, LLC 2100 Ponce de Leon Blvd, # 600 Coral Gables, FL 33134 ,RAT cT Alex Garcia we°°, No, Ext : 305-fi46.2445 ac No):305-648-2469 E 1 Alex Garcia INSURERI'M AFFORDING COVERAGE NAIC p INSURER A: Scottsdale Insurance Company 41297 INSURED ADS Landscaping & Irrigation Systems LLC Sergio Jimenez 9341 Chestnut Tree Loop Ft Myers, FL 33967 INSURER B: Technology Insurance Company 42376 INSURER C Ascendant Commercial insurance INSURER D : INSURER E : INSURER F : COVERAGES CERTIFICATE NUMRER! RFVISION NIIMRFR! THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE AODLISUBR POLICY NUMBER POLICY EFF POLICY EXPama LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE ® OCCUR CPS7567296 04/29/2022 04129/2023 EACH OCCURRENCE 1,000,000 DAMASET RoNrMDa 100,000 GEN'LAGGREGATE MFDEXP (Anyoneperson) 5,000 PERSONAL & ADV INJURY 1,000,000 LIMIT APPLIES PER: POLICY ❑ w0i 11 LOC OTHER: GENERAL AGGREGATE 2,000,000 PRODUCTS -COMPIOPAGG S 2,000,000 C+ AUTOMOBILE X 1 LIABILITY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS V�r D Ms ONLY AUT S ONa CA-57416.0 0511412022 06/14/2023 COMBINED SINGLE LIMIT 1,000,000 BODILY INJURY Per arson BODILY INJURY Peracddent R, c dT t AMAGE A X UMBRELLA VAS EXCESS LIAR HCLAIMS-MADE OCCUR XB80155541 0412912022 04/29/2023 EACH OCCURRENCE 1,000,000 AGGREGATE 110001000 DED F I RETENTION 5 B WORKERS COMPENSATION AND EMPLOYERS° LIABrurY ANY OFFFiCERRO//PMMEIMB R�REXCLUDE07 ECUTIVE (Mandatary InHl If yyes, descdha under DESCRIPTION OF OPERATIONS belo NIA TWC4087991 04129/2022 04/2912023 PER OTH- E.L. EACH ACCIDENT 100,000 E.L. DISEASE -F1t EMPLOYE 100,000 E..DISEASE - POLICY LIMIT 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may he attached If more space is required) Collier County Licensing Board 2000 North Horsehoe Drive Naples, FL 34104 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES HE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Alex Garcia ACORD 25 (2016103) 01988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 0 00 c m E t v r r Q Packet Pg. 231 12130122, 2:37 PM Detail by Entity Name DIVISION OF CORPORATIONS �aVi[S�i�� Uf flit vW14'1111 3"Im, t1V"Il dda SY1' "ski• Oepartmenl of Stale I Division of Corporatlons 1 Search Records 1 Search by Entity Name i --n.--. , i, —.,wy —. In ,, an,lr.�rnnratlnnRearchlSearchResultDeta€I?inqulrvlvoe=FntityName&direclionType=Initial&searcliNameOrder-APMSOL, 112 LD W C d E L v R r r Q Packet Pg. 232 12130122, 2:37 PM Detail by Entity Name Document Images 0412212022 --ANNUAL REPORT View Image in PDF format 02123/2021 -• Domesl c Profit View image In PDF format fm,w. Wj—tmem of 5lavd, OWW- of Carp:xabnns aarrh.stfnhi7.nrollnouin+ICoroorationSeareh/SearcllResultDetall?inquirvtvpe�EntitvName&directlonType=Initial&searcliNameOrder=APMSOL... 2/2 0 00 C d E L v R r r Q Packet Pg. 233 12/30122, 4:39 PM Detail by Entity Name DIVISION of CORPORATIONS 8.G.1 `"` . - �;�,, rrq r�IG�'hd ';!rur u1 dlurlrtrr I:-!dltiirs' Deparirnent of State 1 Dly€sign of Cnrporaiion, I Search Records ! Search by Entity Name 1 Detail by Entity Name Florida Limited Liability Company ADS LANDSCAPING & IRRIGATION SYSTEMS, LLC Filing Information Document Number L21000088680 FEIIEIN Number 86-2466209 Date Filed 02/22/2021 Effective Date 02/22/2021 State FL Status ACTIVE ri c pal Address 9341 CHESTNUT LOOP FT. MYERS, FL 33967 141alg Address 9341 CHESTNUT LOOP FT. MYERS, FL 33967 Registered Agent Name & Address JIMENEZ, SERGIO, OWNER 9341 CHESTNUT TREE LOOP FT. MYERS, FL 33967 Authorized Person(s) Detail Name & Address Title MGR JIMENEZ, SERGIO, MR 9341 CHESTNUTTREE LOOP FT, MYERS, FL 33967 Annual Re orts Report Year Filed Date 2022 04128/2022 Documentlmages 04125l2022 --ANNUAL REPORT View image in PDF fomiat 02/22/2021 -- Fiodda Lirnited Llabillly, View Image in PDF format https:lisearch.sunbiz.org/inquiry/CorporationSearch/SearchResultDotall7inquirytypo=EntityName&dlroctionTypo=l iiitial&searchNameOrder=ADSLAN ... 112 r Q Packet Pg. 234 I�SDEPARTMENT OF THE TREASURY INTERNAL REVENUE SERVICE CINCINNATI OH 45999-0023 ADS LANDSCAPING & IRRIGATION SYSTEMS LLC SERGIO JIMENEZ SOLE MBR 9341 CHESTNUT TREE LOOP FORT MYERS, FL 33967 Date of this notice: 03-08-2021 Employer Identification Number: 86-2466209 Form: SS-4 Number of this notice: CP 575 G For assistance you may call us at: 1-800-829-4933 IF YOU WRITE, ATTACH THE STUB AT THE END OF THIS NOTICE, WE ASSIGNED YOU AN EMPLOYER IDENTIFICATION NUMBER Thank you for applying,for an Employer Identification Number (EIN). We assigned you EIN 86-2466209. This EIN will identify you, your business accounts, tax returns, and documents, even if you have no employees. Please keep this notice in your permanent records. When filing tax documents, payments, and related correspondence, it is very important that you use your EIN and complete name and address exactly as shown above. Any variation may cause a delay in processing, result in incorrect information in your account, or even cause you to be assigned more than one EIN. If the information is not correct as shown above, please make the correction using the attached tear off stub and return it to us. A limited liability company (LLC) may file Form 8832, F'ntzty Classification Election, and elect to be classified as an association taxable as a corporation, If the LLC is eligible to be treated as a corporation that meets certain tests and it will be electing S corporation status, it must timely file Form 2553, Election by a small Business Corporation. The LLC will be treated as a corporation as of the effective date of the S corporation election and does not need to file Form 8832. To obtain tax forms and publications, including those referenced in this notice, visit our Web site at wnw.irs.gov. If you do not have access to the Internet, call 1-800-829-8676 (TTY/TDD 1-800-829-4059) or visit your local IRS office. IMPORTANT RUMINDERB: * Keep a copy of this notice in your permanent records. This notice is iaaued only one time and the IRS will not be able to generate a duplicate copy for you. You may give a copy of this document to anyone asking for proof of your EIN. * Use this EIN and your name exactly as they appear at the top of this notice on all your federal tax forms. * Refer to this EIN on your tax -related correspondence and documents, if you have questions about your EIN, you can call us at the phone number or write to us at the address shown at the top of this notice. If you write, please tear off the stub at the bottom of this notice and send it along with your letter. If you do not need to write us, do not complete and return the stub. Your name control associated with this EIN is AOSL. You will need to provide this information, along with your EIN, if you file your returns electronically. Thank you for your cooperation, Scanned 1 . TapScanner Scanned by a+fScannerl 0 00 c m E t r r Q Packet Pg. 235 8.G.1 ElizVerifyso Report as of: 10/11122 19:61 ET Apm Solutions Corp Address: 101 Cedar Crest CT Naples, FL 34113-8930 United States Experian DIM: 600801646 Experian Business Credit Score Business Credit Scores range from a low of 1 to high of 100 for scored locations, but this location Is not yet scored due to a lack of Information needed to determine the score. This score predicts the likelihood of serious credit delinquencies within the next 12 months. This score uses tradellne Information, legal, industry, collections Information, public filings and other variables to predict future risk. Credit Summary This location does not yet have an estimated pays Beyond Terms Q21), or a Payment Trend Indicator. This is often the result of too few Payment Tradelings. Key Personnel: President: Andrew P Martinez Experlan EiLq March 2021 Estabh5bod: Experlan Years on File: 1 Year Years in Business: More than 1 Year Financial Stability Risk Ratings range from a low of 1 to high of 6 for scored locations, but this location is not yet rated due to a lack of Information needed to determine the rating. Lower ratings Indicate lower risk. This rating predicts the likelihood of payment default and/or bankruptcy within the next 12 months. This rating uses tradelines, collections, public filings and other variables to predict future risk. CC Filingg: 0 Businesses Scoring Worse: NOT SCORED VBankruptcies: 0 ,/ Liens: 0 ,/Judgments Filed, 0 ,/Collections: 0 `The Information herein is furnished In confidence for your exclusive use for legitimate business purposes and shall not be reproduced, disclosed, or shared to any third party per the restrictions In the Terms and Conditions that you accepted. Neither Experlan nor Its sources or distributors warrant such information nor shall they be liable for your use or reliance upon It. (r2ofH:632033) O 2022 Experian information Solutions Inc. n NWiCn(i l4innn('nrn-.�1f"i\f©riAi_�(111r�n�RAG nrlf 0 00 c d E L7nno 4 of � V R r r Q Packet Pg. 236 8.G.1 experian.. Search Inquiry: (My company) CreditScore! Report Ads Landscaping & Irrigation Systems i Address: i Experian DW: Agent: Agent Address: as of: 12/29/22 11:29 ET 9341 Chestnut Tree Loop Key Personnel: Manager: Sergio Jimenez Fort Myers, FL 33967-5134 SIC Code: 4971-Irrigation Systems United States 0782-Lawn & Garden Services 501323640 NAICS Code: 221310-Water Supply And Irrigation Systems Jimenez Sergio Owner 561730-Landscaping Services 9341 Chestnut Tree Loop Business Type: Corporation FT Myers, FL Experlan File March 2021 Established: Fxperian Years on File: 1 Year Years in Business: More than 1 Year Total Employees: 4 sales: $309,o00 Filing Data Provided by: Florida Bate of Incorporation: 02/22/2021 Experlan Business Credit Score The objective of the Experlan Business Credit Score is to predict payment behavior. High Risk means that there is a significant probability of delinquent payment. Low Risk means that there is a good probability of oriAlme payment. Key Score Factors: Number of active commercial accounts. i Balance of all commercial accounts. Balance of delinquent commercial accounts. Percent of delinquent commercial accounts. Business Credit Scores range from a low of 1 to high of 100 with this company receiving a scare of 1 S. Higher scores Indicate lower risk. This score predicts the likelihood of serious credit delinquencies within the next 12 months. This score uses tradeline and collections Information, public filings as well as other variables to predict future risk. Experlan Financial Stability Risk Rating 113 0 00 c m E t v r r Q Packet Pg. 237 8.G.1 A Financial Stability Risk Rating of 3 indicates a 2.95% potential risk of severe financial distress within the next 12 months. Key Rating Factors: Number of active commercial accounts. Percent of commercial accounts delinquent. • Percent of total commercial balance moderately delinq. Balance to high credit ratio for other commercial accounts. Financial Stability Risk Ratings range from a low of 1 to high of 5 with this company receiving a rating of 3. Lower ratings indicate lower risk. Experlan categorizes all businesses to fit within one of the five risk segments. This rating predicts the likelihood of payment default and/or bankruptcy within the next 12 months. This rating uses tradeline and collections information, public filings as well as other variables; to predict future risk. Credit Summary This location does not yet have an estimated Days Beyond Payment Tradelines (seo charts): 2 Terms (DBT), or a Payment Trend indicator. This is often the t1CC FIII gs: 0 result of too few PaymentTradelines. k Businesses Scoring Worse: 14% Please refer to Experlan's'www.BusineesCreditFacts.com' vBankruptcles: 0 website for more information on establishing Payment Miens: 0 Tradelines. ,/Judgments Filed: 0 tlCollectlons: 0 Lowest 6 Month Balance: $2,766 Highest 6 Month Balance; $8,556 current Total Account Balance; 82,928 Highest Credit Amount Extended: $13,602 Payment Trend Summary Insufficient Information to produce r Monthly Payment Trends on% chart. Eby, j 4091, L l 20% a% 0912t 12121 03,72 U622 09122 *Percentage of on -time payments by quarter. Quarterly Payment Trends - Recent Activity Insufficient information to produce Date t 11rr tali , t1p to 3o ' 31-60 61-90 >90 DBT Monthly Payment Trends EMT DDT DBT table. j 09/21 0°! 34% 33% 33% ©% 213 0 00 C m t U R r r Q Packet Pg. 238 12/21 0% 99% 1% 0% 0% 03/22 0% 100% 0% 0% 0% j 06/22 0% 100% 01/0 0% t 0% 09/22 0% 0% 0% biped Pa 0% ent Trends 0% insufficient information to produce Newly Reported Payment Trends chart.F1 I, *Continuous distribution with DST. *Combined distribution witn M. *The information herein Is furnished in confidence for your exclusive use for legitimate business purposes and shall not be reproduced, disclosed, or shared to any third party per the restrictions in the Terms and Conditions that you accepted. Neither Experian nor its sources or distributors warrant such information nor shall they be liable for your use or reliance upon it. lnefa:549336i © 2022 Experian Information Solutions Inc. c tc top 8.G.1 3/3 0 00 C d E L v R r r Q Packet Pg. 239 8.G.1 Prepared For ANDREW P. MARTINEZ Personal 8 con€iden6al Date generated: Dec 3n, 2022 Experian data De FICO SO )RE h v rakl credit usage 47 _ Credit used: $21,022 Credit limit: *13,600 vat W C d E L V t4 r r Q Packet Pg. 240 8.G.1 ®m g ® `/p"� 1 l �n Oi �° Prepared For ANDREW P. MARTINEZ Date generated; Dec 30, 2022 a Personal Information Nome Addresses Employers ANDREW P MARTINEZ 171 20TH ST HE AVABT-AVARDE NAPLES, EL 34120-3620 Also Y,no.vn as TLC LAWN MARTINEZANOREW 101 CEDARCREST CT NAP€ES, FL 34113-8930 PEDRO MARTINEZ 5340 MYRTLE LN Generational lt]enfi0cr NAPLES, FL 84113.9625 Yw of birth 1979 Personal statements No Statements} Pesent al thl8 time 0 00 Q Packet Pg. 241 8.G.1 ® xpenan. Open accounts @A1AEX EsCePita naI payment htsto y r Account Info Account name Account number Original creditor Company said Account type Pate opened Openlclosed Status Status updated Prepared For ANDREW P, MARTINEZ Date generated: Dec 30, 2022 AMEX Balance 3499523764256803 Belanceupdated - Creditlimit • Credit usage Credit card Monthly payment Aug 18, 2016 Past due amount Open Highest balance Current Terms Dec 2022 Responsibility Your statement $14,640 Balance updated Dec 11, 2022 $14,640 Pac 11, 2022 $22,200 1 Month Individual m payment history Jan Feb Mar Apr May Jun Jul Aug Sep Ott Nov Dec 2022 ✓ ✓ ✓ ✓ J J ✓ ✓ ! ✓ ✓ J 2021 ✓ ✓ J ✓ ✓ ✓ ✓ ✓ ✓ J J ✓ 2020 ✓ ✓ ✓ ✓ J ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2019 ✓ J J ✓ J ✓ ✓ J ✓ ✓ J J ✓ J ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓. J 2D18 ✓ ✓ ✓ J ✓ ✓ ✓ ✓ ✓ ✓ J ✓ 2017 2016 — ✓ an Time — Data nnava�lable 6a Contact Info Address PO BOX 297071 FORT LAUDEHDALE, FL 33329 Phone number (800) 874-2717 C Comments 0 00 r Q Packet Pg. 242 8.G.1 �exp�1 ex Prepared For ANDREW R MARTINEZ Date generated: Dec 30, 2022 ® G $59,456 CGM FINANCIAL Balance updated Dec 04, 2022 Exceptional payment history Q Account info Account name GM FINANCIAL Balance $59,466 Accountnumber 11105aXXXXXX Balanceupdated Dec04,20?2 adoinal creditor - Original balance $65,084 company sold Paid off 9 % Account type Autotoan Monthly payment $1,140 Date opened Mar 19, 2022 Past due amount " Open/closed Open Highest balance " Status Current Terms 72 Months Status updated Dec 2022 Responsibility Individual Your statement M Payment history Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2322 -- ._ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ J On Time -- Dataunav 1W- R Contact Info Address Po uoX 1d1145 ARLINGTON, TX 76096 Phone number (000) 2a4-2211 P comments 0 00 Q Packet Pg. 243 8.G.1 expriw Prepared For ANDREW P. MARTINEZ Date generated; Dec 30, 2022 03 $3,235 0MACa CARD Balance updated Deo 27, 2022 Exceptional payment history e Account Info Account name JPMCD CARD Balance $3,235 Account number 414720XXXXXX Balance updated Dec 27,2022 original creditor - Credit limit $3,600 Company sold - Credit usage 89% Account type Credit Card Monthly payment $143 Date opened Oct 10, 2018 Past due amount - Open/closed Open Highest balance $4,702 Status Current Terms Revoiving Status updated Dec 2022 Responsibtlily Individual Your statement - M payment history Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2022 ✓ ✓ J ✓ J ✓ ✓ ✓ J ✓ ✓ J 2021 ✓ ✓ ✓ ✓ J ✓ ✓ ✓ J J ✓ ✓ ✓ ✓ ✓ ✓ J J J J 2020 J ✓ J ✓ 2019 ✓ ✓ J ✓ ✓ ✓ ✓ J ✓ ✓ ✓ J 2018 ✓ On 17me — ©araun—dabte Ed Contact Info Address Pa BOX 15369 WILMINCTON, OE 1985O Phone number (a00j 945-2000 F, Comments 0 00 r Q Packet Pg. 244 8.G.1 B^i��ry prepared For ANDREW P MARTINEZ Date generated: Dec 30, 2022 �"X A t (3 $2,133 OJPMCB CARD Balance updated uee oe, 2022 Exeeptlonal payment history 1C Account into Aceoun€name JPMCBCARD Balance $2,133 Account number 426684XXXXXX Balance updated Deo08,2022 - Credititmit $2,600 Originalctedttor Company sold - Credit usage 824 Account type Credit Card Monthly payment $70 Gate opened Feb 16, 2018 Past due amount - Open/closed Open Highest balance 0,462 Current Terms , Revolving; Status Status updated Dee2022 Responsibility Individual Your statement - M Payment history San Feb Mar Apr May Jun Jul Aug Sep Oat Hov uec 2022 ✓ ✓ ✓ ✓ ✓ ✓ ✓ J ✓ ✓ ✓ J 2021 ✓ ✓ ✓ ✓ ✓ ✓ J ✓ ✓ J ✓ ✓ J ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ J 2020 ✓ ✓ ✓ J J ✓ ✓ J J ✓ ✓ J 2019 2018 ✓ On Thee -- Dotaur—R-hle ® Contact info Address Po BOX 18369 WILMINGTON, DE 19850 Phone number (600) 945-2000 0 Comments 0 00 r Q Packet Pg. 245 8.G.1 ®experian. OWNCWIPPO Exceptional payment history 9 Account Info Account name Account number Original creditor Company sold Account type Date opened Open/closed status status updated Prepared For ANDREW P. MART INEZ Date generated; Dec 90, 2022 SYNCBIPPC Balance 604419XXXXXX Balanceopdated - Credit limit - Credit usage Crodit Card Monthly payment Jan 19, 2015 Past due amount Open Highest balance Current Terms Dec 2022 Responsibility Your statement 81,014 Balance updated Dec 28, 2022 $1,ot4 Dee 28, 2022 $1,300 78% $41 o Payment history Jan Feb Mar Apr May Jun Jul Avg Sep Oct Nov Dec 2022 ✓ ✓ ✓ ✓ ✓ J I J ✓ ✓ ✓ J 2021 ✓ J ✓ J ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2020 ✓ J ✓ J ✓ ✓ ✓ J J ✓ ✓ ✓ 2019 J OnT— — Data unavalaS!e ea Contact Info Address PO 13OX 530975 ORLANDO, FL 32896 Phone number (g44) 373.4961 p Comments $1,271 Revolving Individual 0 00 r Q Packet Pg. 246 8.G.1 V ��A� Prepared For ANDREW P. MARTINEZ Date generated; boo 30, 2022 !19 � 1 ® $D LASYNCUMOOMSTO 00 Balance updated Dec 16, 2022 Exceptional payment history Q Account info Account name SYNCB/ROOMS TO GO Balance $0 Accounl number 601919XXXXXX Balance updated Dee 16, 2022 - Credit limit $6,000 Original creditor Company sold Credit usage 0% Account type Charge Card Monthly payment $0 Dale opened Sep 01, 2015 Past due amount Open(dosed Open Highest balance $4,749 current Terms Revolving Status Status updated - Dec 2022 Responsibtirty Individual Your statement 91 Payment history Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2022 J ✓ ✓ ✓ J ✓ ✓ ✓ J ✓ J ✓ 2021 J J ✓ J J ✓ ✓ ✓ ✓ ✓ J ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2020 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ J ✓ ✓ ✓ ✓ J 2019 ✓ ✓ ✓ 2016 ✓ ✓ J ✓ J ✓ J J ✓ ✓ ✓ ✓ ✓ J ✓ ✓ J ✓ J ✓ J ✓ ✓ ✓ 2017 2016 J On Time 6a Contact info Address Po BOX 965036 ORLANDO, FL 32696 Phone number (1166) 396.8264 lit Comments 0 00 C d L V t4 r r Q Packet Pg. 247 ® X i nPrepared For ANUREW R MARTINEZ hate generated: Dec 30, 2022 (3 /i $253,338 0TRDIST MORTGAGE Excepttoeal payment history Balance updated Dec 05, 2022 9 Account Info Account name TRUISTMORTGAGE Balance Account number 942689XMXXX Balance updated Original creditor - Original balance Company sold Pa€d off Account type Mortgage Monthly payment Date Opened Jun 23, 2020 Past due amount openfclased Open Terms Status Current Responsibl€fty Status updated Dec 2022 Your statement la payment history Jan Feb Mar Apr May Jun Jul Aug Sep Get Nov Dec ✓ ✓ ✓ ✓ ✓ 2022 ✓ ✓ ✓ ✓ J ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2021 ✓ ✓ ✓ ✓ J 2020 — — — On Time — 0a[a unavadaE!e (R Contact Info Address 1001 SEMMES AVE RICHMOND, VA 23224 Phone number (804) 291-0620 0 Comments $283,338 Pee 05, 2022 $299,500 5� 360 Months Individual 0 00 r Q Packet Pg. 248 8.G.1 eXperInry Prepared For ANDREW P. MARTINEZ Date generated: Dec 30, 2022 $493 GWESTGATE RESORTS LTn Balance updated Nov 30, 2022 4late payments C- Account Into Account name WESTGATE RESORTS LTD Balance Account number 901726XSXX Balance updated Original creditor - Original balance Company sold - Paid off Account type Real Estate Monthly payment Dale opened Dec 22, 2012 Past due amount Open/clused Open Terms Status current, was past due 150 days Responsibility Status updated Jan 2022 Your statement to Payment history Jan Feb Mar Apt May Jun Jot Aug Sep Oct Nov Dec 2022 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ! J ✓ ✓ — 2021 — 120 120 ✓ ✓ ✓ ✓ ✓ ✓ 30 60 ✓ Oorme 30 301lars Late 60 60uays Lau 120 120+Days Late — 0atau—a able u Contact Into Address 5601 WINDHOVER DR ORLANDO, FL32819 Phone number (407) 355-2905 V Comments $493 Nov 30, 2022 $10,05 9546 $191 120 Months Joint Account 0 00 r Q Packet Pg. 249 g X � i�1N Prepared for ANDREW P. MARTINEZ Date generated; Dec 30, 2022 0 A i Closed accounts BACHIEVA CREDIT UNION Closed Exceptional payment history Ca Account info Account name ACHIEVA CREDIT UNION Balance Account number 17949OXXXXX Balance updated Sep 23,2019 - original balance $51.013 Original creditor Companysold - Monthlypaymenl Account type Auto Loan Past due amount Dateopened Apr30,2016 Highest balance - Closed Terms 04 Months Open/closed paid satisfactorily Responslubly Individual Status Status updated Sep 2019 Your statement q payment history Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2019 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ NA — — — 2018 ✓ ✓ ✓ ✓ ✓ ✓ ✓ J ✓ ✓ ✓ ✓ 2017 ✓ ✓ ✓ J ✓ ✓ J ✓ J ✓ ✓ ✓ 2016 On Time NA Na Appilcabie Paynmattrlstory — Data unaysaable contact Info Address 1150 ACHIEVA WAY DUNEDIN, PL34690 Phone number (727) 431.7689 w Comments 0 10 r Q Packet Pg. 250 8.G.1 ® expel" i n, Prepared For ANDREW P. MAR7INEZ Date generated: Dec 30.2022 OCARRiNGTON MORTGAGE S£ Exceptional payment history a Account info Account name CARRINGTON MORTGAGE SE Balance Account number 400006XXXX Balance updated Oflgfnalcreditor - orlglnaVba€ante Company sold Monthly payment Account type Mortgage Past due amount Date opened Jon 08,2010 Terms Open/closed Closed Responsibility Status PaidSatsfactorily Yourstalement Status updated Jun 2015 o Payment history Jan Feb Mar Apr May dun Jul 2016 ✓ ✓ ✓ ✓ ✓ NA — ✓ On Time NA No Appacab�a Pa}+�enl REsivry — Oata uRavanable P Contact Info Address 1600 S DOuGLAsS RD STE 1 ANAHEI M, cA 92806 Phone number (800) 561-4567 PB Comments Closed .Jun so, 2015 $177,49D 360 Months Individual Aug Sep Oct Nov Dec 0 00 Q Packet Pg. 251 i 8.G.1 ® exp rin. 0coMENITYCAPIELDOnAa0 ExceptlDnol pgrnenthlslory C Account info Account name Account number Original creditor Company sold Account type Date Opened Open/closed status Status updated m Payment history Jan Feb 2022 NA 2321 ✓ ✓ 2020 ✓ ✓ 2019 ✓ 2018 ✓ on Time NA Q Contact Info Address Phone number V Comrttents Account closed at credit granlor's request Prepared For ANDREW P. MARTINEZ Date generated: pee SO, 2022 COMENITYCAPlELDORADO Balance 578097XXXXXXXXXX Balance updated Credit limit Monthly payment Charge Card Past due amount Jul24, 2018 Highest balance Closed Terms Paid satisfactorily Responsibility Jan 2022 Yourslalement Mar Apr May Jun Jul ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ No Applicable Payment History -- Dstsunavaaable Po BOX 182120 COLUMDUS, OR 43216 Closed Jan 29, 2022 $10,000 $4,374 Revolving Individual Avg Sep Oct Nov Dec J ✓ v, ✓ ✓ ✓ ✓ J J ✓ 0 00 Q Packet Pg. 252 ®® expert �yry ex Prepared For ANf]Rr W P. nIIARFINEZ pate generated: Dec 30, 2022 ® per11 11 ® OGM FINANCIAL Closed Excepilonal payment history L Account info Account name OM FINANCIAL Balance 447527XXX Balance updated Sep 15,2014 Account number - 0liglnaibaiance $i9,999 Orlglnalcreddor Company sold - Monlldypayment Account type Auto Loan past due amount Date opened Jan 31,2012 Hlghestbalance Closed Terms 73 Months Open/c€osed paid satisfactorily Responsibility Individual Status Status updated Sep 2014 Your statement m Payment history Jan Feb Mar Apr MAY Jun Jul Aug Sep Oct Nov Dec 2014 ✓ ✓ ✓ ✓ J ✓ ✓ ✓ NA 2013 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2012 — ✓ On Tlme NA No Applicable Payment Ntstary — Palalfnavallahle ® Contact Info Address PO BOX 101145 ARLINGTON. TX 76096 Phone number (see) 294-2271 F Comments 0 00 r Q Packet Pg. 253 ®X��f i�l� Prepared For AN DREW P. MARTINF7 Date generated: Dec 30, 2022 OJPMCB HOME Exceptional payment history vi Account Info Account name JPMCB HOME Balance Account number 465107XXXXXXX Balance updated Original creditor - original balance Company sold - Monthly payment Account type Mortgage Past due amount Oate opened Jan 08, 2010 Terms Openlclosed Closed Responsibility Status Account transferred to another office your statement Status updated Sep 2014 o Payment history Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2013 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2012 J ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ! J J 2011 ✓ J ✓ ✓ ✓ ✓ ! ✓ ✓ ✓ ✓ J — — ✓ ✓ ✓ ✓ ✓ J ✓ ✓ ✓ 2010 ✓ wnw NA Na Apyl[czble Payment History — Oata Onavenabla ® Contact Info, Address 100 KANSAS LN MONROE, LA 71203 Phone number (800) 848.4136 ' F Comments hansrerred to anolber lender Closed Sep 30, 2014 $177,4so 360 Months Individual 0 00 Q Packet Pg. 254 8.G.1 ® /l 1 1 IM Prepared For ANDREW P.MARTINEZ Date generated: Dec 30, 2022 ®JPMCB HOME Closed Exceptional payment hlstary A Account info Account name JPMCB HOME 8olance Account number 156402XXXXXXX Ralance updated original creditor - Orlgfnal balance Company sold - Monthly payment Account type Mortgage past due amount Date opened Jun 16, 2015 Terms open/closed Closed ResponsWlhy Status Paid satisfactorily Your statement Status updated Aug 2019 it Payment history Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov nee v NA ✓ Oo TWO NA No Applicable PaymentMslery — Oare Unavailable 0 Contact info Address 700 KANSAS LN MONROE, LA 71203 Phone number (600) 848-9136 9 comments Aug30,2019 $207,200 360 Months Individual 0 00 r Q Packet Pg. 255 8.G.1 0, p� ,/1 ��1 Prepared For ANDREW P. ItAARTINEZ Date generated; Dec 30, 2022 � /ii 1 1n � BLOANCARE Closed Exocpllonal payment history a Account Info Account name LOANOARE Balance Account number 623002XXXXXXX Balance updated Apr 03, 2019 - original balance $207,200 Original creditor Company sold - Monthly payment Account type Mortgage Past due amount Date opened Jun 16, 2015 Terms 360 Months cleared Responsibility Individual Openlclosed Status Account transferred toanotherof8ce Your statement Status updated Apr 2019 o Payment history Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov ben 2019 J ✓ J NA 2016 ✓ ✓ ✓ J J ✓ J ✓ ✓ ✓ ✓ ✓ 2017 2016 ✓ On'71— NA No Ap&able Pa"enM1story _ eata Unaranab;e E4 Contact Info Address 3637 SENTARA WAY VIRGI NIA BEACH, VA 23452 Phone number (757) 992.1700 EP Comments Transferred to ano€her lender 0 00 C d E L V r.+ Q Packet Pg. 256 10, Xpf 1n� Prepared For ANUREW P. MARTINEZ Rate generated, Dec 30, 2022 ONISSAN MOTOR ACCEPTANC EKcepBonal payment history a Account Info Account name - NISSAN MOTOR ACCEPTAND Balance Account number 102431XXXXXXXXX Balance updated Otlginalcreditor - Original balance Company sold - Monihlypayment Account type Auto Loan Past due amount Date opened Jun 25,2014 Highest balance OpenJciosed Closed Tetma Paid satisfactorily Responsibiilty Status Status updated May 2016 Your statement is Payment history Jen Feb Mar Apr May Jun Jul Aug Sep Oct NDY De, 2016 J ✓ ✓ ✓ NA — -- — 2015 ✓ ✓ ✓ ✓ ✓ J ✓ ✓ ✓ ✓ — ✓ ✓ ✓ ✓ ! ✓ ✓ 2014 ✓ On Time NA NOApj Ecable N)msnt History — oat. U—Vable P Contact Info Address PO BOX 660360 DALLAS, TX 75266 Phone number (800) 950.6622 v Comments Closed May 18, 2016 $32,984 60 Months Individual 8.G.1 06 0 Z EL 0 00 C d E L V Q Packet Pg. 257 xerin. ®PLAYA HOME MTOIOnVEM MU Exceptional payment history C Account info Account name Account number Original creditor Company sold ACeounl type Date opened Openl010sed Status Status updated In Payment history Jan 2017 NA 2016 ✓ 2015 ✓ On Time ca Contact Info Address Phone number Prepared For ANDREW P, MARTINU Date generated; Dec 30, 2022 Closed PLAZA HOME MTOlDOVENMU Balance 310146XXXXXXX Balance updated Jan 05, 2017 - Original balance $207,200 - Monthly payment Mortgage Past due amount Junl6,2015 Terms 360 Months Closed Responsibility Individual Account transfelredtoanother oflice Your statement Jan 2017 reb Mar Apr May Jun Jul Aug Sep Oct Nov Dec ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ J ✓ ✓ NA No Appllcab!e Pay enl Hlsioly — nataunavallable u Comments Transferred to another lender t CORPORATE DR 5TE 360 LAKE ZURICH, IL 60047 (a47) 550-7300 0 00 Q Packet Pg. 258 ® �p+� � �/� 1 1� Prepared For ANt)REW P.MARFINEZ Date generated; Dec 30, 2022 03 �JJ !fit 1 OsuNCOASY CREDIT UNION 1 late payment r. Account Info SUNCOAST CREDIT UNION Balance Account name Accountnumber 466712XXXXXX Balanceupdaled - Creditllmit Odglnal creditor - Monthlypaymenl company sold credit card PastdueamOUnl AcceunElype Date opened Dec 21, 2011 Nighest balance open/c€osed Closed Terms Paid, was past due 30 days Responslbilily Status Status updated Feb 2010 Your statement m Payment history Jan Feh Mar Apr May Jun Jul Aug 2018 ✓ NA- 2017 ✓ ✓ ✓ ✓ J J ✓ 30 2016 ✓ ✓ ✓ V ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2015 ✓ ✓ ✓ ✓ J ✓ ✓ ✓ ✓ 2014 ✓ ✓ `' 200 ✓ ✓ J ✓ ✓ ✓ ✓ ✓ 2012 — — 2011 — — — ✓ 01 ❑me 30 30 Days Eat. NA No Appllceble Paym.nl History — palaueavalbhi. E2 Contact Into Address 6801 E HILLSBOROUGH AVE TAMPA, FL 33610 Phonenumber (813) 621.7511 B Comments Account closed at eonsomers request Closed Feb 27, 2018 $500 $557 Revolving Individual Sep 0.1 Nov Dec ✓ ✓ ✓ ✓ ✓ J ✓ ✓ ✓ ✓ ✓ ✓ ✓ J ✓ ✓ J ✓ ✓ ✓ 8.G.1 06 0 00 Q Packet Pg. 259 8.G.1 �experian, M QWFLLS FARGO HM MORTOAG Exceptional payment history 9 Account info Account name Account nombeT Odgknal creditor company sold Account type Dale opened Opentclosed Status Slants updated w Payment history Jan 2020 ✓ � 0nlsme u Contact info Address Phone number e Comments WELLS FARGO HM MORTGAG 9360S9XXXXXXX Mortgage Aug 22, 2019 Closed Paid satisfactorily Jun 2020 Feb Mar Apr May ;on ,1 ✓ ✓ NA NA No Applicable Payment History — Dataunavallabla 0480 STAGECOACH CIR FREDERM, MD 21701 (8001288.3212 Prepared Por ANDREW R MARTINEZ Date generated: Dec 30, 2022 Closed Balance Balance updated Original balance Monthly payment Past due amount Terms Responsibility Your statement Jun 25, 2020 $288,000 360 Months Individual .0 Aug Sep Oct Nov Dec 0 00 r Q Packet Pg. 260 8.G.1 ® xperian- Collection accounts No colt -lion accounts reported. Prepared For ANDREW P. MARTINFZ Date generated: Dec 30, 2022 0 00 C d E L V R r.+ Q Packet Pg. 261 8.G.1 6 Public records No public r.00tds leporled. Prepared For ANDREW R MARTINEZ Date generated: Dec 30, 2022 0 00 C d E L V r.+ Q Packet Pg. 262 i 8.G.1 ®experian. a Inquiries CAPITAL ONE AUTO FIN Inquired on Mar I V. 2022 Buslness Type: Auto Financing Companies PO BOX 259407 PLANO, TX - 5025 (800) 546-0332 This inquiry is scheduled to continue on record Until Apr 2024 SANTANDER CONSUMER USA Inquired on Mar 19, 2022 Business Type: Hnance Companies. non specirio 0565 N STEMMOMS FWV DALLA& TX 75247 1666) WS-9282 This Inquiry Is scheduled to continue on record until Apt 2024 Preparad For ANDREW P. MARTINEZ Date generated; Dee 30, 2022 CREOCO Inquired on Mar 19, 2022 Business Type: Auto Rese ter 10277 SCRIPPS RANCH BLVD SAN DIEGO. CA 92131 (030) 523-0233 This inquiry Is scheduled to continue on record until Apr 2024 sETTLFMENTONE DATA, LL Inquired on Jan 10. 2022 Buslness Type: Mortgage Reporters 2605 CAMINO DEL RIO S ST SAN DIEGO, CA 9210E This inquiry Is scheduled to continue on record until Feb 2024 PNC SANK Inquired on Mar 19,2072 Business Type: All Banks - non epodric 273D LIBERTY AVE PITTSBURGH. PA 15222 By mail only This Inqu€ry Is scheduled to conthutt on record until Apr 2024 SUNCOAST CREDIT UNION Inquired on Mar 19, 2022 Business Type: Credit Unions 6801 E HILLSBOROUGH AVE TAMPA. FL 33610 (013) 621-7511 This inquiry Is scheduled to continue on record until Apr 2024 0 00 r Q Packet Pg. 263 Credit scores FICO® score 8 used 610.7a9 1•a 704 aI �� 300 850 FICA SCORU rxpedaner ranvtma Prepared For ANDREW P. MARTINEZ Date generated: Dec 30, 2022. Your score Is near or slightly above the average of U.S, consumers and most lenders consider this a good score. What's helping v Long credit history • You have an established credit blistery. • Your oldest account was opened: 12 Years, l l Months ago • FICC Hlgh Achievers opened their aides%acccunt 25 years ago, on average. • Average age of your accounts:7 Years,2 Months • Most FICO High Achievers have an average age of accounts of 9 years or mote. • FiCO® Scores measure the age afthe oldest account and the average age of all accounts being reported. Generally speaking. having a relatively long credit history and not opening many new accounts is reflective of lower risk substantial installment loan repayment • Your balances on mortgage and/or nommortgage lnstailm0r,00aAs are relatively low or substantially paid off. • Percentage of principat you have paid downon your open non- mortgage Installment loans: 9% • FICO High Achievers have paid down snaveraga of40%of the principal on their nommortgage Installment loans. • FIc09 scores evaluate a mounts paid down and total outstanding installment loan balances In relation to the original loan amounts on those accounts. Having made substantial paymento onmorigage and/or non -mortgage installment loans Is as an as lower dsk. As Installment loan balances decrease, they have less impact as a FICOO Score- Note, having a low Installment loan balance to loan amount ratio Is considered sllghtly less risky than having a O%Instalime nt loan ratio. Con solldeting or moving debt from one account to another will usually not help a FIC00 Scorn since the same total amount is owed and the score may no down doe to opening a new accoun, Recent credit card usage • You've shown recent use of credit cards and/or bank -Issued open-ended accounts. • Flco9 Scores evaluate the mix of credit cards. Installment loans and mortgages. People who demonstrate recent and fesponsihie use of credit cards and/or bank -issued open-ended accounts are generally constdered less risky to lenders. What's hurting — Seriousdellnquency • You have a setlnus delinquency (60 days past due or greater) or derogatory indicator on your credit report • Number f your account$ that wale ever 60 days l ate or worse or have A derogatory Indicator..I Account vaually no FICO High Achievers have a 60 days late payment or worse listed on their credit report. • The presence of A serlous delinquency or derogatory Indicator is a highly correlated predictor of future payment risk. People Will previous Idle payments are more likely to pay late lnthe future. As these Items age, they will have less Impact on the FICO9 Score, Most late payments stay on your report for no more than seven years. Hlgh credit usage • You've made heavy use of your available revolving cleOit • RalEo of younevatving balances toyour crediUlmits; q7% • For FICO High Achievers, the average ratio ofihe revolving account balances to credit limits is less than 7%. • The FICOSI Score evaluates balances In relation to available credit on revalvtng accounts. The eklenl of a pereoWs credit usage is one of the most lmportanl factors considered by a FICOM Score.People who keep thelr 0ofbalances to credit limits lower are generally considered less risky to lenders than those with higher ratios. Note, consolidating or moving debt from one account to another will usually not change the clal amount owed. 8.G.1 Z a LD 00 C d E L V R r r Q Packet Pg. 264 — Recent missed payment • You cecenliy missed a payment or had a deregototyInd lcatorreported on your cred! treporl. • Your most recent missedpaymenl happened:1 Vear ago • About 9814of FIGO HIgh Achleveis have no missed payments al all. But of thoselvho do, the missed payment happened nearly 4yeafs ago, on average. • The presence of missed or late payments or derogatorylndlcalors on a creditreport,ImIudI the number of missed payrnents,hovr tale they Were and how recently they occurred, are couelaied Vile future credit risk. Generally speaking, people who een,ustently pay their We on unlearn less risky compared to people Vrhh recently missed payments- As missed payments age, they have less Impact on a FICOO Score. ILD 00 C fy E L V R r r Q Packet Pg. 265 8.G.1 I Prepared Dor ANDREW P. MARTINEZ Date generated; Dec 30, 2022 Disclaimer About your FWOs Score B or other FiCU6 Scores Your FICOs Score 8 pmvered by Expedan data Is formulaled using the Information In your creel Ale at the lime it Is requested. Many but not all lenders use FICOO Score S. In a(tdif onto the FICOD Score 8, we may offer and provide other base or Iadu sto speclfic FICOO Scores (such as FICOo Auto Scores and FICO®aankcatd Scores). The other FECOa Scores made avall able are calculated from versions of the bete and Industry -specific FICOO Score models. Base FlCOa Scares (Including the R CO® Soarers) range from 300 to 1150.Ind.Wy-agedfic F1C0'e Scores range from 250-900. H€gher scores represent a greater tlkehhood that you'll pay back your debts so you are viewed as being a lower credit Ask to lenders. A lower FICOe Score Indicates to lenders that you may be a higher credit risk. There are many scoring models used In the markelplace. The type of score used, end its associated dsk tevels, may vary from lender to lender. But regardless of what scoring mode€ is used, they all have one purpose: to summarize your creditworthiness, Keep in mind that your score is just one factor used In the application process. Other factors. such as your annual salary and length of employment, may also he considered by lenders when you apply for Sloan. What this means to you: Credit scoring can help you understand your overall credit rating and help companies better understand how to serve you. Overall benefits of credit scoring have Enduded faster credit appoovals, reduction Inhuman error and bias, con slstency, and better terms and fates far American consumers through reduced costs and losses for lenders. Your lender or insurer may use a different FICOO Score than FICO'' Score a or other base or Industry - specific FICOO Scores provided by us, or different sco tag models to determine how you score. 0 00 C d E L V R r r Q Packet Pg. 266 12/29122, 11:07 AM Experian j 8.G.1 Pmpared For 0 SERGIO JIMENEZ Ian personal & confidential emeriM Date genmalad: Dec 29, 2022 At a glance PICge Score e F[CO SCORE 8 Experlon data Dee 29, 2022 730 v - Account summaty overall credit usage Debt summary Credit card and credit line debt $2,737 Open accounts 12 Self reported account balance $0 Self -repotted accounts a Accounts over late 0 Loen debt $361,949 Colleotions debt $0 Ciosedaccounts 6 15 % 0 Total debt $364,706 Coliectlons ". Average account age 4 yrs 1 mo _ 01destaccount 14yrs4mos Credit used: $2,737 ' Credit 11MIL$13,300 - https:fiusa,experion.com/memberlprirttable-reportlexperian/now 1/20 (9 W C d E L v R r r Q Packet Pg. 267 12/29122, 11:07 AM Experlan a vyy e 1 �Y91 . Bii�.! 1 ��A1! Prepared For SERGIO JIMENEZ Data generated: oeo 24, 2022 a Personal Information Name SEA010dIMENEZ Addresses 11466 SUMTER GROVE WA APT 9109 Fmployeis STAHLMAN LANDSCAPES NAPLES, FL 34113•B6B9 A€so knovm as STAHLMAN 9341 CtiESTNUTTREE LOOP FGRTMYF.RS, FL 33967.5134 GeneWenai ldentlIler 4631 ATOLLCOURYAPT4 NAPLES, FL 34116 Year of foh 1962 Persona! slatemenis No Slal menl(s) present etthis lima 1,fl—il—n AxnArian.comlmemberforintable-reporUexperlanfnow 2128 0 00 C d E L rJ r r Q Packet Pg. 268 1T29I22, 11:07AM Experian 0 V na u 6i Prepared For SEriGSO JIMENpZ Date generated; Dec 29, 2g22 ® Open accounts $6,471 OCAPITAL ONE AUTO FiNAN Balance updated Nov 10, 2022 Exceptional payment htstory 91 Account info Account name CAPITAL ONE AUTO FINAN Balance $8,471 Accountnumbef 620515xx)mxxxxxx Balance updated Nov 30, 2022 - Odglnal balance $14,603 edglnel creditor Company sold Paid off 42% Account type Auto Loan Monthlypayment $259 Date opened Dec 06, 2010 Past due amount opentclosed Open Highest balance Current Terms 72 Months Status status updated Nov 2022 Responsibility Joint Aoeonnl Yoe r statement - o Payment history Jan Feb Mar Apr may Jun Jul Aug Sep Dcl Nov DM 2022 ✓ J ✓ J ✓ ✓ ✓ ✓ ✓ ✓ ✓ _ ✓ ✓ 2021 J J ✓ ✓ J J ✓ ✓ ✓ ✓ 202p ✓ ✓ ✓ ✓ ✓ ✓ ✓ J J J ✓ ✓ Y _ _ ✓ 2019 J onlme — Data Unavailable ® Contact Info Address PO BOX 259407 PLANO, TX 76025 Phone number (600) 946.0332 ® Comments httas:llusa.exoerlan.comlmember/pri ntob[e-reportlexp erlanlnow 8.G.1 3128 (9 00 r Q Packet Pg. 269 Expeftn 12129122, 11:07 AM . exrianr Prepared For SERGIO JIMENEZ ... Date enerated; Dec 29, 2D22 _ _9 . . ® -_ $46 gcOMEMiY DANK/aEALLSOL ' Balance updated On 12, 2022 I Ucepltunal psymenl hPslory e Account info - Account name COMENITYBANXIDEALLSOL Balance $46 Accountnumber 685937XXXXXXXXXX Balancoupdated Deol2,2022 - Credillimlt $1,300 original creditor Company sold - Creditusage 396 ChattieCard Monthly payment $30 Accounitype Date opened Nov27,2020 post dueamounl Openlclosed open Highest balance $167 Current Terms Revolving Status Dec 2o22 Responsibil€ty Individual Status updated Yonr statement IB payment history Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dea 2022 ✓ ✓ J ✓ J ✓ ✓ ✓ ✓ J ✓ ✓ 2021 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 202D _ — J � Dntima — Uare UnaralaMe ® Contact info Address p0 BOX 182789 COLUMBU$, ON 4321 B Phone number ® comments r,rr—rr„cc nvnnrian e.nmlmPmber/Orintable-r8port/exporlanlnow 1 8.G.1 4128 0 00 r Q Packet Pg. 270 12129122,11:07 AM Expertan E �0.�I F . A [ ® ex prepared For SERGIO JIMENEZ Date generated: Dec 29, 2022 e so �t'DClTHE MAHAGET7ENi GnO Balance updated Nov 01,2022 Exceptional payment history a Account info Accountname EOCfi'HEMAHAOEMENTGRO Balance so Account number 1646YVXXXXXXXX Balance updated Nov 01, 2022 - Odginaibalance $2,675 odglnalcreditor company sold - Monthly payment $G Rontal Past due amount - Account type 1Mouth Bale opened Jul16,2022 Terms Open RespansiblBty Joint Account Openlclosed Status Current Yourslalement status updated Nov 2D22 W Paymeat history Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2022 — — — ✓ On Time — eals anare7able to Contact Info Address 7000 MCHTREE RUNWOOB R ATLANTA, OA 30320 Phone number (770) 510.5060 N Comments hnno• lr„� �. Amnerian.com/member/r)rintable-repori/experian/now 6/20 8.G.1 E 06 t rt 0 00 r Q Packet Pg. 271 12129122. 11:07 AM Exparlan c, ffi xrir an Prepared For SERGIQ JIMENEZ Date generated: Dec 29, 2022 $240,007 RFIFTHTHIRO BANK NA Balance updated Nov 30, 2022 Excapilonsl payment history 91 Account info Accountname ' FIFTH THtROuANKNA Balance $240,007 Account number 320200xxx Balance updated Nov 30, 2022 - Original balance $255.290 Original creditor Company sold - Paid off 6% Account type FHAMortgago Monthly payment $0 Date opened Dec 05, 2018 Past due amount - open/closed Open Terms 360 Months Status Current Responsibility Individual status updated Nav2022 Your statement u Payment history Jan retr Mar Apr May Jun Ja1 Aug Sep 001 Nov Oeo 2022 ✓ ✓ ✓ ✓ ✓ ✓ J ✓ _. ✓ -- 202t J ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ J 2020 ✓ J J J ✓ J ✓ ✓ ✓ J ✓ ✓ 2019 ✓ ✓ ✓ ✓ J J J ✓ ✓ 2018 ✓ On The -- Data Unavab* i-i Contact Info Address 5050 mwsLEY DR CINCINNATI, off 45227 Phone number (800) 972.3030 0 Comments Paymenidaterted Affected by natural or declared disaster hHnc•Ilt tca.Awnsrian.com/member/printable-rePort/experianlnow 8.G.1 6/28 LD 00 r Q Packet Pg. 272 12129122, 11:07 AM Experian ® A rIanM prepared For SERGIO JIMENEZ Date generated; Dec 29, 2022 SO OFIFTH T}4Rn UANK NA aulance updated Sep 17.2022 Exceptional paymenthisrofy 95 Accountinfo Accountname FIFTH THIRO BANK NA Balance $0 Accountnumber 546700XXXXXXXXXX Balanceupdated Sep 17,2022 - Credit limit $4,000 pdgina3 creditor Company sold - Credit usage 0% Accounttype CrodilCard Monfhlypayment $0 Date opened Feb19,2020 Pasldueamount - openlclosed Open Highest balance $3,629 '. Current Terms Revolving Status Status updated Sep2022 Respnnsibillty, tndipidual Your statement - 0 payment history Jan Feb Mar Apr May Jun Jul Aug Sep Ocl Nov Dec 2022 ✓ ✓ J ✓ ✓ J ✓ J ✓ 2021 ✓ J J J J ✓ ✓ ✓ J J ✓ ✓ 2020 — — ,� ✓ ✓ ✓ ✓ ✓ ✓ J ✓ ✓ ✓ OnTlme — tiara Unavalable ® Contact info Address 5050 KINGSLEY OR CINCINNATI, OH 45227 Phone number (9110) 972.3D0 P Comments httos:llusa,exnerian.comlmember!printable-reporilexperla nlnow 7/28 0 00 r Q Packet Pg. 273 12129122, %07 AM Experlan ® yary xper tan. Prepared For SERGIO JIMENBZ generated. Dec; 29, 2022 pate gen G ii 11 ® $15,946 OKIA FINANCE AMERICA Balance updated NuV30, 2022 - Exceptlonal payment history o Account Info Account mama KIA FINANCE AMERICA Balance $116,946 Account number 221519Bxn Balance updated NnV30,21322 - Original balance $19,064 Orlg€naf eredrlor - Paid off 11% Company gold Account type Auto Lease Monthly payment $564 Date opened Sep03,20Z2 Past due amount - Openlcfased Open Highest balance Current Terms Umonths ' Status status updated Nov2022 Responsibility JalntAccount Your statement o Payment history Jan Feb Mar Apr May Jun Jul Aug Sep Dot Nov nec 2022 — — — -- "' -- "" — ✓ J ✓ — r On7rrue — Data Unavailable ® Contact Info Address 41100 MACANTHUR BLVD STE NEWPORT BEACH, CA 92660 Phone number (866) 335.5632 B Comments httDs,.Iiusa.exr)erian.com/mernber/printable-reporUoxperian/nDw E3 S 8.G.1 06 0 00 r Q Packet Pg. 274 12129122, 11:07 AM Experian di ® di S ��H Prepared For SERGIO JIMENEZ Date pnerate& Dec 29, 2022 ® $38,007 ' kPNCOANK Balance updated Nov 30, 2022 E xceptlonal payment history 0 Account info PNCOANK Balance $30,007 Account name Account number 33020OXXXXXXXXXX Salanceupdated NeY30,2022 - Original balance $44,424 Original creditor - Paid off 14% - Company sold '- Auto Loan Momhlypayment $707 Account type Date opened Oct24,2021 Pusidueamount open/closed Open Highest balance Current Terms 72months Status Individual ' Status updated Nov 2022 Responsibility You r stalement ie Payment history Jan Feb lAar Apr May Jun Jul Aug Sep Oct Nov Dec 2022 J J ✓ ✓ J ✓ ✓ ✓ ✓ ✓ ✓ "" 2021 On T1— — oara Una 16le ® Contact info Address 2730LIBERTY AVE PITTSBURGH, PA 15222 • Phone numher (888)762.2265 5 Coinments htinsJlt,sa.exoerion.cornlmemberlprintable-reporVexpe rianlnow 8.G.1 9128 0 00 C d E L r r Q Packet Pg. 275 12129122, 11:07 AM Experian exile ri nM Prepared for SERGIO JIMENEZ Date generated: Dec 29, 2022 $20,723 GPHCOANK Balence updated Nov 30, 2022 - Exceptional payment history 0 Account info PNCUANK Balance $28,723 Account name - Accounlnumber 33020OXXXXXXXKXX Dalancoupdated Nov SO, 2022 - Original balance $37,696 Original creditor Paid atf 24% company sold Account€ype Auto Loan Monthly payment $595 - Date opened Apr 13, 2021 Past due amount Openlclased Open Hlghestbalance , current Terms 72 Months Status Nov2022 Responsibility Individual Status updated Your statement - o payment history Jan Feb Mat Apr May Jun auk Aug Sep Oct Nov beo 2022 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2021 J On rime -- nata nnavatehle n Contact info Address 2730 LIDERTY AVE PITTSBURGH, PA 15222 Phone number 1866) 762.2265 0 Comments httos:fiusa.experian.comlmem berlpri ntable-reporVexperlanfnow 10128 0 00 r Q Packet Pg. 276 12/29/22, 11t07 AM Experlan ® ii E"ia1 1. Prepared For SERGIO JIMENEZ Date generated: Dec 29, 2022 ......, - $29,735 . C SUNCOAST CRE01T UNION Balance updated Nov 30,2022 Exceptional payment history a Account info Account name SUNCOASTCREDIT UNION Balance $29,735 Account Slumber 673878x 981anceupdated Nov 3D, 2022 Or101na1 creditor - Ortglnalbalonce S41,173 Company sold - Paid off 20%. Account type Auto Loan Monthly payment $607 Date opened Mar26,2021 Past due amount - - open/closed Open H€ghestbalance - Status Current Terms 72 Months status updated Nov 2022 Responsibility Individual Your statement in Payment history Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2022 ✓ J ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ m 2027 '- ✓ On Time -- Peta UnavaZe6le 13 Contact Info Address PO BOX 11904 TAMPA, Ft. 33600 Phone number - P Comments htios:llusa.exl)erlan.com/member/printable-roportlexperlen/now 8.G.1 1112t1 0 00 r Q Packet Pg. 277 12/29122, 11:07 AM Experian e �ypy rio 1 Prepared For SERGIO dIMEPtEZ Date generated: pec 29, 2022 ® _ _ SO ' �SYNCOIJCP Balance updated Dec 25, 2022 F7(ceptlonal payment history a Account Info Account name SYNCBlJCP Balance SD - Accountnumber 600889xxxxxx Balance updated Den25,2022 Odginal eredi3or - Credit Iimil S50o companysold - Creditusage 0% Account type Charge card Momhiy payment SD Date opened Apr 15, 2010 Past due amount " open/closed Open Highest balance 5139 Status Current Terms Revolving Status updated oec 2022 Responsibility Individual Your statement ni payment history . Jan reb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2022 ✓ ✓ J ✓ ✓ J ✓ ✓ ✓ ✓ J ✓ 2021 ✓ ✓ J ✓ ✓ ✓ ✓ ✓ J J ✓ ✓ 2020 ✓ J ✓ ✓ ✓ J ✓ ✓ ✓ ✓ ✓ ✓ 2019 ✓ ✓ J J ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2018 ✓ on lM1me — Dala Unavada6le to Contact Into Address Po BOX 965007 ORLANDO, FL 32896 Phone number (800) 542.ORO e comments httos:ltuss.experlan.com/rnamber/printable-report/experian/now 12128 8.G.1 06 7 0 00 r Q Packet Pg. 278 12129122, 11!07 AM Experlan ® experian. prepared For SERGIO JIMENEZ Data generated. Dee 29, 2022 $2,021 SSYNCajrJX COS DC Batunce updated Dec 23,2022 EXCepllonal payment history a Account Info Account name SYNCBrrJX COS DC Balance $2,021 Account number 524366XXXXXX Balance updated Dao23,2022 0dgtnal creditor' Credit limit $5,00D Company sold - Creditusage 40% Accouru type Credit Card Monthly payment $91 Date opened Apr 22, 201B Past due amount ' openlclosed Open Highest balance $2,021 Currant Terms Revolving Status Status updated Dee 2022 Responsibility Individual Your statement m Payment history Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nev Dec 2022 J ✓ ✓ ✓ ✓ J ✓ ✓ J ✓ ✓ ✓ 2021 ✓ J ✓ ✓ ✓ ✓ J ✓ ✓ ✓ ✓ ✓ 2020 J ✓ J ✓ ✓ ✓ ✓ ✓ J ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ J 2019 20}0 - W ✓ on Me W reowueavalahie W Contact Into Address PO B0X9650t50nLANDO, FL32896 Phone number (877) 890.3150 P comments httns://usa.expe rlan.comlme mbe rip rintable-reportlexperlanhtow 13128 U 00 r Q Packet Pg. 279 12i28122, 11:07AM Experian ® o xperi prepared For SE GEGJIMENEZ Dategeneratod; bec29,2022 ® $670 0 Exceptlonalpaymenl history Balance updated Dec 21, 2022 ............_ ____ ... - Z a Q 0 AeceuntInfo Account name THplCBNA Balance $670 � Account number 603532XXXXXXXXXX Balance updated bee 21, 2022 z Z Credit limit $7,600 Q Odginal uredllor J Company sold - Credltusage 9% ('n Account type Charge Card Monlhiy payment $29 Q Date opened Feb 01,2021 Past due amount r Openlclosed Open Highest balanoe $9,S37 • Status Current Terms Revolving Z 0 Status updated Dee2022 Responsibfllty hulMdual o Payment history Jan Feb Mar Apr May Jun Jul Aug Sep 001 Nov Sec 2022 J ✓ J ✓ ✓ ✓ ✓ ✓ J ✓ ✓ ✓ 2021 — J ✓ ✓ J ✓ J ✓ J ✓ J ✓ J o , r1m. bat. Um.`! bte ® Contact into Address PO 00x 6497 SIOUX FALLS, SD 57117 Phone number (000)950-5114 5 Comments https://usa.experlan.com/nlember/pr'intable-reporyoxperian/now 0 00 C d E 14128 v r r Q Packet Pg. 280 12129122, 11:07AM Experian lgr�fY4'1y prepared For SERGfD.IIMENEZ Data generated: Dec 29,2022 ,000 �A I ��A11 9 Closed accounts 06 _.-.. Z ®COMENITY BANKIOFALLSFL Closed 5late payments (� t1 Account info Z a Account name COMENITYBANISIBEALLSFL Baiance J Accountnumber 585637XxxxxxXXXx Balanceupdsled Jul 27,2017 (n - Credttllmit $l60 Q Originalereditor Company sold - Monthly Payrnenl Account type Charge card Past due amount Z Date opened Aug24,2008 Highestbalance $320 0 openiclosed Closed Terms Revaluing V Past due ISO days Responq%hity Indlvldual W Status - Status updated Jul2017 Your slalemenl V n Payment kltstory W� Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Z 2017 J 3p 60 90 120 120 NA 2016 J ,/ J ✓ J J ✓ ✓ ✓ J J J () 2015 ✓ J ✓ ✓ ✓ J ✓ ✓ ✓ ✓ ✓ ✓ 2014 - - - - -- - .... _ -- -- Z 2013 - 2012 - - - - - - - - - - Z 2011 - _ 2010 ✓ On time 30 30 nays Lore 60 60 nays Lei. V 90 9a0ays Late 120 12Ot Oays Late NA No Appireable PaymaRstory J - ❑atavrs"a able IL r Ea Contact €nfn H Address Po BOX 182789 COLUMBUS, OH 43218 Z W Phone numher a _. ..... - .......,-_ Z 0 U to Comments W Cl? Tratastened to another lender N Purebasad by another tender W .. ._, .---.. .....-._ Z 0 00 C O) E 15128 htIDS:/IUSa.experian.com/member/printable-reporUoxperianlnow r r Q Packet Pg. 281 12129/22, 11WAM Experkan 14�t x io p For SERG1OJl MENEZ prepared Date generated: Dee 29, 2O22 t 1 i I,. 9 it 1 ® ®COMEMTY BANIOBEALL5OL Closed uceptinnal payment history a Account Info Accountname COMENITYBANXIBEALLSOL Balance Accountnumber 585637xxxxY")(xX Beianceupdated Apr25,202O Original creditor - credit limit $530 Companysoki - Monthlypayrnein Account type Charge card Pest due amourA Dateopened Jun 21,2016 Highestbalance $2.10 Open/closed closed Terms Ravalving Status Paid satlsfacladly Responsibility Indtvidua[ Status updated Apr 2020 Your statement m payment history Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov hec 2020 ,P J ✓ HA 2019 J ✓ J J ✓ ✓ ✓ ✓ J ✓ ✓ ✓ 2018 ✓ ✓ ✓ ✓ ✓ J ✓ ✓ ✓ ✓ J J 2017 ✓ ✓ ✓ J ✓ ✓ ✓ ✓ J ✓ ✓ J - -- '- ✓ ✓ ✓ ✓ J ✓ 2016 - - J On Time NA Nu Appi1n1Aa Payment Hlstoly - Hate Unev®11aWe 8 Contact Info Address PO BOX 182784 COLUMBUS, OH 4321 B phone number W Comments Aeenunt closed at credit grantark request imt—a.imA axnarinn.r.om/member/printable-reportlexperlon/nc)w 16120 0 00 r Q Packet Pg. 282 12129/22, 11;07AM Experlan experia1 1. Prepared For SERG10 JIMENEZ Date generated: Dec 29, 2022 ® QFIFrH TMRu BANK NA Closed Uceptlonal payment history e Account info Account name FIFTH THIRD BANK NA Balance Accountnumber nxm Balanceupdated Nov30,2022 original creditor - Crlginalbalance $1G,7Gri Company sold - Monthly payment - Accouatlype Auto Loan Past due amount DMeopened Mar02,2020 Highest balance - Open/closed Closed Terms 47 Months Status Paid satisfactorily Responsibility Individual status updated Nov2D22 Your statement - o payment history Jan Feb Mar Apr May Jun Jul Avg Sep Out Nov Dec - 2022 ✓ J J ✓ ✓ ✓ J J ✓ ✓ NA — 2021 J J ✓ ✓ ✓ ✓ J ✓ J ✓ ✓ ✓ 2020 — — J on Ttma NA NOA9Pl108b1e PaymentW %1Y DM unUM-ble La Contact info Address 5050 KINGSLEY DR CINCINNATI, OH 45227 Phone number (900) 972-SD30 w Comments Affected by natural dr declared disaster hf f nc • 17r r na. AxnarlA n.COM/rile mbef/Drintable-reporUexperlan/now 17128 0 00 Q Packet Pg. 283 12/29122. 11:07 AM Experlan pp��gg�� ® xperl 91 1 Prepared For SERGIO JIMENEZ Date generated Dec 29, 2022 g _,.,...,.. .. ...... ..... .__ ' OKIA FINANCE AMERICA Closed Fxcepl€oval payment htslory o A000tintInfo Account name BOA FINANCE AMEMCA Balance " Accountnumber 221511XXxX Balance updated Sep 30,2022 - Original balance $10,064 original rre6lh r Company sold Monthly payment Accounitype Auto Lease Past due amount " Date opened Apr 12, 2022 Highest balance Open/closed Closed Terms 36 Months Paid satisfactorily Responsibility Joint Account Status Status updated Sep 2022 Your statement © Payment history Jnn 2022 — ✓ on Time e Contact info Address Phone number Feb Mar Apr May Jun Jul Aug Sep Oct Nov DM ✓ ✓ ✓ ✓ ✓ NA — NA No Applicable Payment Hisu1Y — Data Unavailable 19 Comments Eady termina0oNo611gallon snOsned 4000 MACARTHUR OLVD STE NEWPORT BEACH, CA 9266D (866) 331.5632 mt...-n rea nvnA.rian.rnmlmelnber/arintable-reporVexperionlnow 8.G.1 10128 0 00 r Q Packet Pg. 284 VJ29122, 11:07 AM Experlan a , r��, p22 pre ared For SERGlO JIMI=NEZ Date penapated: Decec 29, 2 ® GKIA FINANCE AMERICA Closed - Exceptional payment history - a Account info Account name IOA FINANCE AMERICA Balance Account number 201462XXxx Balance updated Apr30,2022 - Drlglnal creditur Oilginal balance $12,358 Company sold - Mouthlypayment - Account type Auto �aaso Pest due amount Date opened Avg17,2020 Highest balance - Open/closed Closed Terms 36Months Status Pelt] sallslactoaily Respanslbllkty JaInt Account Status updated Apr2022 your statement Lu Payment history Jan Feb Mar Apr May Jun Jui Aug Sep Oct Nov Dec 2022 ✓ ✓ ✓ NA 2021 ✓ ✓ ✓ ✓ ✓ ✓ J ✓ ✓ ✓ ✓ ✓ 2020 — - ✓ 0a 11me NA No Appilca I.Payment Bl10,y — Date unava'rabde u Contact Into Address 4000 MACARTHUR BLVD STE NEWPORT BEACH, CA 9201) Phone number (866) 331-5632 & ComMentS Early telminadonlobligation sagsRed i,ttna mmn axnarian.r.nmfinemberlDrintable-reportlexperien/now l 8.G.1 19128 0 00 r Q Packet Pg. 285 12129122, 11:07 AM Experian an ,pygy ® ii r'�i�F Iry Prepared For SERGIO JIMENEZ Date generated: Dec 29, 2022 j ®KONLS/CAPONE closed Fxceptionat payment history 95 Account info Account name KOHLS/CAPONE Balance ' Account number 639305KXXXKXXXXX Balance updated mat 16,2013 original creditor - Credit limit $600 Companysold - Monthly payment ' Account type Charge Card past due amount ' Date opened Ju100,2009 Hlghestbalance $106 Openlclosed Closed Terms Revolving Statu9 Paidsatlsfactedly Responsthiiity Indlvldual Status updated Mer2013 Yourantement in Payment history Jan Feb Mar Apr May Jun Jul Aug Sep Oct N. Oec 2013 J J NA — — — — — — — 2012 J J J ✓ J ✓ J J ✓ ✓ J ✓ 2011 ✓ J ✓ J ✓ ✓ ✓ ✓ J J J J 2010 ✓ ✓ J ✓ ✓ ✓ ✓ J J ✓ ✓ ✓ — ..- ✓ J J ✓ J ✓ 2009 — — _ — ✓ On Time NA ke Applicable paymefi History — OaEe unave�fa6te o Contact Info Address N56 RIOcEWOOD DR MENOMONEE FAL, H1153051 Phone numbai (262) 703.7000 to Comments Account closed at credit grantor's request One due to Inactivity hiln.q-1/ii-a.excer[an.com/memberYI)rintable-reporUexperiarVnow 8.G.1 20128 0 00 r Q Packet Pg. 286 12129/22, 11 W AM Experian m ,F�qt� � xperl r i Prepared For SEftG10 JIMENEZ Date generalad;pec29,2022 � ®NISSAN MCTORACCEPTANC Closed Exceptional payment history o Account info Account name NISSAN MOTOR ACCEPTANC Balance Account number 102423XXXXXXXXX Belanceupdaled Mar31,2020 - original balance $24,945 Original creditor Company sold - Monthlypaymenl - Accounttype Auto Loan Past due amount Dateopened Oec30,2017 Hlghestbalanco Closed Terms 73 Months gpeNclosed Paid satisfactorily Responsibility Individual Status Status updated Mer2020 Your statement o Payment history Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Doc 2020 NA 2019 ✓ ✓ J ✓ ✓ ✓ ✓ ✓ J ✓ ✓ ✓ 26118 ✓ ✓ ✓ ✓ ✓ ✓ J ✓ ✓ ✓ ✓ ✓ 2017 J Onllme NA NOAppllable Paym¢cr Mslary — 6ata UnaYa�abte B Contact info Address po BOX 6603$0 DALLAS, TX 75266 Phone number (900) 950.6622 0 comments ti«r .n o, —rinn e.nmlmemherlorintabie-renortlexperianlnow 21128 0 00 r Q Packet Pg. 287 Experlan 12/29/22, 11:©7 AM q®gw� �loryn� Prepared Far SERGIO JIMENEZ Date generated: Dec 29, 2022 ® Closed GSVNe91WAtf,1A€r7 Exceptional payment history Account into Account name SYNCDlWALMART Dalanoe 603220xXXXXX Balance updated Jun 22,2014 Account number $1,400 4rtgina{csedifor - credit Ilmh _ Company sold - Monthly payment charge card Past due amount Account type Date opened Dec 18, 2013 Highest balance Revolving Open/closed Closed Terms Pa€dsatisfactoWy Responsibility Individual status Slaws updated Jun 2014 Your statement a payment 1113110yy Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec — 2014 ✓ J J J J NA — — — 2013 — — — — — — ✓ On Time NA No Applicable Payment KAM — om.unev Uble w Contact Into Address Po nox 965024 ORLANDD, FL 32896 Phone numbef (855) 893-5848 ® Comments Account closed st credit grantor's request s.u..... rr,�.. n, —lan r,nm1m Pm harinrl stable -repo rVeXAerlanlnow 22128 8.G.1 i 06 0 Z 0 00 r Q Packet Pg. 288 8.G.1 12129122, 11:07 AM Experian ,c%vv-%,m i r4 n Prepared For SERGIO JIMENEZ Date generated: 0ee 29, 2022 u.,.....,�....,, ,,.,.,,.��.. ��,,,rmamharinrintahle-rebortlexperlanlnow 23128 0 00 C d E L v .r r Q Packet Pg. 289 12/29/22, 11:07 AM Experian ®Arid Prepared For SEitGibSIMENEZ Date generaled:Dee 29,2Q22 a �6 Public records No puUte records repotted. hitnc•rrrr n axnarlan.romlmember/Driniable-repori/experianlnow 8.G.1 24128 0 CO C d E L v r r Q Packet Pg. 290 Experian 12129122, 11:07 AM ®p�j�ry , 60t��"" i Prepared For SERGSQJ3MENEZ l)atagenerated: [1eD29,2022 0 Inquiries 06 _ Z 700CR7NRPORY KIA DT 700CRIAtRPORT KIA [ITi, 7000WAIRPORT KIA DT d inquired on Sep 3, 2022 Inquired on Apr 12,2022 o €nquired n Oct 23,2021 Q Buslness Type: Automobile Dealers, Used Buoiness Type; Automobile Dealers, Used _ Business Type: Automobile Dealers, Used '. 3325 WESTVIEW DR 3325 WESMEW DR 3326 WESNIEW DR Z NAPLES, FL 34104 NAPLES, rL 34104 NAPLES, FL 34104 J (239)732-8910 (239)792-8910 (n (234)732-891Q This inquiry is scheduled to continue on record until Oct 2024 This inquiry is scheduled to continue 00 record uni41 May 2024 This Inquiry is scheduled to continua on record until Nov2023 I I 700ClYAlIIPORT KIA PT ALLY FINANCIAL ALLY FINANCIAL V - InquBad on Mar 12,2021 Inquired on Mar 122021 Inquired on Mar 12,2021 Q Business Type: Automobile Dealers, Used Buslness Type: Auto Financing Companies Busines s Type: Auto Hnandng CcmpaNes LU 3325 WESTVIEW DR 3010 W AGUAFRIA FWY STE 200 RENAISSANCE CTR V NAPLES, Ft 34104 PHOENIX, AZ 86027 DETROFr, IAI 48243 (239) 732.8910 (866) 462-Z770 (248) 263-3004 N LU This Inquiry is scheduled tecentlnue on record untli Apr 2029 This inquiry is scheduled to continue on record onbt Apr7023 This inquhyls scheduled to continue on recoiduntil Apf 202.3 Z_ CUNArR4D EMB/AMERISAVEMORYOAGE BK OF AMER Inquired on Feb 1, 2021 Inquired on Sep 23, 2022 Q Inquired on Mar 29, 2021 ' Business Type: All Banks - nonspecific Business Type: Bank credit Cards Business Type: Mofi9a0e Companies ' 541 BID MARTIN RD 4380 WESTOWN I STE 20 J PO BOX 982238 I DRAY, TN 37616 WEST DES MOINES, IA 50266 Z EL PA50 TX 79998 0 (SOO) 577-0232 (890) 333-0037 1421-2110 This Inquiry is scheduled to continue on record until Apr2023 This inquiry is scheduled to continue on record our Mu 2023 This inquiry is scheduled to cominueon record unlll Oct 2024 Q U_ J d - I Q EXPFRIAN BUSINESS CREO I EXPERIAN BUSINESS CRED EKPERIAN BUSINESS CBED Inquired on Jun 3U, 2021 Inquired on May 12, 2021 Inquired on Sep 9, 2022 Business Type: Credit Bureaus Buslness Type: Credit Bureaus 8usiness Type: Credit Bureaus Z PO BOX 5001 PO BDX 6001 Ill PO BOX 5001 COSTA MESA, CA 92628 COSTA MESA, CA 92626 COSTAMESA, CA 92628 Z This lnqulry is scheduled to continue an record until Oct 2024 This Inquiry is scheduled to continue on record until Jul 2023 This Inquiry is scheduled toconlinue on record until Jun 2023 0 FDIFIFTHTHIRD BANK NA HYUNDAI CAPITAL AMEBIC JPMCB CARO Inquhed on S%23, 2022 Inquired on Sep 3, 2022 Ivgvired on Jan 11, 2022 8usiness Type: All Banks - nonspecific Business Type:Aute financing Companies 8usiness Typa: Bank Credit Cards 50al KINGSLEY DR 4000 MACARTHUR BLVD STE PO BOX 15298 me NRATI, OH 45227 NEWPORTBEACH, CA 92660 WILMINOTON, DE 19850 (513) 358-2457 (714) 965-3000 (900) 432-3117 This Inquiry is scheduled to continue on record until Oct 2024 This Inquiry is scheduled to continue on record until Oct 2024 This inquiry is scheduled to conl[nueon record until Feb 2024 PN00ANK PNC BANK SUNCOAST CREDIT UNION 00 [nquired on 0cl 24.21)21 Inquired on Mar 26, 2021 Inquired on Jun 1, 2021 +' C 8usiness Type;All Banks - no" speclNc Buslness Type: All Banks -non speciric , Duslness TyPe:Credlt Unions 26128 hiinwlit igfLPxoeria n,cpmlnowlmemberiprl ntable-reporilexperial � R r Q Packet Pg. 291 12129122, 11:07 AM Experlan 272B JIBERI'; AVE 2730 LIBERTY AVE 6801 P H ILLSBOROUGH AVE PITTSBURCH, PA 15222 PITTSWRGH, PA 15222 TAMPA, FL 33610 By mail only By mail only (013) 621-7511 This Inquiry is scheduled to continue on record until NW2923 This Inquiry is scheduled to continue on record until Apr2023 This Inquiry is&Cheduled to continue on record unt11Ju12023 SUNCOAST CREDIT UNION THO/CUNA XACrUS-CP Inquired on hMor 15, 2021 tnqu[red on Jan 11, 2022 Inquired on Fch I Z 2021 BusWSS Type: Credit Unions Business Type: All Banks -non specl5o Business Type: Mortgage Reporters 6801 E HILLSBOROUGH AVE 2195 N UNIVERSITY PART( B 315SO WINTERPLACE PKWY TAMPA, FL 33610 _ LAYTON, UT 84041 SALISMIRY, MV 21004 (813) 621-7511 By meld only (410) 742,9551 This Inquiry is scheduled to conitaue on record until Apr 2023 This inquiry is scheduled to continue on record un64 reh 2024 This Inquiry is scheduled to conUnue on recodunfl Mar 2023 htlnw/h iBa.axnarlan.comlrnamber/printable-reportlexperlan/now 26128 0 00 C d E L v r r Q Packet Pg. 292 12/29122, 11:07 AM ,expenam a Credlt scores ncoll score 8 coos 67a• 739 0 ,Y f 30g 850 FICOSCORE8 Exp edan d•r• r rnarrcre Experian Prepared For SERGIO JIMENEZ Date generated: Dec 29, 2022 Your score Is nearer slightly shove the average of V.S. consumers and most lenders consider this a good score. What's helping v Dills puldontime recently • You've recanity been paying your bills on time. • Your most recent missed payment happened! 5 Years, 6 Months ago • Aboul9a%ofF[Co High Achievers have no missed payments at all, But of those who do, the missed payment happened nearly 4 years ago, on average, • while you have missed payments in the fast, You have raomly been paying your Wife on time. Staying current end paying b'dls on time demanstroles lower risk. Many accounts paid on time • You have a sufficient number of accounts that are currently paid as agreed. • Number fyour accounts currently being paid asagreed: ilacwunts • nCO High Achievers havean average of 6 accounts currently being paid as agreed. • "Cot Scores consider the number of accounts that ere being paid as agreed -In your case this number is high -Staying current and paying hilts on time demonstrates lower risk Recent credit Bard usage • You've shown recent use of credit cards and/or hsnk4691,10d openendad accounts. • FIC08 Scores evaluate the mix of credit cards, Installment loans end mortgages. People who demonstrate recent and responsible use of credit cards and/or bank -issued operrended accounts are generally considered less risky to lenders. Whafs hurting -- Sariousdelmquency • You have a serious delinquency(60 days past due or gteater) at derogatory Indicator on your credit report. Number of your accounts that were ever 60 days late or worse or have a derogatory Indicator. 7 account • VlttualFy no FiCO µigh Achievers have a60days late payment or worse listed an their cred{I report. • The presence ofaserious dedingaency or derogatory Indicator is n highly correlated predlcloe of future payment dsdr. people withprevious date payments are more likely to pay late In tha futare.Aa the so Items age, they will have leas Impact on the FICOsr Score. Most Inte payments stay an your report for no more then seven yenm. — short accounthlstory • You have a short credklhlstouy. Your oldest account was opened: 1 A Years, A Months ago • FICO High Achievers opened their oldest account 25yearo ago, on average. • Avarage age of your accounts: A Years, A Months • IRost HCO High Achievers have an average age of aaotmts of 9 years or more. • People with longer credit histories who infrequently open new accounts generally pose less risk to lenders. In your case, the age of your oldest account and/or the average age of your Accounts is Madvety low. het—m— Avrtarlan.nnmlmemberlDrintable-reportlexperlanlno w 27128 8.G.1 06 0 0 00 C d E t v .r r Q Packet Pg. 293 12129/22, 11:07 AM Experian i1i1® � x ri 61- Prepared For SERGIO JIMENEZ oategenerated:Dec 29,2022 W Disclaimer About your FICOo Score a or other FICO® Scores ` Your RCO® Score 8 powered by Fxpedan data is formulated using the information in your credit file at the time It is requested. Many but not all lenders tree FICOO Score 8. In addition to the FICOe Score 0, we may oiler and provkte other base or industry -specific FICO® Scores (such as FICO® Auto Seoras and Fii:Oe 8ankeard Scores). The other FICOa SooreS made available are calculated from verslons oft" base and Industry-speclfro wo® Store models. Base flCoo Scores (Including the FIC04 Score B) range from 300 to 858, Industry -specific WOO Scores range from 256-g00. Wlgher scores represent a greater likelihood that youll pay hack your debts so you are vtewed as being a lower credit risk to lenders. A lower FiCOa Scom Indlcatea to lenders that you may ha a highar credit Ask. There era many serving models used in the marketplace. The We of score used, and Its assuclated risk levels, may vary from lender to tender. But regardless of what scoring model Is used, they all have one purpose: to summarize your creditworthiness, Keep In mind that your score Is just one factor used In the appl Ieatlon process. Other factors, such as your annual salary and length of employment, may also he r onsrdered by lenders when you apply for a loan. What this means to you: Credit seodng can help you understand your overall credit rating and help compantes better understand how to serve you. Overall benefits of credit scodng have tncluded faster credit approvats, reducllon to human error and bias, consistency, end holier terms and rates for American consumers through reduced costa and tosses for lenders. Your tender or Insurer may use a different FICOO Score than FIC05 Score 0 or other base or industry - specific rICO® Scores provided by us, or different scoring models to determine how you score. t,tt-a.--nartanrnmlmp.niharinrintahlp-renortlexuerianlnow 8.G.1 28128 0 W C d E L V t4 r r Q Packet Pg. 294 CHASEO JPMorgan Chase Bank, N.A. P O Box 182051 Columbus, Oil 43218 -2051 00397616DRE02121027422NNNNNNNNNNN 10W000000640M APM SOLUTIONS CORP 101 CEDAR CREST CT NAPLES FL 34113.8930 September 01, 2022 through September 30, 2022 Account Number: WWDW357 CUSTOMER SERVICE INFORMATION Web site: chase.cai":. Service Center: 1-800-242 733� Deaf and Hard of Hearing: 1-800-242-7383 Para Espanol: 1 888 622 4273 International Calls: 1-713-262-1679 Important changes: Chase Business Complete Checking8m Starting with the October monthly statement period, we're updating the ways you can avoid the Monthly Service Fee, as follows: If you meet any of the following qualifying activities for each Chase Business Complete Chocking account In a monthly statement period, we wi€I waive the $15 Monthly Service Fee: • Maintain a linked Chase Private Client Checkings'A account OR • Meet Chase Military Banking requirements OR • Fulfill at least one of the following qualifying activities: 1, Minimum Daity Ending Baance: Maintain a minimum daily ending balance of at toast $2,000 in the Chase Business Complete Checking account each business day during the monthly statement period' 2. C e P e t Sol i ss"' : Have at least $2,000 of aggregate eligible deposits2 into the.Chase Business Complete Checking account at least one day before the end of the monthly statement pertod3 using one or more of the following: • Chase QulckAcceptsm Including Chase Smart Terminals"' InstaMed Patient Payments and InstaMed Patient Portal • Other eligible Chase Payment Solutions products" 3, Chase Ink® Business Card Activil : Spend at least $2,000 on eligible purchasess in the most recent monthly Ink card billing cyclea 'The monthly statement period for Chase Business Complete Checking ends on the last business day of each month. For the purposes of the Minimum 0ally Ending Balance requirement, the last day of the monthly statement period is excluded. ZEllgible deposits are net of chargabacks, refunds, or other adjustments. 3The cutoff time 'for eligible deposits from QuickAccept,'InstaMed, and'other eligible Chase Payment Solutions, Is 11.59.p.m. Eastern Time'one day prior to the fast day of your Chase Business Complete Checking monthly statement period. For example, If your Chase Business Complete Checking monthly statement period ends on November 30, the cutoff time would be 11,59 p.m. Eastern Time on November 29. 4An eligible product has a transaction history that is viewable on Chase Business Online, Chase Connect ®, or J.P. Morgan Access®, 6Eligible purchases must be made using Chase Ink Business Card(s) associated with the same business as your Chase Business Complete Checking account, as reflected in Chase records, and must earn Chase Ultimate Rewards a points. Certain purchases and transactions are excluded from earning Chase Ultimate Rewards points, as described In your Rewards Program Agreement available on ch ase.comlu t tim atereward s. 6The most recent monthly Ink billing cycle will be used if it's different from your Chase Business Complete Checking monthly statement period. Pogo 1 of 4 06 0 Z a Q U Z a J a H Z O U 0 LU I— U I— to lL C9 Z d Q U in C3 Z Q J Z O H a U_ J d a Q H H Z W 0 Z O U W in N W Z F- LU Z Q 00 C d E L rJ R r r Q Packet Pg. 295 8.G.1 CHASECO September 01, 2022 through September 30, 2022 Account Number. 357 ATM & DEBIT CARD WITHDRAWALS.(cnnilnued} AMOUNT DATE DESCRIPTION 09129 Card Purchase With Pin 09129 Shell Service Station Naples FL Card 6276 59.28 ' Total ATM & Debit Card Withdrawals ®TEA 1L 11EBli (:®R® SUMMARY Andrew Pedro Martinez Card 6276 Total ATM Withdrawals & Debits Total Card Purchases $11,977.75 Total Card Deposits & Credits $0.00 ATM & Debit Card Totals Total ATM Withdrawals & Debits $0.00 Total Card Purchases $1,977.76 Total Card Deposits & Credits $0.00 ELECTRONIC WITHDRAWALS DATE DESCRIPTION 09106 Orig CO Name:GM Financial Orig ID:1522190781 Desc Date:220903 CO Entry AMOUNT $1,14010 Descr:Gm1 PytTtl Sec:PPD _Traceft:091000010098407 Eed:220906 Ind ID: Orig CO Name:Fpi Direct Debit Orig tD:3590247775 Desc Date:09/22 CO Entry 341.8 Descr:Elec Pymt Sec:Web Trace#:111000015690817 Eed:220915 Ind ID:3200114506 Webi Total Eleotronio Withdrawals $1,488,63 DAILY ENDING BALANCE DATE AMOUNT DATE AMOUNT DATE AMOUNT 09101 $8,460.05 09112 10,092.41 09/21 11,002,77 09/02 8,166.47 09114 11,599.00 09122 12,602.77 09106 6,421.24 09/15 11,257,17 09/27 12,554.76 09107 7,660.10 09116 11,226.01 09/29 12,395.4$ 09/08 7,953.02 09/19 11,072.48 09/30 12,328.29 09109 10,107.41 Page 3 of 4 (9 00 C ty E L V R r r Q Packet Pg. 296 8.G.1 CHASEO JPMorgan Chase Bank, N.A. P O Box 162051 Columbus, OH 43218 -2051 00396093DnE02121080522NNNNNNNNNNN 1000000000640M APM SOLUTIONS CORP i01 CEDAR CREST CT NAPLES FL 34113-8930 October01, 2022 through Oc 2022 Account Number: 00001 357 CUSTOMER SERVICE INFORMATION Web site: Chaso.00m Service Center: 1 P800-242 7336 Para Espanol: 1.888-622-4273 International Calls: 1-713-262-1679 CHECKING SUMMARY I Chase Business Complete Checking INSTANOtS AMOUNT Beginning Balance $12,328,29 Deposits and Additions 4 4,144.24 Checks Paid 5 -5,503A0 ATM & Debit Card Withdrawals 20 -4,115.56 Electronic Withdrawals 3 -1,959.02 Ending Balance 32 $4,894.95 Congratulations, we waived the $15 Monthly Service Fee for this statement period, .basod on your qualifying activity. How to Avoid the Montht service tree MS If you meet any of the fallowingg flying activities for this Chase Business Complete Checking""' account in a statement period, we Wit waive the $15 IUSF. Here's the business activity we used to determine if you qualified for the MSF waiver. • ODO Minimum Daily Ending Balance; Your lowest daily ending balance was $4,308.71. • 000 Chase Pa merit Solutlo ss"'Aetivit ' $0.00 was deposited into account. • 000 Chase int< Business Card Activity: $0.00 was your total Ink activity. You can also avoid the MSF if you: • Maintain a linked Chase Private Client CheckingPm account OR • Meet Chase -Military Banking requirements For complete details on all requirements to avoid the MSF, please 1. review the Additional Banking Services and Fees for Business Accounts at chase.com/business/disclosures or visit a Chase branch. DEPOSITS AND ADDITIONS 11 - .. AMOUNT Total Deposits and Additions '"' I- Page 1 of 4 (9 00 c d E t v R r r Q Packet Pg. 297 8.G.1 Oclober 01, 2022 through October 31,2022 Account Number: 357 ELECTRONIC WITHDRAWALS DATE DESCRIPTION AMOUNT 10103 Orig CO Name:GM Financial Orig ID:1522190781 Desc Date:221003 CO Entry $1,140.70 Descr.Gmf Pymt Soo:PPD _Trace##:091000016995969 Eed:221003 Ind ID: 10107 Orig CO Name:Fpl Direct Debit Orig ID:3590247775 Desc Date:10/22 CO Entry Descr:Elec Pymt Sec:Web Trace##:111000010103252 Eed:221007 Ind ID:3200114506 Webii 10111 Orig CO Name:Amerfcan Express prig ID:z0UbWz11 I uesc uate:ez,ul I c.v r-auy w DeSCrACH Pmt .Seo:CiCiD Trace#k:021000025618261 Eed:221011 Ind ID:M4154 Ind Name:Androw Martinez Total Electronic Withdrawals $1,959.02 DAILY ENDING BALANCE DATE AMOUNT 10/03 $10,64268 10107 10,079,79 10/11 9,117.80 10/12 8,812.80 10113 8,790.37 DATE AMOUNT 10/14 7,531.63 10/17 5,634.57 10/18 5,382.46 10/19 5,191,08 10/21 5,411,93 IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR ELECTRONIC FUNDS TRANSFERS: DATE AMOUNT 10/24 4,308.71 1 MCI 7,552.95 10/28 7,172.95 10131 4,894.96 Call us at 1-066-564-2262 or write us at the address on the front of this statement Immediately if you think your statement or receipt is incorrect or if you need more information about a transfer listed on the statement or receipt. For personal accounts only: We must hear from you no later than 60 days after we sent you the FIRST statement on which the problem or error appeared. Be prepared to give us the following Information: • Your name and account number; A description of the error or the transaction you are unsure about, and why you think it Is an error or want more Information; and • The amount of the suspected error. We will Investigate your complaint and will correct any error promptly. ff we take more than 10 business days (or 20 business days for now aocountsl to do this, we Wit crodil your account for the amount you think is in error so that you will have use of the money during the time It takes us to complete our investigation. For business accounts, see your deposit account agreement or other applicable agreements that govern your account for details. IN CASE OF ERRORS OR QUESTIONS ABOUT NON -ELECTRONIC FUNDS TRANSFERS: Contact us immediately It your statement is an seem t or 11 you he€ a d moree formation about aovemn oueCaceoufunds transfers on this statement. For more details, see your deposit account g applicable 9 9 Y JPMorgan Chase Bank, N,A. Member FDIC Page 3 of 4 0 00 C d L V R r r Q Packet Pg. 298 8.G.1 CHASEO JPMorgan Chase BaO, N.A. P O Box 182051 Columbus, Oft 43218-2051 00392899DRE02121033522NNNNNNNNNNN 1000000000640000 APM SOLUTIONS CORP 101 CEDAR CREST CT NAPLES FL 34113-8930 November 01, 2022 Through November 30, 2022 Account Number: 0000 2357 CUSTOMER SERVICE INFORMATION .Web site: Chase.oam Service Center: 1-800-242.7338 Para Espanol; 1-888-622-4273 Intemational Calls: 1-713-262-1679 CHECKING SUMMAChase Business Complete Checking INSTANCES AMOUNT Beginning Balance $4,894.95 Deposits and Additions 9 11,338.54 ATM & Debit Card Withdrawals 36-5,502.62 Electronic Withdrawals 6 6,400.42 Ending Balance tit $4,330.45 Congratulations, we waived the $15 Monthly Service Fee for this statement period, based on your qualifying activity. How to Avoid the Monthly Service Fee (MSF) If you meet any of the following qualifying activities for this Chase Business Complete Checking$" account in a statement period, we will waive the $15 MSF- Horde the business activity we used to determine if you quat€fied for the MSF waiver: •$2.000 Minimum Daily Pndinq Balance: Your lowest daisy ending balance was $2,939.26. • Ob0 Chase Pa ant Solutions Activit : $0.00 was deposited into this account. • $2 Oc0 Chase Inte Business Card Activity: $0.00 was your total Ink activity. You Can also avoid the MSF if you: • Maintain a linked Chase Private Client Checkingsaccount OR' • Meet Chase Military Banking requirements For complete details on all requirements to avoid the MSF, please roview the Additional Banking Services and Fees for Business Accounts at chaso.comlbusiness/disclosures or visit a Chase branch. nEPOsiTS AND ®1"lIDIT1(�f�6S DATE DESCRIPTION AMOUNT $440.00 11/03 Remote Online Depod 1 11/07 Remote Online Deposit 1 130.90 11/10 Remote Online Deposit i 5,000.00 11/14 Remote Online D0 oslt 1 1,300.00 11114 Online Transfer From Chk ...7522 Transactional: 15770382085 208.65 11118 Remote Online Deposit 1 1,300,00 11/18 Romote Online Deposit 1 158.99 11/25 Online Transfer From Chk ...7522 Transactional: 15877742789 1 500.00 11/28 Remote Online De osit i 1 3E30.00 Total Deposits and Additions $11,338.54 Page 1 014 0 00 C d E L V l4 r r Q Packet Pg. 299 8.G.1 CHASEO November 01, 2022 through N 0, 2022 Account Number: 357 DATE 11103 11/07 DESCRIPTION Orig CO Name:GlVlFinancial Orig ID:1522190781 Desc Date:221103 CO Entry Descr:Gmf Pymt Seo:PPD Traoe##:091000019364735 Eod:221103 Ind ID: Ind Name:Andrew Martinez Tm: 3079364735Tc Orig CO Name:Fpl Direct Debit Orig ID:3590247775 Dosc Date:11/22 CO Entry Descr.Elec Pymt Sec:Web Traoel#:i11000018928207 Eed:221107 Ind ID:3200114506 Webi Ind Name:Andrew P Martinez 000p000000000000p000 Tm:3118928207Tc AMOUNT $1,140,70 359.72 11/14 Orig CO Name:American Express Orig ID:2005032111 Desc Date:221114 CO Entry Ind IDW1438 1,000.00 Descr:ACM Pmt Sec:CCD Trac(41;021000024003798 Eed:221114 Ind Narne:Andrew Martinez Er Am Tm:3184003796Tc 11/23 Zelle Payment To Will Tree Service Jprn9991vclmn 1,200.00 11/25 11/25 Online Transfer To Chic ...7522 Transaction#: 15877763187 300.00 11/30 11/30 Online Transfer To Chk ..7522 Transaction#: 16917738929 2,400.00 Total Electronic Withdrawals $6,400,42 DAILY ENDING BALANCE DATE AMOUNT DATE AMOUNT DATE AMOUNT 11/02 $4,285.05 11/10 5,272.97 11/23 4,838.12 11/03 3,497.31 11/14 5,264.31 11/25 5,925.76 11/04 3,459.12 11/15 5,258.50 11/28 7,170.29 11/07 3,145.93 11118 6,362.04 11/29 7, f 61.66 11/09 2,939.26 11121 6,179,37 11130 4,330.45 IN CASE OF ERRORS OR (QUESTIONS ABOUT YOUR ELECTRONIC FUNDS TRANSFERS: Call us at "66-564-2262 or write us at the address on the front of this statement immediately if you think your statement or receipt is Incorrect or if you need more Information about a transfer listed on the statement or receipt. For personal accounts only: We must hear from you no later than 60 days after we sent you the FIRST statement on which the problem or error appeared. Be prepared to give us the following Information: Your name and account number; A descriptlon of the error or the transaction you are unsure about, and why you think It Is an error or want more Informatlon; and The amount of the suspected error. We will investigate your complaint and will correct any error prompliyY. II we take more than 10 business days for 20 business days for new accounts) to do this, we will credit your account for the amount you Otink is in error so that you will have use of the money during the time it takes us to complete our Investigation. For business accounts, see your deposit account agreement or other applicable agreements that govem your account for details. IN CASE OF ERRORS OR QUESTIONS ABOUT NON -ELECTRONIC FUNDS TRANSFERS: Contact us immediately if your statement Is Incorrect or If you need more Information about any non -electronic funds transfers on this statement, For more details, see your deposit account agreement or other applicable agreements that govern your account. JPMorgan Chase Bank, N.A. Member FDIC Page 3 of 4 0 00 C d E L V R r r Q Packet Pg. 300 Statement Period Date; 9/1/2022 - 9/30/2022 8•G.1 Account Type: 5/3 BUS STANDARD CKG Account Number:-4573 FIFTH THIRD BANK (SOUTH FLORIDA) -� P.O. BOX 630900 CINCINNATI OH 45263-0900 Banking Center; Carillon 06 ADS LANDSCAPING & IRRIGATI 0 Banking Center Phone: 239-261-6110 9341 CHESTNUT TREE LOOP Business Banking Support: 877-534-2264 z FORT MYERS FL 33967-5134 6294 r Account Summary - 09/01 Beginning Balance $24,625.39 Number of Days in Period 30 38 Checks $(31,713.16) 17 Withdrawals / Debits $(38,525.31) 8 Deposits / Credits $54,303.39 09130 Ending Balance $8,69Q.31 Analysis Period: 08/01/ 22 - 08/31/22 Standard Monthly Service Charge $11.00 Standard Monthly Service Charge Waived (see below) -$11.00 Service Charge withdrawn on 09/13/22 $0.00 Standard Monthly Service Charge waived if: Current Relationship Overview: Your business maintains a total monthly average Balance Criteria Met? Yes balance of $3,500 across its business checking, savings, Total Combined Monthly Average Balance $30,022.84 and certificate of deposit accounts. OR your business spends at least $500 per month on Other Criteria Net? No Its business credit card. $500 Business Credit Card Spend? No Checks 38 checks totaling $31,713.16 Q * Indicates gap In check sequence I = Electronic Image s = Substitute Check r Number Date Paid Amount Number Date Paid Amount Number Date Paid Amount ~ 18341 09/06 94.16 1857*1 09/02 250.00 18751 09/20 615.00 1838*1 09/06 1,050.00 18581 09/07 700.00 18761 09/70 615.00 W 1841*1 09/01 675.00 18591 09/07 2,240.00 18771 09/19 630.00 Z 1846*1 09/02 780.00 18601 09/09 525.00 18781 09/20 900.00 0 18471 09/08 1,100.00 1862*1 09119 1,050.00 18791 09/19 500.00 18481 09/06 525.00 18631 09/12 810.00 18801 09/26 900.00 LU 18491 09/06 1,260.00 18641 09/13 675.00 18811 09/26 525.00 18501 09/06 1,260.00 18651 09/13 675.00 1883*1 09/26 1,260.00 N LU 18511 09/06 972.00 18661 09/13 585.00 18841 09/23 1,260.00 Z 18521 09/06 810.00 1869*1 09/12 375.00 18851 09/26 972,00 18531 09/06 810�00 18701 09/16 525.00 18861 09/26 756.00 Q 18541 09/06 702.00 1673*1 09/19 1,218.00 18871 09/26 1,080.00 18551 09/07 1,080.00 18741 09/19 954.00 d W Z Q 00 C d For additional Information and account disclosures, please visit www.63.com/buslnessbanking Page 1 of 2 E t v .r r Q Packet Pg. 301 8.G.1 F'IPTH THIRD BANK Withdrawals / Debits Date Amount 17 items totaling $38,525.31 Description 09101 105.00 DEBIT CARD PURCHASE AT CITY OF NAPLES, 2392131801, FL ON 083122 FROM CARD#: XXXXXXX)0"2019 09/01 150.00 DEBIT CARD PURCHASE AT CITY OF NAPLES, 2392131801, FL ON 083122 FROM CARD#: XXXXXXXXXXXX2019 09101 762.08 AFCO AFCO 0154693292 ADS LANDSCAPING & 090122 09/02 2,161.00 AMTRUST NA PAYMENT 34856981 ADS LANDSCAPING IRRI 090222 09106 80.00 RECURRING PURCHASE AT INTUIT *QBooks Onl, CL.INTUIT.COM, CA ON 090522 FROM CARD#: XXXXM)00()(X2019 09106 1,053.38 HERITAGE LANDSCA HERITAGE BT0902 000000190171854 ADS 1ANDSCAPEING & IR 090622 09/06 4,399.82 WEB INITIATED PAYMENT AT CHASE CREDIT CRD EPAY 6173868064 090622 09109 707,55 PNC BANK-IL-INDR LOAN PYMT 332008135060324 090922 09/13 45.00 MERCHANT PAYMENT 7-ELEVEN - MSIN014401 Colonial Blvd US Fort Myers FL ON 091322 FROM CARD# XXXXXXOOOQOOC211X 09114 197,68 PYMT TO NNT PEARL HOLDIN - 985917 11575 HERON BAY BLVD 30 CORAL SPRINGS FL 09/15 153.75 DEBIT CARD PURCHASE AT EB HERITAGE CARES, 8014137200, CA ON 091422 FROM CARD#: XXXXXXKX)0(XX2019 09/15 24,081.70 HERITAGE LANDSCA HERITAGE BT0914 000000191550905 ADS LANDSCAPEING & IR 091522 09116 903.75 Ascendant Insura VENDOR PMT #210351127 091622 09/16 63,88 FUNDS TRANSFER DEBIT REF # 00340511704 UNPROCESSED DEPOSIT 09128 595.12 PNC BANK-IL-INDR LOAN PYMT 332008134247128 092822 09/79 904.60 DEBIT CARD PURCHASE AT HIDEAWAYPR941-739-, 877-755-1166, FL ON 092722 FROM CARD#: XXXXXX)DO000I2019 09/30 2,161.00 AMTRUST NA PAYMENT 34968339 ADS LANDSCAPING IRRI 093022 Deposits / Credits 8 items totaling $54,303.39 Date Amount Description 09/02 5,349,00 MOBILE DEPOSIT 09/07 830.00 MOBILE DEPOSIT 09/07 3,500.00 MOBILE DEPOSIT 09113 43,579,40 DEPOSIT 09/15 295.00 MOBILE DEPOSIT O9/15 9,99 FUNDS TRANSFER CREDIT REF # 00339786581 PROVISIONAL CREDIT FOR DISPUTED ITEM 09119 415,00 MOBILE DEPOSIT 09/26 325.00 MOBILE DEPOSIT Daily Balance Summary Date Amount Date Amount Date Amount 09101 22,933.31 09/12 8,867.40 09120 18,779.03 09/02 25,091.31 09113 50,466.80 09123 17,519.03 09/06 12,074,95 09/14 50,269.12 09/26 12,351.03 09/07 12,384.95 09/15 26,338.66 09/28 11,755.91 09/08 11,284,95 09116 24,846.03 09/29 10,851.31 09/09 10,052.40 09/19 20,909.03 09/30 8,690.31 IF YOU USE TREASURY MANAGEMENT SERVICES, PLEASE NOTE THAT WE HAVE UPDATED OUR TERMS AND CONDITIONS. GO TO 53.COM/TM-TCTO VIEW. 0 00 C d Page 2 of 2 E t v .r r Q Packet Pg. 302 8.G.1 Statement Period Date: 10/1/2022 - 10/31/2022 Account Type: 513 BUS STQkA&Q CKG E'IFTK THIRD BANK Account Number: 573 (SOUTH FLORIDA) P.O. BOX 630900 CINCINUKU OH 45263-0900 Banking Center: Carillon ADS LANDSCAPING & IRRIGATI 0 Banking Center Phone: 239-261-6110 9341 CHESTNUT TREE LOOP Business Banking Support: 877-534-2264 FORT MYBRS FL 33967-5134 6278 Account Summary o P3 10/01 Beginning Balance $8,690.31 Number of Days In Period 31 37 Checks $(34,965.00) 15 Withdrawals / Debits $(22,216.11) 8 Deposits J Credits $104,217.16 10/31 Ending Balance $55,726.36 Analysis Period: 09/01/22 - 09/30/22 Standard Monthly Service Charge $10.00 Standard Monthly Service Charge Waived (see below) -$10.00 Service Charge withdrawn on 10/13/22 $D.00 SUridard Monthly Service Charge waived if: Your business maintains a total monthly average balance of $1,000 across Its business checking, savings, and certificate of deposit accounts. OR your business spends at least $500 per month on Its business credlt card, Current Relationship Overview: Balance Criteria Met? Yes Total Combined Monthly Average Balance $19,516.12 Other Criteria Met? No $S00 Business Credit Card Spend? No Checks 37 checks totaling $34,965.00 * Indicates gap In check sequence i = Electronic Image s = Substitute Check Nunber Date Paid Amount 18121 10/25 1,200.00 1823*1 10/25 1,200.00 1837*1 10/25 1,200.00 1861*1 10/17 1,050.00 1872*1 10/17 1,218.00 18B8*€ 10/03 525.00 1890*1 10117 1,260.00 18911 10/05 840.00 18921 10/03 810.00 18931 10/04 630.00 18941 10/11 1,080,00 18951 10/03 250.00 18961 10/11 700.00 Number Date Paid Amount Number Date Paid Amount 18971 10/11 525,00 19111 10/17 500.00 1899*i 10/11 840.00 19121 10/21 525.00 19001 10/12 840,00 1915*i 10/27 972.00 19011 10/11 648.00 19161 10/25 756.00 19021 10/11 504.00 19171 10/31 900.00 19031 10/11 360.00 1918 € 10/21 840.00 19041 10/12 1,050.00 1919 i 10/25 5,000.00 19051 10/17 525.00 1921*i 10/31 525.00 1907*1 10117 1,260.00 1925*€ 10/31 978.00 19081 10/14 972.00 19261 10/28 610.00 1909 i 10/18 756.00 19271 10/31 756.00 19101 10/ 18 1,080.00 19281 10/31 1,080 m For additional Information and account disclosures, please visit www.53.com/bus[nessbanking 0 00 c d Page 1 of 2 v R .r r Q Packet Pg. 303 8.G.1 FIFTH ililFiD BANK (SOUTtiFLORIDA) P.0. BOX 630900 CrNC1NNATr ON 95263-0900 ADS LANDSCAPING & IRRIGATI 0 9341 CHESTNUT TREE LOOP FORT MYERS FL 33967-5134 6304 Statement Period Date: 11/1/2022 - 11/30/2022 Account Type: 5/3 BUS STCKG Account Number 573 Banking Center: Carillon Banking Center Phone: 239-261-6110 Business Banking Support: 877-534-2264 1, Account Summary �573 I 11/01 Beginning Balance 45 Checks 14 Withdrawals / Debits 7 Deposits / Credits 11/30 Ending Balance Analysis Period: 10/01/ 22 - 10/31/ 22 $55,726.36 $(38,793.89) $(25,437,68) $33,165.00 $24,659.79 Standard Monthly Service Charge Standard Monthly Service Charge Waived (see below) NEGATIVE COLLECTED FEE 9 Service Charge withdrawn on 11/10/22 Number of Days in Period $10.00 -$10.00 $18,00 $18.00 30 9Collected balance is the cash balance minus checks drawn on other banks deposited in the last 2-5 days, Negative collected balance occurs when you drew upon those funds before the deposited checks are cleared. Standard Monthly Service Charge waived if. Your business maintains a total monthly average balance of $1,000 across its business checking, savings, and certificate of deposit accounts. OR your business spends at least $500 per month on Its business credit card, Checks * Indicates gap In check sequence i Electronic Image Number Date Paid Amount 18561 11/04 1,200.00 1868*1 11/04 1,200.00 1914*1 11/10 1,050.00 1920*t 11/08 3,000.00 1923*1 11/10 840.00 19241 11/04 282.00 1929*1 11/04 550.00 19301 11/04 525.00 1932*1 11/10 880.00 19331 11/04 1,038.00 19341 11/04 1,026.00 19351 11/08 630.00 19361 11/08 1,080.00 19371 11107 130.90 19381 11/04 282.00 Current Relationship Overview: Balance Criteria Met? yes Total Combined Monthly Average Balance $29,227.15 Other Criteria Met? No $500 Business Credit Card Spend? No 45 Checks totaling $38,793.89 s = Substitute Check Number Date Paid Amount Number Date Paid Amount 19391 11/04 1,320.00 19571 11/22 900.00 19401 11/18 525.00 19581 11/18 1,300.00 1942*1 11/28 1,320.00 19591 11/29 500.00 19431 11/14 1,026.00 19601 11/21 756.00 19441 11/15 756,00 19611 11/21 597.00 19451 11115 1,080.00 19621 11/18 158,99 19461 11114 1,300.00 1964*1 11/25 525.00 19471 11/14 700.00 1966*1 11/28 1,320,00 19481 11/14 500.00 19671 11/25 1,064.00 19491 11/14 500.00 19681 11/29 756.00 19501 11/21 378.00 19691 11/28 1,080.00 1952*1 11/21 525,00 19701 11/28 1,300.00 1954*i 11128 1,100.00 19711 11/25 723.00 19551 11/21 1,026.00 19721 11125 784,00 19561 11121 756.00 1974*1 11/25 504.00 For addillonal information and account disclosures, please visit www.63.com/buslnessbanking 0 00 C d Page 1 of 2 v ns .r r Q Packet Pg. 304 0 FIFTH THIRD BANK Withdrawals / Deblts 15 Items totaling $22,216.11 Date Amount Description 10/03 2.89 DEBIT CARD PURCHASE AT PAYMENTUS CORP, 9802723788, NC ON 093022 FROM CARD#: XXXXXXXXXXXX2019 10/03 100.00 DEBIT CARD PURCHASE AT COLLIER COUNTY, 2392528999, FL ON 093022 FROM CARD#: XXXXXXXXXXXX2019 10/03 762.09 AFCO AFCO 0154693292 ADS LANDSCAPING & 100322 10/04 238.00 WEB INITIATED PAYMENT AT HOME DEPOT ONLINE PMT 600870348273574 100422 10/05 146.83 WEB INITIATED PAYMENT AT CHASE CREDIT CRD EPAY 6237644947 100522 10/05 80.00 PYMT TO INTUIT 18004INT - 004 INTUIT 18004INTUIT MOUNTAIN VIEW CA 10/ll 707.55 PNC BANK-IL-INDR LOAN PYMT 332008135060324 101122 10/13 37.00 OVERDRAFT FEE 10/17 194.92 PYMT TO NNT PEARL HOLDIN - 985917 11575 HERON BAY BLVD 30 CORAL SPRINGS FL 10/18 903.75 Ascendant Insura VENDOR PMT #215771800 101822 10/19 13,313.54 HERITAGE LANDSCA HERITAGE BT1018 000000195679801 ADS LANDSCAPEING & IR 101922 10/20 2,718.42 WEB INITIATED PAYMENT AT HOME DEPOT ONLINE PMT 630884313793448 102022 10/25 255.00 DEBIT CARD PURCHASE AT CITY OF NAPLES, 2392131801, FL ON 102422 FROM CARD#: XXXXXXXXXXXX2019 10/28 595.12 PNC BANK-IL-INDR LOAN PYMT 332008134247128 102822 10/28 2,161.00 AMTRUST NA PAYMENT 35107371 ADS LANDSCAPING IRRI 102822 Deposits / Credits 8 items totaling $104,217.16 Date Amount Descrlptlon 10/07 2,635.00 MOBILE DEPOSIT 10/13 5,000.00 DEPOSIT 10/17 10,415.34 5/3 JEANIE DEPOSIT 221GI70 - 001966 5076 AIRPORT PULLING NAPLES FL ON 101722 FROM CARD#: XXXXXXXXXXXX158X 10/17 18,206.82 5/3 JEANIE DEPOSIT 2210170 - 001966 5076 AIRPORT PULLING NAPLES FL ON 101722 FROM CARD#: )00(XX XXXX)0(158X 10/19 22,322.50 DEPOSIT 10/20 40,295.00 DEPOSIT 10/31 350.00 MOBILE DEPOSIT 10/31 4,992.50 DEPOSIT Daily Balance Summary Date Amount Date Amount Date Amount 10/03 6,240.33 10/13 4,648,95 10/21 68,771.98 10/04 5,372.33 10/14 3,676.95 10/25 59,160,98 10/05 4,305.50 10/17 26,291.19 10/27 58,188.98 10/07 6,940.50 10/18 23,551.44 10128 $4,622.86 10/11 1,575.95 10/19 32,560.40 10/31 55,726.36 10/12 (314.05) 10/20 70,136.98 IF YOU USE TREASURY MANAGEMENT SERVICES, PLEASE NOTE THAT WE HAVE UPDATED OUR TERMS AND CONDITIONS. GO TO 53.COM/TM-TC TO VIEW, 8.G.1 U 00 C d Page 2 of 2 E t v .r r Q Packet Pg. 305 8.G.1 O FIFTH THIRD BANK Withdrawals / Debits 14 items totaling $25,437.68 Date Amount Description 11/01 762.09 AFCO AFCO 0154693292 ADS LANDSCAPING & 110122 11/01 784.53 WEB INITIATED PAYMENT AT HOME DEPOT ONLINE PMT 600894701986188 110122 11/01 5,704.31 WEB INITIATED PAYMENT AT CHASE CREDIT CRD EPAY 6291889052 110122 11/02 150.00 DEBIT CARD PURCHASE AT CITY OF NAPLES, 2392131801, FL ON 110122 FROM CARD#: XXXXXXXXXXXX2019 11/02 904.60 DEBIT CARD PURCHASE AT HIDEAWAYPR941-739-, 877-755-1166, FL ON 103122 FROM CARD#: XXXXXXXXXX X2019 11/07 85.00 RECURRING PURCHASE AT INTUIT *QBooks Onl, CL.INTUIT.COM, CA ON 110522 FROM CARD#: XXXXXX00000Ut2019 11/09 707.55 PNC BANK-IL-INDR LOAN PYMT 332008135060324 110922 11/10 18.00 SERVICE CHARGE 11/15 188.96 PYMT TO NNT PEARL HOLDIN - 98591711575 HERON BAY BLVD 30 CORAL SPRINGS FL 11/16 903.75 Ascendant Insura VENDOR PMT #221192805 111622 11/21 65.70 MERCHANT PAYMENT 7-ELEVEN - MTUD01 9990 Interstate Co US Ft Myers FL ON 112122 FROM CARD#: =0000000=158X 11/21 13,663.47 HERITAGE LANDSCA HERITAGE BT1118 000000199630071 ADS LANDSCAPEING & IR 112122 11/28 595.12 PNC BANK-IL-INDR LOAN PYMT 332008134247128 112822 11/30 904.60 DEBIT CARD PURCHASE AT HIDEAWAYPR941-739-, 877-755-1166, FL ON 112822 FROM CARD#: XX XXXXX X)=2019 Deposits / Credits Date Amount 7 items totaling $33,165.00 Description 11/14 380.00 MOBILE DEPOSIT 11/14 2,885.00 MOBILE DEPOSIT 11/18 600.00 MOBILE DEPOSIT 11/22 700.00 MOBILE DEPOSIT 11/23 595.00 MOBILE DEPOSIT 11/23 10,310.00 DEPOSIT 11/29 17,695.00 DEPOSIT Daily Balance Summary Date Amount Date Amount Date Amount 11/01 48,475.43 11/10 31,576.38 11/22 8,535.51 11/02 47,420,83 11/14 30,815,38 11/23 19,440.51 11/04 39,997.83 11/15 28,790.42 11/25 15,840.51 11107 39,781.93 11/16 27,886.67 11/28 9,125,39 11/08 35,071,93 11/18 26,502.68 11/29 25,564.39 11/09 34,364.38 11/21 8,735.51 11/30 24,659.79 0 00 C d Page 2 of 2 E t v r r Q Packet Pg. 306 8.G.1 Collier County Board of County Commissioners Certificate of Competency 06 0 z Collier County * City of Marco * City of Naples * City of Everglades Q U Cn 0 z a Issued Date: 11/29/2022 J Cn Company: APM SOLUTIONS CORP Q Address: 101 CEDARCREST CT NAPLES, FL 34113 0 Telephone: (239) 465-2433 v Qualifier: ANDREW P MARTINEZ w License #: LCC20220002264 c� Issuance #: 202200003251 Classification: LANDSCAPING RESTRICTED CONTR. Valid Thru: 09/30/2023 State License #: z a State Valid Thru: Q U a It is the Qualifier's responsibility to keep current all records with Collier County. z This shall include insurance certificates and/or contact information. J i Always verify licenses online at https://cvportal.colliercountyfl.gov/CityViewWeb/ 0 Do not alter this document in any form. v This is your license. It is unlawful for anyone other than the licensee to use this documen a This Collier County Certificate of Competency's status and expiration date may change on July 1, 2023, due to the a Q e c House Bill No.735. Please visit our website at www.colIiercountyf1.gov/government/growth-management/divisions/o 3tio management/contractor-licensing for more information as it becomes available. z w 0 z 0 U W N N W z H Q d W z Q 00 C d E t v .r r Q Packet Pg. 307 8.H 01 / 18/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 8.H Doc ID: 24369 Item Summary: 8H. ANDREW P. MARTINEZ -SECOND ENTITY APPLICATION — IRRIGATION SPRINKLER CONTR. Meeting Date: 01/18/2023 Prepared by: Title: — Contractor Licensing Name: Sandra Delgado 01/11/2023 3:21 PM Submitted by: Title: — Contractor Licensing Name: Tim Crotts 01/11/2023 3:21 PM Approved By: Review: Contractor Licensing Contractor Licensing Contractor Licensing Sandra Delgado Review item Tim Crotts Review Item Tim Crotts Meeting Pending Completed 01/11/20234:12 PM Completed 0 1 /11/2023 4:49 PM 01/18/2023 9:00 AM Packet Pg. 308 8.H.1 CoiAer Co-t4vtty GMD Operations & Regulatory Management Licensing Section 2800 North Horseshoe Drive _ l Naples, FL 34104 93' (o 33) APPLICATION FOR COLLIER COUNTY/CITY OF NAPLES/CITY OF MARCO FIRM -SECOND ENTITY INSTRUCTIONS: This application must be typewritten or legibly printed. The application fee must be paid upon approval and is not refundable. All checks should be made payable to: Collier County Board of County Commissioners. For further information, consult Collier County Ordinance No. 90-105, as amended. NAME OF COMPANY CURRENTLY QUALIFIED: Exact Corporate/Business Name: A Pin S t e_,,2 P Fiction Name/ DBA: Qualifier Name: A ►� t%_ 1 � M A 9_1 r,*u a 2- Physical Address: 10 t C E J,s4 Gal- s ; C-7` 1114 Re S , rL 3 Y/L3 (Number & Street) (City) (State) (Zip Code) Mailing Address: :5 Arc (Number & Street) (City) (State) (Zip Code) Telephone: E-mail: L>v-fw isjA.e r rf�f OF LICENSE: General $230.00 Building $230.00 Residential $230.00 Mechanical $230.00 Roofing $230.00 Electrician $230.00 Plumber $230.00 Air Conditioner $230.00 Swimming Pool $230.00 Specialty $205.00 Specialty Trader Lz 0 Application Fee $105.00 CHANGE OF STATUS: ( ) Reinstatement J,--From One Business to Another ( ) Dormant License to Active w 0 z a x 00 r_ W E r Q Packet Pg. 309 8.H.1 December 29/2022 1, Andrew Martinez from APM Solution INC. Am aware that ANDREW MARTINEZ will Be the qualifying for ADS LANDSCAPING & IRRIGATION LLC. Andrew Martinez APM SOLUTIONS INC. I, SERGIO JIMENEZ from ADS LANDSCAPING & IRRIGATION SYSTEMS LLC. Am aware that ANDREW MARTINEZ will be the qualifying of my company. SERGIO JIMENEZ ADS LANDSCAPING & IRRIGATION SYSTEMS LLC. Slateof Countyof yile fpre lrin instrt�merit was acknowledpd before me by means of physical presence Of a online t tarization this day of 20 , by (printed name of garner or quaffief) Such persons) Notary Pubilt must chtci appiltable boys, Are liy km -in to nv Has pmdwocl a torrent dtWn ken ftprdxed. as € hfif ation. Not" Sl nature: F&nded M PEREZ 6UTIERREIublic State of Floridaisslorl k HH 112784rn. Ex�IresAgr 1, 2025 Wgl� Hallonal 1Jotary Assn. Z Q 2 00 c d E t v r r Q Packet Pg. 310 8.H.1 December 29/2022 I, Andrew Martinez from APM Solution INC. Am aware that ANDREW MARTINEZ will Be the qualifying for ADS LANDSCAPING & IRRIGATION LLC, P^" FrjJ/ 1 Andrew Martinez APM SOLUTIONS INC. I, SERGIO JIMENEZ from ADS LANDSCAPING & IRRIGATION SYSTEMS LLC. Am aware that ANDREW MARTINEZ will be the qualifying of my company. SERGIO JIMENEZ ADS LANDSCAPING & IRRIGATION SYSTEMS LLC, State of 04 "' County of QZtg::� The foregoi Instrument was a*o,., IfeW d befof'e me by means of plti� �I pf�S ee ar online tariza ' thls F [fay of 20, by (printed name of o�lner or quallftef) _-- - - __ Such petsooi(s) Notary Public must check apglkable box, eAre pefwflafly bmil to me 'P MIRIAM PEREZ GUTIERREZ �, + Hotevy Public - Slate of Florida Has prodtited a cuuerd dfl*fs keta � ��; CQMKilssiaii N HH 112784 orn,.,` tdy Coriiiii:`EHIreYApr 1, ZOZ5 Hai t3rr fl d kfentlf On. """BunAec[ tl�rouRh Nat Iona] Notary Assn. NolalySignature: W Z Q 00 c d E t �a r r Q Packet Pg. 311 8.H.1 1. The namcs, titles, home address and phone numbers of all Officers/Managing Members of the Firm. 2. List all businesses, firms, entities or contracting businesses you have been associated with during the last ten years (i.e. held a license for or been a partner). Attach extra pages if needed. At'-1,7 jV'� — " ((VL6 4- /1/(c r 3. List all debts you or any company(s) associated with you that you refused to pay and the reasons for the refusal to pay. Attach extra pages if needed. AFFIDAVIT Under the penalties of perjury I declare that I have read the foregoing application and that the facts stated in it are true. �r f Authorized Officer of the Firm r State of 4by-7 WCounty of The foregoing instrumq4t was Fknowledged Wore me by means of �4hysical presence or ❑ online notarizatic on this ' q day of IA-69t20 ; by Such person(s) Notary Public must check applicable box: a ❑ are personally known to me w Phas produced a current driver license ck-- 0 z ❑ has produced as identification. Q (Notary Seal) 00 a� E �Qt YpUB�o SANDRADELOADe Cammisalon # HH 101T10 r Expires March 8, 2025 Notary Signature: Q �opp40Q 13oadedThru6udgalNofary$esrk4e Packet Pg. 312 8.H.1 QUALIFIER INFORMATION: Name:G✓P 112 06 Address, l G GF- C) 4,t- G-rt, s : e7- jk,1A (4 ar, S (Number & Street) (City) (State) Telephone: Z3y- Vk S_ 0Y 3 SS#: �7,6;-7 _13_ /kgf Driver's License #: Pk? Date of Birth: 1 ! / . 17 E-mail: I-cyz 1. Type of Certificate of Competency for which application is made. 0 IL (Zip Code) U Cn 0 z a J z O U w J Y i i7 Pi� Z a 2. The names and telephone numbers of two persons who will know your whereabouts. z �1 O p-7 Jj � GSy �Yi is fi (a 1r G.� — 1.3vk 3. Have you ever been convicted of a crime related to Contracting? I D (If yes, attach extra sheet with explanation.) 4. Have you or any firms you have been associated with ever filed bankruptcy? Z O Q ? U A) 6 a Q S. List all debts you or any company(s) associated with you that you refused to pay and the reasons for the refusal to pay and reasons why. w 90 t5JQ'h 6. List your business or work experience during the last ten years. 0 z O U w W N w Z H Q w 7. Statement of any formal training you have had in the area for which the application is made, o z 00 E a Packet Pg. 313 8.H.1 AFFIDAVIT The undersigned hereby mattes application for Certificate of Competency under the provisions of Collier County No. 2006-46, as amended, and under penalties of perjury, i declare that r have read the foregoing qualifier information and that the facts stated in it are true. The undersigned hereby certifies that he is legally qualified to act on behalf of the business organization sought to be licensed in all matters comiected with its contracting business and that he has full authority to supervise construction undertaken by himself or such business or organization and that he will continue during this registration to be able to so bind said business organization. The qualified license holder understands that in all contracting matters, he/she will be held strictly accountable for any and all activities involving his license. .Any willful falsification of any information contained herein is grounds for disqualification. Applicant (please print) Name of Company �--Signature of Applicant State of i�"- County of (� / #�- The foregoing instrument was ackn wledgcd before me by means ofUphysical presence or O online notarization on this day of , 20 - N Such person(s) Notary Public must check applicable box: Z ❑arc personally known to me ��- jKhas produced a current driver license Q Ohas produced as identification. a (Notary Seal) w o SAPiDfiA Di:l�A40 Z ¢Y PUg Q _��,."`,�•P Gomm i�es#NH10i71match 8,2026 Notaryg00 = NT9TF6Fi4aQ iSOsdedihN4ud9a1ti°larysatvioo5 C d E L V fC r r Q Packet Pg. 314 8.H.1 AFFIDAVIT The undersigned hereby makes application for Certificate of Competency under the provisions of Collier County No. 2006-46, as amended, and under penalties of perjury. I declare that 1 have read the foregoing qualifier information and that the facts stated in it are true. The undersigned hereby certifies that he is legally qualified to act on behalf of the business organization sought to be licensed in all matters connected with its contracting business and that he has full authority to supervise construction undertaken by himself or such business or organization and that he will continue during this registration to be able to so bind said business organization. The qualified license bolder understands that in all contracting matters, he/she will be held strictly accountable for any and all activities involving his license. Any willful falsification of any information contained herein is grounds for disqualification. t Applicant (please print) S� �S l+nJ9SCs4�: r-,V ��Get;7'Ga�3 =r/d✓ t Name of Company > Signature of Applicant State of County of The foregoing 111strulAent was ackn wledged before me b means of 9,fAiysical presence or ❑ online notarization on this day of by LZ Such persons) Notary public must check applicable box: El are personally known to me Whas produced a current driver license ❑has produced as identification. (Notary Seal) ra gt+YA�gGn SAWAI)FLOADO Notary Signature: �r��P�i.o� rn'rrilJddTIJUGh4�bi�.�.3i/:iulidfW SANDRADELGADO Commission#HH101716 a Expires March S, 2026 grsoFT4oQ` i3oadedTrruBudg�INolarySarriuo Packet Pg. 315 8.H.1 AFFIDAVIT It is understood and acknowledged by the Collier County Contractor's Licensing Board and myself that if I fail to acquire, or maintain at all times effective Workmen's Compensation Insurance it will result in the possible revocation of my Certificate of Compete cy. Signature o Applicant A-/ r>g -�D ";&D� Business Name Date State of � Del.. � County of The foregoing instrument was ackno ledged before me by means of [physical presence or ❑ online notarization on this ` r _day of � , 20 _�.. by Such person(s) Notary Public trust check applicable box: ❑are personally known to me �L ,lamas produced a current driver license `� J ❑has produced as identification. (Notary Seal) �otMtSANQRADL4Ac0 commission It HH 101718 h 8 "'Fopf4A. oe d spin Ud9e Nola�rys26 ervcas Notary Signature: Packet Pg. 316 8.H.1 e� ®mot-�.it';S' GMD Operations & Regulatory Management Licensing Section 2800 North Horseshoe Drive Naples, FL 34104 APPLICATION TO QUALIFY SECOND ENTITY THIS FORM MUST BE COMPLETED IF YOU WISH TO INITIATE OR CHANGE THE STATUS OF AN EXISTING LICENSE, READ ALL INSTRUCTIONS AND MADE SURE YOU HAVE SIGNED WHERE INDICATED, TYPE OR PRINT IN INK. COMPANY QUALIFYING: Exact Corporate/Business Naive: Fiction Name/ DBA: Qualifier Name: Physical Addres (Number & Street) Mailing Address: Y�9/n� (Number & Street) (City) (State) (Zip Code) Telephone: �� E-mail: 5�k'1�d Federal ID Tax Number: �-A - Zq 66 ze)l ALL APPLICANTS MUST APPEAR BEFORE THE CONTRACTOR LICENSING BOARD FOR FINAL APPROVAL. THE BOARD, AT THEIR SOLE DISCRETION, MAY REQUIRE ADDITIONAL DATA IN ORDER THAT THE "WELi+ARE OF THE CONSUMER IS PROTECTED AT ALL TIMES. S ZZ Packet Pg. 317 8.H.1 FINANCIAL RESPONSIBILITY ALL APPLICANTS/LICENSEES MUST ANSWER THE QUESTIONS BELOW. If you answer yes to any of the questions, a written explanation is required. Additional documentation is also required, as indicated. If you are applying to qualify a corporation, partnership or other legal entity, ALL OFFICERS OF THAT ENTITY MUST ALSO EXPLAIN IF ANY OF THE BELOW WOULD PERTAIN TO THEM. This would include the president, vice president, secretary, and/or partners or owners of the proprietorship. Have you, the business organization, or any of the above mentioned individuals in any capacity ever: YES NO � 1, Undertaken construction contracts or work for a third party, such as a bonding or surety company, completed or made financial settlements? L-/""2, Had claims or lawsuits filed, or unpaid or past due accounts by your creditors as a result of construction experience? V_ 3. Undertaken construction contracts of work which resulted in liens, suits or judgments being filed? l/ 4. Had a lien filed against you by the Internal Revenue Service or Florida Corporate Tax Division? If yes, you MUST attach a copy of the Notice of Lien, and any payment agreement, satisfaction, Release of Lien or other proof of payment. I! 5. Made an assignment of assets in settlement of construction obligations for less than the debts outstanding? 6. Been charged with or convicted of acting as a contractor without a license, or if licensed as a contractor in this or any other state, been "subject to" disciplinary action by a state, county, or municipality? if yes, you must attach a copy of any state, county, municipal or out of state disciplinary order of judgment. t/7. Filed for or been discharged in bankruptcy within the past five years? If yes, you must attach a copy of the Discharge Order, Order Confirming Plan, or if a Corporate Chapter 7 case, a copy of the Notice of Commencement. S. Been convicted or found guilty of, or entered a plea of polo contendere to, regardless of adjudication, a crime in any jurisdiction within the past 10 years? NOTE: IF YOU, THE APPLICANULICENSEE, HAVE HAD A FELONY CONVICTION, PROOF THAT YOUR CIVIL RIGHTS HAVE BEEN RESTORED WILL BE REQUIRED PRIOR TO LICENSURE. w 0 z Q x 00 c d E t �a r r Q Packet Pg. 318 8.H.1 UESTIONNAIRE FOR QUALIFYING A SECOND ENTITY THIS FORM MUST BE COMPLETED BY THE APPLICANT REQUESTING TO QUALIFY A SECOND ENTITY OR REQUESTING A CHANGE TO AN EXISTING SECOND ENTITY QUALIFICATION. THE APPLICANT AND PRESIDENTS/PARTNERS/OWNERS OF ALL COMPANIES INVOLVED MUST SIGN WHERE INDICATED. USE THIS SHEET, AND ADDITIONAL SHEETS IF NECESSARY. 1. Explain why you wish to maintain your present license(s) while qualifying this additional business. 2. Has the proposed entity been previously qualified? If so, explain why the previous qualifier is no longer willing to continue to qualify this entity. If the proposed entity has been qualified within the last 12 months, list three recent jobs completed by the proposed entity. Include dates of completion, address, description of work, name of previous qualifier and name of owner. ",,eu 1 -12'7� 2 ( se cs 4. List the last three jobs completed by you under your existing license. Include dates of completion, address, description of work, name of previous qualifier and name of owner &/�� YX AW 4) 5. Does the business(es) you presently qualify and/or wish to qualify have any outstanding liens against them or against the property of consumers as a result of construction work or a contract they had with you firm? YES_ NO If yes, identify business and provide explanation, 6. List principal suppliers for the past six snonths for the business you presently qualify. a �,�►2 C�i+S. a ti7 � 0 7. List principal suppliers for the past six months for the business you are applying to qualify. 00 c m E t �a r r 8. List persons authorized (currently and in the past 6 weeks) to pull permits on your license(s). Q �1u�2»Ur"j� ti�.a+trrrL Packet Pg. 319 8.H.1 9. How are you being paid by the business(es) you presently qualify (salary, % of profit, etc.)? 10. How will you be paid by the business you are applying to qualify? 5,t_4, q 11. What percentage of ownership do you have in the present business(es) you qualify and what percentage of ownership will you have in the business you are attempting to qualify? &(),VG 12. Do you (applicant) have check writing authority for the present and proposed entities? YES NO-4,-' if yes, provide a letter from the bank. 13. List all officers/partners/owners of the business you are applying to qualify and position held. 14. List all officers/partners/owners of the business you presently qualify and position held. �-- 15. Do the business(es) you presently qualify and wish to qualify have any other licenses presently qualifyi ose businesses? Q YES NO if yes, list licensee's name, license number and address, a w 0 z Q 16. Submit notarized statements signed by an authorized agent of the entity(ies) you presently 00 qualify and from an authorized agent of the proposed entity attesting to the fact that each is 1, aware of what entity you presently qualify, and what entity you are requesting to qualify. r r Q Packet Pg. 320 8.H.1 RE4 SOLUTION OF AUTHORIZATION 5 WHEREAS `at> proposes to engage (Name dYBusiness En ' ) in contracting as in (Type of legal entity: corp,, partnership, etc.) Collier County, Florida, according to Collier County Ordinance 2006-46, as mended: and WHEREAS S 60 ioposes to qualify (Name Business nti�0_ } for a Certificate of Competency with L (Name of Individual) NOW, THEREFORE, BE IT H7r— (loers,SOLVED THAT, O We the undersigned -�2-n� `� of Owners, Partners) w J _6V hereby resolve and represent to the Collier County z_ (Name of Buginess Entity) Contractor's Licensing Board that the qualifying agent, L�44� s active s U) (Name of I dividuai) p in all matters connected with the contracting business of ! ,and Q (Naraq of Btymas Entity) O We further resolve and represent that dJ Q `?�i is (Name of ndivi al) z Legally empowered to act for €n a - matters connected with its O (Name of Biusitkss Entity) U contras 'ng bus' ness, and has the authority to su €vise c nsnu 'on and rtaken by a ESL Q (Name of Busin s Entity) >_ DULY PASSED AND ADOPTED THIS DAY -OF (Officers, Partners, Owners- with designation underneath) w c� �fZ z O U w State of County of C/) N W The foregoing i t€ument as acknowledged before one by means of physical presence or ION online notarization on this z day of d — , 20 Q by a Such person(s) Notary Public must check applicable box: W Pure personally known to me ❑has produced a current driver license Z z ❑has produced as identification. Q (Notary Seal) _ 00 c m MIRIAM PEREI GUTI£nR1 I Notary Public . slate of Florida V COMMI551011 N HN 111iO4 r Notary Signature:/ ; orr�' My COMM. Expires Apr 1, 2025 Q Banled Moulin a una o Assn. Packet Pg. 321 0 z 00 E Packet Pg. 322 8.H.1 w 0 z a x 00 c a� E r Packet Pg. 323 I 8.H.1 I AC, 40R"® ❑ArE (MMIDnmYYI CERTIFICATE OF LIABILITY INSURANCE 11i2312022 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Angela Allen NAME: Andis Insurance Agency, Inc Para°Nfa Ezt : (239) 529.5566 A C No): (239) 529 5534 5951 Pine Ridge Road AnDRILss: Angela@andisinsurance.com INSUR€R(S) AFFORDING COVERAGE NAIC p Naples FL 34119 INSURERA: Cypress Insurance Group Inc, INSURED INSURER 13: APM Solutions Corp INSURER C 101 Cedar Crest Court INSURER D : INSURER E : Naples FL 34113 INSURER F : COVERAGES CERTIFICATE NUMBER: CL22112301581 REVISION NUMBER: THIS IS TO CERTIFY THAT THE. POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MMID�YIYYYY EXP MMIDOYIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR FGL 5032300 00 81 10/06/2022 10/06/2023 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED PREMISES Eaoccutrenoe 100,000 $ MED EXP (Any one person) $ 5,000 PERSONAL &AOV INJURY $ 1,000,000 GEN'LAGGREGATE LIMITAPPLIESPER: X POLICY ❑ JEC ❑ LOC JECT OTHER: GENERAL AGGREGATE $ 2,000,000 PRODUCTS-COMPIOPAGO $INCLUDED $ AUTOMOBILE LIABILITYaccident) A ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY COMBINED SINGLE LIMIT Ea auldent $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per accldanl $ $ UMBRELLA LIAB EXCESS LIAB OCCUR CLAIMS -MANE EACH OCCURRENCE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETORIPARTNEWEXECUTIVE ❑ OFFICERIMEMBEREXCLUDED? (Mandatory In NH) Iryes, describe under DESCRIPTION OF OPERATIONS below N f A PER OTH- S7ATUTE ER E,L. EACH ACCIDENT $„ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ [T, I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Addillonal Remarks Schedule, maybe attached if tnore space Is required) COLLIER COUNTY CONTRACTORS LICENSING BOARD 2800 N. HORSESHOE DR NAPLES FL 34104 L:AN[,CLLAI lVIV d SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE L THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN V ACCORDANCE WITH THE POLICY PROVISIONS. r r a AUTHORIZED REPRESENTATIVE al U 1VUB-2010 AULIKU L:UKI'VKAI I ACORD 25 (2010/03) The ACORD name and logo are registered marks of ACORD Packet Pg. 324 8.H.1 hcft", JIMMY PATRONIS CHIEF FINANCIAL OFFICER STATE OF FLORIDA DEPARTMENT OF FINANCIAL SERVICES DIVISION OF WORKERS' COMPENSATION * * CERTIFICATE OF ELECTION TO BE EXEMPT FROM FLORIDA WORKERS' COMPENSATION LAW * * CONSTRUCTION INDUSTRY EXEMPTION This certifies that the Individual listed below has elected to be exempt from Florida Workers' Compensation law. EFFECTIVE DATE: 11/29/2022 PERSON: ANDREW P MARTINEZ FEIN: 862566783 BUSINESS NAME AND ADDRESS: APM SOLUTIONS CORP 101 CEDAR CREST CT NAPLES, FL 34113 SCOPE OF BUSINESS OR TRADE: Landscape Gardening a Drivers EXPIRATION DATE: 11/28/2024 EMAIL: DREWMARTINEZ079@YAHOO.COM IMPORTANT: Pursuant to subsection 44©,05(14), F.S., an officer of a corporation who elects exemption from this chapter by filing a certificate of election under this section may not recover benefits or compensation under this chapter, Pursuant to subsection 440.05(12), F.S., Certificates of election to be exempt Issued under subsection (3) shall apply only to the corporate officer named on the notice of election to be exempt and apply only within the scope of the business or trade listed on the notice of election to be exempt, Pursuant to subsection 440.05(13), F.S., notices of election to be exempt and certificates of election to be exempt shall be subject to revocation if, at any time after the filing of the notice or the issuance of the certificate, the person named on the notice or certificate no longer meets the requirements of this section for Issuance of a certificate. The department shall revoke a certificate at any time for failure of the person named on the certificate to meet the requirements of this section. DFS,F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT REVISED 08.13 E01630126 QUESTIONS? (850) 413-1609 r Q Packet Pg. 325 1 8.H.1 1 AGSL.A-2 CERTIFICATE LIABILITY INSURANCE DATEIMMI I 117A29y) 919R1199 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed, If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement, A statement on this certificate does not confer r1ahts to the certificate holder In lieu of such endarsement(s). PRODUCER Linq Risk Management, LLC 2100 Ponce de Lean Blvd, 9 600 Coral Gables, FL 33134 Alex Garcia & Irrigation Systems LLC 9341 Chestnut Treo Loop Ft Mvers, FL 33987 INSURER F : ex Garcia 305-648-2445 Scottsdale Insurance Company Technology Insurance Company Ascendant Commercial Insurance COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 376 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, INSR TYPE OF INSURANCE ADDL SUB POLICY NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERALLIABILITY CLAIMS -MADE ® OCCUR CPS7567296 0412912022 04/29/2023 EACH OCCURRENCE 1,000,0 DAMA SES REaNTE a 100,0 MED EXP (Anyoneperson) 5,0 PERSONAL &ADV INJURY 1,000,0 GEITL AGGREGATE LIMIT APPLIES PER; POLICY ❑ j GT LOC OTHER: GENERAL AGGREGATE S 2,000,0 PRODUCTS- COMPIOP AGG 2$00010 * AUTOMOBILE LIABILITY ANY AUTO OWNED SCHEDUL3=D AUTOS ONLY AUTOS �/y p RMS ONLY AUT 5 ONLY CA-57415-0 05/1412022 05/14/2023 COMBINED SINGLE LIMIT 1,00010 X BODILY INJURY Per arson BODILY INJURY Per acoldenl P,OPcERTYn1 AMAGE A X UMBRELLALIAB EXCESS LIAR OCCUR HCLAIMS-MADE XBS0155541 0412912022 04129/2023 EACH OCCURRENCE 1,000,0 AGGREGATE r 1,000,0 DED I I RETENTION S B WORKERS COMPENSATION AND EMPLOYERS' LIABILITYYIN ANY FtCERRO��AMMEM6��EXCLUDE07 ECUTIVE ❑ (Candalory inH) If SC es,describeunder DI 0 0 OP A O Sbalo NIA TWC4087991 0412912022 04/29/2023 PER OTH- E,L. EACH ACCIDENT 10010 E.L. DISEASE - EA EMPLOYE 100,0 E..DIS E- OLIC L i 500,0 DESCRIPTION OF OPERATIONS ! LOCATIONS ! VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space Is required) Collier County Licensing Hoard 2000 North Horsehoe thrive Naples, FL 34104 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Alex Garcia r Q ACORD 25 (2016/03) ©1988-2015 ACORD CORPORATION The ACORD name and logo are registered marks of ACORD All rights reserved. Packet Pg. 326 12130122, 2:37 PM Detail by Entity Name 8.H.1 [DIVISION OF CORPORATIONS org y fill v14*11 ;imm 14'1-7ftr ar l 1s'00!r Department of Sta o / Division of Corporations 1 Search Records 1 Search by E�1ity Name I Florida Profit Corporation APM SOLUTIONS CORP Filing,lnformation Document Number P21000019585 FEIJEIN Number 86-2566783 Date Filed 02/23/2021 Effective Date 02123/2021 State FL Status ACTIVE Principal Address 101 CEDARCREST CT NAPLES, FL 34113 Mailing ddress 101 CEDARCREST CT NAPLES, FL 34113 Registered A ent Name &Address Martinez, Andrew 101 CEDARCREST CT NAPLES, FL 34113 Name Changed, 04122/2022 Address Changed: 04/22/2022 Officer Director Detail Name & Address Title P MARTINEZ, ANDREW 101 CEDARCREST CT NAPLES, FL 34113 nnual Repasts Report Year Filed Date 2022 04/22/2022 w 0 z Q x 00 c d E t 1a r r Q Packet Pg. 327 rvlvpe=EntitvName&direclionType=initial&seareltNameOrder—APMSOi_... 112 12130122, 2W PM Document Images Detail by Entity Name 04/22/2022 --ANNUAL REPORT View Image in POF format 0212312021 -- Dom8slIC.Profit View image In PDF formal Fiarda of `ww, olv"• an of Cwp,)rat-mrs 06 0 z a Q U 0 z a J Cl) a z O C) W LU J Y z_ W a U) z O a z O F- L) J d d Q F- H H z W 0 z O CU w C/) N W z H Q' Q d W d' z Q 2 eo c d E t v of r r Q Packet Pg. 328 hlins-!lsegrch.st inhl7.nrnllnot irvlcnroorationSearclilSearchResultDetall7lnouirvtVpe=EntityNarneUirectlonType= Initial & searchNameOrder=APMSOL... 212 12/30/22, 4:39 PM Detail by Entity Name 8.H.1 DIVISION OF CORPORATIONS 1.), ty (�fk/l,;fc.�, Jill 1-1<lt'Jflff w0tI iw Uepaeimcr t of Stale 1 Division of Corporations / Search Records / Search by En i(y Name / Detail by Entity Name Florida Limited Liability Company ADS LANDSCAPING & IRRIGATION SYSTEMS, LLC Filing Information Document Number L21000088680 FEIIEIN Number 86-2466209 Date Filed 02122/2021 Effective Date 0212212021 State FL Status ACTIVE ri c pal Address 9341 CHESTNUT LOOP FT. MYERS, FL 33967 Malling Address 9341 CHESTNUT LOOP FT. MYERS, FL 33967 Registered Agent Name & Address JIMENEZ, SERGIO, OWNER 9341 CHESTNUT TREE LOOP FT. MYERS, FL 33967 Authorized Person(a) Detail Name & Address Title MGR JIMENEZ, SERGIO, MR 9341 CHESTNUTTREE LOOP FT. MYERS, FL 33967 Annual Re arts Report Year Filed Date 2022 04128/2022 Document Images w z Q x 00 c m E t r r Q 04128/2022 --ANNUAL REPORT View image in PDF format 02122 021 -- Fiorlda Urr3lied I -Lab 1 t , View Image in PDF format https:llsearch.sunbiz.org/inquirylCorporationSoarch/Sea rchResultDetail?inquirytype=Ent! Packet Pg. 329 8.H.1 OF IR INTERNALNREVENUEESERVICERY CINCINNATI OH 45999-0023 ADS LANDSCAPING & IRRIGATION SYSTEMS LLC SERGIO JIMENEZ SOLE MBR 9341 CHESTNUT TREE LOOP FORT MYERS, FL 33967 Date of this notice: 03-08-2021 Employer Identification Number: 86-2466209 Form: SS-4 Number of this notice: CP 575 G For assistance you may call us at: 1-800-829-4933 IF YOU WRITE, ATTACH THE STUB AT THE END OF THIS NOTICE. WE ASSIGNED YOU AN EMPLOYER IDENTIFICATION NUMBER Thank you for applying,for an Employer Identification Number (EIN). We assigned you EIN 86-2466209. This EIN will identify you, your business accounts, tax returns, and documents, even if you have no employees. Please keep this notice in your permanent records. When filing tax documents, payments, and related correspondence, it is very .important that you use your EIN and complete name and address exactly as shown above. Any variation may cause a delay in processing, result in incorrect information in your account, or even cause you to be assigned more than one EIN, If the information is not correct as shown above, please make the correction using the attached tear off stub and return it to us. A limited liability company (LLC) may file Form 8832, Entity class;Ific�ation Election, and elect to be classified as an association taxable as a corporation. If the LLC is eligible to be treated as a corporation that meets certain tests and it will be electing S corporation status, it must timely file Form 2553, Election by a Small Business corporation. The LLC will be treated as a corporation as of the effective date of the S corporation election and does not need to file Form 8832. To obtain tax forms and publications, including those referenced in this notice, visit our Web site at w4w.irs.ggov. If you do not have access to the Internet, call 1-800-829-3676 (TTY/TDD 1-800-829-4059) or visit your local. IRS office. nWORrrNr MIMS: * Keep a copy of this notice in your permanent records. This notice is isaued only one time and the IRS will not be able to generate a dkxplica,te copy for you. You may give a copy of this document to anyone asking for proof of your EIN, * Use this EIN and your name exactly as they appear at the top of this notice on all your federal tax forms. * Refer to this EIN on your tax -related correspondence and documents. If you have questions about your EIN, you can call us at the phone number or write to us at the address shown at the top of this notice. If you write, lease tear off the stub at the bottom of this notice and send it along with your letter. �f you do not need to write us, do not complete and return the stub. Your name control associated with this EIN is ADSL. You will need to provide this information, along with your EIN, if you file your returns electronically. Thank you for your cooperation. En w 0 z Q 2 00 c d E t �a r r Q Scanned by iapScanner Scanned by �a Packet Pg. 330 expenam BizVerifys" Report as of: 10/11/22 19;61 ET 06 C9 Apm Solutions Corp Address: 101 Cedar Crest CT Naples, FL 34113-8930 United States Experian BUN: 500801646 Experian Business Credit Score Business Credit Scores range from a tow of 1 to high of 100 for scored locations, but this location Is not yet scored due to a lack of Information needed to determine the score. This score predicts the likelihood of serious credit delinquencies within the next 12 months. This score uses tradellne information, legal, Industry, collections Information, public filings and other variables to predict future risk. Credit Summary This location does not yet have an estimated Days Beyond Terms (i?I), or a Payment Trend Indicator. This is often the result of too few Payment Tradelines. Key Personnel: President: Andrew P Martinez Experian EHR March 2021 Established: Experian Years on File: 1 Year Years In Business: More than 1 Year Financial Stability Risk Ratings range from a low of 1 to high of 5 for scored locations, but this location Is not yet rated due to a lack of Information needed to determine the rating. Lower ratings Indicate lower risk. This rating predicts the Ilkeilhood of payment default and/or bankruptcy within the next 12 months. This rating uses tradelines, collections, public filings and other variables to predict future risk. CC gs: 0 Businesses Scoring Worse: NOT SCORED ,/Bankruptcies: 0 ,/ Liens: 0 ,/Judgments Filed: 0 Collections• 0 W lY Z Q 2 00 * The Information herein Is furnished in confidence for your exclusive use for legitimate business purposes and shall not be a reproduced, disclosed, or shared to any third party per the restrictions In the Terms and Conditions that you accepted. Neithe y Experian nor Its sources or distributors warrant such information nor shall they be liable for your use or reliance upon E t It. (RO032033) V �a O 2022 Experian information Solutions Inc. Q A nmCnit i+innvr nrn_W 1.7%&,,iAi_gnnnn4 rA r. Y%f4f Packet Pg. 331 Dnme 9 of �114Xperian,. 8.H.1 Search inquiry: (My company) Ads Landscaping & Irrigation Systems Address: i Experian M: Agent: Agent Address: CreditScore"m Report as of: 12/29/22 11:29 ET 9341 Chestnut Tree Loop . Key Personnel: Manager: Sergio Jimenez Fort Myers, FL 33967-5134 SIC Code: 4971-irrigatlon Systems United States 0782-Lawn & Garden Services 501323640 NAICS Code: 22131 o-Water Supply And Irrigation Systems Jimenez Sergio Owner 561730-Landscaping Services 9341 Chestnut Tree Loop Business Type: Corporation FT Myers, FL Experian File March 2021 Established: Experian Years on File: 1 Year Years in Business: More than 1 Year Total Employees: 4 Sales: $309,000 Filing Data Provided by: Florida Date of Incorporation: 02/22/2021 Experian Business Credit Score z O U w 07 t= i The objective of the Experlan Business Credit Score is to ;I N predict payment behavior. High Risk means that there is a Z Business Credit significant probability of delinquent payment, Low Risk sign p Y q P Y Score Medium -High Risk means that there is a good probability of on -time � Q payment, a i w fY Key Score Factors: Z Number of active commercial accounts. i Q i Balance of all commercial accounts. _ ao Balance of delinquent commercial accounts. • Percent of delinquent commercial accounts. E Business Credit Scores range from a low of 1 to high of 100 with this company receiving a score of 15. Higher scores Indicate lower risk. ';, U This score predicts the likelihood of serious credit delinquencies within the next 12 months. This score uses tradeline and collections Q information, public filings as well as other variables to predict future risk. i Experian Financial Stability Risk Rating Packet Pg. 332 8.H.1 Financial Stability Risk _ Rating A Financial Stability Risk Rating of 3 indicates a 2,95% potential risk of severe financial distress within the next 12 months. Key Rating Factors: • Number of active commercial accounts. • Percent of commercial accounts delinquent. • Percent of total commercial balance moderately delinq. • Balance to high credit ratio for other commercial accounts. Financial Stability Risk Ratings range from a low of 1 to high of 5 with this company receiving a rating of 3. Lower ratings indicate lower risk. Experlan categorizes all businesses to fit within one of the five risk segments, This rating predicts the likelihood of payment default and/or bankruptcy within the next 12 months. This rating uses tradeline and collections information, public filings as well as other variables; to predict future risk. Credit Summary This location does not yet have an estimated Days Beyond Payment radelines (see charts): 2 Terms (DBT), or a Payment Trend Indicator. This is often the UCC Filings_: 6 result of too few Payment Tradellnes. K Businesses Scoring Worse: 14% Please refer to Expertan's'www.BusinessCreditFacts.com' website for more information on establishing Payment Tradellnes, Lowest 6 Month Balance: $2,766 Highest 6 Month Balance: 0,556 Current Total Account Balance. $2,928 Highest Credit Amount Extended: $13,602 Payment Trend Summary Insufficient Information to produce Monthly Payment Trends chart. Bankruptcies: ,/ Liens: ,/Judgments Filed: ,/Collectlons: ,ram 00% - _ . . sav _ 40% 20% - 0% 09r2y 12121 03l12 GUN OW2 *Percentage of on-tima payments by quarter. r Q quarterly Payment Trends - Recent Activity insufficient Information to produce Date C1.1rrmiz ; Upto30 31-60 61-90 >90DBT: Monthly Payment Trends D" T DDT DBT table. i 09/21 0% 34% 33% Packet Pg. 333 213 12/21 0% 03/22 0% 06/22 0% 09/22 0% Insufficient Information to produce Newly Reported Payment Trends chart. *Continuous distribution with DBT. 0°% 8.H.1 0% 99% 1% 100% 0% 0% 0% j 100% 0°/a 0% 1 0% 0%n 0% 0% 0%u i 06 0 Z a a *CCombinad distribution with ME *The Information herein is furnished In confidence for your exclusive use for legitimate business purposes and shall not be reproduced, i disclosed, or shared to any third party per the restrictions in the Terms and Conditions that you accepted. Neither Experian nor Its sources or distributors warrant such information nor shall they be liable for your use or reliance upon it. (Refa:549336) O 2022 Experian Information Solutions Inc. Bvt;k to lop i7 i a Packet Pg. 334 3/3 8.H.1 Prepared For ANDREW R. MARTINEZ Personal E confident3ai Date generated: Oec 30, 2022 06 FICO St )RE h UAM Experlan data Dec 30, 2022 v 306 Account summary Overall credit usage Debt summary credit card and credit line debt $21,022 Open accounts 8 Self -reported accounts tl Self -reported account balance $0 Accounts ever late 2 Loan debt $343,287 Closed accounts 11 47 % Collections debt $0 Total debt 064,309 r Q Packet Pg. 335 experian. Persona! Information Name ANDREW P MARTINEZ Also Vow.vn as MARTINEZ ANDREW PEDRO MARTINEZ G ene rat ipn a l I[I eotifl a r Year pi hER31 1979 Personal statements No Statement($) present at this time Addresses 171 20TH ST HE NAPLES, FL 34120-3620 101 CEDARCREST CT NAPLES, FL 34113-8930 5340 MYRTLE CN NAPLES, FL 34112.8526 8.H.1 Prepared For ANDREW P. MARTINEZ Date generated, Dec 30, 2022 Einpioyers AVABFAVARaE TLC LAWN i7 i Q Packet Pg. 336 oi l rian, 0 Open accounts 0AMEX Exceptional payment history A Account Info Account name Account number Original creditor Company sold Account type Date opened open/closed Status Status updated n Payment history 8.H.1 Prepared For ANDREW R MARTINEZ Date generated: Dec 30, 2022 $14,640 Balance updated Dec 11, 2022 AMEX Balance $14,640 34999237642568D3 Balance updated Dec 11, 2022 Credit limit Credit usage credit card Monthly payment Aug 18, 2016 Past due amount Open Highest balance $22,200 Current Terms 1 Month Dec 2022 Responslbllily Individual Your statement Jan Feb Mar Apr May Jun Jut Aug Sep Oct Nov Dec 2022 ✓ J J ✓ J ✓ ✓ ✓ ✓ J ✓ ✓ 2021 J ✓ ✓ J J ✓ ✓ ✓ J J ✓ J 2020 ✓ J ✓ ✓ J J J ✓ J ✓ ✓ ✓ 2019 J J J ✓ J ✓ ✓ J ✓ ✓ ✓ J J J J J ✓ ✓ ✓ ✓ ✓ J ✓. J 20W ✓ ✓ J ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ J 2017 2016 T ✓ an Ttrne — Data unavallahle sa Contact info Address po BOX 29,7871 FORT LAUDERDALE, FL 33329 phone number (800) $74-2717 U Comments r Q Packet Pg. 337 ® expenan. �GA7 FlN ANCiAL EHcepllona€ payment history Q Account info Account name Account number Original creditor company sold Account type Bate opened open/closed Status Status updated M Payment history Jan 2022 J ontnme U contact Info Address Phonenumber P Comments 8.H.1 Prepared For ANDREW P, MARTINEZ Date generated: Dec 30, 2022 06 $59,456 0 Balance updated Dec 04.2022 Z a Q U to 0 GM FINANCIAL Balance 456 Z $59,Q 111058XXXXXX Balance updated BuG 04, 2022 Jfn Original balance $65,084 Q Paid off 9% ' Auto Loan Monthly payment $1,140 Z Mar19,2022 Past due amount 0 Open Highest balance Current Terms 72 Months LU J Deo2022 Responsibility Individual Y Z Your statement Feb Mar Apr May — Dataunavalal!e PO BOX 181145 ARLINGTON, TX 76096 (800)284-2271 Jun Jul Aug Sep Oct Nov Dec r Q Packet Pg. 338 ® xpena - OJPiACD CARD Exceptional payment history 9 Accounllnfo Account name Account number Odginal creditor Company sold Account type Date opened open/closed Status Status updated ® Payment history Jan 2022 J 202t ✓ 2020 ✓ 2019 ✓ 2018 — ✓ On i3me 9 Conlact Info Address Phone number & Comments Prepared For ANDREW P. MARTINEZ Date generated; Dec 30, 2022 JPMCB CARD Balance 41477OXXXXXX Balance updated Credit limit Credit usage Credit Card Monthly payment Oct 10, 2018 Past due amount Open Highest balance Current Terms Dec 2022 Responsibility Your statement Feb Mar Apr May Jun Jul Aug Sep Oct -- DarallnaMaNe PO BOX 15369 WII.MINGTON, DE19850 (800) 945-2000 06 $3,235 0 Balance updated Dec27,2022 z a Q U to 0 $3,235 z a Dec 27, 2022 J Cl) $3,600 Q 89% r $143 z O $4,702 U fY Revolving W J Individual Y z w a Cl) z O H Q Nov Dec ✓ ✓ J ✓ I ✓ ✓ z O ✓ J ✓ ✓ Q U J f2 f1 Q H z LU 0 z O U w to N W z H Q' Q f2 W d' z Q 2 00 c d E t v r r Q Packet Pg. 339 ,ex erion. OJPMCB CARD Exceptional payment history Account info Account name Account number OrIginal creditor Company sold Account type Hate opened Open/closed Status Status updated m Payment history Jan Feb 2022 J ✓ 2021 ✓ ✓ 2D20 ✓ 2019 ✓ 2018 J On Ttrne U Contact Info Address Phone number @ Comments 8.H.1 Prepared For ANDREW P. MARTINEZ Date generated: ilea 30, 2022 06 $2,133 0 Balance updated Dec. 08, 2022 Z a Q U to 0 JPMCBCARD Balance $2,133 Z Q 426684XXXXXX Balance updated 2022 J 08, Dec y - Credit4mit $2,600 Q Credit usage 112% ' Credit Card Monthly payment $70 Z Feb 16, 2018 Past due amount Q Open Highest balance $3,462 V w Current Terms . Ravolving LU J Dec2022 Responsibiiily Individual i Z Your statement w a fn Mar Apt May Jun Jul Aug Sep Oct Nov Dec ✓ ✓ J J J J ✓ ✓ J J -- Dara Onava➢able p0 tIOX 15369 WILMINGTON, DE 19850 (800) 945-2000 r Q Packet Pg. 340 0SYNCRlPPC Excoptional payment history 9 Account Info Account name Account number Original creditor Company sold Account type Date opened open/closed Status Status updated 10 Payment history Jan 2022 ✓ 2021 ✓ 2020 ✓ 2019 J On Fme U contact info Address Phone number 0 Comments Feb J J J 8.H.1 Prepared For ANDREW R MARTINEZ Date generated: Dec 30, 2022 SYNCBiPPC Balance 604419XXXXXX Bala nee updated Credit limit Credit usage Credit Gard Monthly payment Jan 18, 2015 Past due amount Open Highest balance Current Terms Dec 2022 Responsibility Your statement $1,014 Batance updated Dec 29, 2072 $1,014 Dec 28, 2022 $1,300 78% $41 $1,271 Revolving Individual Mar Apr May Jun Jul Aug Sep Oct Nov Dec .� J ✓ J ✓ ✓ ✓ J ✓ J — Oars Unavalab`.a Po BOX 530975 ORLANDO, FL 32696 (844) 373.4961 r Q Packet Pg. 341 8.H.1 10 V Prepared For ANDREW P. MARTINEZ Date generated; Dec 30, 2022 fl�� M 06 SO 0 cAsvrlcerrlcoMSYOGo Z Balance updated Dec 16, 2022 Exceptional payment history a Q U to a Account Info 0 Z Account name SYNCB/ROOMS TO GO Balance $0 Q J Account number 601419XXXXXX Balance updated Dec16, 2022 (n Credit limit $6,000 Original creditor Q company sold Credit usage 0% Account type Charge Card Monthly payment $0 Z Date opened Sep 01, 2015 Past due amount 0 V Opentctosed Open Highest halance $4,749 w 5laius Current Terms Revolving J Status updated Dec 2022 Responsibility Indiuldual Y Z Your statement w a to z 0 o Payment history H Q Jan Feb Mar Apr May Jun Jul Aug Sep DO Nov Dec � 2022 ✓ J J ✓ ✓ ✓ J ✓ ✓ ✓ J ✓ 2021 J ✓ J J J ✓ ✓ ✓ ✓ J ✓ ✓ 2020 ✓ ✓ J J ✓ ✓ ✓ J J ✓ ✓ ✓ 0 2019 ✓ ✓ ✓ ✓ ✓ ✓ J ✓ ✓ ✓ ✓ ✓ Q 2018 ✓ ✓ J ✓ J ✓ J J ✓ ✓ ✓ U J J ✓ ✓ ✓ ✓ J ✓ ✓ ✓ ✓ ✓ J 2a17 J ✓ ✓ J ✓ ✓ ✓ J ✓ ✓ J ✓ a 2016 Q J On Time h Z lLI 0 Contact info 0 Address PO BOX 965036 ORLANDO, Z 0 FL 32806 CU Phone number (066) 396.8254 Ll.l Cn W z to Comments H W d' z Q 2 00 c d E t r, r r Q Packet Pg. 342 8.H.1 \/ i�� prepared For ANDREW P. MARTINEZ Date generated: Dec 30, 2022 ® /i 06 OTRUIST MORTGAGE $283,338 Ue ry Balance updated Dec 05, 2022 Exceptional payment histoZ a Q 0 Account info Account name TRUIST MORTGAGE Balance Account number 947689XXXXXXX Balance updated Original creditor original balance Company sold Paid off Account type Mortgage Monthly payment Date opened Jun 23,2020 Past due amount Openfctosed Open Terms Status current Responsiblifty Status updated Dec2022 Your statement o Payment history Jan Feb Mar Apr May Jun Jvl Aug Sep Oct Nov Dec 2022 ✓ ✓ ✓ ✓ J ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2021 ✓ ✓ J ✓ ✓ ✓ ✓ ✓ J J ✓ ✓ 2020 — — — J On Time — ➢ata Urawdah!e ER Contact Info Address 100t SEMMES AVE RICHMOND, VA 23224 Phone number (804) 291-0620 0 Comments $283,338 Dec 05, 2072 $299,5oo 5% $2,347 360 Months Individual r Q Packet Pg. 343 8.H.1 ® experion. Prepared For ANDREW P.MARTINEZ Date generated: Dec 30, 2022 M 06 GWESWATEOESORTSLTD $493 0 Balance updated Nov30,2022 Z 4late payments 11 Q C- Account Info Account name WESTGATE RESORTS LTD Balance Accountnumher 901726XXXX Balance updated Original creditor orlginal balance Company sold Paid off Accounitype Real Estate Monlhlypayment Date opened Dec 22, 2012 Past due amount open/closed Open Terms Status Current, was past due 150 days ResponslbiRty Status updated Jan 2022 Your statement m Payment 111story Jan Feb Mar Apr May Jun Jut Aug Sep act Nov Dec 2022 J ✓ ✓ ✓ ✓ J J ! J ✓ ✓ 2021 — -- 120 120 J ✓ ✓ ✓ ✓ ✓ 3Q 60 ✓ On Time 30 3O Days Lale 60 40 nays Late 120 120+Days Late — uataunavatable g Contact info Address 6601 WINDHG\feR DR ORLANDO, FL 32819 Phone number (407) 955-2905 - 9 Comments $493 Nov 20,2022 $10,4uS 95% $191 120 Months Joint Account r Q Packet Pg. 344 ®experian, Closed accounts 40ACHIEVA CREDIT UNION Eaceptienal payment history CL Account Info Account name Account number Original creditor Company sold Account type Date opened Open/closed Status Status updated a Payment history Jan 2019 ✓ 2018 ✓ 2017 ✓ 2016 ✓ On TWO R Contact Info Address Phone number w Comments 1 8.H.1 Prepared For ANDREW P. MARTINEZ Date generated; Dec 30, 2022 ACHIEVA CREDIT UNION Balance 17949OXXXXX Balance updated Ortglnal balance Mgnthly payment Auto Loan Past due amount Apr30,2016 Highest balance Closed Terms Paid satisfactorily Responslbibly Sep 2019 Your statement Feb Mar Apr May Jun Jul ✓ ✓ ✓ ✓ ✓ ✓ J ✓ J ✓ ✓ J NA Ne Applicable Pay++ienl lnelory — oata unzv table 1150 ACHIEVA WAY DUNEDIN, PL 34698 (727) 431.7680 Closed Sep 23, 2019 $51,813 84 Months Individual Aug Sep Ccl N0V Dec ✓ NA — — r Q Packet Pg. 345 xprian. 42CARRINGTON MORTGAGE SE Exceptional payment history e Account info Account name Account number Cllginal creditor Company sold Account type Date opened Open/closed Status Status updated m Payment history Jan 2015 ✓ On Tlma u Contact Info Address Phone number 2 Comments 8.H.1 Prepared For ANDREW R mARTINEZ Date generated; Dec 30, 2022 CARRINGTON MORTGAGE SE Balance 400006XXXX Balance updated Original balance Monthly payment Mortgage Past duealnount Jon 08,2010 Terms Closed Responsibility paid satisfactorily Yourslatement Jun 2016 Feb Mar Apr May Jon ✓ ✓ ✓ ✓ NA NA No Applicable Payment History — Oala Unavallah!¢ 1600 S DOUGLASS RD STE 1 ANAHEIM, CA 92806 (800) 561-4567 Jul Closed Jun 30, 2015 $177,480 360 Months Individual Aug Sep Oct Nov Dec r Q Packet Pg. 346 8.H.1 ® +5/ � 1 � 1 1 N Prepared For ANDREW P. MARTINEZ Date generated: Dec 30, 2022 1 /ii t ' � 1 06 Closed 0 OCO MENITYCA PIE LOOT! A 00 Exceptional paymenthistory c ACcount Info Account name COMENITYCAPIELDORADO Balance Account number 678097XXXXXXXXXX Balance updated Odglnal creditor Credit limit Company sold Monthly payment Charge Card Past due amount Account type Date opened Jul 24, 2018 Highest balance Opentclosed Closed Terms Paid satisfactorily Responsibility Status Status updated Jan 2022 Your statement 0a Payment history Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2022 NA- 2821 J ✓ ✓ ✓ J ✓ ✓ J ✓ J ✓ ✓ 2020 ✓ ✓ ✓ J ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2079 ✓ ✓ ✓ ✓ ✓ ✓ J ✓ ✓ J J J ✓ onitme NA No Applicable Payment History -- Data Unayalabic ® conlaot Into Address Po Box 182120 COLUMBUS. OH 43218 Phone number IN Comments Account closed at credit grantor's request Jan 29, 2022 $10,000 $4,374 Revolving Individual i7 i Q Packet Pg. 347 8.H.1 Q/� 0`I y� Prepared For ANDREW R MARTINEZ Date generated: Dec 30, 2022 � !6a 11 tt 1I 11 OGM rNANCIAL Closed Excepilouai payment hlslory L' Account info Account name OM FINANCIAL B*nce 447527XXX Balance updated Sep 15, 2014 Account number Original balance $19'994 Original creditor Company sold Monthly payment Account type Auto Loan Past due amount Pate opened Jan 31,2012 Highest balance Closed Terms 73 Months OpenlcEosed Paid satisfactorily Responsibility Indlvldual Status Status updated Sep 2014 Your statement © Payment history Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dee 2014 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ NA — ._. — 2013 ✓ ✓ ✓ ✓ ✓ J ✓ ✓ ✓ ✓ ✓ J 2012 — ✓ on T7me NA No Applicable Payment H;stery — Oafa linavatlahle R Contact info Address PO Box 181145 ARLINGTON. U 75096 Phone number (800) 284-2271 u Comments r Q Packet Pg. 348 Mrs xperin. OJPMOn HOME I;xceptlanal payment history CL Account Info Account name Account number Original creditor Company sold Account type bate opened open/closed Status Status updated © Payment Illstory Jan 2014 ✓ 2013 ✓ 2012 ✓ 2011 ✓ 2010 J On Zinse ® Contact Info Address Phone number l� 8.H.1 Prepared For ANDREW P. MARTINEZ Date generated: Dec 30, 2022 06 Closed 9 JPMCB HOME Balance 465107XXXXXXX Balance updated Sep 30, 2014 Original balance $177,480 Monthly payment Mortgage Past due amount Jan 08,2010 Terms 360Months Closed HesponsibIt fy Individual Account transferred to another office your statement Sep 2014 Feb Mar Apr May Jvn Jul Aug Sep Oct Nov Dec ✓ ✓ ✓ J J J ✓ NA _ ." _" ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ J ✓ ✓ ✓ J ✓ ✓ ✓ J ✓ ✓ J ✓ J NA Na App4,.bie Paymml History — oataunawlrable a Comments nansrerred to another tender 70o KANSAS LN MONROE, LA 71203 (800) 848-9136 r Q Packet Pg. 349 ®experion. ®JPMCB HOME Exceptional payment history 6 Account info Account name Account number Original creditor Company sold Account type Date opened Open/closed Status Status updated in Payment history Jan 2019 J On TEme ra Contact info Address Phone number R Comments 8.H.1 Prepared For ANDREW P. MARTINEZ Date generated; Dec 30, 2022 06 Closed 0 JPMCB i10ME Balance 156402XXXXXXX Balance updated Original balance Monthly payment Mortgage Past due amount Jun 16, 2016 Terms Closed Responsibility Paid satisfactorily Your statement Aug 2019 Feb Mar Apr May Jan NA No Applicable Payment Hlslory — Oala Unavalla6le 700 KANSAS LN MONROE, LA 71203 (900) 848-9136 Jul J Aug 30, 2019 $207,200 360 Months Individual Aug Sep Oct Nov Ueo NA r Q Packet Pg. 350 �experion. OLOANCARE Exceptional payment history Y Account info Account name Account number Original creditor Company sold Account type Date opened opentclosed Status Status updated ai Payment history Jan 2019 ✓ 2018 ✓ 2017 ✓ 2016 — ✓ On Time ® Contact Info Address Phone number LOANCARE 623002XXXXXXX Mortgage Jun16,2015 Closed Account transferred to another once Apr 2019 Feb Mar Apr May Jun ✓ ✓ NA — NA No Appkatre Payment Hlstory — DataW variable ep Comments Transferred to another lender 3637 somirtA WAY VIRGINIA BEACH, VA 23452 (757) 8112.1700 Prepared For ANDREW P. MARTINEZ Date generated: Dec 30, 2022 Balance Balance updated Crtglnai balance Monthly payment Past due amount Terms Responsibility Your statement Jul Aug Sep Oct Nov flea J ✓ ✓ ✓ ✓ J ✓ ✓ ✓ ✓ J ✓ Closed Apr 03, 2019 $207,200 360 Months Individual r Q Packet Pg. 351 X f lot1ry Prepared For ANDREW P.MARTINEZ pate generated, Dec 30, 2©22 ONISSAN MOTOR ACCEPTANC FKceptlonalpayment history e Account Info Account name - NISSAN MOTOR ACCEPTANC Balance Account number 102431XXXXXXXXX Balance updated Original creditor - Original balance Company sold Monthly payment Account type Auto Loan Past due amount Date opened Jun 25, 2014 Highest balance Open/closed closed Tesms Status Paid satisfactorily Responsibility Status updated May 2016 Your statement M Payment history Jan Feb Mar Apt May Jun Jul Aug Sep Oct Nov De, 20)6 ✓ ✓ ✓ ✓ NA 2015 J ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ J ✓ 2014 ✓ on Time NA NOAPPIicabla Payment H€story Data Unavailable w Contact Info Address PO BOX 660360 DALLAS, TX 75266 Phone number (900) 950.6622 0 Comments Closed may 18,2016 $32,994 60 Months Individual i7 i Q Packet Pg. 352 ®expenan. GPLATA HOME MTOIDOVEN MU EXCeptlonal payment history c Account info Account name Account number Original creditor Company sold Account type Date opened Open/closed Status Status updated o Payment history Jan 2017 NA 2016 ✓ 2016 — ✓ On Time sa contact info Address Phone number 8.H.1 Prepared For ANDREW P. MARTWEZ Date generated; Dec 30, 2022 PLAZA HOME MTOJDOVENMU Balance 310146XXXXXXX Balance updated - original batance Monthly payment Mortgage Past due amount Jun16,2015 Terms Closed Responsibi€ity Account transferred to another office Your statement Jan 2017 Clwmd Jan 05, 2017 $207,200 360 Months individual Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec NA No Applicable Pa)oent Hlstary -- 0ataupavallablo C Comments Transferred to another tender t CORPORATE DR STE 360 LAKE ZURICH, IL 60047 (a47)GSO-7300 r Q Packet Pg. 353 8.H.1 i i ® �i >B �eN Prepared For ANt)REW P. MARTINEz Date generated; Dec 30, 2022 � experiotll msuNcoAST CREDIT UNION 1 late payment o Account Info SUNCOAST CREDIT UNION Balance Account name Accountnumber 460712XXXXXX Balance updated - Credillimit Original creditor Company sold Monlhty, payment Credit Card Past due amount Account type Date opened Dec 21, 2011 Highest balance Openlctesed Closed Terms Paid, was past due 30 days Responsibility Status Status updated Feb 2018 Your statement ID Payment history Jan Feb Mao Apr May Jun Jul Aug Sep oc€ Nov Dec 2017 ✓ J ✓ ✓ J ✓ ✓ 30 ✓ ✓ ✓ ✓ 2016 ./ ✓ ✓ V ✓ ✓ ✓ ✓ ✓ ✓ ✓ J 2035 ✓ � ,� ,� ✓ ✓ ✓ ✓ J J ✓ J 2014 ✓ J ✓ ✓ ✓ ✓ J ✓ J ✓ ✓ 2013 ✓ ✓ J 2012 _ ✓ ✓ 2011 ✓ en Time 30 30oays Late NA No Appllcshle Payment VNt0ry — pataunavallable 0 Contact Info Address 6801 E HiLLSBOROUGH AVE TAMPA, FL 33610 Phone number (813) 621.7511 B Comments Accountel0sed atconsamefsrequest Closed Feb 27,2018 $500 $557 Revolving Individual r Q Packet Pg. 354 M GIVELL5 FAROO HM MORTGAG Exceptional payment history ACOotn3t Info Account name Account number Original creditor Company sold Account type Dale opened Openiclosed Status Status updated D1 Payment history Jar, 2020 ✓ ✓ Onrtme u Contact hifo Address Phone number e Colnments 8.H.1 Prepared For ANDREW R MARTMEZ Date generated: Dec 30, 2022 06 Closed 0 WELLS FARGO HM MORTGAG Balance 936059X70IXXXX Balance updated Original balance Monthly payment Mortgage Past due amount Aug 22, 2019 Terms Closed Responsibility Paid sallsfactor€ly Your statement Jun 2020 Feb filar Apr Niay Jun Jul ✓ ✓ ✓ NA NA too Appllcatle Paymc1l History — Oata unavailable $480 smEcOACH CIR FRtEDER[CK, MD 21701 (8001 298.3212 Aug Sep Oct Nev Jun 26,2020 $208,000 360 Months Individual Dec r Q Packet Pg. 355 i 8.H.1 i ®experian. Collection accounts No tollecllan accounts reported. Prepared For ANDREW P. MARTINEZ Rate generated: per 30, 2022 i7 i Q Packet Pg. 356 8.H.1 x ri n. Prepared For ANDREW P. MARTINEZ Date generated; Oec 30, 2022 a Public records uo public reootds reported. r Q Packet Pg. 357 8.H.1 CAPITAL ONE AUTO FIN Inquired on Mar 1%2022 Business Typo: Auto Financing Companies PO BOX 259407 PLANO, TX 75025 (800) 946-0332 This Inquiry is scheduled 10 contlnueon record until Apr 2024 SANTANDER CONSUMER USA Inquired on Mar 1%2022 Business Type: Finance Companies • non specific 8505 N STFMMOMS Fwy DALLAS, TX 75247 (866) 923-9282 This Inquiry Is scheduled to continue on record until Apt 2024 Prepared For ANDREW R MARTINEZ Date generated; Dec 30, 2022 CREOCO Inquired on Mar 19, 2022 Business Type: Auto Reselter 10277 SCRIPPS RANCH BLVD SAN DIEGO, CA 92131 (000) 523-0233 This Inquiry Is scheduled to continue on record until Apr 2024 PNC BANK inquired on Marl 9, 2322 Business Type: All Banks - non specific 273o I-WERTY AVE PITTSBURGH, PA 15222 By mail only This Inquiry Is scheduled to continue on record until Apr 2024 SETTLFMENTONE DATA, LL SUNCOAST CREDIT LIN1014 Inquired on Jan 10, 2022 Inquired on Mar 19, 2022 BuslnessType: Mortgage Reporters Business Type: Credit Unions 26o5 CAMINO DEL RIO S ST 6601 F HILLSBOROUGH AVE SANAIEGO, CA 9210E TAMPA, FL 33610 This Inquiry Is scheduled to continue on record until Feb 2024 (613) 621-7611 This inquiry Is scheduled to continue an record until Apr 2024 LU Z Q 00 C d E L V ft3 r r Q Packet Pg. 358 8.H.1 Credit scores FICA® Score a flood 610.73g Ill 704 a( 5� 300 850 Fxperlanen ruaWW What's helping , Longcredithistory Prepared ForANDREW R MARTINEZ Date generated: Dec 30.2022 Your score Is near oT slightly above the average of U.S, consume[s and most lenders consider thl s a good score. • You have an established credit InTslory. • Your oldest account was opened:12 Years, 11 Months ago • FICo Hlgh Achlevers opened their oldest account 25 years ago, on average. • Average age of your accounts:? Years,2 Months • Most FICO High Achieverd have an average age of accounts of 9 years or more. • ricov Scores measure the age of the oldest account and the average age of all accounts being mported. Generally speaking, having a relatively tong credit history and not opening many now accounts is reflective of lower risk ,r Substantial Installment loan repayment • Your balances on nanitgagle and/or non-mertgags Installment loans are relatively low or substantially paid off. • Percentage Of principal you have paid down on your open non- mortgage Installment loans:9% • FICO High Achlevels have paid down an average of 40%01 the plincIP111 onthe!r non-mottgaga Installment loans. • Flt;()9 Scores evaluate amounts paid down and total outstantling: InstaHment loan balances In relation to the original loan amounts on those accounts. Having made substantial Payments on mortgage and/or non -mortgage installment loans Is seen as lower risk. As Installment loan balances decrease, they have less impact on a FICOG Score. Note, having a low Installment loan balance 10loan amount ratio Is considered slightly less dskylban having a 01A Installment loan ratio. Consolidating or moving debt from one accountto anotherwlll usually not help a FICn Scare since the same total amountis owed and the score may go down due to opening a new account. Recent credit card usage • you've Shown recent use ofcrecilt cards and/or bank-btsued operi-ended accounts. • FleCt Scores evaluate the mix of credit ca;ds, Installment loans and mortgages. People who demonstrate recent and responsible use of Cfedjt cards and/or haak-fissued operf-ended accounts are general;y constdered less risky to lenders. W What's hurting — Serious delinquency f� • You have a seduris delinquency(60 days past due or greater)Or derogatory €ndicalaron you[ credit report Z Q • Numbefaf your accounts that wale ever 60 days I ate or %verse Of have A dercgltOry Indicator: 1 account = • Vatually no FCO High Achlevels have a 6C days late Payment or worse listed on thoTr credit report. 00 • The of a serious delinquency or derogatory Indicator is a highly coirehited predictor of future payment rlsL People,A11h previous late payments ale more Itiolly to pay late in ilia future. At these presence items age, they will have less Impact on the F1Co9 Score. Most late payments slay an your report for no more than seven years. d E L — High credit usage V fC • You've made heavy use ofyouravailable revelvingcreoit r Q • Ratio ofyourrevolvingbalances ioyourcredit limits: 47% • For FICO High Achlev&S, the average ratio of the evolving account balances to Oredit limits is less than 714. • The FICQ9 Scole evaluates balances In relation to available credit on revolvIng accounts. Tile extent of a pe(sons c(edt usage is one of the most important factoTa considered by a FICOID Score. PeOle We, or moving debt front one account to another will who keep their ratlo of balances to credit Ilmlls lower ate generally constdered less risky to lenders than those with higher ratios. consolldaling usually not change the total amouptovmd. Packet Pg. 359 -- Recent missed payment • you recenIlymIssedapayment orhad aderogatory Ind lcatorreporiedonyour credltreporl. Your most recent missed payment happened: I Year ago • About 99% of FICO H19h Achlevets have no missed payments at all. But of those lvho do, the missed payment happened nearly 4 years ago,on average. yn rr te Tturecredceok,Genedoysle king,p oplewsoconslsentcyoas heirWISonretimeaellessr4kycompaedffolpeopleaNdhrece ityrmissedepaymenis.Asmissedpaymentsage,theyhavelessImpactOn future credit risk. Genarally speaking, people whe consSstenttyp y a FICOII Score. LU f� Z Q 00 C d E L V fC r r Q Packet Pg. 360 8.H.1 Prepared ror ANDREW R. MARTINEZ Date generated: Dec 30, 2022 Disclaimer About your NC011 Score B or other FICO"' Scores Your FICOS Score 8 powered by Expedan data Is formulated using the Information In your credit file at the time it Is requested. Manybul not all lenders use FICD$ Scare 8. in addition to the FICD®Score 8, we may offer and provide other base or Indu stry specine FIC& Scares (such as FICOo Auto Scores and FICOO Bankcard Scores). The other FICD& Scores made available are calculated from versions of the base and Industry -specific FICOo Score models. Base HCOO Scores (including the F1C011 score 8) range from 3OOto 050, Industry -specific FlCO's Scores {ange from 250-900. Higher scores represent a greater likelihood that you'll pay back your debts so you areviewed as being a lower credit Uskto lenders. A lower FICOB Score Indicates to lenders that you may be a higherctedit risk. There are many scoring models used In the marketplace.7heiype of score used, and its associated risk levels, may vary from tender to lender. But regardless of what scoring model is used, they all have one purpose: to summadzeyouf creditworthiness. Keep in mind that your score is just one factor used in the applfcallon process. other factors, such as your annual salary and length of employment, may alsohe considered by lenders When you MAY for a loan. What this means to you: Credit scoring can help you undetstand your overall credit rating and help companies betlar understand how In serve you. Overatl benefits of credit scoring have included faster credit app;ovals, reduction In human error and bias, consistency, and better terms and rates for American consumers through reduced costs and losses for lenders. Your lender or insurer may use a different FICD° Scare than FICO'y Scare 8 or other base or Industry - specific FICD® Scores provided by us, or different scoring models to determine how you score. LU II a Z Q 00 C d >_ L V fC r r Q Packet Pg. 361 12129124 11:07 AM Experian 8.H.1 Prepared For SERGIO JIMENEZ Personal & confidential Date generated: Dec 29, 2022 dS At a glance FICO Score 8 F1C0 SCORL 8 7 law Experfan data [W 29, 2022 Soo Aceount summary overall credit usage Debt summary tredltcard end credit line debt $2,737 ppenaccounts 12 Self -reported account balance $0 Self -reported accounts 0 Accounts ever late 0 Loan debt $361,909 Clo$ed accounts 8 q { 5 % Collections debt $0 0 Total debt $364,706 Coliecilons Average account age 4 yrs 1 me olde$t account 14 yrs 4 rues F. Credit used: $2,737 Credit limit: $18,300 r Q Packet Pg. 362 https:/Iusa,experlan.com/memberlprintable-reportlexperianiriow Experlan 12/29122, 11:07 AM x rin Prepared for SERGIQ JIMENEZ Date generated: Dec 29, 2022 J 6R Personal information i 0 C9 Name Addiesaes Employers Q SER010JIMENEY 11466 SUMTEROROVE WA APT9109 STAHLMANLANDSCAPES NAPLES, PL 34113•S8119 Also WuYin as STANLMAN 0 9341 CHESTNUTTREE LOOP Z FORTMYERS, FL 33967.5134 Q J Generational EdentNler _ 4631 ATOLLC%q-APT4 ' NAPLES, FL 34116 a Year oib€rth a 1962 Z V Personal statements No Statement(s) presenlatthis time w J w 0 z Q x 00 c d E t �a r r Q Packet Pg. 363 Pxnnrian.mrntmember/printable-reporUexperlan/now 212 > Xperian 12129124 11:07AM i!!4�A� Y expei 1 Prepared For SERGIQ JIMENEZ pate genetated, Dec 29, 2022 � Open accounts 06 -..-....._._..__ . .._... _. ....... - ......_._.-._ .... ............ . ... .- .. -.. Z $9,471 d @CAPITAL ONE AUTOFiNAN 6alanceupdated Nov30,2022 Exceptional payment history to J 0 Account info Account name CAPITAL ONE AUTO FINAN Balance $&,471 Cl) 0 Accountnumber 620515xXXXKXXXXYX Balance updated Nov 20,2022 Q Odginal creditor Original balance $14,663 ' company sold Paid off 42% H Z Account type Auto Loan Monthlypayment $259 O U Data opened Dec 06, 2019 Past due amount W open/closed Open Hghestbalance W J Current Terms 72 Months Z Status Status updated Nov 2022 Responsibility Jolnt Account - EE (L You r statement U) Z O m Payment history Jars Feh Mar Apr May Jun Jul Aug Sep Oct Nov Dan 2022 ✓ J ✓ ✓ ✓ J ✓ J ✓ J J _ 2021 J J J ✓ ✓ ✓ ✓ ✓ ✓ ✓ J J 2070 ✓ ✓ J J ✓ ✓ ✓ ✓ J ✓ ✓ J 200 — ✓ On Time — Dalat)navable U contact info Address PO BOX 269407 PLANO, TX 75025 Phone number (000) 946.0332 R comments .. .. _ - - .. .-.. . . .- r r Q Packet Pg. 364 htlas://use.exoerian.comtmember/printable-reporUoxp erlan/now Expertan 12129122, 11:07AM a ®9 "9 Prepared For SERGIO JIMENEZ Date generated: Dec 29, 2022 $46 ' 0GOMEN1TY UANKWLLLSOL 06 Balance updated coo12,2022 I EKeepuonalpayment Msrory 0 Z FL 91 Account InfoCQ U $4fi Accountname COMENITYBANKmEALLSOL Balance p Account number sB6637XXXXXXXXXX Balance updated Dec12,2022 ZQ - Creditlimlt $1,300 1 Orlglnalcrediior Credit usega 3% company said Q Accounttype Charge Card Monthly payment $30 Date opened Nov27,2020 past due amount Openlclosed Open Highestbalar= $167 O Current Terms Revolving L) Status Individual Status updated Oec2022 €tesponsibll€ty W J Your statement Y Z_ _. a Ul Payment history Z O Jan rob Mar Apr May Jun Jai Aug Sap Oct Nov Dec 2022 ✓ J ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ - 2e21 J ✓ ✓ ✓ J ✓ ✓ ✓ ✓ ✓ ✓ '/ 2020 Z ✓ on Time — sara UnavaSaLle O U ® contact Info J Address p0 BOX 182780 COLUMBUS, d d OH 4321 B Q Phone number H B Comments r Q Packet Pg. 365 4128 Expedan 12129122,11:07 AM �1 p�rY 1 9i Prepared For J NEZ Date generated: Dec 24, 2022 -.-, ---- ----_ _.. _...._. s0 - ' CEnClTHE MANACIEMENT OR0 e Balance updated Noy e1,2622 Exceptlonal paymam history A Account Info Accountname EWTHE MANAGEMENT ORO Balance $0 Account number 1646Y3XXXXXXXXK Balanmupdated Nav01,2022 i e original balance $2,575 0riglnal credilor G Monthly payment $d C Company sold Rental Past due amount Account type 1 Mouth C Gate opened Jul 16, 2022 Terms F Open Responsibility Joint Account Open/clased Current Your statement Status C Status updated Nov 2022 L u payment history C G ' Jan Feb Met Apr hlay Jun Jul Aug Sep Oct Nov Dee 2n22 ( ✓ en Time ^- aat.um"labie C R Contact Info Address 7000 PEACHTREE DUNW0OB R ATLANTA, F OA 3D32B s ( Phone number (770) 510.5060 - w Comments L r Q Packet Pg. 366 wine•lri,ca.Amnarian.com/member/printable-report/experian/now Experian 12129/2 2, 11:07 AM ® 9 , rIn Prepared For SERGIO JIMENEZ Date generated: Dec 29, 2022 $240,087 GF1FTRTHIRO DANK NA 0 Balance updated Nov30,2022 Ucepltonal payment history ® Account Info Accountname FtFTH THIRD BANK NA Balance $240,087 � Account number 32020OUX Balance updated Nov 30, 2022 i e Original balance $255,290 Original creditor Company sold Paid off 6% e Account type FHA Marigage Monthly payment $0 Date opened Dec 05, 20I8 Past due amount F Openlotosed Open Terms 360 M.— Status Current Responsibility Individual _ C Status updated NOY2022 Your statement L i C U Payment history C G Jan reb Mat Apr May Jun Jut Aug Sep Oct i Nov Dec 2022 2021 ✓ ✓ J ✓ ✓ ✓ J ✓ ✓ ✓ ✓ ✓ 2020 ✓ J J J ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ C 2ni9 ROTS ✓ On Trme — Data Vnav 1A10 I' R Contact Info C � Address 5050 AINOSLEY DR CINGINNATI, OH 45227 F Phone number (800) 972.3030 F 9 comments Payment deferred Affected by natuml or declared disaster ..... ... ._ ` i7 i Q Packet Pg. 367 httnQ*m t s%a. pxnerlan.com/membor/printable-reporYexperianinow 6/28 ExpertanIS i 12129122, 11:07AM e ® expel a 1. prepared For SERGIO JIMENEZ Date generated; Dec 29, 2022 eFIFTH 114RD DANK NA 0 Balance updated Sep 17.2022 Exceptional payment hislory .._ .. . Z a Q 9 Account Info U Accountname FIFTH THIRD BANK NA Balance $0 C/) Accountnumber 54670OXXXXXXXXXI( Ba[anceupdated Sep17,2022 Z credit limit $4,000 J original creditor company sold - Creditusage 0% Q Account type Credit Card Monihlypayment $0 Date opened Feb19.2020 Past due amount open/closed Open Highest balance $3,629 Z O Current Terms Revolving Status Sep2022 Respanslhlllty individualW Status updated J Vour statement Y Z —�, © Payment history Jan Feb Mar 2022 ✓ ✓ ✓ 2021 ✓ ✓ ✓ 2020 — ✓ ✓ enTlme — DalsWavzlDbla e Contact info Address Phone number ® comments Apr May Jun Jul Aug Sep Oct Nov Dec 5050 KINGSLEY OR CINCINNATI, OH 45227 (000) 972.3030 r Q Packet Pg. I68 httos:lluse.exi)e rla n J;omlmemberlprintable-re porilexperia nlnow Experlan 12129122, 11;07AM exper Ian -Prepared For Sp"Gla JIMENEZ Date generated: Dec 29, 2022 516,946 GKIA FINANCE AMERICA 0 BelonceupdatedNov30,2022 - Ercceptlonalpaymenthistory Z Q a Account info U Account Rama KIA FINANCE AMERICA Balance 516,946 In Accountnumber 221519xKXX Balanceupdaled NoV30,2022 Z J Oripinal balance $19,064 Wginal creditor Company sold Paid off 11 k C] Q Account type We Leaso Monthly payment $564 Dale opened Sep 03, 2022 Past due amount - Open/closed Open Highest balance Z 0 Current Terms 36Montba S1a1us 14OV2022 Responsibility JalntAcconnt W Status updated J your slalement Y Z 0 Payment history Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov dec f e 2022 C d On'nme — Data UnanUbte C F3 Contact info F Address 4000 MACARTHUR BLV❑ STE NEWPORT e BEACH, � CA 92660 C Phone number (ey6) 331.5632 C c C Comments L C r Q Packet Pg. 369 htt❑siltusa.exDerien.comlmembedprintabie-reportlexperionlnow I j Expedan 12129122, 11:07AM e ® x 9 ins, Prepared For SERGIO JIMENEZ Data generated: Dec 29, 2022 $38,007 ' %PNCOANK Balance updated Nov 30, 2022 06 Exceptional payment hblory 0 Z Q 9 Account info U PNCOANK Balance $38,007 Q Account name Account number 33020OXXXXXXXXXX Balancoupdated Nov30,2022 '. Z Q Original balance $44,424 J original creditor - Paid off 1496 _ 0 Company sold Q Account type Auto Loan Monthlypoyment $707 Date opened Oct25,2021 Pastdueamounl Open/closed open Highest balance Z Current Terms 72Montha Status Individual W Status updated Nov2022 Responslhillty Your statement J Y Z a U) p payment history Z O Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Q 2022 ✓ J ✓ ✓ ✓ ✓ ✓ ✓ ✓ J `' — W ✓ ✓ J 2021 - - - - - d On 11mE — Pala OnawjWe l Z O ® Contact info U Address 2730 LIBERTY AVE PITTSBURGH, J PA 15222 d 11 • Phone number (M)762.2265 Q 9 Comments . .-..I..I.... r Q Packet Pg. 370 htinq,/Itjq.a.exoerlan.com/member/printable-reporUexper!aninow I j Experlan 12129/22, 11:07AM ® 0 experian. Prepared For SER010 JIMENEZ Date generated: Dec 29, 2A22 $28,723 GPNceANK 0 Balanceupdated Nov38,2022 Exceptionalpsymemhistoty Z a Q 92 Account Info U Account name PNCBANK Dalahce $28,723 (n 0 Account number 330208XXXXXXXxXX Balancoupdated Nov30,2022 Z Q Original balance $37,696 J Odglnal creditor Peid otf 2196 company sold $595 Q Accounitype Auto Loan Monthly payment Date opened Apr 13, 2021 Past due amount open/closed Open Highestbafance Z Current Terms 72 Months L) Status Individual Status updated Nov2022 Responsibility W Your statement J Y Z m Payment history Jan Feb Mat Apr May Jun Jul Aug Sep Oct Nov Dec f e 2022 ✓ J ✓ ✓ ✓ ✓ J J J ✓ ✓ 2021 — — — J ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ C 0n Time — na%Unavelable f a Contact info � Address 2730 LIBERTY AVE PITTSBURW PA 15222 C Phone number t88ej 762.2265 F a comments r Q Packet Pg. 371JI httos:llusa.exl)erian.comlmem ber/pri ntable-report/expertanlnow Experlan 12129122, 11:07 AM ® xrin,� Prepared For SERGIO JIMENEZ Date generated: Dec 29 2622 - .., . . .. $29,735 . @SUNCOAST CREDIT UNION 06 Balance updated Nov 20,2022 Exceptional payment history ._ .� Z a Q P Account info U Accountname SUNCOASTCREDn UNION Balance $29,735 fn Account number 673878X eatanceupdated Nov30,2022 Z Orlginaicreditor Orlginalbalance $41,173 J void off 26% 0 Company sold Q Account type AuloLoan Monihlypayment $607 Date opened Mar 26, 2021 Past due amount Openlclosed Open Highest balance Z Stales Current Terms 72 Months 0 Status updated Status Nov2022 Responsibility Individual Your statement J Y o Payment history Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2022 J ✓ J ✓ ✓ J - ✓ ✓ ✓ ✓ ✓ — ✓ On Time — Peie Unavalahle u contact Info Address Po BOX 11904 TAMPA, Ft 33600 j Phone number I p Comments I r Q Packet Pg. 372 htlr)s://uss.exl)erlan.com/member/printable-report/experiantnow Exparlan 12129122,11:07AM xpe'' I n Prepared For SERGIO JIMENEZ Date generated: Dee 29, 2622 ® y ' C,SYNC0IJCP 06 Balance updated Dee25,2022 Exceptional payment history Z Q 0 Account Into U Accountname SYNCnIJCP Balance $0 Q - Accountnumber 600989XXXXU Balanceupdated Deo25,2022 Z a Original creditor Credit limit $5DD J CompanysDSd Credit usage 0% Q Account type Charge Card Monthly payment $4 Date opened Apr 15, 2010 Past due amount open/closed Open Highest balance $139 0 Status Current Terms Revolving U Status updated Dec 2022 Responsibil'lty Individual W J Your statement Y Z_ q Payment history Jan 2022 ✓ 2021 ' ✓ 2020 ✓ 2019 2018 J On Time 9 Contact Into Address Phone number 19 Comments Feb Mar Apr ✓ J J J J ✓ ! J ✓ — Dala Unavalabie May Jun Jul Aug Sep Out Nov Dec ✓ J J ✓ J ✓ J ✓ ✓ J ✓ ✓ J ✓ ✓ ✓ ✓ J ✓ J ✓ J ✓ ✓ PD BOX 065007 ORLANDO, FL 32896 (800) 542.0800 L r Q Packet Pg. 373 httos:ltusa.experlan.com/member/printable-reporVexperianlnow 12/28 ExperianIN 12129122, 11:07AM / xp2 ® ®0 Prepared Foy SERC310 JIMENEZ. Date generated: Dec 29, 2022 $2,P21 OSYNCBJ7JXCOS PC 06 Balance updated Dec23,2022 Exceptlonaipayment history Z o Account Info U Account name SYNCBITJX COS DC Balance $2,02t Q Account number 524366XXXXXX Balanceupdated Deo23,2022 Z Credltlimll $5,00D J original creditor Companyso[d - Creditusage 40°6 Q Q Account typo Credit Card Monthly payment $91 - Date opened Apr 22, 2018 Past due amount Open/closed Open Highest balance $2,021 Z 0 Status Current Terms Revolving Status updated Dec Responsibility Individual W J Your statement Y Z_ (L o Payment history Z O Jan Feb Mer Apr May Jun Jul Aug Sep Oct Nov Dee - Q - 2022 ✓ ✓ J ✓ J J ✓ ✓ ✓ J J ✓ (' 2021 ✓ J ✓ J J J J ✓ ✓ J ✓ ✓ 2020 J J J ✓ J ✓ ✓ ✓ J J ✓ ✓ 2019 `� '� J J ✓ ✓ ✓ ✓ ✓ ✓ ✓ J Z ✓ ✓ ✓ J J J ✓ ✓ ✓ O_ _ 2018 _ Q ✓ OnWo — Dataunavalahie L) tl (L R Contact info Q Address p0 BOX 96501$ ORLANDO, FL 32896 P: Z Phone number (877) 890.3150 W Q P Comments L r Q Packet Pg. 374 httr)s://uso.exi)eriamcomlme mber/printable-report/experian/now Experian 12/29122, 11:07AM ® rian ® ,. Prepared For SERGIO JIMENEZ Date generated: bec 29, 2022 $670 - 6THDICONA 06 Fxceptlonalpayrrenthisrory Balance updatedDee2t,2022 0 ....._...... _. ___ - _.. Z a Q G Account Info U Account name THOlCDNA Balance $670 (n Account number 603532XXXXXXXXXX Balance updated Dec 21,2022 Z J Original creditor Credit limit $7,500 Company sold Credit usage 0% Q Account type Charge Card Monlhiy payment $29 Q Date opened Feb0i,2021 Pasidueamount H open/closed open Highest balance $9,337 Z 0 Ste€us Current Terms Revaiving Status updated Dee 2022 ResponslbRty Individual W Your statement Y Z N M Payment history Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec F e 2022 ✓ J J J ✓ ✓ ✓ ✓ J ✓ ✓ ✓ 2021 ✓ ✓ ✓ ✓ J ✓ J ✓ ✓ ✓ C C J DnYune — aata Unzrela6le I' ® Contact Info e Address PO BOX 6497 SIOUX FALLS, = SD 57117 C Phone number (000) 950-5114 iq Comments .. --.. _... I.... - r r Q Packet Pg. 375 httl)s:liusa.experlan.com/member/printable-report/experlan/now Experian 12129122, 11.07AM 1g 6" 1 � prepared For SERGIO JIMENEZ Date generated: Dec 29, 2022 d d0 i I ® Closed accounts 06 _.... __....._._,.., ...,.._ Z GCOMEN€TY BANK10FALLSFL Closed d Q 5Iola payments L) _ Z 0 Account info J Account name COMENITY RANIijBa1.L8FL Balance to Account number 585637XXXXXXXXXX Bataneeupdated Jul27,2017 Q Q Original creditor Credl0mit $160 Company sold Monthly payment Z Account type Charge card Past due amount O Date opened Aug 24,2000 Highestbalance $320 V Open/closed closed Terms Revolving W Past due 150 days Responslbllity Indlvldua! Y Status Z Status updated Jul 2017 Your stalement w (L - W z O n Payment kltsloyy Q O Jars Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2017 J 30 60 90 120 120 NA- 2016 ✓ ./ J ✓ J J J ✓ ✓ ✓ ✓ '� I 2015 ,/ J J ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ J Z O_ 2014 — 2013 — — — V- L) — — — — — — — — — d 2011 2010 ✓ On Rme 3O 30 Pays Lnse 50 60 Gays LOSE 90 90 Days Late 120 120♦0ay9tate NA NOAPP}[rable Payment Nlslnry Z W — Gate uneVadable _... ._ .. - ... _ .., Z O t�l Contact Info U W Addcess PO BOX 182789 COLUMBUS, to OH 43210 N W Phone number Z to Comments Transferred to another lender Purchased by onothor lender W Z Q 2 00 c d E t r, r r Q htiDS'//U$O.experian.com/member/printable-reporUoxper;aninow Packet Pg. 16j Experian 12I29122, 11,07AM , Prepared For SERGIO JIMENEZ Oate generated: pec 29, 2022 1" l i t i , GCPMEMTY BAti WBEALL30L Closed 06 uceplional payment history 0 Z a Q a Account Info U Accountname COMENITYBANKIBEALLSOL Balance Q Accountntimber 585637XXKX)MXXX Belanceupdaled Apr25,2020 Z Ddginal creditor - Credit Ilmit $S30 J companysold Monthly payment Account type charge card Past due amount Q Date opened Jun.27,2016 Highestbalance $210 ai H Openlciased Closed Terms Ravalving Z Status Paid satlsfaclorlty Responsibil€ty Individual 0 Status updated Apr 2020 Your statement LU J Y Z_ M Payment history fY a rn Jan reb Mar Apr May Son Jul Aug Sep Oct Nov Dee O 2020 NA 2019 J ✓ J J ✓ ✓ ✓ ✓ J ✓ ✓ ✓ 201a ✓ ✓ J J ✓ ✓ ✓ ✓ ✓ ✓ J ✓ 2017 ✓ ✓ ✓ ✓ ✓ J ✓ ✓ J J ✓ J 2016 Z 0 ✓ On Time NA No Appticabie Payment Fristory — Oeia Onavatlahie rJ J 0 Contact Info it d Address PO BOX 182789 COLUMBUS, Q Olt 43218 H Phone number H Z 9 Comments Account closed at coedit grantork request r Q Packet Pg. 377 axnwrlan.cnmlmemberltprintable-reportlexperlanlnow 1612B Exparlan 12129/22, 11;07AM experian. Prepared For SERGIO JIMENEZ Date generated: Dec 29, 2022 ® QFIFTH THIRD DANK NA Closed 06 Exceptlanal payment tdstory (' - Z a Al Account Info Q U Account name FIFTH THIRD SANK NA Balance _ Q Account number a)(XXx Balance updated NDv 30,2022 Z original balance $18,7G5 J origlnairrad[tor Company sold Monthly payment Acceuntlype Auto Loan Pastdueamount Q Date opened Mar 02, 2020 Highest balance ~ Open/closed Closed Terms 47 Months Z paid satlslactorily Responsibility Individual 0 Status 5tatusupdated Nov2022 Yourslatement LLI w Payment history Jan Feb Mar Apr May Jun Jul Aug Sep act Nov Uce 2022 ✓ ✓ ✓ ✓ ✓ J J ✓ ✓ ✓ NA — F 2021 J J ✓ ✓ — ✓ ✓ ✓ ✓ ✓ ✓ ✓ J ✓ ✓ 2iI20 — (_ ✓ On Time NA No Appiioehte Payment History — Data Unava!lable F w Contact info e Address 5050 KINGSLEY DR CINCINNATI, CH 45227 C Phone number (600) 972•s03o F u Comments L Affected by natural or declared disaster i7 i Q Packet Pg. 378 .corm/memberlorintable-reportlexperionlnow 17128 Experlan 12129122. 11:07 AM exp en- prepared For SERGIO JIMENEZ Date generated: Dec 29, 2022 ® 1 0KIA MNANCEAMERIOA Closed 06 ERcept€onal payment htslory 0 .. ... ., Z Q © Account info U Accountname WA FINANCE AMERICA Nalante tit � Accountnumber 221511XXXX Ralanceupdated Sep 30, 2022 Z - Original balance $19,6b4 J Original r•.redl€or Company sold Monthly payment Accounttype Auto Lease Past due amount Q Date opened Apr 12, 2a22 Highest balance ~ Open/closed closed Terms 26 Months Z Paid satisfactorily Responsibility Joint Account 0 Status Status updated Sap 2022 Your statement w W • J Y to Payment history Jan Feb Mar Apr May Jun Jul Aug Sep Oct NOV ucc 2022 — — — ✓ ✓ ✓ ✓ ✓ NA ✓ onllme NA No Applicable Vaymnl Hislory — nalallaaVellab€e m contact Info Address 4000 MACARTHUR OLVD STE NEWPORT BEACH, CA 92660 Phone number (a6bf331•s632 ® Comments Eady terminauonyob;lgalloa sattsfted r Q Packet Pg. 379 Aunnrinn.r.nmlmember/printable-ret)oWexperlanlnow 18128 Experlan 12129122, 11:07AM � ° � y Prepared For SERGiO JIMENEZ Date generated: Dec 29, 2022 GRIA "NANCE AMERICA Closed 06 Exceptional payment history (' a A Account info Q U Account name MA FINANCE AMERICA Balance Q Account number 201462XXxx Balance updoled Apr30,2022 Z Q - Original creditor - Original balance $12,358 J Company sold Monthly paymont Account type Auto Lease Past due amount Q Date opened Avg17,2020 Highest balance H Openlclosed Closed Terms 36 Mont Z Status Paid satIsfactodly RespongUilly JolntAccount 0 Status updated Apr2022 Your statement w W J Y w Payment history Jan Feb Mar Apr tlay Jun 2022 ✓ ✓ ✓ NA _ — 2021 ✓ 4, ✓ ✓ ✓ ✓ 2020 ✓ on Tlme NA No Appilcable Paymaill Blstory -- Data Unavailable u contact Into Address 4000 MACARTHUR BLVD STE NEWP43RT BEACH, CA 92660 Phone number (666) $31-5632 & Comments Early terminadan1o61i9860a satisfied Jul Aug Sep Oct Nov Deg / ✓ ✓ J ✓ J _ ✓ ✓ ✓ ✓ ✓ i7 i Q Packet Pg. 380 19128 Experian V129122, 11:07AM ® 1' anl prepared For SERGIO JIMENEZ Date generated: Dee 29, 2022 j OKMI ,a1CAPONE Closed 06 Exceptional payment hlslory 0 ---.. _._.. _ _ ....,.-. _ .._. ... Z A ACsotint Info Q U Account name KOHLSICAPONE Balance fn Account number 539305KxxXKKXXxx Oalanceupdated Mar 15,2013 Z Original creditor creditllmil $600 J Company sold Monthly payment y p Account type Charge Card Past dueamaunt Q Dale opened Ju108, 2009 Highest balance $i96 ai Open/closed closed Terms Revolving ~ Z Status Paid satisfactorily Responstbility Indlvldual 0 Status updated Mar2013 Your statement w W J to Payment history Jan Feb Mar Apr Atay Jun 2013 ✓ J NA — — "- 2012 ✓ J ✓ ✓ ✓ ✓ 2010 ✓ ✓ J ✓ 1 J 2009 ✓ On Time NA Na Applicable Pepmen%History — M. Unawflabla s Contact Info Address N56 RIDGEWOOD DR MENOMONEE FAL, WI 53051 Ph One number (262)763.7000 © Comments Account closed at credit grantor's request Closed due to Inactivity Jul Aug Sep Oct Nnv Dec ✓ ✓ J J J ✓ J J J ✓ ✓ J J ✓ ✓ ✓ J r Q Packet Pg. 381 htlns.ullsa,ex0erlan.com/member/printable-reporUexperlarVnow 20/28 12129122, 11;07AM Experian X rian. Prepared For SERGIO JIMENEZ Date generated, Dec 29, 2022 ONISSAN MOTOR ACCEPTANC closed 06 Exceptional payment history (' - d Account Info Account name NISSAN MOTOR ACCEPTANC Balance Account number 102423XXXXXXXXX Balance updated Mar31,2020 Original balance $24,946 Original creditor Company sold Monthly payment Account type Auto Loan Past due amount Date opened Dec: 30,2017 Highest balance Closed Tecros 73 Months OpeNclosed Paid satlsfactorily Responsibility Individual Status Status updated Mar 202O Your statement o Payment history Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2020 ✓ ✓ NA — — — — 2019 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 261R ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ '� '� ✓ — — 2017 — — — — — ✓ on Time NA No Applicable Payment Htstary — Dataunavaslable B Contact info Address PO BOX 660360 DALLAS, TX 76266 Phone number (Sao) 950.6622 0 Comments r Q Packet Pg. 382 21128 Experlan 92129122, 91:07AM exp nan. Prepared For SERGIO JIMENEZ Data generated: Dec 29, 2a22 ® ' Closed asyHcnfWAL1AA€tr 06 Exceptional payment history 0 - Z a Q a Account info U syNCBtWALMART Balance _ W Account name Sun 22, 2014 0 Account number 603220xXXXXX Balanceupdated Z Credit limp $1,900 J Original creditor y Company sold Monthly payment charge Card Past due amount Q Accounttypa Date opened nec 18, 2013 Highest balance ~ Closed Terms Revolving Z Open/closed Individual 0 Paidsatisfactorlly Responsibility Status w Status updated Jun 2014 your statement W J is Payment history Jan 2014 ✓ 2013 — r On Time 64 contact Into Address Phone number Feb Mar Apr May Jun Jul Aug NA NA No Appllrable Payment History — Oatau--able P Comments Amount closed at credit grantor's request PO BOX 965024 ORLANDD, FL 32896 Sep Oct Nov Dec (855j893-58ge C C F F L C r Q Packet Pg. 383 22128 12129122, 11:07AM Experian ® ®X rI Ci 11 u Prepared For SERGIO JIMENEZ Date generated; llec 29, 2022 Collection accounts 06 Z a No tollectlon accounts reported. Q U cn r Q Packet Pg. 384 23128 12i29i22, 11:07AM Experian on � I"I 1 v Prepared For SERGIO JIMENEZ pate generated- Dec 29, 2022 t'g Public records 06 - .._ 0 — ..... Z_ Nopubtic records reported. f1 Q r Q erianlnow Packet Pg. 385 24128 8.H.1 12129122, 11:07 AM ®experian. 0 Inquiries Experian Prepared For SERGIO JIMENEZ pate generaled: Dec 29, 2022 700CR1AIRPORTKIADT 700CRfAIRPORTKIADT i 7000WAlRPORTKIADT inquired on Sep 3, 2022 Inquired on Apr 12, 2022 Inquired on Oct 23, 2021 Business Type: Automobile Dealers, Used Business Type; Automobile Dealers, Used Business Type: Automobile Dealers, Used 3325 YVESNILIV DR 332U WESMFW DR $825 YWESTViEW DR NAPLES, FL 34104 NAPLES, FL. 34104 NAPLES, FL 34104 (239) 732-8910 (239) 732-a910 (239) 732-8910 This inquiry is scheduled to o0otlnuo 0n record until 0012024 This inquiry Is scheduled to continue on record until May 2024 This Inquiry Is scheduled to continue on record until NoV2023 } ALLYFINANCIAL j 7000RIAIRPORTKIADT Inquired on Mar 12, 2021 Inquired on Mar 12 2021 Business Type: Automobile Dealers, Used BualnessType: Auto Financing Companies 3325 WESTVIEW DR 3D10 W AGUAFRIA FWY STE NAPLES, FL 34104 PHOENIX, AZ 85027 (239) 732-8910 (866) 462 Z77O This Inquiry Is scheduled 10continue onward until Apr 2023 This Inquiry is scheduled to continue on record until Apr 2023 BK OF AMER ' InqulredoDMar29,2021 Business Type: All Ranks - non speelfic PO BOX982239 FLpASO. TX 79998 (800) 421-2110 This Inquiry Is scheduled totontinue on record until Apr 2023 � CBNAITHO Inquired on Fab 1, 2021 Business Type: Bank Credit Cards 541 SID MARTIN RD GRAY, TN 37615 (BDO) 677-0232 This inquiry is scheduled to continue on record until Mar 2023 ALLY F€NANCIAL Inquired on Mar 12,2021 BualnessType: Auto Financing Companies 200 RENAISSANCE CTR DETROIT, €AI 49243 (748) 263-3004 This inqulryls scheduled to corninue on recordunt1l Apt 2023 EMS/AMERISAVE MORTBAGE Inquired on Sep 23, 2022 BualnessType: Mortgage Companies 000 WESTOWN PKWY STE 20 WEST DES IAOINES, IA 50766 (800) 333-0037 This Inquiry Is scheduled to continue on retard until Oct 2024 EXPERIAN BUSINESS CREO { I EXPERIAN BUSINESS CRED EXPERIAN DUSINESS CRED Inquired an Sep 9, 2D2Z Inquired on Jun 39, 2021 Inquired on May 12. 2021 Business Typo: Credit Bureaus Business Type: Credit Bureaus Rusln"S Type: Credit Bureaus PO BOX 5001 PO BOX 5001 PO BOX 6001 COSTA MESA, CA 92628 COSTA MESA, CA 92628 COSTA MESA, CA 92628 This Inquiry Is scheduled 1a continue on record until Oct 2024- This Inquiry Is scheduled to continue on record until Jul 2023 _ This Inquiry Is scheduled to continue on record until Jun 2023 FDJEWTHTHIRD BANK NA Inquhed on Sep 23,2022 Business Type: All Banks - non specirio 5001 KINGSLEY DR CINCINNATI, OR 45227 (613)3EB-2451 This Inquiry is scheduled to continue on record unlit Oct 2024 i . . HYUNDAI CAPITALAMERIC Inquired on Sep 3, 2022 Business Type: Auto Financing Companies 4000 MACARTHUR 8LVD STE NEWPORTBEACH, CA 92660 (714) 965-3000 This inquiry is scheduled to continue on record unbi Oct 2024 JPMC13 CARO Inquired on Jan 11, 2022 Business Type: Bank Credit Cards PO BOX 15298 WILMINOTON, DE 19850 (800) 432-3117 This inquiry is scheduled to cont[nue on record until Feb 2024 LU Z Q 00 C d E L V fC r r Q PNCPANK - PNCRANK SUNCOASTCREDIT UNION Inquired on OC124.2021 Inquired on Mar 26, 2021 Inquired on Jun 1, 2021 Oas€Hess-type; All Banks -non spec4ftc Business Type: All Banks • non specific ; Business Type: Cre&t Unlons hlirac•rAi4n.pxoerian.com/member/printable-reportlexpeOn/now Packet Pg. 386 12/29122, 11:07 AM Exparlan 2739 LIBERTY AVE 27311 LIBERTY AVE PITTSBURGH, PA 15222 PITTSBURGH, PA 15222 By mail only By mail only ' This Inquiry Is scheduled tocontinue orrecord undlNov 2023 This inquiry Is scheduled to continue on word mall Apr 2023 6801 EHILLSOOROUGH AVE TAMPA, FL 33610 (1113) 621-7511 This Inquiry Is scheduled to continue on record until Jul 2023 SUNCOASTCRm1T UNION THOICUNA XAMUS-CP Inquired on Marl 5, 2021 Inquired on Jan 11, 2,622 Inquired on Feb 12, 2021 ' 8usinessTypo: Credit Unions Business Type: AllBanks-nonspeelfic Business Type:Mortgage Reporters 6801 E HILLSBOROUGH AVE 2195 N UNNERSITYPARK B 31550 WINTERFLACE PKWY TAMPA, FL 33619 _ LAYTON, UT 84041 SALISBURY, MU 21004 (813) 621-7511 By met] only (41D) 742.9551 This Inquiry is *00uted to conliuue on retard un%RApr 2023 This iuquiry is scheduled to continue on record until Feb 2024 This Inquiry Is scheduled to continue on record until Mar 2023 LU Z Q 00 C d E L V fC r r Q Packet Pg. 387 rlorintable-reporVexperianlnow 26128 8.H.1 12129/22, 11:07 AM expenam a Credit scores FICDO Score 8 Experian Prepared For SERGIO JIMENEZ Date generated. Dec 2g, 2D22 Good 670- 739 V Veus secrets near or slightly abavo the average of U.S. consumers and most lenders ccrnslderthis a goad 730 \s score. 300 850 FICOSCORE8 Expedanewiag= What's helping 13I11s pald on time recently • You've recently been paying your bills on time. • Your most recent missed payment happened:5 Years, G Months ago + About 98%of FIC0 High Achlavers have no missed payments at a11. But of those who do, the missed payment happened nearly 4years ago, on average. • While you have missed payments In the past, you have recently been paying your Win an Gme, staying current end paying bills on time demonstrates lowerrisk. ,/ Many accounts paid on Ume • You haven sufficient number of accounts that are currently paid as agreed. • Number of your accounts currently being paid as agreed: #t accounta •f100 High Achievers hayaan average of 6 amounts currently being paid 83 agreed. • OCoTP Scores consider the numberof accounts that are baing paid as agreed -In your case this number is high. Staying current and paying bills on time, demonstrates lower dsk. I Recent credit card usage • YOUW shown recent use of credit cards endyor bankaseved open-ended accounts. • HCO8ScoresevaluatethemixofcreditCards,installmentLoansendmortgages.PeoplewhodemonstraterecentaWresponsibleuseofcreditcardsand/orbank-Issuedopen-ended accounts are generally considered less risky to lenders. What's hurting Z Serious delldqueflcy • You have a serious delinquency (60 days past due or greater) or derogatory Indicator on your credit report, Q • Number ofyoUr accounts thatwete ever 6Q days late OF worsear have a defogstory Indicator. I account • Mituallf no F100 High Achievers have a 6o days late paymentof wofselisted anihelf credit report. ♦2 • The presence of a serous delinquencyor derogalory, Indicator Is it highly correlated predictor of future paymt ut dsk. People with previous late payments are more likely to pay late In the future. As tht LU hems age, they will have less impact on the FIC09) Score. Most Inte payments stay on your report for no more than seven yews. Z Short account history Q • You have a shortcledilhisloty. _ 00 • your oldest account was opened: 14Yeafs,4Months ago C • FICO High Achievers opened their oldest account 25 years ago, on average. d E • Average age of your accoun1s:4 Years, 4 Months V • Most FICO High Achievers have an average age of aecotws of 9 years oz more. fC r r • People with longer credit histories who infrequendy open new accounts generally polo less risk to lenders. In your case,€ha age of your oldest account and/or the average age of your accounts Is Q reletively low. Packet Pg. 388 27128 .-mien AvnA.rlan.r:nmirnamberlDrentable-repodlexperianlnow 8.H.1 1?129/22, 11:07 AM ,experian. a Disclaimer Experian Prepared For SERGIO JIMENEZ Rate generated: Dec 29, 2022 About your FICO® Score 6 or other FIC00 Scoras ` Your FLCO® score 8 powered by Fxperfandata Is formofaled using the Informallon in your credit file at the time It Is requested. Many but not all leaders use FICOa Score 8. In addition to the FIC00 Score 8, we me$ oiler and provide other base orinduto"peoific FICO® Scares (such as FICOs AuloSoores and Flfo@ Bankcard Scores). -the other FICO'o Scares made available are calculated from vaislons of the base and industry-speclFro F® 100 Score models. Base FICOo Scores Oaeluding the F1C06 Score 8) range from 300 to 851). Industryspecific FICOe Scores range from 2511-900. Higher scares represent a greater likelihood that youll pay hack your debts so you are yYcwed as being a lower credit risk to lenders. A lower FIOOa Score Indicates to lenders that yew may be a higher credit risk. There are many scoring models used in the marketplace, The type of acore used, end its assoclated Oak Ievtls, may vary from lender to lender. But rege(cress of what storing model Is used, they all have one purpose: to summarize your creditworthiness. Keep In mind that your score is just one factor used In the nppl icalion process. Other feelors, such as your annual salary and length of employment, mayalso hocansidered by lundets when you apply for a loan. What %his means to you: credit scoring can help you understand your overall credit rating and help companies better understand how to sense you. overall benefits of credit scoring have included faster credit approvals, reduction Inhuman error and bles, consistency, end better terms and rates for American consumers through reduced costs and tosses for lenders. Your lender or €nsurer may use a different FICDO Score than FIC03 Score 8 or other base or Industry - specific; NCOs Scores provided by us, or different scoring models to determine how you score. r Q Packet Pg. 389 28128 8.H.1 CHASEO JPMorgan Chase Bank, N.A. f O Box182051 Columbus, OH 43218 -2051 00397616DRE02121027422NNNNNNNNNNN 10OD000000640000 APM SOLUTIONS CORP 101 CEDAR CREST CT NAPLES FL 34113-8930 September 01, 2022 through Se tember 30, 2022 Account Number: 000 2357 CUSTOMER SERVICE INFORMATION Web sits: - Chases Service Center: 1-800-242=733 ' .. Deaf and Hard of Hearing: 1-800-242-73$3 Para Espanol: 1 888 622-4273 Intemational Calls: 1-713-262-1679 Important changes: Chase Business Complete Checking8m Starting with the October monthly statement period, we're updating the ways you can avoid the Monthly Service Fee, as. follows: If you meet any of the following qualifying activities for each Chase Business Complete Checldrlg account In a monthly statement period, we will waive the $15 Monthly Service Fee: Maintain a linked Chase Private Client Checkingsm account OR Meet Chase Military Banking requirements OR • Fulfill at least one of the following qualifying activitles: 1. Minimum DAN Ending Ba ante: Maintain a minimum daily ending balance of at toast $2,000 in the Chase Business Complete Checking account each business day during the monthly statement period' 2. Chia a Payment Solutions" Activity: Have at least $2,000 of aggregate eligible deposits2 into the, Chase Business Complete Checking account at least one day before the end of the monthly statement period3 using one or more of the following: Chase OulokAcceptsm Including Chase Smart Tetminalsm InstaMed Patient Payments and InstaMed Patient Portal Other eligible Chase Payment Solutions products4 3. Chase Ink® Business Card Activity. Spend at least $2,000 on eligible purchases6 in the most recent monthly Ink card billing oyclea 'The monthly statement period for Chase Business Complete Checking ends on the last business day of each month. For the purposes of the Minimum Daily Ending Balance requirement, the last day of the monthly statement period is excluded. 2Ellgible deposits are net of chargebacks, refunds, or other adjustments. 3The cutoff time 'for eligible deposits from QuickAccept,'InstaMed, and'other eligible Chase Payment Solutions, is 11.59,p.m. Eastern Tlme'one day prior to the last day of your Chase Business Complete Checking monthly statement period. For example, N your Chase Business Complete Checking monthly statement period ends on November $0, the cutoff time would be 11,59 p.m. Eastern Time on November 29. 4An eligible product has a transaction history that is viewable on Chase Business Online, Chase Connect ®, or J.P. Morgan Access®, 6Etigible purchases must be made using Chase Ink Business Card(s) associated with the same business as your Chase Business Complete Checking account, as reflected In Chase records, and must earn Chase Ultimate Rewards 11 points, Certain purchases and transactions are excluded from earning Chase Ultimate Rewards points, as described In your Rewards Program Agreement available on chase.comlultimaterewards. 6Tho most recent monthly Ink billing cycle will be used if We different from your Chase Business Complete Checking monthly statement period. page t of 4 06 0 Z a Q U to 0 z a J to a tY H Z O U W LU J Y Z_ R a to z O Q O z O 1= Q U J d a Q F- F- P z w 0 z O U w N W Z_ H Q d W Z Q 2 00 r- (1) E t r, r r Q Packet Pg. 390 8.H.1 CHASECO September 01, 2022 through September $0, 2022 Account Number: 0 367 ATM & DEBIT CARD WITHDRAWALS (conitnued) AMOUNT DATE DESCRIPTION 09/29 Card Purchase With Pin 09/29 Shell Service Station Naples FL Card 6276 59.28 09130 Card Purchase 09129 Sunshine Ace -Golden GA Naples FL Card 6276 32,08 09/30 Card Purchase With Pin 09/30 Shell Service Station N les FL Card 6276 q 1 i Total ATM & Debit Card Withdrawals $1,977.75 ATM & DEBIT CARD SUMMARY Andrew Pedro Martinez Card 6276 Total ATM Withdrawals & Debits $0•00 Total Card Purchases $1,977.75 Total Card Deposits & Credits $0.00 ATM &Debit Card Totals Total ATM Withdrawals & Debits $0.00 Total Card Purchases $1,977'75 Total Card deposits & Credits $uo ELECTRONIC WITHDRAWALS DATE DESCRIPTION 09/06 Orig CO Name:GM Financial Orig ID:152219078i Desc Date:220903 CO Entry AMOUNT $1,140.70 Desor:Gmf Pymt Sec:PPD _Trac0:09100001009M7 Eed:220906 Ind ID: 09/16 Orig CO Name:Fpi Direct Debit Orig ID:3590247775 Desc Date:09122 CO Entry 341.83 Descr:Elec Pymt Sec:Web Trace#:111000016690817 Eed:220915 Ind ID:32001 i4506 Webi Ind Name:Andrew P Martinez Total Electronic Withdrawals $1,482,63 DAILY ENDING DALAN� DATE AMOUNT DATE AMOUNT DATE AMOUNT 09/01 $8,460.05 09/12 10,092.41 09/21 11,00237 09/02 8,165.47 09/14 11,599,00 09/22 12,602.77 09106 6,421,24 09/15 11,257,17 09127 12,554.76 09107 7,660.10 09M6 11,226.01 09/29 12,396.48 09/08 7,953.02 09119 11,072.48 09/30 12,$28.29 09109 10,107.41 Page 3 of A r Q Packet Pg. 391 8.H.1 CHASEO JPMorgan Chase Bank, N.A. P O Box 182051 Columbus, OH 43218 -2051 00396093DRE02121030522NNNNNNNNNNN 1000000000640M APM SOLUTIONS CORP 101 CEDAR CREST CT NAPLES FL 34113-8930 October 01, 2022 through October 31, 2022 Account Number: 357 CUSTOMER SERVICE INFORMATION Web site: Chase:com Service Center: 1-800-242 7338 Para Espanol: 1-888-622-4273 International Calls: 1-713-262-1679 CHECKING SUMMARY Chase Business Complete Checking E3 ginning Balance Deposits and Additions Checks Paid ATM & Debit Card Withdrawals Electronic Withdrawals Ending Balance INSTANCES AMOUNT $12,328.29 4 4,144.24 5 -5,503.00 20 -4,115.56 3 .1,959A2 32 $4,894.95 Congratulations, we waived the $15 Monthly Service Fee for this statement period, based on your qualifying activity. How to Avoid the Months Service Fee MS If you meet any of the following qualifying activities for this Chase Business Complete Checking'" account in a statement period, we will waive the $15 MSF. Here's the business activitv we used to determine If you qualified for the MSF waiver. • $2,000 Minimum Daily Endinct Balance: Your lowest daily ending balance was $4,308.71. • $2-000 Chase Pa merit Solutio ss"Activit $0.00 was deposited into this account. • $2,000 Chase lnk Business Card Activit : $0.00 was your total Ink activity. You can also avoid the MSF if you; • Maintain a linked Chase Private -Client ChoddrigsM account OR • Meet Chase -Military Banking requirements For complete details on all requirements to avoid the MSF, please review the Additional Banking Services and Fees for Business Accounts at chase.com/business/disclosures or visit a Chase branch. • i ;f '. o P DATE DESCRIPTION AMOUNT $450.00 10/07 Remote Online Deposit 1 10/21 Remote Online Deposit 1 450.00 10/26 Remote Online De osit 1 1,744.24 a cnn nn Total Deposits and Addltlons $4,144.24 Pogo 1 of 4 r Q Packet Pg. 392 8.H.1 October 01, 2022 through October 31, 2022 Account Number: 357 ELECTRONIC WITHDRAWAL_ DATE DESCRIPTION 10103 Orig CO Name:GM Financial Orig ID:1522190781 Desc Date:221003 CO Entry AMOUNT $1,140.70 Descr:Gmf Pymt 5eo:PPD Traceit:091000016995969 Eed:221003 Ind ID: Ind Name:Andrew Martinez Trn: 2766995969Tc 10/07 Orig CO Name:Fpl Direct Debit Orig ID:3590247775 Desc Date:10/22 CO Entry Descr:Elec Pymt Sec:Web Tracelk:111000010108252 Eed:221007 Ind ID:3200114506 Webi 350,89 Ind Natne:Andrew P Martinez 10/11 Orig CO Name:American Express Orig ID:20050321 i 1 Desc Date:221011 1 CO Entry 467.43 Descr.ACH Pmt Sec:CCD TracelI:021000025618261 Eed:221011 Ind ID:M4154 Ind Name:Andrew Martinez Total Electronic VIAthdrawals $1,959.02 ®A4L� E MING BALANCE DATE AMOUNT DATE AMOUNT DATE AMOUNT 10/03 $10,642.68 10/14 10/07 10,079,79 10/17 10/11 9,117.80 10/18 10/12 8,812.80 10/19 10/13 8,790.37 10/21 7,631.63 10/24 4,308.71 6,634.57 10/26 7,652.95 6,382.46 10/28 7,172.95 6,191.06 10/31 4,894.95 6,411,93 IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR ELECTRONIC FUNDS TRANSFERS: Call us at 1-B66-564-2262 or write us at the address on the front of this statement Immediately if you think your statement or receipt is Incorrect or if you need more Information about a transfer listed on the statement or rooelpt. For personal accounts Only: We must hear from you no later than 60 days after we sent you the FIRST statement on which the problem or error appeared. Be prepared to give us the following Information: Your name and account number; A description of the error or the transaction you are unsure about, and why you think it Is an error or want more information; and The amount of the suspected error. We will Investigate your complaint and will correct any error promptly, if we take more than 10 business days (or 20 business days for now accounts) to do this, we will credit your account for the amount you think Is in error so that you will have use of the money during the time It takes us to complete our investigation. For business accounts, see your deposit account agreement or other applicable agreements that govern your account for details. IN CASE OF ERRORS OR QUESTIONS ABOUT NON -ELECTRONIC FUNDS TRANSFERS: Contact us immediately tf your statement is Incorrect n correct agreement you u need d mores Information about any nOan oue aeeoununds transfers on this statement. For more details, see your deposit account 9 pp g g y JPAMorgan Chase Bank, N.A. Member FDIC r Q Page 3 of 4 Packet Pg. 393 8.H.1 CHASEO JPMorgan Chase Bank, N.A. P 0 Box 182051 Columbus, OH 43218 -2051 00392609DFE02121033522NNNNNNNNNNN 1000000000 64 0000 APM SOLUTIONS CORP 101 CEDAR CREST CT NAPLES FL 34113-8930 November 01, 2022 through November 30, 2022 Account Number: 0000�357 CUSTOMER SERVICE INFORMATION .Wab site: Chase.om Service Center: 1-800-242.7338 Para Espanol: 1-888-622-4278 IntemaWnal Calls: 1-713-262-1679 CHECKING Slit M RY Chase Business Complete Checking INSTANCES AMOUNT Beginning Balance $4,894.95 Deposits and Additions 9 11,338.54 ATM & Debit Card Withdrawals 36 -5,502.62 Electronic Withdrawals 6 -6,400.42 Ending Balance 51 $4,330.45 Congratulations, we waived the $15 Monthly Service Fee for this statement period, based on your qualifying activity. Hour to Avoid the Monthly Service Fee MS It you meet any of the followingg qquali4 activities for this Chase Business Complete Checkingsm account in a statement period, we will wing ness waive the $15 MSF. y . Here's the business aotivity we used to determine if you quat'rfied for the MSF waiver: • S2,000 Minimum Daily Ending Balance: Your lowest daily ending balance was $2,939.25. • $2,Ob0 Chase Payment Solut€ons Activity: $0.00 was deposited into this account. • -000 Chase Ink Business Card ActlyNI ,, $0.00 was your total Ink activity. You can also avoid the MSF if you: • Maintain a linked Chase Private Client Checking8m account OR • Meet Chase Military Banking requirements For complete details on all requirements to avoid the MSF, please review the Additional Banking Services and Fees for Business Accounts at chaso.com/business/disolosures or visit a Chase branch. DEPosiTS AND ADDITIONS AMOUNT $ DATE DESCRIPTION 440.00 11/03 Remote Online Deposit 1 9 130.0 11107 Remote Online Deposit 1 13JO Remote Online Deposit 1 5,000.00 1I 11114 Remote Online Deposit 1 1,300.00 1 i 11 A online Transfer From Chk ...7522 Transaction##: 15770382085 208.65 Total Deposits and Additions w "" w z Q x 00 C d E L V R r Q Page 1 of 4 Packet Pg. 394 8.H.1 November 01, 2022 through November 30, 2022 Account Number: 357 DATE" DESCRIPTION AMOUNT 11/03 Orlg CO Flame:GM Financial Orig ID:1522190781 Desc Date:221103 CO Entry $1,140,70 Descr;Gmf Pymt Sec:PPD Trace#,091000019364735 Eed:221103 Ind ID: Ind Name:Andrew Martinez Ttn: 3079364735Tc 11107 Orig CO Name:Fpl Direct Debit Orig ID:3590247775 Dow Date:11/22 CO Entry 359,72 Descr.Eleo Pymt Sec:Web Trace#:111000018928207 Eed:221107 Ind ID:32001 f 4506 Webl Ind Name:Andrew P Martinez 00000000000000000000 Tm:3118928207Tc 11114 Orig CO Name:Arnerican Express Origg ID:2005032111 Desc Date:221114 CO Entry Ind ID:M1438 1,000.00 Descr:ACH Pmt Seo:CCD Tracelt:021000024003798 Eed:221114 Ind Name:Andrew Martinez Er Am Tm-. 318400379BTo 11/23 Zelle Payment To Will Tree Service J m9991vclmn 1,200.00 11/25 11/25 Online Transfer To Chk ...7522 Transaction#: 15877753187 300.00 11/30 11/30 Online Transfer To Chk ,..7522 Transaction#: 15917738929 2 400.00 Total Elsatronlo Withdrawals $6,400.42 DAILY ENDING EALANGE DATE AMOUNT DATE AMOUNT DATE AMOUNT 11102 $4,285.05 11/10 5,272.97 11/23 4,838.12 11/03 3,497.31 11114 5,264.31 11/25 5,925.76 11/04 3,459.12 11115 5,258.50 11/28 7,170.29 11107 3,145.93 11 /16 6,362.04 11 /29 7, f 61.66 11/09 2,939.25 11/21 6,179,37 11130 4,330.45 IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR ELECTRONIC FUNDS TRANSFERS: Call us at 1-tt66-564-2262 or write us at the address on the front of this statement immediately it you think your statement or receipt Is Incorrect or if you need more informatlon about a transfer listed on the statement or receipt. For personal accounts only: We must hear from you no later than 60 days after we sent you the FIRST statement on which the problem or error appeared. Be prepared to give us the following Information: • Your name and account number; • A description of the error or the transaction you are unsure about, and why you think It Is an error or want more Information; and • The amount of the suspected error. We will investigate your complaint and will correct any error promptlyy. It we take more than 10 business days (or 20 business days for new accounts) to do this, we will credit your account for the amount you think is in error so that you will have use of the money during the time it takes us to complete our investigation. For business accounts, see your deposit account agreement or other applicable agreements that govern your account for details. IN CASE OF ERRORS OR QUESTIONS ABOUT NON -ELECTRONIC FUNDS TRANSFERS: Contact us Immediately if your statement IS Incorrect or If you need more Information about any non -electronic funds transfers on this statement, For moro details, see your deposit account agreement or other applicable agreements that govern your account. JPMorgan Chase Bank, N.A. Member FDIC W I= a Z Q 2 00 c d E t v r r Q Pegs 3 or 4 Packet Pg. 395 8.H.1 9/1/2022 9 Statement Period Date; - Account Type; 5/3 BUS STANDARD CKG Account Number:573 FIFTH 'HARD BANK (soUTH FLORIDA) p,o, ©OX 630900 CINCINNATI OH 45263.0900 Banking Center; Carillon ADS LANDSCAPING & IRRIGATI 0 06 Banking Center Phone: 239-261-6110 0 9341 CHESTNUT TREE LOOP Business Banking Support; 877-534-2264 z FORT MYERS Ft- 33967-5134 a 6294 Q U rn Z a J Account Summ�>l°y 573 a 09/01 Beginning Balance $24,625.39 Number of Days in Period 30 Z 38 Checks $(31,713.16) O 17 Withdrawals / Debits $(38,525.31) LU 8 Deposits / Credits $54,303.39 w 09130 Ending Balance $8,690.31 J Y Analysis Period: 08/01/22 - 08/31/22 Standard Monthly Service Charge $11.00 Standard Monthly Service Charge Waived (see below)-$11.00 Service Charge withdrawn on 09/13/22 $0.00 Standard Monthly Service Charge waived if: Your business maintains a total monthly average balance of $3,500 across Its business checking, savings, and certificate of deposit accounts. OR your business spends at least $500 per month on its business credit card. Checks * Indicates gap In ctleck sequence I = Electronic Image s M Substitute Check Number Date Paid Amount 18341 09/06 94.16 1838*1 09/06 1,050.00 1841*1 09/01 675.00 1846*1 09102 780.00 18471 09/08 1,100.00 18481 09/06 525,00 18491 09/06 1,260.00 18501 09106 1,260,00 18511 09/06 972.00 18521 09/06 810.00 18531 09/06 810A0 18541 09/06 702,00 18551 09107 1,080,00 Current Relationship Overview: Balance Criteria Met? Yes Total Combined Monthly Average Balance $30,022.84 Other Criteria Met? No $500 Business Credit Card Spend? No 38 checks totaling $31,713.16 Number Date Paid Amount (dumber pate Paid Amount 1857*1 09/02 250.00 18751 09/20 615.00 18581 09/07 700.00 18761 09/20 615.00 18591 09/07 2,210.00 18771 09/19 630.00 18601 09/09 525.00 187E 1 09/20 900.00 1862*1 09119 1,050.00 18791 09/19 500.00 18631 09112 810.00 18801 09126 900.00 18641 09/13 675.00 18811 09/26 525.00 18651 09/13 675.00 1883*1 09/26 1,260.00 18661 09/13 585.00 18841 09/23 1,260.00 1869*1 09/12 375.00 18851 09/26 972.00 18701 09/ 16 525.00 18861 09/26 756.00 1873 * 1 0 9/ 19 1,218.00 18871 0 912 6 1,080.00 18741 09/19 954.00 9 En r Q For additional Information and account disclosures, please visit www.53.com/businessbanking Packet Pg. 396 8.H.1 F'IPTH THIRD BANK Withdrawals / Debits 17 items totaling $38,525.31 Date Amount Desch Lion 09101 105.00 DEBIT CARD PURCHASE AT CITY OF NAPLES, 2392131801, FL ON 083122 FROM CARD#: XXXXXXXXX (XX2019 09/01 150.00 DEBIT CARD PURCHASE AT CITY OF NAPLES, 2392131801, FL ON 083122 FROM CARD#: XXXXXXX)p000(2019 09101 762.08 AFCO AFCO 0154693292 ADS LANDSCAPING & 090122 09/02 2,161.00 AMTRUST NA PAYMENT 34856981 ADS LANDSCAPING IRRI 090222 09/06 80.00 RECURRING PURCHASE AT INTUIT *QBooks Onl, CL.INTUIT.COM, CA ON 090522 FROM CARD#: )0(XXXXX)000(X2019 09/06 1,053.38 HERITAGE LANDSCA HERITAGE BT0902 000000190171854 ADS LANDSCAPEING & IR 090622 09/06 4,399.82 WEB INITIATED PAYMENT AT CHASE CREDIT CRD EPAY 6173868064 090622 09109 70755 PNC BANK-IL-INDR LOAN PYMT 332008135060324 090922 09/13 45,00 MERCHANT PAYMENT 7-ELEVEN - MSIN014401 Colonial Blvd US Fort Myers FL ON 091322 FROM CARD#: XXXXX)OOOD X211X 09114 197.68 PYMT TO NNT PEARL HOLDIN - 985917 11575 HERON BAY BLVD 30 CORAL SPRINGS FL 09/15 153.75 DEBIT CARD PURCHASE AT EB HERITAGE CARES, 8014137200, CA ON 091422 FROM CARD#: XXXX)DO(XXXXX2019 09/15 24,081.70 HERITAGE LANDSCA HERITAGE BT0914 000000191550905 ADS LANDSCAPEING & I 091522 09116 903.75 Ascendant Insura VENDOR PMT #210351127 091622 09/16 63.88 FUNDS TRANSFER DEBIT REF # 00340511704 UNPROCESSED DEPOSIT 09/28 595.12 PNC BANK-IL-INDR LOAN PYMT 332008134247128 092822 09/29 904.60 DEBIT CARD PURCHASE AT HIDEAWAYPR941-739-, 877-755-1166, FL ON 092722 FROM CARD#: XXXXXXX)00U0(2019 09130 2,161.00 AMTRUST NA PAYMENT 34988339 ADS LANDSCAPING IRRI 093022 Deposits / Credits 8 items totaling $54,303.39 Date Amount Description 09/02 5,349.00 MOBILE DEPOSIT 09/07 830.00 MOBILE DEPOSIT 09/07 3,500.00 MOBILE DEPOSIT 09113 43,579,40 DEPOSIT 09/15 295,00 MOBILE DEPOSIT 09/15 9,99 FUNDS TRANSFER CREDIT REF # 00339786581 PROVISIONAL CREDIT FOR DISPUTED ITEM 09/19 415,00 MOBILE DEPOSIT 09/26 325.00 MOBILE DEPOSIT Daily Balance Summary Date Amount Date Amount Date Amount 09101 22,933.31 09/12 8,867.40 09120 18,779.03 09/02 25,091.31 09/13 50,466.80 09123 17,519.03 09106 12,074.95 09114 50,269.12 09/26 12,351.03 09/07 12,384.95 09/15 26,338.66 09/28 11,755.91 09108 11,284,95 09/16 24,846.03 09/29 10,851.31 09/09 10,052,40 09/19 20,909.03 09/30 8,690.31 IF YOU USE TREASURY MANAGEMENT SERVICES, PLEASE NOTE THAT WE HAVE UPDATED OUR TERMS AND CONDITIONS. GO TO 53.COM/'i'M-TC TO VIEW. LU Z Q 2 00 c d E t v r r Q Packet Pg. 397 8.H.1 Statement Period Hate: 1011/2022 - 10/31/2022 0 - Account Type: 513 BUS STANDARD CKG FIPTH THIRD BANK Account Number: W573 (SOUTH FLORIDA) P.O. BOX 630900 CINCINNATI OH 45263-0900 Banking Center: Carillon od ADS LANDSCAPING & IRRIGATI 0 Banking Center Phone: 239-261-6110 0 9341 CHESTNUT TREE LOOP Business Banking Support: 877-534-2264 Z FORT MYERS FL 33967-5134 IL 6278 Q I Account Summary �573 10/01 Beginning Balance 37 Checks 15 Withdrawals / Debits 8 Deposits / Credits 10/31 Ending Balance Analysis period- 09/01/22 - 09/30/22 $8,690.31 Number of Days In Period $(34,965.00) $(22,216,11) $104,217,16 $55,726.36 Standard Monthly Service Charge Standard Monthly Service Charge Waived (see below) Service Charge withdrawn on 10/13/22 Standard Monthly Service Charge waived if: Your business maintains a total monthly average balance of $1,000 across its business checking, savings, and certificate of deposit accounts. OR your business spends at least $500 per month on Its business credit card, $10.00 -$10.00 $0.00 31 Current Relationship Overview: Balance Criteria Viet? Yes Total Combined Monthly Average Balance $19,516,12 Other Criteria Met? No $500 Business Credit Card Spend? No Checks 37 checks totaling $34,965.00 * Indicates gap In check sequence i = Uectronlc image s = Substitute Check Number Date Paid Amount 181.21 10/25 1,200.00 1823*1 10/25 1,200.00 1837*1 10/25 1,200,00 1861*1 10/17 1,050.00 1872*1 10/ 17 1,218.00 18B8*i 10/03 52100 1890*1 10117 1,260.00 18911 10/05 840.00 18921 10/03 810.00 18931 10/04 630.00 18941 10/11 1,080.00 18951 10/03 250,00 18961 10/11 700,00 Number Date Paid Amount Number Date Paid Amount 18971 10/11 525.00 19111 10117 500.00 1899*i 10111 840.00 19121 10/21 525.00 19001 10/12 840,00 1915*1 10/27 972.00 19011 10/11 648.00 19161 10/25 756.00 19021 10/11 504.00 19171 10/31 900.00 19031 10/11 360.00 19181 10/21 840.00 19041 10/12 1,050.00 1919 i 10/25 5,000.00 19051 10/17 525.00 1921*i 10/31 525.00 1907*1 10117 1,260.00 1925*1 10/31 978.00 19081 10/14 972.00 19261 10/28 81000 1909 i 10/18 756.00 1927 1 10131 756:00 19101 10/ 18 1,080.00 19281 10/31 1,080,00 LU Z Q 2 eo a: c m E t ka r r Q For additional Inrormation and account disclosures, please visit www.53.com/businessbanking Packet Pg. 398 8.H.1 Statement Period Date: 11/1/2022 - 11/30/2022 Account Type: 5/3 BUS STANDARD CKG FIFTH THIRD BANK Account Nurnber;_4573 (SOUTH FLORIDA) P.O. BOX 630900 C[NCSNNATT OB 45263-0900 ` Banking Center: Carillon oa ADS LANDSCAPING & IRRIGATI 0 Banking Center Phone: 239-261-6110 0 9341 CHESTNUT TREE LOOP Business Banking Support: 877-534-2264 Z FORT MYERS FL 33967-5134 d 6304 Q 11/01 Beginning Balance 45 Checks 14 Withdrawals / Debits 7 Deposits / Credits 11/30 Ending Balance Analysis Period: 10/01/22 - 10/31/22 Standard Monthly Service Charge Account Su $55,726.36 Number of Days in Period $(38,793.89) $(25,437.68) $33,165.00 $24,659.79 Standard Monthly Service Charge Waived (see below) NEGATIVE COLLECTED FEE 9 Service Charge withdrawn on 11/10/22 $10.00 -$10.00 $18.00 $18.00 30 9Collected balance Is the cash balance minus checks drawn on other banks deposited in the last 2-5 days. Negative collected balance occurs when you draw upon those funds before the deposited checks are cleared. Standard Monthly Service Charge waived if: Your business maintains a total monthly average balance of $1,000 across its business checking, savings, and certificate of deposit accounts. OR your business spends at least $500 per month on Its business credit card. Current Relationship Overview: Balance Criteria Met? yes Total Combined Monthly Average Balance $29,227.15 Other Criteria Met? No $500 Business Credit Card Spend? No Checks 45 checks totaling $38,793.89 * Indicates gap in check sequence I = Electronic Image s = Substitute Check Number Date Paid Amount 18561 11/04 1,200.00 1868*1 11/04 1,200.00 1914*1 11/10 1,050.00 1920*1 11/08 3,000X0 1923*1 11/10 840,00 19241 11/04 282.00 1929*E 11/04 550.00 1930 1 11/04 525.00 1932*E 11/10 880.00 19331 11/04 1,038.00 19341 11/04 1,026.00 19351 11/08 630.00 19361 11/08 1,080,00 19371 11107 130.90 19381 11/04 282.00 Number date Paid Amount plumber Date maid Amount H 1939E 11/04 1,320,00 19571 11/22 900.00 Q 1940E 11/18 525.00 1958E 11/18 1,300.00 1942*€ 11/28 1,320.00 1959E 11/29 500.00 d 19431 11/14 1,026.00 19601 11/21 756.00 19441 11/15 756.00 19611 11/21 597.00 uJ 19451 11115 1,080.00 19621 11/18 158.99 19461 11114 1,300.00 1964*€ 11/25 525.00 Q 19471 11/14 700.00 1966*1 11/28 1,320.00 19481 11114 500.00 19671 11/25 1,064.00 = 00 19491 11/14 500.00 19681 11/29 756.00 a 19501 11/21 378.00 19691 11/28 1,080.00 d 1952*1 11/21 525.00 19701 11/28 1,300.00 E 1954*i 11/28 1,100.00 19711 11/25 723.00 0 19551 11/21 1,026.00 19721 11/25 784,00 r 1956E 11121 756.00 1974*E 11/25 504.00 Q For additional Information and account disclosures, please visit www.63.comlbusinessbanking Packet Pg. 399 8.H.1 M FIFTH THIRD BANK Withdrawals / Debits 15 items totaling *22,216.11 Date Amount Description 10/03 2.89 DEBIT CARD PURCHASE AT PAYMENTUS CORP, 9802723788, NC ON 093022 FROM CARD#: XXXXXXXXXXXX2019 10/03 100.00 DEBIT CARD PURCHASE AT COLLIER COUNTY, 2392528999, FL ON 093022 FROM CARD#: XXXXXXXXXXXX2019 10/03 762.09 AFCO AFCO 0154693292 ADS LANDSCAPING & 100322 10/04 238.00 WEB INITIATED PAYMENT AT HOME DEPOT ONLINE PMT 600870348273574 100422 10/05 146.83 WEB INITIATED PAYMENT AT CHASE CREDIT CRD SPAY 6237644947 100522 10/05 80,00 PYMT TO INTUIT 180041NT - 004 INTUIT 180041NTUIT MOUNTAIN VIEW CA 10111 707.55 PNC BANK-IL-INDR LOAN PYMT 332008135060324 101122 10/13 37.00 OVERDRAFT FEE 10117 194.92 PYMT TO NNT PEARL HOLDIN - 985917 11575 HERON BAY BLVD 30 CORAL SPRINGS FL 10/18 903.75 Ascendant Insura VENDOR PMT #215771800 101822 10/19 13,313.54 HERITAGE LANDSCA HERITAGE BT1018 000000195679801 ADS LANDSCAPEING & 1R 101922 10/20 2,718.42 WEB INITIATED PAYMENT AT HOME DEPOT ONLINE PMT 630884313793448 102022 10/25 255.00 DEBIT CARD PURCHASE AT CITY OF NAPLES, 2392131801, FL ON 102422 FROM CARD#: XXXKXXXXXXXX2019 10/28 595.12 PNC BANK-IL-INDR LOAN PYMT 332008134247128102822 10/28 2,161.00 AMTRUST NA PAYMENT 35107371 ADS LANDSCAPING IRRI 102822 Deposits / Credits 8 items totaling $104,217.16 Date Amount Description 10/07 2,635.00 MOBILE DEPOSIT 10/13 5,000.00 DEPOSIT 10/17 10,415.34 513 JEANIE DEPOSIT 2210170 - 001966 5076 AIRPORT PULLING NAPLES FL ON 101722 FROM CARD#: XXXXXXXXXXXX158X 10/17 18,206.82 5/3 JEANIE DEPOSIT 2210170 - 001966 5076 AIRPORT PULLING NAPLES FL ON 101722 FROM CARD#: XXXXX XXXX)0(158X 10/19 22,322.50 DEPOSIT 10/20 40,295.00 DEPOSIT 10/31 350.00 MOBILE DEPOSIT 10/31 4,992.50 DEPOSIT Daily Balance Summary w Date Amount Date Amount Date Amount 0 Z 10/03 6,240.33 10/13 4,648.95 10/21 68,771.98 0 10/04 5,372.33 10/14 3,676.95 10/25 59,160.98 W 10/05 4,305.50 10117 26,291.19 10/27 58,188.98 rn 10/07 6,940.50 10/18 23,551.44 10/28 54,622.86 W 10/11 1,575.95 10/19 32,560.40 10131 55,726.36 Z 10/12 (314.05) 10/20 70,136.98 Q IF YOU USE TREASURY MANAGEMENT SERVICES, PLEASE NOTE THAT WE HAVE UPDATED OUR TERMS AND CONDITIONS. GO TO 53.COM/TM-TC TO ti VIEW. W d' Z Q 2 00 c d E t v r r Q Packet Pg. 400 8.H.1 0 RFTH THIRD BANK Withdrawals / Debits 14 items totaling $25,437.68 Date Amount Description 11/01 762.09 AFCO AFCO 0154693292 ADS LANDSCAPING & 110122 11/01 784.53 WEB INITIATED PAYMENT AT HOME DEPOT ONLINE PMT 600894701986188 110122 11/01 5,704.31 WEB INITIATED PAYMENT AT CHASE CREDIT CRD EPAY 6291889052 110122 11/02 150.00 DEBIT CARD PURCHASE AT CITY OF NAPLES, 2392131801, FL ON 110122 FROM CART]#: XXXXXXXXXXXX2019 11/02 904.60 DEBIT CARD PURCHASE AT HIDEAWAYPR941-739-, 877-755-1166, FL ON 103122 FROM CARD#: XXXXXXXX7000(2019 11/07 85.00 RECURRING PURCHASE AT INTUIT *QBooks Onl, CL.INTUIT.COM, CA ON 110522 FROM CARD#: XXXXXXXXX XX2019 11/09 707.55 PNC BANK-IL-INDR LOAN PYMT 332008135060324 110922 11110 18.00 SERVICE CHARGE 11/15 188.96 PYMT TO NNT PEARL HOLDIN - 98591711575 HERON BAY BLVD 30 CORAL SPRINGS FL 11/16 903.75 Ascendant Insura VENDOR PMT #221192805 111622 11/21 65.70 MERCHANT PAYMENT 7-ELEVEN - MTUD01 9990 Interstate Co US Ft Myers FL ON 112122 FROM CARD#: 70000000000(X158X 11/21 13,663.47 HERITAGE LANDSCA HERITAGE 13T1118 000000199630071 ADS LANDSCAPEING & IR 112122 11/28 595.12 PNC BANK-IL-INDR LOAN PYMT 332008134247128 112822 11/30 904.60 DEBIT CARD PURCHASE AT HIDEAWAYPR941-739-, 877-755-1166, FL ON 112822 FROM CARD#: XXXXXXXXX)=2019 Deposits / Credits Date Amount 7 items totaling $33,165.00 Description 11/14 380.00 MOBILE DEPOSIT 11114 2,885.00 MOBILE DEPOSIT 11/18 600.00 MOBILE DEPOSIT 11/22 700.00 MOBILE DEPOSIT 11/23 595.00 MOBILE DEPOSIT 11/23 10,310.00 DEPOSIT 11/29 17,695.00 DEPOSIT Daily Balance Summary Date Amount Date Amount Date Amount 11/01 48,475.43 11/10 31,576.38 11/22 8,535.51 11/02 47,420.83 11/14 30,815.38 11/23 19,440,51 11/04 39,997.83 11/15 28,790.42 11/25 15,840.51 11107 39,781.93 11/16 27,886.67 11/28 9,12539 11/08 35,071.93 11/18 26,502.68 11/29 25,564.39 11/09 34,364.38 11/21 8,735.51 11/30 24,659.79 r Q Packet Pg. 401 U L U M31NNINdS NOUVOIN II - N011t/011ddd AII1N3 dNO33S- Z3NIINVW 'd M3N(3NV 'H8 :;uau LI3B44y N N O N 0 N_ r ai Z O a. I1 H W O W U U H M Z Z Q ZLU � M N d O V M CSN O Cl) � ot LL N a O N Z J Q ' O p 0 N LO R. N N U J� N O C7 O a rn 0 U N M Q� Z Q J N Ix O L O N t H C U! O L V i 4 2 cv a) d cn C� O= .0 H J> E 'a m m :3 U Q H cy V J N 2 5> ns C"n" R c"n, E Wi co a) O N A, >, c E c � O 3 a) 0)0- cB U >, E ai E L-0 cB +) > Co co O > 7 co o a �= E cu fl.. � a) x �_a L U) Co ::3 U O E L U (6 C: Q1 — C 41 C) n O a m E E 3 L U � o `-- O O _ C ca > a) � O U i CO i T n cM ti U ° cL Z (D_ E ° m a) U ° ca cn c H 2 cu E 9.A 01 / 18/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 9.A Doc ID: 24370 Item Summary: 9A. JUAN MASSON -REVIEW OF PROBATION (CREDIT) - LANDSCAPING RESTRICTED CONTR. - US INTERMED CORP. Meeting Date: 01/18/2023 Prepared by: Title: — Contractor Licensing Name: Sandra Delgado 01/11/2023 3:23 PM Submitted by: Title: — Contractor Licensing Name: Tim Crotts 01/11/2023 3:23 PM Approved By: Review: Contractor Licensing Contractor Licensing Contractor Licensing Sandra Delgado Review item Tim Crotts Review Item Tim Crotts Meeting Pending Completed 01/11/20234:15 PM Completed 0 1 /11/2023 4:49 PM 01/18/2023 9:00 AM Packet Pg. 403 9.A.1 Findings of Fact, Conclusions of Law and Decision of the Board Q Collier County Contractor Licensing Board M For Applications Submitted to the Board for Review o Type of Application: X Credit Report Review Waiver of Testing Requirements Reinstatement of License Request to Qualify Second Entity Other (specify) THIS CAUSE came on for public hearing before the Contractor Licensing Board (hereafter Board) on June 15, 2022, for a review of a credit status improvement as ordered by this Board at the conclusion of the Board's January 19, 2022 hearing with Juan Masson. The Board, having heard testimony under oath, received other evidence, and heard arguments relative to all appropriate matters thereupon, issues its Findings of Fact, Conclusions of Law and Order of the Board as follows: FINDINGS OF FACT 1. Juan Masson, US Intermed Corp. DBA USI Landscaping, was issued a Certificate of Competency for a Landscaping Restricted Contractor by this Board on January 19, 2022 and subject to a three (3) month probationary period wherein Juan Masson was required to appear back before the Board to provide an update as to the repayment status on outstanding federal tax liens, other documentation showing improvement to his credit score, and a business plan on his business operations going forward. 2. Sufficient documentation was supplied by Juan Masson to the Licensing Supervisor, evidencing that Juan Masson has an active, repayment plan in place and is 1 Packet Pg. 404 9.A.1 70 paying on the federal tax liens. His updated credit report reflects two new federal tax Q m liens were filed against Juan Masson, since his probationary license was issued and he o was delinquent prior to the issuance of his probationary license by this Board at the January 19, 2022 hearing. 3. The Applicant was present at the public hearing and was not represented by counsel. 4. The Applicant has demonstrated to the Board's satisfaction that the Applicant has demonstrated he continues to make timely payments on the federal tax liens and is actively working with the Internal Revenue Service to satisfy the liens. The Internal Revenue Service has provided document reflecting Juan Masson is in compliance with the repayment plans for the federal tax liens. CONCLUSIONS OF LAW 1. All notices required by the Code of Laws and Ordinances of Collier County, as amended, have been properly issued and the Board has jurisdiction over the matter. 2. Pursuant to Section 22-184(b) of the Code of Laws and Ordinances of Collier County, as amended, a continued review of Juan Masson's creditworthiness is lawful and Juan Masson is continuing to take the additional action to further improve his credit report and satisfy the federal tax liens. 1. Based upon the foregoing Findings of Fact and Conclusions of Law, and pursuant to the authority granted as applicable in Chapter 489, Florida Statutes, and Code of Laws and Ordinances of Collier County, as amended, by a vote of 5 in favor and 0 opposed, a unanimous vote of the Board present, Juan Masson's subject license 2 Packet Pg. 405 9.A.1 Fn D probationary period is hereby extended for an additional six (6) months. At the end of a m the probationary period Juan Masson shall a c p ry p appear before the Board at this Board's a December 2022 meeting date and provide sufficient proof of satisfaction of all o outstanding tax liens and any additional information evidencing improvement of his LU business finances and business plan for further consideration by this Board.LU 2022. ORDERED by the Contractor Licensing Board effective the 15th day of June CONTRACTOR LICENSING BOARD COLLIER COUNTY, FLORIDA e,� e7'7:� By: Kyle E. Lantz, Chairman I HEREBY CERTIFY that a true and correct copy of the above and foregoing Findings of Fact, Conclusions of Law, and Order of the Board has been furnished to the Applicant, and Timothy Crotts, Contractor Licensing Supervisor, 2800 North Horseshoe Drive, Naples, FL 34103 on this 777N day of _ Vie_ 2022. Secretary/Contractor Licensing Board 3 Packet Pg. 406 9.A.1 SM CREDIT CHECK Commercial Credit Report Company: US INTERMED CORP. D/B/A: USI LANDSCAPING Address:4515 SW 68TH COURT CIRCLE, #6 MIAMI, FLORIDA 33155 Telephone: (305) 986-2496 PRINCIPALS: PRESIDENT MASSON, JUAN Address: 6140 SW 78TH STREET SOUTH MIAMI, FLORIDA 33143 Social Security Number:-3321 Stock Ownership: 100% SECRETARY MASSON, YOANIA Address: 6140 SW 78TH STREET SOUTH MIAMI, FLORIDA 33143 Social Security Number: N/A Stock Ownership: 0% Address: Social Security Number: Stock Ownership: 4ddress: Social Security Number: Stock Ownership: RISK SCORE: CONFIDENTIAL Date: 01/10/23 Cust. No: 9999 Ordered By: RUSH Page: 1 (X) Corporation EIN: 65-0869580 Experian Financial Stability Risk Score 1 Low Risk 1 2 Low to Med 1j ♦ 31Medium Risk 4 IMed to High 1-Poor Excellent-100 5 1 High Risk 18 CREDIT RISK SCORE The score uses tradeline and collections information, public filings as well as other variables to predict future risk. Higher scores indicate lower risk. FACTORS LOWERING THE SCORE: * risk associated with the company's industry sector * number of active commercial accounts Reported for: APPLICANT - SEE NAME ABOVE Reported by: Credit Check, Inc. - 3017 Exchange Court, Suite H, West Palm Beach, FL 33409. (561) 616-5556 Packet Pg. 407 9.A.1 SM CREDIT CHECKCONFIDENTIAL � Commercial Credit Report o Company: US INTERMED CORP. Date: 01/10/23 D/S/A: USI LANDSCAPING Cust. No: 9999 O U AddreSS: 4515 SW 68TH COURT CIRCLE, 46 Ordered By: RUSH 0 LU MIAMI, FLORIDA 33155 Page: 2 W US INTERMED CORP. D/B/A UST LANDSCAPING was INCORPORATED in the county of H Z MIAMI-DARE, state of FLORIDA, on 10/06, 1998. The charter number is U) P98000085639. The registered agent is MASSON, JUAN of 6140 SW 78TH STREET, SOUTH MIAMI, FLORIDA 33143. Offices are LEASED from N/A at N/A per month. ' The company employs N/A. NET WORTH: ON FILE WITH STATE The company maintains banking relations with CITY NATIONAL BANK The officer handling the account is N/A - SOUTH MIAMI, FLORIDA PUBLIC RECORDS WERE CHECKED FOR MIAMI-DADE COUNTY, FLORIDA. A SEARCH OF LOCAL, STATE, AND FEDERAL RECORDS HAS BEEN CONDUCTED WITH THE FOLLOWING RESULTS: AS OF 01/10/23 - SEVEN YEAR SEARCH. (1) FEDERAL TAX LIEN FILED 03/09/16, #2016R0145304, $10,238.51, DADE COUNTY (FL) CREDITOR: IRS PAID/RELEASED 06/131/18 SEE ATTACHED (2) FEDERAL TAX LIEN FILED 04/13/16, #2016R0216946, $4,552.08, DADE COUNTY (FL) CREDITOR: IRS PAID/RELEASED 06/01/18 SEE ATTACHED (3) FEDERAL TAX LIEN FILED 05/26/16, #2016R0310366, $720.94, DADE COUNTY (FL) CREDITOR: IRS PAID/RELEASED 02/27/18 SEE ATTACHED (4) FEDERAL TAX LIEN FILED 08/11/16, #2016R0470702, $1,293.09, DADE COUNTY (FL) CREDITOR: IRS PAID/RELEASED 06/01/18 SEE ATTACHED (5) FEDERAL TAX LIEN FILED 11/10/20, #2020R0647618, $27,165.15, DADE COUNTY (FL) CREDITOR: IRS PAID/RELEASED 11/29/22 SEE ATTACHED {6) FEDERAL TAX LIEN FILED 06/29/21, #2021R0463180, $4,139.70, DADE COUNTY (FL) CREDITOR: IRS PAID/RELEASED 11/29/22 SEE ATTACHED (7) FEDERAL TAX LIEN FILED 10/28/21, #2021R0809489, $21,156.81, DADE COUNTY (FL) CREDITOR: IRS PAID/RELEASED 11/29/22 SEE ATTACHED (8) FEDERAL TAX LIEN FILED 12/07/21, #2021R0915482, $35,504.28, DADE COUNTY (FL) CREDITOR: IRS PAID/RELEASED 11/29/22 SEE ATTACHED This Commercial report is tumished simply as an aid in determining the credit desirability of the appli—ttsj It is based upon infanmatlan obtained in good faith by this agency from "urces deemed reliable, The accuracy of same, however, is in no way guaranteed, By your acceptance and use of this report, you specifically agree to hold Credit Chwk inc. harmless from any liability whatsoever Packet Pg. 408 9.A.1 SM CREDIT CHECK Commercial Credit Report Company: US INTERMED CORP. D/B/A: USI LANDSCAPING Address:4515 SW 68TH COURT CIRCLE, #6 MIAMI, FLORIDA 33155 PUBLIC RECORDS - continued: CONFIDENTIAL Date: 01/10/23 Cust. No: 9999 Ordered By: RUSH Page: 3 (9) FEDERAL TAX LIEN FILED 12/13/21, 42021R0932702, $6,141.82, DADE COUNTY (FL) CREDITOR: IRS PAID/RELEASED 03/02/22 SEE ATTACHED END OF PUBLIC RECORDS SEARCH. *** Credit Profile **" BUSINESS DATE LAST PAY HIGH CATEGORY RPTD ACTIV TERMS CREDIT BALANCE CUR 30 60 90 91+ COMMENTS ---------- COMMUNICTN ----- 11/22 ----- 00/00 -------- VARIED ------ 200 ------- ---- 200 0% --- 0% --- 0% --- 0% ------------- 0% EQUIP LEAS 12/22 00/00 NET 30 600 0 0% 0% 0% 0% 0% FINCL SVCS 08/20 07/20 CONTRCT 29700 24600 100% 0% 096 0% 0% REMARKS: N/A = NOT APPLICABLE/NOT AVAILABLE REPORT WORKED BY KELLY END OF REPORT. This Commercial report is fumished simply as an aid in detecoining the credit desirability of the applio nlls) II is based upon information obtained in good faith by this agency from sources deemed reliable The accuracy of same, however, is in no way guaranteed. By your acceptance and use of this repon, you speafically agree to hold Credit Check, Inc. harmless from any Iiabiliry whatsoever a m 0 Packet Pg. 409 9.A.1 4901 Department of the Treasury - Internal Revenue Service Form s{Z) CerdflCate of Release of Federal Tax Lien (Rev. ta2oWoo) Area: Serial Number For Use by Recording Office SMALL BUSINESS/88LF M4PLOYED AREA #3 Lien Unit Phone: (Boo) 913-6050 190005116 t certify that the following -named taxpayer, under the requirements of section 0325 (a) of the Internal Revenue Code has satisfied the taxes listed below and all statutory additions. Therefore, the pen provided by Code section 0321 for these taxes and aFN 2018RO322221 additions has boon released. The proper officer in the office where the notice of Ok 30496 Ps 4584; U 0s) 06/01/2018 10:40.22 Internal revenue tax lien was filed on March 09 HARVEY RUVIHr CLERK OF COURT 2016 Is sudwAzed to note the books to show the release of this lien for MIAN-DADS COUNTY► FLORIDA these taxes and addiftm. Name of Taxpayer US INTERMED CORP, a Corporation Residence6140 SW 78TH ST SOUTH MIAMI, FL 33143-5025 COURT RECORDING INFORMATION: Liber Page UCC No. Serial No. 29993 23 n/a 2016RO145304 Tax Period Date Of Last ppay� for Unpaid Balance Kind of Tax EaMne Idantffying Number AWN020 t Ref®ns of Assessment a b a d s 941 06 30 2015 XX-XXX9580 11 23 2015 12 23 2025 10238.51 ,t,r,e*e,r,►� f*ttrrttrtt *r,t*********,t ,r++►tr**,►,t*w tttirttf�krt*� •tttw,r******w*trt Place of Fliing County Courthouse Dade County Miami, FL 33130 This notice was prepared and signed at the . 04th day of April , 2018 BALTIMORE, MD Total 1 $ 10238.51 , on this, Signature Title Operations Manager, Centralized Lien Operation (KCVM Certificate of officer authorized by law to take acknowiedgrnente Is not essential to the validity of Certificate of Release of Federal Tax pen Rev. Rul. 7148a, 1971 - 2 C.B. 409) Form 646 (Z) (Rev. 10-2000) Pat 1 - RECORDING OFRCE CAT. NO 800261 0--1,'3nnnCro.,--Ar-aA 11%rK1"')n4ononnetr•t a m 0 Packet Pg. 410 9.A.1 4901 Department of the Treasury - Internal Revenue Service 6= (Z) Certlflcate of Release of Federal Tax Uen (Rev. (Rev.Fort¢2000F Area: Serial Number For Use by Recording Office SMALL BUSIHBSS/SSLP MWLoOir1D ARRA #3 Lien Unit Phone: (SOD) 913-6050 205685316 1 certify that the following -named taxpayer, under the requirements of section 0325 (a) of the Internal Revenue Code has satisfied the taxes listed below and all statutory additions, Therefore, the =ion provided by Coda section 6321 for these taxes and FN 2018f2Q322222 additions has been released. The proper officer in the office where the notice of SIR Bk 30996 Ps 4585) (1 09) 22 10:CLER Internal revenue tax lien was filed on April 13 HARVEY RUVIHr CLERK OF COURT HARVEY2RU 2016 , Is authorized to note the books to show the release of itch Ilan for MIAMI-DADE COUNTY, FLORIaA these taxes and addlUons. Name of Taxpayer US INTERMED CORP, a Corporation Residence 614 0 SOT 71BTH ST SOUTH MIAMI, FL 33143-5025 COURT RECORDING INFORMATION: Liber Page UCC No. Serial No. 30035 4497 n/a 2016R0216946 Tax Period Date of l.att ppaai�rr for Unpaid Balance Kind of Tax Ending IdendfAng Number Assessment Rditg of Assessment a b o d s 940 12 31 2013 XX-XXX9580 01 11 2016 02 10 2026 118.43 941 09/30/2015 XX-XXX9580 12/14/2015 01/13/2026 4433.65 Place of Filing County Courthouse Dade County Total $ 4552.08 Miami, FL 33130 This notice was prepared and signed at the 04th day of April 2018 BALTIMORE, Mil Signature 9vow— J�— I Title o�pperations Manager, centralized Lien Operation , on this, (tiOM Cgnft is of officer au#mftad by low to take ecknowledamants to not essential to the validity of Certificate of Release of Federal Tax lien Ray. ft. 71 "0, 1971 - 2 C.B. 409) Form 668 (Z) (Rev. 10-2000) Port 1 • RECORDING OFRCE CAT. NO 600261 D--1,9nnnQ10---Ar01= r1cK1.4')n_1OA13 t7...... A --f I a m 0 Packet Pg. 411 9.A.1 Form 6I (Z) 16999 Department of the Treasury - Internal Revenue Service (Rev. ,o-ioo)0M Certificate of Release of Federal Tax Lien Area: Serial Number For Use by Recording Office SMALL BUSINESS/SELF EMLOYED AREA #3 Lien Unit Phone: (8001 913-6050 212460616 110111l11111111lull 1191I I certify that the following -named taxpayer, under the requirements of section e32b (a) of the Internal Revenue Code has satisfied the taxes listed below and all statutory additions. Therefore, the lien provided by Code section 6321 for these taxes and CFN 201i3RO114434 additions has been released. The proper officer In the office where the notice of DR 30875 ?, 4863I (1 vs ) 02/27/201P O9:I1:3O Internal revenue tax Ilan was filed on May 26 HWEY RUVIN► CLERK OF COURT 2016 , Is authorized to note the books to show the release of this lien for MIAHI-DADE COUNTYr FLORIDA these taxes and additions. Name of Taxpayer US INTERMED CORP, a Corporation Residence6140 SW 78TH ST SOUTH MIAMI, FL 33143-5025 COURT RECORDING INFORMATION: Liber Page UCC No. Serial No. 30090 2731 n/a 2016RO310366 Tax Period Date of Lau�for Unpaid Balance Kind of Tax I ldentifyIng Number Awawntent of Auessment a b c d s 940 12 31 2015 XX-XXX9580 03 14/2016 04/13 2026 85.10 941 12/31/2015 XX-XXX9580 03/28/2016 04/27/2026 635.84 Place of Filing County Courthouse Dade County Total $ 720.94 Miami, FL 33130 This notice was prepared and signed at BALTIMORE, MD , on this, the 24th day of January 2018 Signature �� Title Operations Manager, Centralized Lien Operation (KOTE: Cerdlicate of officer authorised by law to take acknowledgments Is not essential to the vaikiity of Certificate of Release of Federal Tax Tien Rev. Rul. 71-488, 1971 - 2 C.B. 4091 Part II - RECORDING OFFICE Form 668 (Z) (Rev. 1 CAT. fV0 6W261 $00261 10-1:131107CIF-J---A0420 P+0kW-)n40^44AAOA Q m 0 Packet Pg. 412 9.A.1 Farm 669 (2) 14901 Department of the Treasury - internal Revenue Service (Rev. 10.2000) 1 Cerdf sate of Release of Federal Tax Lien Area: Serial Number For Use by Recording Office SMALL BU8INSSS/83LF EMPLOYED AREA #3 Lien' Unit Phone: (800) 913-6050 223586016 I�l� �1[IA�lEi�1�i111 I certify that the following -nomad taxpayer, under the requirements of section 0326 (a) of the Internal Revenue Code has satisfied the taxes listed below and all statutory additions. Therefore, the lien provided by Code section 0321 for these taxes and Ft4 201$RO322226 additions has been released. The proper officer in the office where the notice of i MBk 30"6 Ps 45891 Q ps ) 2RU Internal revenue tax lien was filed on August. 11 Hr CLERK HARVEY R13VIHr CLERK OF COURT HARVE 2016 Is authorized to note the books to show the release of this lien for MIAMI-DADE COUNTYP FLORIDA these taxes and additions. Name of Taxpayer US INTBRMED CORP, a Corporation Resldence6140 SW 78TH ST SOUTH MIAMI, FL 33143-5025 COURT RECORDING INFORMATION: Liber Page UCC No. Serial No. 20189 46 n/a 2016RO470702 Tax Period Date of We Day for Unpaid BaLuxe Kind of Tax Endhtg Identiifjring Number Assessment Refffing of Assessment a 6 e e 941 03 31 2016 XX-XXX9580 06 06 2.016 07 06 2026 1293.09 ***�*f+',►,t *e*��**�,!* *f*tft,ttttft* �**,k*t*irleft drtde*:*tttt** �kiY#lti•**,r,rew*ir## Place of Filing County Courthouse Dade Country Total $ 1293.09 Miami, FL 33130 This notice was prepared and signed at the 04th day of April , 2618 BALTIMORE, MD Signature Title Operations Manager, Centralized Lien Operation , on this, (NOTES Certifioate of officer authorized by low to take acknowledgments Is not emential to the validity of Certificate of fle1ea6e or Federal Tax flan Rev. Rut. 71496, 1971 - 2 C.B. 409) Form 666 (Z) (Rev. 10-2p00) Part 1 - RECORDIIIG OFFICE CAT. NO 000261 0--6-3r) f)QJ0 .--ACOn f%CkWnn40n']n7nnG a m 0 Packet Pg. 413 9.A.1 2074 Deportment of the Treasury - Internal Revenue Service Form s68 (Z) Certificate of Release of Federal Tax Lien Ittev. 110-20001 Area: Serial Number For Use by Recording Office SMALL BUSINESS/SELF EMPLOYED AREA #3 Lien Unit Phone: (800) 913-6050 418503220 � l certify that the following -named taxpayer, under the requirements of section 6325 (a) 1813 IIU7�'llHill��lii1 of the Internal Revenue Code has satisfied the taxes listed below and all statutory F N 2022RO893312 additions. Therefore, the lien provided by Code section 6321 for these taxes and R Bk 33481 Ps 855; (1 Psi additions has been released. The proper officer in the office where the notice of 11/29/2022 09:51*6 internal revenue tax Ilan was filed on November 10 HARVEY RUVINr CLERK OF COURT 2020 , Is authorized to note the books to, show the release of this Ilan for MIAMI-DADE COUNTY, FLORIDA these taxes and additions. Name of Taxpayyer US INTEW CORP, a Corporation Residence6140 SW 78TH ST SOUTH MIAMI, FL 33143-5025 COURT RECORDING INFORMATION: Liber Page UCC No. Serial No. 32188 2758 n/a 202OR0647618 Tax Period Date of Last Day for Unpaid Balance Kind of Tax Ending Identify1in Number Assessment Reflftg of Assessment (8) 01 W Idl (0) (fJ 1120 12 31/2017 XX-XXX9580 06/24/2019 07/24/2029 1639.49 941 12/31/2016 XX-XXX9580 04/10/2017 05/10/2027 941 12/31/2016 XX-XXX9580 11/04/2019 12/04/2029 9976.66 941 12/31/2018 XX-XXX9580 04/08/2019 05/08/2029 9324.74 941 09/30/2019 XX-XXX9580 12/23/2019 01/22/2030 6244.26 Place of Filing County Courthouse Dade County Total $ 27185.15 Miami, FL 33230 This notice was prepared and signed at the 09th day of November 2022 BALTIMORE, MD Signature fli l%— a." Title [.�e orations Manager, centralized Lien Operation , on this, (NOTE- Certificate of officer authorized by low to take acknowledgments is not essential to the validity of Certificate of Release of Federal Tax Ilan Rev. Rul. 71446, 1971 - 2 C.B. 409) Form 668 (Z) (Rev. 10-20001 Part I - RECORDING OFFICE CAT. NO OW261 D--t.09A 041C]--- Or_= !'r=M."IbrNlin lon99-q11 a m 0 Packet Pg. 414 9.A.1 2074 Department of the Treasury - Internal Revenue Service Form 66$ (Z) Certificate of Release of Federal Tax Lien (Rev. 10-2000} Area: Serial Number For Use by Recording Office SMALL BUSINESS/SELF EMPLOYED AREA #3 1 Lien Unit Phone: (800) 913-60SO 433286721 I certify that.the following -named taxpayer, under the requirements of section 6325 (a) of the Imernal Revenue Code has satisfied the taxes listed below and all statutory additions. Therefore, the lien provided by Code section 6321 for these taxes and Fhl 2022121a893324 additions has been released. The proper officer In the office where the notice of R Bk 33481 Ps 867; U ps) 11/29/2022 09:51:36 Internal revenue tax lien was filed on June 29 kARVEY RUVIN? CLERK OF COURT 2021 , Is authorized to note the books to show the release of this lion for IIIA(1I-DAD€ COUINTYr FLORIDA these taxes and additions. Name of Taxpayer US INTSRMED CORP, a Corporation Residence 614 0 SW 78TH ST SOUTH MIAMI, FL 33143-5025 COURT RECORDING INFORMATION: Liber Page UCC No. Serial No. 32589 3222 n/a 2021RO463180 Tax Period Date of Last Day for Unpaid Balance Kited of Tax Ending identifying Haaeber Assesstnem Re #ling of Assemment (s) (61 (cl (d1 (81 IN 1120 12/31/2019 XX-XXX9580 04/19/2021 05/19/2031 1435.00 940 12/31/2018 XX-XXX9580 04/22/2019 05/22/2029 940 12/31/2018 XX-XXX9580 04/26/2021 05/26/2031 2704.70 Place of Filing County Courthouse Dade County Total $ 4139.70 Miami, FL 33130 This notice was prepared and signed at the 09th day of November 2022 BALTIMORE, MD Signature /U/ %� %� . _ _/ I Title Operations Manager, C-entralized Lien Operation , on this, (NOTE: Certificate of officer authorized by law to take acknowledgmema Is not essential to the validity of Certificate of Release of Federal Tax Ran Rev, Rul. 71-466, 1971 - 2 C.B. 404) Part t - RECORDING OFFICE Form 668 (Z) T, Nv. 1600261 CAT. NO 800261 0 — — — 4 —f 4 a m 0 Packet Pg. 415 9.A.1 2074 Department of the Treasury - Internal Revenue Service FAIR" 669 (Z) Certfficate of Release of Federal Tax lien (x.,,. io-z000) Area: Serial Number For Use b Recording Office SMALL BUSINESS/SHLF EMPLOYED AREA #3 Lien Unit Phone, (000) 913-6050 442436521 1 1 1h1111 1 certify that the following -named taxpayer, under the requirements of section 6325 (a) of the internal Roveruie Code has satisfied the taxes listed below and all statutory additions. Therefore, the lien provided by Coda section 6321 for these taxes end FN 2022R0893332 Ps oal additions has been released. The proper officer in the office where the notice of 11 29/2 9:5i 36 internal revenue tax Ilan was filed on October 28 HARVEY RUVIHr CLERK OF COURT HARVEY RUZ Nt CLERK 2021 , is authorized to note the books to show the release of this Hen for NIAMI-DADE COUNTYr FLORIDA these taxes and additions. Name of Taxpayer US INTERMEA CORP, a Corporation Residence6140 SW 78TH ST SOUTH MIAMI, FL 33143-5025 COURT RECORDING INFORMATION: Liber Page UCC No. Serial No. 32818 3068 n/a 2021ROB09489 Talc Period Date of Last Daayy for Unpaid Balance Kind of Tax E"rta mr Idendfyin8 W ber Assessment Refifln9 of Assessment (a) (b) lcl W el if) 6721 12 31 2016 XX-XXX9580 11/04/2019 12/04/2029 3336.40 941 12/31/2020 XX-XXX9580 09/13/2021 10/13/2031 17822.41 Place of Filing County Courthouse Dade County Total $ 21158.81 Xiami, FL 33130 This notice was prepared and signed at the 09th day of November 2022 Signature f/j l] �+� �% _ _ _/ I Title (�G.►:-.- t.�[rOOpperations Manager, centralized Lien operation , on this, (HOTEL Cartlficate of officer n—t - zed by law to take ec(cnowledgments is not essential to the vasdlty of Certificate of Release of Federal Tax lion Rev. Rul. 71.466. 1971 . 2 C.B. 409) Form 66S (X) (Rev. 10-20001 Part I. - RKORDING OFFICE CAT. NO 600261 D ....L�9OAO� IC].+.+n 07G �Cst.unn�rtnano��n 0--- I -r 4 Packet Pg. 416 9.A.1 2074 Department of the Treasury - Internal Revenue Service Form 668 (Z) Certificate of Release of Federal Tax Lien try, 10-2000l Area: Serial Number For Use Gy Recording Office SMALL BUSINESS/SELP EMPLOYED AREA #3 Lien Unit Phone; (800) 913-6050 444464621 1 certify that the followirWnamed taxpayer, under the requirements of section 0325 (a) of the Internal Revenue Code has satisfied the taxes listed below and all statutory additions. Therefore, the lien provided by Code section 8321 for these taxes and F212�RC3893333 additions has been released. The proper officer in the office where the notice of � R Bk 34$1 f 9 5f 0 as? 11l29/2022 09151236 Internal revenue tax lien was filed on December 07 HARVEY RUVINr CLERK OF COURT 2021 , Is authorized to note the books to show the release of this lien for MIAMI-DADE COUNTY? FLORIDA these taxes and additions. Name of Taxpayer US INTEP14EM CORP, a Corporation Residence6140 SW 78TH ST SOUTH MIAMI, FL 33143-5025 COURT RECORDING INFORMATION: Liber Page UCC No. Serial No. 32889 1180 n/a 2021RO915482 Tax Period Date of Last Day for Unpaid Balamx Kind of Tax Ending identlfjring Number Awesunert Refflng of Assessment !eJ f61 fe) (d) fe1 M 940 12/31/2019 XX-XXX9580 10/25/2021 11/24/2031 798.62 941 12/31/2019 XX-XXX9580 09/13/2021 10/13/2031 15043.16 941 06/30/2020 XX-XXX9580 09/27/2021 10/27/2031 19662.50 Place of Filing County Courthouse Dade County Total $ 35504.28 Miami, FL 33130 This notice was prepared and signed at the 09th day of November 2022 BALTIMORE, MD Signature f// lJ /�____� I Title (�(,�,Jw• c.�l.�••• t•�•+'� stations Manager,ntralized Tien Operation , on this, (NOTE? Certificate of officer authorzed by low to take acknowledgments to not essential to the vaadRy of Certificate of Release of Federal Tax lien Rev. Rut. 71-466, 1971 - 2 C.B. 408) Put i - RECORDING OFFICE Form St36 (Z) (Rev. 10 21Xx3) CAT. NO 600261 Ao4 iM --- a7C /�CAWIMn1rn0n,a1313-3 M—^— , —t 1 a m 0 Packet Pg. 417 9.A.1 3008 Department of the Treasury - Internal Revenue Service (Rev.1I 66s (z)0.2D001 Certificate of Release of Federal Tax Lien Rev. Area: Serial Number ror use uy neuUrun, VIFFca SMALL BUSINESS/SBLB EMPLOYED AREA t#3 Hen Unit Phone: (800) 913-6050 445319321 I certify that the following -named taxpayer, under the requirements of section 8325 lai 1119111 11 1110 of the Internal Revenue Code has satisfied the taxes listed below and all statutory additions. Therefore, the lien provided by Cade section 6321 for these taxes and OR Ok 24322RC; (1 ps) 2 additions has been released. The proper officer In the office where the notice of 0R Bic 2022 f a 0106 (1 va) 43/D2/202Z 09tZ4t06 Internal revenue tax lion was filed on December 13 HARVEY RUVIHr CLERK OF COURT 2021 , is authorized to note the books to show the release of this lion for MIAMI-DADE COUNTY► FLORIDA these taxes and additions. Name of Taxpayer US INTERMED CORP, a Corporation Residence6140 SW 78TH ST SOUTH MIAMI, FL 33143-5025 COURT RECORDING INFORMATION: Liber Page UCC No. Serial No. 32901 4121 n/a 2021RO932702 TaxPeriod of Last Daayy %r Unpaid Balance Kind of Tax Ending Identifying Number Assessment Reuling of Assessment 941 C3/31/2021 XX-XXX9580 10/04/2021 11/03/2031 I 6141.82 ,r*,rtft** t*t**vr**** * Place of Filing County Courthouse Dade County Miami, FL 33130 This notice was prepared and signed at the 09th day of February , 2022 BALTIMORE, MD Total 1$ Signature //j I n %�___� f 'title (�Lrrr� fr1wM- Operations Manager Lien Operation 6141.82 , on this, (NOTE: Certificate of officer authorized by law to take acknowledgments Is not essential to the validity of Certificate of Release of Federal Tax Gen Rev. Rut. 71-468, 1971 - 2 C.S. 409) Form 660 (I) (Rev. 10-2000) Part 1 - RECORDING OFFICE CAT. NO 600261 D--1.79nAA/t7..--312G7 r'CKI"Iln7nAe7Anon a m 0 Packet Pg. 418 C., 12VEDIT CHECKM Commercial Credit Report Company: US INTERMED CORP. D/B/A: USI LANDSCAPING Address: 6140 SW 78TH STREET SOUTH MIAMI, FLORIDA 33143 Telephone: (305) 525-2830 t'KIINUWALJ: PRESIDENT MASSON, JUAN Address: 6140 SW 78TH STREET SOUTH MIAMI, FLORIDA 33143 Social Security Number: �3321 Stock Ownership: 100 0 SECRETARY MASSON, YOANIA Address: 6140 SW 78TH STREET SOUTH MIAMI, FLORIDA 33143 Social Security Number: N/A Stock Ownership: 0 0 Address: Social Security Number: Stock Ownership: Address: Social Security Number: Stock Ownership: RISK SCORE: 9.A.1 CONFIDENTIAL Date: 04/22/22 m 0 Cult I o: 9 „• Ordered By: 14282 Page: 1 (X) Corporation CIAI • Cr. nococan Experian Financial Stability Risk Score , Low Risk • 2 Lov+ to Met] 17�'��' I 3 Ntcdium Risk a -- j J_ ♦ Ylcd CoHigh Excellenb100 5 High Risk 17 CREDIT RISK SCORE The score uses tradeline and collections information, public filings as well as other variables to predict future risk. Higher scores indicate lower risk. FACTORS LOWERING THE SCORE: * number of recently active commercial accounts * number of commercial accounts with net 1-30 days term * number of commercial accounts with high utilization Reported for: APPLICANT - SEE NAME ABOVE Reported by: Credit Check, Inc. - 3017 Exchange Court, Suite H, West Palm Beach, FL 33409 . (561) 616-5556 Packet Pg. 419 CREDIT CHECK' Commercial Credit Report Company: US INTERMED CORP. D/B/A: USI LANDSCAPING Address:6140 SW 78TH STREET SOUTH MIAMI, FLORIDA 33143 9.A.1 CONFIDENTIAL a Date: 04/22/22 CUst. No: 9999 Ordered By: 14282 Page: 2 US INTERMED CORP. D/B/A USI LANDSCAPING was INCORPORATED in the county of MIAMI-DADE, state of FLORIDA, on 10/06, 1998. The charter number is P98000085639. The registered agent is MASSON, JUAN of 6140 SW 78TH STREET, SOUTH MIAMI, FLORIDA 33143. Offices are LEASED from N/A at N/A per month. The company employs N/A. NET WORTH: ON FILE WITH STATE The company maintains banking relations with CITY NATIONAL BANK The officer handling the account is N/A - SOUTH MIAMI, FLORIDA PUBLIC RECORDS WERE CHECKED FOR MIAMI-DADE COUNTY, FLORIDA. A SEARCH OF LOCAL, STATE, AND FEDERAL RECORDS HAS BEEN CONDUCTED WITH THE FOLLOWING RESULTS: AS OF 04/22/22 - SEVEN YEAR SEARCH. (1) STATE TAX LIEN FILED 08/03/15, #20150495909, $4,877.61, DADE COUNTY COURT CREDITOR: STATE OF FLORIDA PAID/RELEASED 10/07/15 SEE ATTACHED (2) FEDERAL TAX LIEN FILED 10/01/15, #2015R0632473, $18,179.89, DADE COUNTY COUR- CREDITOR: IRS PAID/RELEASED 03/12/18 SEE ATTACHED (3) FEDERAL TAX LIEN FILED 10/08/15, #2015R0647575, $2,812.19, DADE COUNTY COURT CREDITOR: IRS PAID/RELEASED 06/01/18 SEE ATTACHED (4) FEDERAL TAX LIEN FILED 01/04/16, #2016R0000937, $8,226.85, DADE COUNTY COURT CREDITOR: IRS PAID/RELEASED 06/01/18 SEE ATTACHED (5) FEDERAL TAX LIEN FILED 03/09/16, #2016R0145304, $10,238.51, DADE COUNTY LOUR- CREDITOR: IRS PAID/RELEASED 06/01/18 SEE ATTACHED (6) FEDERAL TAX LIEN FILED 04/13/16, #2016R0216946, $4,552.08, DADE COUNTY COURT CREDITOR: IRS PAID/RELEASED 06/01/18 SEE ATTACHED (7) FEDERAL TAX LIEN FILED 05/26/16, #2016R0310366, $720.94, DADE COUNTY COURT CREDITOR: IRS PAID/RELEASED 02/27/18 SEE ATTACHED (8) FEDERAL TAX LIEN FILED 08/11/16, #2016R0470702, $1,293.09, DADE COUNTY COURT CREDITOR: IRS PAID/RELEASED 06/01/18 SEE ATTACHED This commercial report is furnished simply as an aid in determining the credit desirability of the applicant(s). It is based upon information obtained in good faith by this agency from sources deemed reliable. The accuracy of same, however, is in no way guaranteed. By your acceptance and use of this report, you specifically agree to hold Credit Check, Inc. harmless from any liability whatsoever. Packet Pg. 420 CREDIT CHECKm Commercial Credit Report Company: US INTERMED CORP. D/B/A: USI LANDSCAPING Address:6140 SW 78TH STREET SOUTH MIAMI, FLORIDA 33143 9.A.1 CONFIDENTIAL a Date: 04/22/22 m c Cust. No: 9999 Ordered By: 14282 Page: 3 PUBLIC RECORDS - continued: (9) FEDERAL TAX LIEN FILED 11/10/20, #2020R0647618, $27,185.15, DADE COUNTY LOUR' CREDITOR: IRS (10) FEDERAL TAX LIEN FILED 06/29/21, #2021R0463180, $4,139.70, DADE COUNTY COURT CREDITOR: IRS (11) FEDERAL TAX LIEN FILED 10/28/21, #2021R0809489, $21,158.81, DADE COUNTY LOUR' CREDITOR: IRS (12) FEDERAL TAX LIEN FILED 12/07/21, #2021R0915482, $35,504.28, DADE COUNTY LOUR- CREDITOR: IRS (13) FEDERAL TAX LIEN FILED 12/13/21, #2021R0932702, $6,141.82, DADE COUNTY COURT CREDITOR: IRS PAID/RELEASED 03/02/22 SEE ATTACHED END OF PUBLIC RECORDS SEARCH. *** Credit Profile *** BUSINESS DATE LAST PAY HIGH CATEGORY RPTD ACTIV TERMS CREDIT BALANCE CUR 30 60 90 91+ COMMENTS COMMUNICTN 03/22 00/00 VARIED 200 200 0% 0% 0% 0% 0% AGRICULTR 08/19 09/13 NET 30 0 0 0% 0% 0% 0% 0% EQUIP LEAS 04/22 00/00 NET 30 600 200 0% 100% 0% 0% 0% FINCL SVCS 08/20 07/20 CONTRCT 34700 24600 100% 0% 0% 0% 0% REMARKS: N/A = NOT APPLICABLE/NOT AVAILABLE REPORT WORKED BY KELLY END OF REPORT. This commercial report is furnished simply as an aid in determining the credit desirability of the applicant(s). It is based upon information obtained in good faith by this agency from sources deemed reliable. The accuracy of same, however, is in no way guaranteed. By your acceptance and use of this report, you specifically agree to hold Credit Check, Inc. harmless from any liability whatsoever. Packet Pg. 421 1/10/23, 1:01 PM EQUIFAX Experian At a glance FICO® Score 8 712 quifa data s Equifax data Dec 20, 2022 300 ...�.....�..�,..._.�.».,�,m ..«... Account summary Open accounts 8 Accounts ever late 0 Closed accounts 6 Collections 0 Average account age 5 yrs 11 mos Oldest account 9 yrs 1 mo Overall credit usage Credit used: $54,056 Credit limit: $72,750 https://usa.experian.com/member/printable-report/eq uifax/202212201555152490 Debt summary Credit card and credit line debt Loan debt Collections debt Total debt 9.A.1 Prepared For JUAN N. MASSON N Personal & confidential D Date generated: Dec 20, 2022 Q m 850 $54,056 $25,305 $0 $79,361 1 /22 Packet Pg. 422 9.A.1 1/10/23, 1:01 PM EgviFaxm Personal information Name Addresses JUAN NMN MASSON PO BOX 432410 MIAMI, FL 33243 Also known as JUAN R MASSON 6140 SW 78TH ST SOUTH MIAMI, FL 33143 JOHN MASSON 17832 SW 176TH ST Generational identifier MIAMI, FL 33187 15450 SW 232ND ST Year of birth GOULDS, FL 33170 1965 1378 CHESAPEAKE AV NAPLES, FL 34102 Personal statements j No Statement(s) present at this time https://usa.experian.com/member/printable-report/equifax/202212201555152490 Experian Prepared For JUAN N. MASSON Date generated: Dec 20, 2022 EmpWyers USI LANDSCAPING SELF EMPLOYED USI CORP 2/22 (n D Q m G Packet Pg. 423 9.A.1 1/10/23, 1:01 PM EQU/FAX Open accounts *AMEX/CITIBANX, N.A. Exceptional payment history 9 Account info Account name Account number Original creditor Company sold Account type Date opened Open/closed Status Status updated :1 Payment history Jan Feb 2022 ✓ ✓ 2021 ✓ ✓ 2020 ✓ ✓ 2019 2018 — — ✓ On Time R Contact info Address Phone number G Comments Experian Prepared For JUAN N. MASSON Date generated: Dec 20, 2022 AMEX/CITIBANK, N.A. Balance 377481 XXXXXXXXX Balance updated - Credit limit - Credit usage Revolving Monthly payment Apr 19, 2017 Past due amount Open Highest balance Pays account as agreed Terms Dec 2022 Responsibility Your statement Mar Apr May Jun Jul Aug Sep Oct — Data Unavailable 9111 DUKE BLVD MASON, OH 45040 (800) 243-6552 https://usa.experia n.com/member/printable-report/eq uifax/202212201555152490 $1,695 Balance updated Dec 17, 2022 $1,695 Dec 17, 2022 $2,500 67% $58 $2,762 Individual Account Nov Dec ✓ - 3/22 Packet Pg. 424 9.A.1 1/10/23, 1:01 PM Experian ECQUIFAX* Prepared For JUAN N. MASSON Date generated: Dec 20, 2022 *BANK OF THE WEST $25,305 N Exceptional payment history Balance updated Nov 30, 2022 m 9 Account info a Account name BANK OF THE WEST Balance $25,305 Account number 725786XXX Balance updated Nov 30. 2022 O Original creditor - Original balance $30,374 W Company sold - Paid off 17% Account type Installment Monthly payment $307 W Date opened Feb 15, 2019 Past due amount - Z Open/closed Open Terms 180 Months V) Status Pays account as agreed Responsibility Individual Account Status updated Nov 2022 Your statement - r Z D Payment history O LLj Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2022 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ - - V '., 2021 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2020 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ P,n W 2019 — ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ aI 2018 Z ✓ Orr— — Data Unavailable a ..._. .. LQ♦ ® Contact info V)0 Address 1450 TREAT BLVD WALNUT CREEK, Q CA 94596 J Phone number By mail only r LV G Comments V FIXED RATE Z P1 https://usa.experian.com/member/printable-report/equifax/202212201555152490 4122 Packet Pg. 425 9.A.1 1/10/23, 1:01 PM Experian EgUffi"' Prepared For JUAN N. MASSON Date generated: Dec 20, 2022 *CAPITAL ONE $16,130 N Exceptional payment history Balance updated Dec 13, 2022 m 9 Account info a Account name CAPITALONE Balance $16,130 Account number 414709XXXXXX Balance updated Dec 13, 2022 O Original creditor - Credit limit $30,000 LU Company sold - Credit usage 53% Account type Revolving Monthly payment $543 w LU Date opened Feb 12, 2015 Past due amount - Z Open/closed Open Highest balance $34,251 U) Status Pays account as agreed Terms - Status updated Dec 2022 Responsibility Individual Account r Your statement - Z O U D Payment history Q Uj ,H U Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2022 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ _ 2021 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ LU 2020 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2019 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2018 _ _ _ _ _ _ _ _ _ _ _ ✓ Z a ✓ On Time — Data Unavailable Q U ® Contact info Z Q Address PO BOX 31293 SALT LAKE CITY, J UT 84131-1293 r Phone number (800) 955-7070 r Comments https://usa.experian.com/member/printable-report/equifax/202212201555152490 5/22 Packet Pg. 426 9.A.1 1/10/23, 1:01 PM EgUIFAX' VCAPITAL ONE Esceptional payment history Experian Prepared For JUAN N. MASSON Date generated: Dec 20, 2022 S21,770 Balance updated Dec 03, 2022 9 Account info Account name CAPITALONE Balance $21,770 Account number 415417XXXXXX Balance updated Dec 03, 2022 Original creditor - Credit limit $25,000 Company sold - Credit usage 87% Account type Revolving Monthly payment $461 Date opened Nov 17, 2016 Past due amount - Open/closed Open Highest balance $25,871 Status Pays account as agreed Terms - Status updated Dec 2022 Responsibility Individual Account Your statement - Payment history Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2022 ✓ ✓ J J ✓ ✓ ✓ ✓ ✓ ✓ ✓ — '.. 2021 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2020 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2019 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2018 _ _ _ _ _ _ _ _ _ _ _ ✓ ✓ On Tlme — Date Unavailable ® Contact Info Address PO BOX 31293 SALT LAKE CITY, LIT 84131.1293 Phone number (800)955-7070 F, Comments https://usa.experian.com/member/printable-report/equifax/202212201555152490 6/22 Fn D Q m Packet Pg. 427 9.A.1 1/10/23, 1:01 PM Eq#JIFAK OCOMENITYCAPITAL/GOOD Exceptional payment history 9E Account info Account name !. Account number Original creditor Company sold Account type Date opened Open/closed Status Status updated !I Payment history Jan 2022 ✓ 2021 ✓ 2020 ✓ 2019 2018 — ✓ On Time ® Contact info Address Phone number G Comments Experian Prepared For JUAN N. MASSON Date generated: Dec 20, 2022 $6,097 Balance updated Jun 25, 2022 COMENITYCAPITAL/GOOD Balance $6,097 432359XXXXXXXXXX Balance updated Jun 25, 2022 - Credit limit $6,800 - Credit usage 89% Revolving Monthly payment $149 Feb 15, 2019 Past due amount - Open Highest balance $6,960 Pays account as agreed Terms - Jun 2022 Responsibility Individual Account Your statement - Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ — Data Unavailable PO BOX 182120 COLUMBUS, OH 43218 By mail only https://usa.experian.com/member/printable-report/eq uifax/202212201555152490 7/22 Fn D Q m Packet Pg. 428 9.A.1 1/10/23, 1:01 PM *CREDIT ONE BANK Exceptional payment history 9F Account info Account name Account number Original creditor Company sold Account type Date opened Open/closed Status Status updated I Payment history Jan Feb Mar Apr 2022 ✓ ✓ J ✓ 2021 ! ✓ ! ✓ 2020 ✓ ✓ ✓ ✓ 2019 ✓ ✓ ✓ ✓ 2018 — — — — On Time — Data Unavailable ® Contact info Experian Prepared For JUAN N. MASSON Date generated: Dec 20, 2022 $641 Balance updated Dec 15, 2022 CREDIT ONE BANK Balance $641 444796XXXXXXXXXX Balance updated Dec 15, 2022 - Credit limit $2,300 - Credit usage 27% Revolving Monthly payment $33 Nov 10, 2013 Past due amount - Open Highest balance $2,592 Pays account as agreed Terms - Dec 2022 Responsibility Individual Account Your statement - May Jun Jul Aug Sep Oct Nov Dec Address 6801 S. CIMARRON ROAD LAS VEGAS, NV 89113 Phone number (877) 825-3242 G Comments https://usa.experian.com/member/printable-report/eq uifax/202212201555152490 8/22 Packet Pg. 429 9.A.1 1/10/23, 1:01 PM Experian Egvj'Faxm Prepared For JUAN N. MASSON Date generated: Dec 20, 2022 N *CREDIT ONE BANK $444 Exceptional payment history Balance updated Dec 15, 2022 m 9 Account info a Account name CREDIT ONE BANK Balance $444 Account number 379364XXXXXXXXX Balance updated Dec 15, 2022 O Original creditor - Credit limit $1,650 LU Company sold - Credit usage 26% Account type Revolving Monthly payment $30 LU Date opened Feb 03, 2020 Past due amount - Z Open/closed Open Highest balance $1,492 fin Status Pays account as agreed Terms - D Status updated Dec 2022 Responsibility Individual Account r Your statement - Z O U !I Payment history w H V Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2022 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ _ 2021 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ V) W 2020 — ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2019 _ Z 2018 — — — — — — — — — — �a ✓ On Time — Data Unavailable A ® Contact info Q Address 6801 S. CIMARRON ROAD LAS VEGAS, J NV 89113 r Phone number (BT7)825-3242 LU Cv± F, Comments https://usa.experian.com/member/printable-report/equifax/202212201555152490 9/22 Packet Pg. 430 9.A.1 1/10/23, 1:01 PM EQUIF"' *TRACTOR SUPPLY/CBNA Exceptional payment history CE Account info Account name Account number Original creditor Company sold Account type Date opened Open/closed Status Status updated D Payment history Experian Prepared For JUAN N. MASSON Date generated: Dec 20, 2022 $3,201 Balance updated Dec 15. 2022 TRACTOR SUPPLY/CBNA Balance $3,201 601157XXXXXXXXXX Balance updated Dec 15, 2022 - Credit limit $4,500 - Credit usage 71% Revolving Monthly payment $33 Sep 24, 2021 Past due amount - Open Highest balance $4,701 Pays account as agreed Terms - Dec 2022 Responsibility Individual Account Your statement - Jan Feb Mar 2022 ✓ ✓ ✓ 2021 2020 — — — 2019 — — — 2018 — — — On Time — Data Unavailable ® Contact info Address Phone number U Comments Apr May Jun Jul Aug Sep Oct Nov Dec PO BOX 6497 SIOUX FALLS, SD 57117-6497 By mail only https://usa.experian.com/member/printable-re port/eq uifax/202212201555152490 10/22 (n D Q m Packet Pg. 431 1110/23, 1:01 PM EQUIFAX' Closed accounts OCAPITAL ONE Exceptional payment history f Account info Account name CAPITALONE Account number 517805XXXXXX Original creditor - Company sold - Account type Revolving Date opened May 16, 2014 Open/closed Closed Status Pays account as agreed Status updated Dec 2022 T Payment history Jan Feb Mar Apr May 2022 ✓ ✓ ✓ ✓ ✓ 2021 2020 ✓ ✓ ✓ ✓ ✓ 2019 `� '� '� ✓ ✓ 2018 — — — — — ✓ On Time — Data Unavailable ® Contact info Address PO BOX 31293 SALT LAKE CITY, UT 84131-1293 Phone number (800) 955-7070 Comments ACCOUNT CLOSED BY CREW GRANTOR 9.A.1 Experian Prepared For JUAN N. MASSON Date generated: Dec 20, 2022 In D Q m $2,412 0 Closed w Balance $2,412 Balance updated Dec 09, 2022 Credit limit $7,300 Monthly payment $77 Past due amount - Highest balance $7,485 Terms - Responsibility Authorized User Your statement - Jun Jul Aug Sep Oct Nov Dec https:Husa.experia n.com/member/printable-report/eq uifax/202212201555152490 11 /22 Packet Pg. 432 9.A.1 1/10/23, 1:01 PM Experian EQUIFAX' Prepared For JUAN N. MASSON Date generated: Dec 20, 2022 *CAPITAL ONE $1,666 Exceptional payment history Closed Account info Account name CAPITALONE Balance $1,666 Account number 517805XXXXXX Balance updated Nov 16, 2022 Original creditor - Credit limit $5,500 Company sold - Monthly payment $56 Account type Revolving Past due amount - Date opened Feb 21, 2015 Highest balance $6,223 Open/closed Closed Terms - Status Pays account as agreed Responsibility Authorized User Status updated Nov 2022 Your statement - M Payment history Jan Feb Mar Apr May Jun JUI Aug Sep Oct Nov Dec 2022 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ _ _ 2021 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2020 ✓ ✓ J ✓ ✓ ✓ ✓ J ✓ ✓ ✓ ✓ 2019 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ J ✓ ✓ ✓ 2018 _ _ _ _ _ _ _ _ _ _ ✓ ✓ ✓ On Time — Data Unavailable R Contact Info Address PO BOX 31293 SALT LAKE CITY, UT 84131-1293 Phone number (800) 955-7070 C Comments ACCOUNT CLOSED BY CREDIT GRANTOR https://usa.experian.com/member/printable-report/equifax/202212201555152490 12/22 Packet Pg. 433 9.A.1 1/10/23, 1:01 PM Experian ECQUIFAX' Prepared For JUAN N. MASSON Date generated: Dec 20, 2022 V5 IIIFIRST PREMIER $0 Unknown payment history Closed Q in 9 Account info a Account name FIRST PREMIER Balance $0 Account number 543362XXXXXXXXXX Balance updated Aug 10, 2017 O Original creditor - Credit limit $400 Q W Company sold - Monthly payment - Account type Revolving Past due amount - W Date opened Oct 06, 2014 Highest balance $383 Z Open/closed Closed Terms - U) Status Pays account as agreed Responsibility Individual Account D Status updated Aug 2017 Your statement - r Z :1 Payment history 0 Q No payments have been reported on this account. W V R Contact info t— Address 3820 N LOUISE AVE TAPE ONLY SIOUX FALLS, fn SD 57107 W Phone number (605) 357.3440 V Z a l Comments U U) Q https://usa.experian.com/member/printable-report/equifax/202212201555152490 13/22 Packet Pg. 434 9.A.1 1/10/23, 1:01 PM Experian EgUIFax° Prepared For JUAN N. MASSON Date generated: Dec 20, 2022 *SYNCB/HUSQVARNA CONS $0 Exceptional payment history Closed 9 Account info Account name SYNCB/HUSQVARNA CONS Balance $0 Account number 603462XXXXXX Balance updated Nov 08, 2020 Original creditor - Credit limit $7,500 Company sold - Monthly payment - Account type Revolving Past due amount - Date opened Jun 29, 2018 Highest balance $15,945 Open/closed Closed Terms - Status Pays account as agreed Responsibility Individual Account Status updated Nov 2020 Your statement - D Payment history Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2020 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ _ _ 2019 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ J 2018 — — — — — ✓ ✓ ✓ ✓ ✓ J ✓ 2017 2016 ✓ On Time — Data Unavailable le Contact info Address C/O P.O. BOX 965036 ORLANDO, FL 32896-5036 Phone number (866) 396-8254 W Comments ACCOUNT CLOSED BY CREDIT GRANTOR https://usa.experian.com/member/printable-report/equifax/202212201555152490 14/22 Packet Pg. 435 9.A.1 1/10/23, 1:01 PM Experian EQUIFAXW Prepared For JUAN N. MASSON Date generated: Dec 20, 2022 *TOYOTA MOTOR CREDIT $0 Fn Exceptional payment history Closed Q m Account info a Account name TOYOTA MOTOR CREDIT Balance $0 Account number 704036XXXXXXXXXXX Balance updated Jan 31, 2019 O Original creditor - Original balance $32,625 W Company sold - Monthly payment - Account type Installment Past due amount W Date opened Aug 21, 2015 Terms 72 Months Z Open/closed Closed Responsibility Joint Account U) Status Pays account as agreed Your statement - Status updated Jan 2019 Z a) Payment history 0 U Uj Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2018 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ V 2017 ✓ ✓ ✓ ✓ J ✓ ✓ ✓ ✓ ✓ ✓ ✓ 2016 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ (n 2015 _ _ _ _ _ _ _ ✓ ✓ ✓ ✓ ✓ (LU ✓ On Time — Data Dnavailable Z a Q ® Contact info U fin Address ADDRESS NOT AVAILABLE ATLANTA, Q GA 30309 Z Phone number (800) 601-2055 J & Comments W FIXED RATE U https:Husa.experian. com/member/printable-report/eq uifax/202212201555152490 15/22 Q Packet Pg. 436 9.A.1 1/10/23, 1:01 PM EQUIFAX' WTOYOTA MOTOR LEASING Exceptional payment history Account info Account name Account number Original creditor Company sold Account type Date opened Open/ctosed Status Status updated 1 Payment history Jan 2021 2020 ✓ 2019 ✓ 2018 ✓ 2017 — ✓ On Tlme w Contact info Address Phone number io Comments Experian Prepared For JUAN N. MASSON Date generated: Dec 20, 2022 $0 Closed TOYOTA MOTOR LEASING Balance $0 40772MXXXX Balance updated Jun 30, 2021 - Original balance $19,328 - Monthly payment - Instaliment Past due amount - Jul 06, 2017 Terms 48 Months Closed Responsibility Individual Account Pays account as agreed Your statement - Jun 2021 Feb Mar Apr May Jun ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ Jul ✓ ✓ Aug ✓ ✓ Sep ✓ ✓ Oct ✓ ✓ Nov Dec ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ — Oata Unavailable ✓ ✓ ✓ ✓ ✓ ✓ SEE BRANCH LISTINGS BREA. CA 92621 By mail only https://usa.experian.com/member/printable-reporUequifax/202212201555152490 16/22 (n D Q m Packet Pg. 437 9.A.1 Experian 1/10/23, 1:01 PM Egvj'Faxw Collection accounts No collection accounts reported. https://usa.experian.com/member/printable-report/eq uifax/202212201555152490 Prepared For JUAN N. MASSON Date generated: Dec 20, 2022 17/22 V5 D Q m G Packet Pg. 438 9.A.1 1/10/23, 1:01 PM Experian Egvj'F"' Prepared For JUAN N. MASSON Date generated: Dec 20, 2022 to Public records D Q m No public records reported. Q a O https://usa.experian.com/member/printable-reporUequifax/202212201555152490 18/22 Packet Pg. 439 9.A.1 1/10/23, 1:01 PM Egv,FFAK' Inquiries Experian Prepared For JUAN N. MASSON Date generated: Dec 20, 2022 CAPITAL ONE BANK USA TRACSUPLY/CBNA Inquired on Dec 10, 2022 Inquired on Sep 24, 2021 Business Type: All Banks Business Type: Miscellaneous 15000 CAPITAL ONE DRIVE POa US364401 This inquiry is scheduled to continue on record until Oct 2023 RICHMOND, VA 23238 By mail only This inquiry is scheduled to continue on record until Jan 2025 https://usa.experian. com/member/printable-report/eq uifax/202212201555152490 19/22 Packet Pg. 440 9.A.1 Experian 1/10/23, 1:01 PM EgUIFaxm Credit scores FICW Score 8 Good 670 - 739 712 1.a.1 300 850 FMSCORE8 Equifax—rvmnmx Prepared For JUAN N. MASSON Date generated: Dec 20, 2022 Your score is near or slightly above the average of U.S. consumers and most lenders consider this a good score. What's helping No missed payments • You have no missed payments on your credit accounts. • Number of your accounts with a missed payment or derogatory indicator: 0 accounts ',. About 98%of FICO High Achievers have no missed payments at all. But of those who do, the missed payment happened nearly 4 years ago, on average. • The FICO® Score evaluates if there are any missed payments being reported. Staying current and paying bills on time demonstrate lower credit risk. Not seeking credit • You're not actively looking for credit. • Your applications for credit in the past year:0 inquiries About 70%of FICO High Achievers did not apply for credit in the past year. Each time a person applies for credit, a credit inquiry is usually added to your credit repon. Your credit report shows relatively few or no recent credit inquiries, which indicates that you are not actively looking for credit. People who are actively seeking credit pose more of a risk to lenders than those who are not. Many accounts paid on time • You have a sufficient number of accounts that are currently paid as agreed. • Number of your accounts currently being paid as agreed: 8 accounts • FICO High Achievers have an average of 6 accounts currently being paid as agreed. FICO® Scores consider the number of accounts that are being paid as agreed - in your case this number is high. Staying current and paying bills on time demonstrates lower risk. What's hurting High credit usage • You've made heavy use of your available revolving credit. • Ratio of your revolving balances to your credit limits: 69% • For FICO High Achievers, the average ratio of the revolving account balances to credit limits is less than 7%. The FICO® Score evaluates balances in relation to available credit on revolving accounts. The extent of a person's credit usage is one of the most important factors considered by a FICO® Score. People who keep their ratio of balances to credit limits lower are generally considered less risky to lenders than those with higher ratios. Note, consolidating or moving debt from one account to another will usually not change the total amount owed. — Short account history • You have a short credit history. Your oldest account was opened: 9 Years, I Month ago FICO High Achievers opened their oldest account 25 years ago, on average. • Average age of your accounts: 5 Years, 6 Months Most FICO High Achievers have an average age of accounts of 9 years or more. • People with longer credit histories who infrequently open new accounts generally pose less risk to lenders. In your case, the age of your oldest account and/or the average age of your accounts is relatively low. — Loan balances https://usa.experian.com/member/printable-report/equifax/202212201555152490 20/22 Packet Pg. 441 9.A.1 1/10/23, 1:01 PM Experian • The remaining balance on your mortgage or non -mortgage installment loans is relatively high. Percentage of principal you have paid down on your open non -mortgage installment loans: 17% FICO High Achievers have paid down an average of 40% of the principal on their non -mortgage installment loans. in D FICOO Scores weigh the amounts paid down and balances of mortgage and non -mortgage installment loans (such as auto or student loans) against the original loan amounts. In general, when an installment loan is first obtained the balance is high. As the loan is paid down, the balance decreases. As installment loan balances decrease. they have less impact on a FICO® Score. Having a low Q installment loan balance to loan amount ratio is considered slightly less risky than having a 0% installment loan ratio. Consolidating or moving debt from one account to another will usually not help a m FICO® Score since the same total amount is owed and the score may go down due to opening a new account. Q https://usa.experian.com/member/printable-report/equifax/2O22122O155515249O 21 /22 Packet Pg. 442 Experian 9.A.1 1/10/23, 1:01 PM EQUIFAX' Prepared For JUAN N. MASSON Date generated: Dec 20, 2022 Disclaimer Q m G About your FICO° Score 8 or other FICOO Scores Your FIC0 Score 8 powered by Experian data is formulated using the information in your credit file at the time it is requested. Many but not all lenders use FICO® Score 8. In addition to the FICOe Score 8, we may offer and d provide other base or industry -specific FICOs Scores (such as FIC08 Auto Scores and FIC06 Bankcard Scores). The other FICO" Scores made available are calculated from versions of the base and industry -specific FICOm Score models. Base FICO3 Scores (including the FICOS Score 8) range from 300 to 850. Industry -specific FIC08 Scores range from 250-900. Higher scores represent a greater likelihood that you'll pay back your debts so you are viewed as being a lower credit risk to lenders. A lower FICO'a Score indicates to lenders that you may be a higher credit risk. There are many scoring models used in the marketplace. The type of score used, and its associated risk levels, may vary from lender to lender. But regardless of what scoring model is used, they all have one purpose: to summarize your creditworthiness. Keep in mind that your score is just one factor used in the application process. Other factors, such as your annual salary and length of employment, may also be considered by lenders when you apply for a loan. What this means to you: Credit scoring can help you understand your overall credit rating and help companies better understand how to serve you. Overall benefits of credit scoring have included faster credit approvals, reduction in human error and bias, consistency, and better terms and rates for American consumers through reduced costs and losses for lenders. Your lender or insurer may use a different FICO® Score than FICOQO Score 8 or other base or industry - specific FIC06 Scores provided by us, or different scoring models to determine how you score. https://usa.experian. com/member/printable-report/eq uifax/202212201555152490 22/22 Packet Pg. 443 10.A 01/18/2023 COLLIER COUNTY Contractor Licensing Board Item Number: 10.A Doc ID: 24377 Item Summary: 10A. 2022-14 DUANE O. THOMAS DBA DUANE THOMAS MARINE CONSTRUCTION LLC (CEMIS20220006771) Meeting Date: 01/18/2023 Prepared by: Title: — Contractor Licensing Name: Sandra Delgado 01/11/2023 5:57 PM Submitted by: Title: — Contractor Licensing Name: Tim Crotts 01/11/2023 5:57 PM Approved By: Review: Contractor Licensing Contractor Licensing Contractor Licensing Sandra Delgado Review item Tim Crotts Review Item Tim Crotts Meeting Pending Completed 01/11/2023 5:58 PM Pending 01/18/2023 9:00 AM Packet Pg. 444 10.A.1 N N BEFORE THE COLLIER COUNTY CONTRACTORS' LICENSING BOARD `1' Q 0 BOARD OF COUNTY COMMISSIONERS, ti COLLIER COUNTY, FLORIDA, Petitioner, N V. Case No: 2022-14 Licensee No. C24326 Duane Thomas, DUANE THOMAS MARINE CONSTRUCTION, LLC Respondent. ADMINISTRATIVE COMPLAINT Collier County (County) files the Administrative Complaint against DUANE THOMAS, DUANE THOMAS MARINE CONSTRUCTION, LLC (Respondent), a Collier County licensed contractor with license #C24326, and states the following facts and allegations in support of the cited violations below: 1. The Respondent is currently licensed as a MARINE, SEAWALL & DOCK CONTRACTOR by Collier County Contractors' Licensing as a CORPORATION with the following issuance number: (24326). The Respondent, DUANE THOMAS, is the Collier County license holder of record for the company DUANE THOMAS MARINE CONSTRUCTION, LLC., C24326. 2. Under the provisions of Chapter 489 Florida Statutes 1§489.105(12) F.S.] and the Code of Laws and Ordinances of Collier County, Florida [Sec. 22-202], the Collier County Contractors' Licensing Board (Board), is authorized to impose penalties against Collier County Certificate of Competency holders who violate the Code of Laws and Ordinances of Collier County, Florida. 3. Under the provisions of the Code of Laws and Ordinances of Collier County, Florida Sec 22-202, the following actions of the Respondent, constitute misconduct and grounds for discipline. 4. On or about July 19, 2022, the Collier County Contractor Licensing Department received a complaint from Inspector James Reynolds of the Marco Island Building Department on Duane Thomas Marine Construction, LLC installing a new dock (45 pilings installed) prior to an issued permit at 772 Nautilus Court, Marco Island, Collier County, Florida 34145. Packet Pg. 445 10.A.1 N 5. Upon investigation, it was confirmed that DUANE THOMAS MARINE N 0 CONSTRUCTION, LLC., contracted for the new dock installation at 772 Nautilus C`' Court, Marco Island, Collier County, Florida 34145. It was also confirmed that the c new dock/pilings work commenced on an around July 7, 2022. ti ti 6. On July 21, 2022, while on site, I, Timothy Broughton, Collier County Licensing Investigator, observed new dock pilings installed in the rear of 772 Nautilus Court, Marco Island, Collier County, Florida 34145. A review of the Marco Island Permit database revealed that the permit #DOCK-22-02487 was listed as IN REVIEW by the Marco Island Building Department. On or around July 21, 2022, a stop work c order was posted at the subject address by Inspector James Reynolds of the Marco N Island Building Department. o 7. On August 23, 2022, Marco Island Chief Building Official, Mr. Raul Perez reviewed a photo of the dock pilings installation and determined a permit was required. 8. Based on the investigation, and pursuant to the Code of Laws and Ordinances of Collier County, Florida Section 22-202(a)(2) and (b), the Contractors' Licensing Supervisor determined sufficient cause exists to warrant the filing of formal charges. 9. On December 19, 2022, a Notice of Hearing to appear before the Collier County Contractors' Licensing Board on January 18, 2023, at 9:00 a.m. was sent USPS certified mail to the Respondent, Mr. Duane Thomas. The certified letter with an article number of 70072560000114854974 (sent to the Licensee address of record with Collier County). The USPS left a notice on December 23, 2022 and scheduled a 2nd redelivery date before January 6, 2023. 10. The County now brings the following count(s) in this Administrative Complaint against the Respondent: COUNT I A. Upon review of Marco Island permitting records, a building permit was never issued prior to commencing work, and a permit was required to perform the subject work. B. DUANE THOMAS is in violation of the Code of Laws and Ordinances of Collier County, Florida (Section 22-201(18)], which states, in pertinent part, that it is misconduct by a holder of a Collier County Certificate of Competency, to proceed on any job without obtaining applicable permits or inspections from the City building and zoning division or the County building review and permitting department. WHEREFORE, the Petitioner asserts the above facts and charges are grounds for disciplinary action under the Code of Laws and Ordinances of Collier County, Florida Sec. 22-201 and Packet Pg. 446 10.A.1 WHEREFORE, in consideration of the foregoing, the Petitioner respectfully requests the Collier County Contractors' Licensing Board to find the Respondent guilty of the violation(s) charged. Dated: d/f a? Signed: Collier County Contractors' Licensing Supervisor Packet Pg. 447 10.A.1 Contractors' Licensing Board 2800 North Horseshoe Dr. Naples, FL 34104 Complaint Number: 2022-14 Complainant: Any person who believes that a Contractor holding a Collier County Certificate of competency has violated Collier County Ordinance 22-201, as amended, may submit a sworn complaint to the Contractor Licensing supervisor, or his / her designee. The complaint shall be in substantially the form prescribed by the Contractor Licensing Supervisor. The complaining party shall state with particularity which section(s) of this Ordinance he or she believes has been violated by the contractor and the essential facts in support thereof. Complaint: Please print or type and return signed copies of the complaint. Date: November 1, 2022 Against: Contractor's Name: Duane Thomas Phone: 239.642.0116 Business Name: Duane Thomas Marine Construction LLC License(s) Held: Marine Seawall & Dock Contractor Collier County Competency number: 24326 Contractor's Business Address: 2296 Rockhill Ct. Marco Island, Florida 34145 Filed By: Name: Collier County Contractors' Licensing: Timothy Broughton Address: 2800 N. Horseshoe Dr., Naples, FL 34104 Business Phone: 239-252-2563 Address where work done: 772 Nautilus Ct. City: Marco Island County: Collier Date of contract: February 24, 2022 Packet Pg. 448 10.A.1 N N O N Date job started: July 7, 2022 Q 0 Date job completed or new home occupied: N/A ti Were there plans and specifications: Yes N Is there a written contract: Yes If yes, amount of Contract: $90,850.00 (approximately) Has Contractor been paid in full: No If not, what amount: $15,835.00 Was a permit obtained: No Was a permit required: Yes Permit number if known: DOCK-22-02487 Have you communicated by letter with the licensee: Yes Date: December 19, 2022 Do you have a reply: No Please attach to this form all copies of the purchase agreement, building contract, home improvement contract, copies of receipts and/or cancelled checks available and any additional evidence to substantiate your allegations. List any subsections of Collier County Ordinance number 22-201, which, in your opinion, have been violated by the contractor, which is the subject of this complaint, (list subsection number): a. Collier County Ordinance 22-201(18) Proceeding on any job without obtaining applicable permits or inspections from the City building and zoning division or the county building review and permitting department. Please state the facts which you believe substantiate your charge of misconduct against the subject contractor. List facts separately for each subsection number above: a. Collier County Ordinance 22-201(18) Proceeding on any job without obtaining applicable permits or inspections from the City building and zoning division or the County building review and permitting department. 1. Upon review of Marco Island permitting records, a permit was never issued prior to commencing work, and a permit was required to perform the subject work. Packet Pg. 449 10.A.1 N fV O N Q O ti ti M Timothy Broughton Code Enforcement Investigator — Licensing State of l [ U o17 1�61 County of � The foregoing instrument was acknowle ged before me by means of 2—physical presence or ❑ online notarization on this this 47 day of , 201a, Sue person(s) Notary -Public must ch4A applicable box: are personally known to me ❑ has produced a current driver license ❑ has produced (Notary Seal) as identification. o�...... VC SANDRADELGADO Notary Signature: t * Commission # HH 101718 - "� a� Expires March 8, 2025 9rFoF FIQQ Bonded ThN Budget Notary Services Packet Pg. 450 10.A.1 coLL-;e-� coriv�ty Growth Management Division Planning & Regulation Operations Department Licensing Section Date: December 19, 2022 Mr. Duane Thomas Duane Thomas Marine Construction LLC 296 Rockhill Court Marco Island, Florida 34145 RE: Case # CEMIS20220006771— 772 Nautilus Court MR. DUANE THOMAS, A complaint has been filed against you by the above referenced entity. A hearing on this complaint will be held by the Contractors' Licensing Board on Wednesday, January 18, 2023, at 9:00 AM in the Board of County Commissioner's Room, Third Floor, Administration Building (W. Harmon Turner Bldg.), at 3301 East Tamiami Trail, Naples, Florida 34112. Your presence before the Collier County Contractors' Licensing Board is required at this time. The packet concerning your case marked composite exhibit "A" will be delivered to the members of the Contractors' Licensing Board one week prior to the hearing. If you wish to receive a copy of this packet, please notify the Contractor Licensing Customer Service Office. If you wish to prepare a defense packet and have it delivered in conjunction with composite exhibit "A", you must make fifteen copies and have them in our office by 8:00 AM on Wednesday, one week prior to the hearing. In your packet, you may give a summary of events. At this meeting, you may present evidence and be represented by an attorney of your choice. In the event the Contractors' Licensing Board finds you in violation of 22-201(18) of the Collier County, FL Code of Ordinances: Sec. 22-201— MISCONDUCT — Collier County/city certificate of competency. Sec. 22-201(18) - Proceeding on any job without obtaining applicable permits or inspections from the city building and zoning division or the county building review and permitting department. Growth Management Division*Planning & Regulation*2900 North Horseshoe Drive*Naples, Florida 34104*239-252-2400*www.colliergov.net N N O N d 0 ti ti M N Packet Pg. 451 10.A.1 o1�e=c-r cou.-Kty Growth Management Division Planning & Regulation Operations Department Licensing Section The range of disciplinary sanctions which may be imposed are, (1) Revocation of a Collier County or city certificate of competency; (2) Suspension of a Collier County or city certificate of competency; (3) Denial of the issuance or renewal of a Collier County or city certificate of Competency: (4) A period of probation of reasonable length, not to exceed two years, during which the contractor's contracting activities shall be under the supervision of the contractors' licensing board; and/or participation in a duly accredited program of continuing education directly related to the contractor's contracting activities; (5) Restitution; (6) A fine not to exceed $10,000.00; (7) A public reprimand; (8) Reexamination requirement; or (9) Denial of the issuance of Collier County or city building permits or requiring the issuance of permits with specific conditions; (10) Reasonable investigative and legal costs for the prosecution of the violation. Sincerely, TIMOTHY BROUGHTON Licensing Compliance Officer Collier County Contractors' Licensing 239-252-2563 Initials: Growth Management Division *Planning & Regulation*2800 North Horseshoe Drive*Naples, Florida 34104*239-252-2400*www.colliergov.net N N O N d O ti ti M N ti ti to O O O N N O N Coll w V V J J z O H V H to z O U LLI z Q a O F- W z Coll c a m c a O x F- w z a c N N O N a O r+ C N t C� r+ r a Packet Pg. 452 7DO7 256D OOD1 1485 4974 11 II I El Packet Pg. 453 M 70 R 0 0 C Ch Co 0 X 0, r- w CL CA tt 90 , E! C 11 w 7)w C, — CD m -0 0 �) CU 0) a U) j3 C rL on (D (A :2 (D -0 0 CM) Co G I'm C �2. (D 0- '3 ID ID 0_ 0 r 'D 0 m 3 a (D (D C) fdJ �D = CcD) 'Wo 3 3 0 ("D 3 Cr NO o )> (A 0 ro -n > C, 0 3 :r C- AO CO 0 4, 4,1 p- U) (D (D CL ro m (D 3 0 ID I Packet Pg. 454 10.A.1 BroughtonTimothy From: Sent: To: Cc: Subject: Good Afternoon Mr. Thomas, CrottsTimothy Tuesday, December 13, 2022 3:10 PM Duanethomasmarine@comcast.net DelgadoSandra; BroughtonTimothy RE: Case #CEMIS20220006771 First, Thank you for meeting with Investigator Tim Broughton and myself this morning. Your request to continue the Contractor Licensing Board Case #CEMIS20220006771 is granted and is continued to January 18`h, 2023. Please contact our office at 239-252-2431 if you have any questions. Thank you. Tim Timothy Crotts Licensing Compliance Supervisor Cle-r C01411t y Growth Management Community Development Department Operations & Regulatory Management Division Exceeding Expectations, Every Day! 2800 North Horseshoe Drive, Naples Florida 34104 Phone: 239-252-4229 Timothy.Croffs@colliercountyfl.gov From: duanethomasmarine@comcast.net <duanethomasmarine@comcast.net> Sent: Tuesday, December 13, 2022 2:S6 PM To: CrottsTimothy <Timothy.Crotts@colliercountyfl.gov> Subject: Case #CEMIS20220006771 EXTERNAL EMAIL: This email is from an external source. Confirm this is a trusted sender and use extreme caution when opening attachments or clicking links. Good Morning, This is a formal request for a 30 day continuance on Case #CEMIS20220006771 based on the following — 1. new information concerning alleged past infractions. 2. inability to retain council that does not have a conflict of interest in representing me. Please advise if further documentation and/or actions are required for this request. N N 0 N Q 0 ti ti M N Packet Pg. 455 10.A.1 Thank you, Duane Thomas (239)642-0116 Duane Thomas Marine Construction www.duanethomasmarine.com 46�l7iIGAe- J H.Q'MA t MARINE CONSTRUCTION CONFIDENTIALITY NOTICE: This e-mail and any files attached may contain confidential information that is legally privileged. If you are not the intended recipient. or a person responsible for delivering it, you are hereby notified that any disclosure, copying, distribution or use of any of the information contained in or attached to this transmission is STRICTLY PROHIBITED. If you have received this transmission in error, please destroy the original transmission and its attachments without reading or saving in any manner. Under Florida Law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by telephone or in writing. N N 0 N Q 0 ti ti M Iq N Packet Pg. 456 10.A.1 BroughtonTimothy N 0 N From: BroughtonTimothy Q Sent: Monday, January 9, 2023 11:43 AM o To: Duanethomasmarine@comcast.net Cc: BroughtonTimothy Subject: Reminder Notice for CLB Hearing on January 18, 2023 9:00am Attachments: Notice of Hearing - Duane Thomas.docx cV Mr. Thomas, Reminder of your scheduled CLB Hearing for Wednesday, January 18, 2023 at 9:00am. Please see the attached Notice of Hearing. Please respond to this email that you received it. Thank You, Tim Broughton Collier County Contractors Licensing Licensing Compliance Officer timothy.broughton@colliercountyfl.gov Ca Ter C014nty GMD Operations 2800 Horseshoe Drive North Naples, Florida 34104 Phone: (239) 252 2563 Under Florida Law, e-mail addresses are public records. If you do riot want your e-mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by telephone or in writing. Packet Pg. 457 10.A.1 Co e-r Co-t4v-ity Growth Management Division Planning & Regulation Operations Department Licensing Section Date: September 14, 2022 Mr. Duane Thomas Duane Thomas Marine Construction LLC 296 Rockhill Court Marco Island, Florida 34145 RE: Case # CEMIS20220006771 — 772 Nautilus Court MR. DUANE THOMAS, A complaint has been filed against you by the above referenced entity. A hearing on this complaint will be held by the Contractors' Licensing Board on Wednesday, December 21, 2022, at 9:00 AM in the Board of County Commissioner's Room, Third Floor, Administration Building (W. Harmon Turner Bldg.), at 3301 East Tamiami Trail, Naples, Florida 34112. Your presence before the Collier County Contractors' Licensing Board is required at this time. The packet concerning your case marked composite exhibit "A" will be delivered to the members of the Contractors' Licensing Board one week prior to the hearing. If you wish to receive a copy of this packet, please notify the Contractor Licensing Customer Service Office. If you wish to prepare a defense packet and have it delivered in conjunction with composite exhibit "A", you must make fifteen copies and have them in our office by 8:00 AM on Wednesday, one week prior to the hearing. In your packet, you may give a summary of events. At this meeting, you may present evidence and be represented by an attorney of your choice. In the event the Contractors' Licensing Board finds you in violation of 22-201(18) of the Collier County, FL Code of Ordinances: Sec. 22-201— MISCONDUCT — Collier County/city certificate of competency. Sec. 22-201(18) - Proceeding on any job without obtaining applicable permits or inspections from the city building and zoning division or the county building review and permitting department. Growth Management Division*Planning & Regulation*2800 North Horseshoe Drive*Naples, Florida 34104*239-252-2400*www.colliergov.net Packet Pg. 458 10.A.1 Co e-r C4014-k ty Growth Management Division Planning & Regulation Operations Department Licensing Section The range of disciplinary sanctions which may be imposed are, (1) Revocation of a Collier County or city certificate of competency; (2) Suspension of a Collier County or city certificate of competency; (3) Denial of the issuance or renewal of a Collier County or city certificate of Competency: (4) A period of probation of reasonable length, not to exceed two years, during which the contractor's contracting activities shall be under the supervision of the contractors' licensing board; and/or participation in a duly accredited program of continuing education directly related to the contractor's contracting activities; (5) Restitution; (6) A fine not to exceed $10,000.00; (7) A public reprimand; (8) Reexamination requirement; or (9) Denial of the issuance of Collier County or city building permits or requiring the issuance of permits with specific conditions; (10) Reasonable investigative and legal costs for the prosecution of the violation. Sincerely, i TIMOTHY B UGHTON Licensing Compliance Officer Collier County Contractors' Licensing 239-252-2563 ■ Complete items 1, 2, and 3. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailni— or on tha ;..,. a -_ _ Mr. Duane Thomas Duane Thomas Marine Constrriction LLC 296 Rockhill Court - - Marco Island, Florida 34145 II I IIII'I I'III'I I II II I III' I I �I I II I"II'I I I I �II 590 9402 7632 2122 7399 43 2. Article Number (IFansfer from service label) 7007 2560 0001 1485 4912 PS Form 3811, JUIy 2020 PSN 7530-02.000-9053 CERTIFIED MAIL,,, FitUtllj I (Domestic Mail Only; No Insurance Coverage Provided) For delivery information visit our website at www.usps.com �a c0 Postage $ ra Certified Fee r-9 C3 Return Receipt Fee r3 (Endorsement Required) n O u7 ru Restricted Delivery, Fee (Endorsement Required) Total Postage & Fees ,$ ldress 1 d fferent from delivery address below.. ervrtypeult Signaure0 ull i uit Signature RestrictedDelivery U Priority Mail Eprss® 0p,,,,;WMail Mall® ❑ Certified Mall Restricted Dell vwY O _av, , ReeirlaW 9 Collect on Delivery Collect on Delivery Restricted Delivery ❑ ❑ signature CorrflrrriagonTM Signature Confirmation Insured Mall ery Restricted Delivery = Delivery Domestic Return 'Receipt �� • Postmark )-252-2400f v,,,vw.co Me rgcv. n et Packet Pg. 459 10.A.1 w) ru z (,0 T.-- rn r�ia ' Ln o to O � o Cl c3 na b p N . ED M � Q ill tJt � n 7 CO CD -C7 Y l J 0 ru C C? .560 aa[t. rl g�. 9,. w CL 00 coo kn 1pffi ttl 3 C a D �j :i1 ❑ C {�- 0 O � Cfngy W, r N N O N Q O r ti ti M N El E :.i Q Packet Pg. 460 10.A.1 r N N O N Q O r T d t1; M va (A� .? a .J ti Co CD O .a rt o O O W�ro C* © =3 N W (Dcfl C) N O ro (n Gs LU Z.. o --, tip, U z i$� p N_N W^�^`` M W t� ,r^ V/ TI (D � O V : ru W (D VI��. Z tr E ® v q Q `n O V) Co In N to a U) Q Q ,� nC)3 <<` -1 CJ to W C3i �, �IA111 Q ' rU p Q � m � Q Gl Packet Pg. 461 1O.A.1 Co&rgov.nei Report Title: Code Case Details Datc:: 12/9/2022 12:52:01 PM Case Number: CEMIS20220006771 Case Number: CEMIS20220006771 Case Type: Misconduct Priority: Normal Inspector: TimothyBroughton Status: Investigation Date & Time Entered: 7/21/2022 10:34:28 AM Entered By: TimothyBroughton Case Disposition: Case Pending Jurisdiction: City of Marco Origin: Building Department Detail Description: Commence New Dock Installation Prior to an Issued Permit by Duane Thomas Marine Construction LLC. Issuance #24326 Local Specialty Marine Seawall & Dock Construction Contractor Administrative Complaint Case #2022-14 1_ocation Comments: 772 Nautilus Ct Property 57932880008 Contractor Duane Thomas Marine Construction, LLC Property Owner AVALLON FLORIDA TRUST Business Management & Budget Office N N 0 N Q 0 ti ti M N Packet Pg. 462 10.A.1 Code Case Details Execution Date 12/9/2022 12:52:01 PM Desc Assigned Required Completed Outcome Comments Preliminary Investigation TimothyBroug 7/21/2022 7/21/2022 Needs Commence New Dock Installation Prior to an hton Investigatio Issued Permit by Duane Thomas Marine n Construction LLC. Issuance #24326 Local Specialty Marine Seawall & Dock Construction Contractor. Needs Investigation. IT Cont. Investigation TimothyBroug 7/21/2022 7/21/2022 Complete I conducted a site visit to 772 Nautilus Ct after hton receiving a complaint from Inspector James Reynolds of the Marco Island Building Department on Duane Thomas Marine Construction LLC installing a new dock prior to an issued permit. At location I received no response at the front door. I left my business card for the homeowner to give me a call and took a photo for my case. I also took some site photos of the work from the public sidewalk. A Stop Work Order was posted by Inspector James Reynolds of the Marco Island Building Department. I took a photo of that too for my case. TB Cont. Investigation TimothyBroug 7/21/2022 7/21/2022 Complete I called and talked with the qualifier of Duane Mon Thomas Marine Construction LLC., Issuance #24326, Mr. Duane Thomas (239) 642-0116. 1 advised him of my complaint. He stated that he did not commence work prior to the permit from Marco Island being issued. He stated that the permit was approved but was being held up by the Federal Government not issuing their permit. Mr. Thomas stated that he could start work per the Marco Island permit while waiting for approval from the Federal Government to issue their permit. I advised him to email me the contract and contact number for the homeowner and to email me the permit where it states that he can commence work while waiting for the federal permit to be issued. Mr. Thomas stated that he would have his staff email me those documents. TB Attach Picture(s) TimothyBroug 7/21/2022 7/21/2022 Complete Attached case photos and support docs. TB Mon Cont. Investigation TimothyBroug 7/25/2022 8/30/2022 Complete I talked with the homeowner, Mr. John Avalon Mon (978) 852-4561. He advised me that he hired Duane Thomas Marine Construction LLC to install a dock and seawall. Mr. Avalon also stated that Duane Thomas Marine Construction LLC has already installed the pilings for the dock. Mr. Avalon emailed me a photo of the work that was completed, which I scanned into my case. TB Cont. Investigation TimothyBroug 8/9/2022 8/9/2022 Complete I sent an email to Mr. Dan Smith, Marco Mon Island Director of Community Affairs on a permit determination that Duane Thomas Marine Construction LLC commenced work prior to an issued permit for the said location. TB Business Management & Budget Office 2 Packet Pg. 463 10.A.1 Code Case Details Execution Date 12/9/2022 12:52:01 PM Desc Assigned Required Completed Outcome Comments Cont. Investigation TimothyBroug 8/23/2022 8/30/2022 Complete 1 emailed case photos of the location and hton work being done to Marco Island Building Official, Inspector James Reynolds. Inspector Reynolds emailed me a confirmation memo from the Marco Island Chief Building Official, Mr. Raul Perez stating that a permit would be required for the scope of work that's being done. He forwarded me an email and memo "PERMIT REQUIRED" which I scanned into the case. Also CBO Perez declared a Willful Code Violation for repeated instances of commencing work prior to an issued permit. TB Cont. Investigation TimothyBroug 9/14/2022 9/15/2022 Complete On September 14, 2022, 1 mailed (certified) a hton Notice of Hearing to the qualifier of Duane Thomas Marine Construction LLC, Mr. Duane Thomas. I sent the NOH to both addresses of record with a tracking number of 70191120000181292307 and 70191120000181292291. 1 attempted to meet with the qualifier but he refused to meet with me at the GMD. Mr Thomas advised me to mail the NOH to him. TB Cont. Investigation TimothyBroug 9/26/2022 9/26/2022 Complete The Notice of Hearing that was mailed to Mr. hton Duane Thomas on September 14, 2022 with a USPS Tracking #70191120000181292291 was delivered to Mr. Thomas on September 16, 2022 and USPS Tracking #70191120000181292307 was also delivered to Mr. Thomas on September 16, 2022. 1 scanned a copy of USPS delivery notices into my case. TB Cont. Investigation TimothyBroug 10/5/2022 10/5/2022 Complete Continued Investigation Due to Hurricane Ian. hton TB Cont. Investigation TimothyBroug 10/6/2022 10/6/2022 Complete I contacted the qualifier, Mr. Duane Thomas hton of Duane Thomas Marine Construction LLC. I advised him that his hearing in front of the Contractor Licensing Board for October 19, 2022 has been moved to the CLB Hearing for December 21, 2022 due to Hurricane Ian. I also followed up with an email to Mr. Thomas on the new date and time. TB Cont. Investigation TimothyBroug 11/1/2022 11/1/2022 Complete I mailed the qualifier, Mr. Duane Thomas of hton Duane Thomas Marine Construction LLC a Notice of Hearing for the December 21, 2022 CLB hearing. I sent the letter certified mail with tracking #70072560000114854912. 1 also talked to the homeowner, Mr. Avallon and requested a copy of his contract and form of payment with Duane Thomas Marine Construction LLC. Also Permit #DOCK-22- 02487 was Issued on 10/18/22. TB Cont. Investigation TimothyBroug 11/4/2022 11/21/2022 Complete I received confirmation that Mr. Duane Mon Thomas signed the green USPS certified mail card and has been notified / served his Notice of Hearing in front of the CLB on December 21, 2022. TB Business Management & Budget Office N N O N d 0 ti ti M N Packet Pg. 464 10.A.1 Code Case Details Execution Date 12/9/2022 12:52:01 PM Desc Assigned Required Completed Outcome Comments Cont. Investigation TimothyBroug 11/21/2022 11/21/2022 Complete Case scheduled for the CLB on December 21, hton 2022 9:00am. TB Investigation TimothyBroug 12/21/2022 Pending hton Violation Description Status Entered Corrected Amount Comments 4.1 Misconduct-County/City Certificate of Competency Open 7/21/2022 $0 Title Reason Result Compliance Fine/Day Condition Business Management & Budget Office Packet Pg. 465 10.A.1 HISTORY Active Case — July 21, 2022 — CEMIS20220006771 — Refer to CLB — Commencing work without an issued permit. CLB Case #2022-14. July 3, 2019 — 1389 N. Collier Blvd. - Marco Island Code Enforcement Special Magistrate — Notice of Violation did exist and received a fine — Commenced work prior to an issued permit. January 29, 2019 — 370 Cottage Court - Marco Island Code Enforcement Special Magistrate — Notice of Violation did exist and received a fine — Commenced work prior to an issued permit. July 17, 2018 — CEMIS20180009559 — Settled - Abated by Contractor - Commenced work prior to an issued permit. Contractor issued Notice of Non Compliance. December 21, 2011 — CLB Case #2011-11 — Found Guilty — Commenced Dock Installation prior to an Issued Permit. r N N 0 N Q 0 r ti ti M N GN Packet Pg. 466 10.A.1 City of Marco Island Building Services N N 1310 San Marco Road - Suite B o N Marco Island, FL 34145 Q 0 � kvi , =11 0 To: Collier County Contractor Licensing Supervisor Timothy Crotts From: Chief Building Official Raul, Perez Date: 08-23-2022 Re: 772 Nautilus Ct Marco Island, FL 34145 Type of Building: Single Family Home Determination: Raul Perez; Chief Building Official - Marco Island Work has commenced prior to issuance of permit DOCK-22-02487. The site was inspected and a referral was made to licensing for investigative follow-up. The pilings are new, driven timber that is outlined in permit DOCK-22-02487. These pilings are not for the support of the new seawall, but for the new dock. Due to the repeated instances of commencing work without required permits I am ruling this a willful code violation. As of August 23, 2022, the permit is not issued. Building Official/Permit Required: YES Raul Perez III Chief Building Official City of Marco Island r,lN",Y:. + DAMES K. MWOM * * CamilWwi9l EOWMad2 aP20111111 b 6 Of State of Florida County of+ The foregoing instrument was acknowledged before me via tBhyis sisal presennfcconline notarzations 02—Z Personally known >,'- OR produf� d idertificJation Type of identification produced 4AF116 G.Y/w+rG Notary�ubl(,c My Commission Expiresy�33 660 r"cs A"A ,/X 14% Packet Pg. 467 10.A.1 r N N O N Q O r ti ti M N Gl Packet Pg. 468 10.A.1 Collier County, FL Code of Ordinances Page I of 11 Sec. 22-201. - Misconduct —Collier County/city certificate of competency. The following actions by a holder of a Collier County/City Certificate of Competency shall constitute misconduct and grounds for discipline pursuant to section 22-202: (1) Knowingly combining or conspiring with an unlicensed contractor by allowing one's Certificate of Competency to be used by an unlicensed contractor with intent to evade the provisions of this Ordinance. When a licensed contractor acts as the qualifying agent for any firm without first making application under this Ordinance to represent said firm, such act shall constitute prima facie evidence of intent to evade the provisions of this Ordinance. When a certificate holder allows his certificate to be used by one or more companies without having any active participation in the operations, management, and control of such companies, such act constitutes prima facie evidence of an intent to evade the provisions of this Ordinance. Active participation requires job site supervision, knowledge of and participation in the business operations of the company(s), including all contractual matters. a. If any individual qualifying any business organization ceases to be affiliated with such business organization, he shall so inform the Board. In addition if such individual is the only certified individual affiliated with the business organization, the business organization shall notify the Board of the individual's termination and shall have no more than sixty (60) days from the date of termination of the individual's affiliation with the business organization in which to affiliate with another person certified under the provisions of this article. In any event, the business organization shall not enter into any new contracts and may not engage in any new contracting until such time as a qualifying agent is employed. (2) Contracting to do any work outside of the scope of his/her competency as listed on his/her competency card and as defined in this Ordinance or as restricted by the Contractors' Licensing Board. (3) Abandoning a construction project in which he/she is engaged or under contract as a contractor. A project may be presumed abandoned if the contractor terminates the project without just cause, or fails to notify the about:blank l 1/25/2019 N N O N d 0 ti ti M N Packet Pg. 469 10.A.1 Collier County, FL Code of Ordinances by the Contractors' Licensing Board, or its designee. (13) Failing to maintain a current mailing address. Page 4 of I I (14) Failing to appear in person or through a duly authorized representative at any scheduled hearing on a complaint filed against the contractor. (15) Being convicted or found guilty, regardless of adjudication, of a crime in Collier County which directly relates to the practice of contracting or the ability to practice contracting. (16) Allowing another to take a qualifying examination on the applicant's behalf. (17) Engaging in contracting business in Collier County or the City when prohibited from doing so by the Contractors' Licensing Board of Collier County. (18) Proceeding on any job without obtaining applicable permits or inspections from the City building and zoning division or the county building review and permitting department. (19) Failing in any material respect to comply with the provisions of this Ordinance as a contractor or as a qualifying agent for a business entity engaging in contracting. (20) Signing a statement with respect to a project or contract falsely indicating that the work is bonded; falsely indicating that payment has been made for subcontracted work, labor, or materials which results in a financial loss to the owner, purchaser, or contractor; or falsely indicating that Workers' Compensation and public liability insurance are provided. (21) Failure of a qualifying agent for a firm/legal business entity to comply with the requirements set forth in F.S. H 489.119 and 489.1195. (22) Falsifying or misrepresenting any material fact to another person with the intent or for the purpose of engaging in the contracting business, providing materials or services, or soliciting business for an employer, as a contractor, or as an employee, regardless of any financial consideration. (23) Failing or refusing to provide proof of public liability and property damage insurance coverage and workers compensation insurance coverage. (24) Misconduct in the practice of contracting (see section 22-201.1. below). about:blank 11 /25/2019 N N O N d 0 ti ti M N Packet Pg. 470 77d Cr. 7�z� WK- El (D E Packet Pg. 471 10.A.1 -77a, OAwTi I txs CT - 7/;tz 1 1 N N O N Q O r ti ti M Gl Packet Pg. 472 10.A.1 7/2'y2 Gl Packet Pg. 473 10.A.1 r N N O N Q O r ti ti M N r ti tD O O O N N O N U) r- W U_ U J J z O H U H z O U LU z_ Q U) Q O F- LU z Q 0 Q m 0 Q O H w z Q 0 r N N O N Q O r a-� C E t V R r Q Packet Pg. 474 10.A.1 r N N O N Q O r ti ti M N r ti tD O O O N N O N U) r- W U_ U J J z O H U H z O U LU z_ Q U) Q O F- LU z Q 0 Q m 0 Q O H w z Q 0 r N N O N Q O r a-� C E t V R r Q Packet Pg. 475 i ftom 10.A.1 � # r o N Q O r ti M N Packet Pg. 476 10.A.1 F&M Flo - *T� �4A r s ' i ON, 40 ° �.� wt✓ ,�. ,� �.: +�.$i(,�°. 7siE'''r. € T :�. km: t4"'"ey `? °�4A�. , +�+. d� Gl E V Q Packet Pg. 477 10.A.1 Ln ®3��oa3S3��S N `v 3?g�g=2 n �y G o o w;n � c � � _ � n o,o f_�� 3• e aTv`-3 A y. n 4-2 VA �V N N O N d O ti ti M N ti ti Co O O O N N O N 2 W V V J J Z O H H z O U W Z Q a O m H W z a 7 a m C a O x H w z a c N N O N a O r+ C N t C� f0 r+ r a Packet Pg. 478 V Lk .11 ZZ ❑ o RX fR i ei Gt M ;7 oj 91 0 w Cr 0 0O 7rx;r Cz w CD Ln N C) Packet Pg. 479 10.A.1 BroughtonTimothy From: CrottsTimothy Sent: Tuesday, July 19, 2022 1221 PM To: BroughtonTimothy Cc: James Reynolds Subject: FW: 772 Nautilus Court Tim, Please look into this matter. Let's pay attention to any other incidents of commencing work without a permit. Reach out to Inspector Reynolds for more information on this matter. Thanks Tim Timothy Crofts Licensing Compliance Supervisor Coder county Growth Management Community Development Department Operations & Regulatory Management Division Exceeding Expectations, Every Day! 2800 North Horseshoe Drive, Naples Florida 34104 Phone: 239-252-4229 Timothy, Crotts4colliercountvflgov From: James Reynolds <]Reynolds@cityofmarcoisland.com> Sent: Tuesday, July 19, 2022 12:11 PM To: CrottsTimothy <Timothy.Crotts@colliercountyfl.gov> Cc: BroughtonTimothy <Timothy.Broughton@colliercountyfl.gov> Subject: 772 Nautilus Court EXTERNAL EMAIL: This email is from an external source. Confirm this is a trusted sender and use extreme caution when opening attachments or clicking links. Good afternoon, We have a complaint from a homeowner that led to us finding that a Marine Contractor, Duane Thomas, had commenced prior to permit issuance at 772 Nautilus reference a Dock Permit. The dock is still in review and there are approximately 45 pilings that have been driven before a non -finished seawall. I went out to verify the work and have been given an affirmative permit determination from Raul Perez and will be working on the MEMO here shortly. Due to the repeated violations from Mr. Thomas, we are requesting an investigation. Respectfully, Packet Pg. 480 10.A.1 N N O James Reynolds N Code Inspector e City of Marco Island Building Services Division ti 1310 San Marco Road — Suite B ~ M Marco Island, FL 34145 N Office (239) 389-5059 1 Cell (239) 207-4738 Be advised: Under Florida law, e-mail addresses and contents sent to this entity are public record. Under Florida Law. e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by telephone or in writing. Packet Pg. 481 10.A.1 BroughtonTimothy From: duanethomasmarine@comcast.net Sent: Thursday, July 21, 2022 4:08 PM To: BroughtonTimothy Subject: RE: 772 Nautilus CT - Marco Island EXTERNAL EMAIL: This email is from an external source. Confirm this is a trusted sender and use extreme caution when opening attachments or clicking links. No Duane. From: BroughtonTimothy <Timothy.Broughton@colliercountyfl.gov> Sent: Thursday, July 21, 2022 4:03 PM To: Duanethomasmarine@comcast.net Cc: BroughtonTimothy <Timothy.Broughton@colliercountyfl.gov> Subject: RE: 772 Nautilus CT - Marco Island Mr. Thomas, Thank You for providing this information. Did you receive permission from the Chief Building Official of Marco Island to start the work at the said location prior to the final permit being issued? Please advise. Thank You, Tim Broughton Collier County Contractors Licensing Licensing Compliance Officer timothy.broughton@colliercountvfl.gov Co ICr C01414ty GMD Operations 2800 Horseshoe Drive North Naples, Florida 34104 Phone: (239) 252 2563 N N O N Q 0 ti ti M N Packet Pg. 482 10.A.1 N BroughtonTimothy N c From: duanethomasmarine@comcast.net Sent: Thursday, July 21, 2022 4:15 PM To: BroughtonTimothy ti Subject: RE: 772 Nautilus CT - Marco Island N EXTERNAL EMAIL: This email is from an external source. Confirm this is a trusted sender and use extreme caution when opening attachments or clicking links. No. They denied us on 04/25 requesting a federal permit. They cannot deny my permit per the statute: "105.12 Work starting before permit issuance. Upon approval of the building official: the scope of work delineated in the building permit application and plan may be started prior to the final approval and issuance of the permit. provided any work completed is entirely at risk of the permit applicant and the work does not proceed past the first required inspection." We moved forward on the job because those reviews were approved including the DEP approval. The Federal permit is a redundant permit. Duane From: BroughtonTimothy <Timothy.Broughton @colliercountyfl.gov> Sent: Thursday, July 21, 2022 4:03 PM To: Duanethomasmarine@comcast.net Cc: BroughtonTimothy <Timothy.Broughton@colliercountyfl.gov> Subject: RE: 772 Nautilus CT - Marco Island Mr. Thomas, Thank You for providing this information. Did you receive permission from the Chief Building Official of Marco Island to start the work at the said location prior to the final permit being issued? Please advise. Thank You, Tim Broughton Collier County Contractors Licensing Licensing Compliance Officer timothy.broughton@colliercountyfl.gov Packet Pg. 483 0 o n > 8 \ \ \ \ / { ( z / 2 - 3 \ \ 0 > E \ 0 -M r 0 > / 2 z m> 2 z/% z m> 3 0 K 2 A r// F K 2$ z ;Com w E»- o � m --I3 / 7-\ > \ § = E \ z ƒ > n - 8 B ƒ \ \ z z m r .. % : § £ } 0 \ 0 \ \ \ \ , 9' /7 2 /7 0 PO m e , ( \ % m ° 0,± S 0,/ ` 5 § \ _ ` z z z z \ . e � / f 0 ' \ 0 < 10: : CD > ¥ ] 04 e .. o ; / / � d A \ Co{ / 3 / - \ \ % z \ \ / - Co w CD } \ 2 / q R E q o _ 2 _ § § w o 0 Q } CD E 0 £ E F- \ E % G V U g E U } E U) = 2 -_ o \ \ I S \ \ Co} z_ a # ® % s » Packet Pg. 484 10.A.1 City of Marco Island Permit NO. SEAW-22-02222 N 50 Bald Eagle Drive Permit Type: BS-Seawall N Marco Island, FL 34145 Work Classification: Seawall Replacement Phone: (239) 389-5059 �'"• , ' "'r Fax: (239) 393-0266 Permit Status: Permit Active c Issue Date: 7/1/2022 Expires: 12/28/2022 ti NOTICE OF COMMENCEMENT: WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF M COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR N PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FS ti Proiect Information Legal Description: MARCO BCH Owner Informatior Parcel No: 57932880008 UNIT 11 BILK 363 LOT 16 AVALLON FLORIDA TRUST 772 Nautilus Ct57932880008 772 Nautilus Ct57932880008 Marco Island, FL 34145 Marco Island, FL 34145 Proposed Construction Details Pro Install vinyl panels in front of existing seawall as per engineering. Land Parcel Informatio No staging needed aluation: otal Sq Feet: $77,500.00 0.00 Zone Cd: RSF-3 DEP BFE: # of BEDRM: Bldg Hgt: , Funct Use: Approval: FFE: # of BATHRM: Bldg Width: COA: Health Dept: FEMA: Roof Type: Bldg Dpth: I Const Type: Variance: Floors: Gross Sq Ft: TAZ: Occup Type Public Works _.. ....-..... _._-...... _..._..._..__ Bldg Ftprt: ...._.._...... ..... ..... A/C Sq. Ft.: € Permit Notes 4/29/22 - 4-29-22 STAMPED PLANS READY CONTRACTOR NOTIFIED DJ 7/1/22 - 7/1/22 FEES PAID. PERMIT ISSUED. kk 4/4/22 - 4-4-22 PROCESSED INTO REVIEW SH Permit Conditions Contractor(s) Type Cell Phone i Bus. Phone DUANE THOMAS MARINE CONSTRUCTION LLC Contractor 239-642-0116 Fee Name Paid Amt Fee Name Paid Amt Fee Name Paid Amt PR - Plan Review Fee $75.00 SEAW -Seawall New $300.00 Amount Paid: $375.00 Inspections 142 - Design Professional Final Pre -Permit Inspection Page 1 of 2 Packet Pg. 485 10.A.1 City of Marco Island Permit NO. SEAW-22-02222 N 50 Bald Eagle Drive Permit Type: BS-Seawall N Marco Island, FL 34145 Work Classification: Seawall Replacement Phone: (239) 389-5059 Fax: (239) 393-0266 Permit Status: Permit Active Q Issue Date: 7/1/2022 Expires: 12/28/2022 ti ti M N Receiv Raul Perez Building Official Approval Processed By Friday, July 1, 2022 Date * THIS PERMIT MAY HAVE BEEN ISSUED DIGITALLY. IF THERE IS NO SIGNATURE IN THE RECEIVED BY FIELD CHECK THE NOTES FIELD FOR DETAILS INDICATING DIGITAL ISSUANCE. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management districts, state agencies, or federal agencies." FS 553.79(10) NOTICE: The review of these plans and issuance of a Building Permit does not constitute final acceptance of plans or specifications. All work must conform with the Florida Building, Plumbing, Mechanical, Accessibility, and the National Electric Code. Work may be halted at any time, for non-compliance. (All as amended by City of Marco Island Ordinances. Inspection Requests Structural - 389-5056 Electrical - 389-5057 Mech/Plbg - 389-5055 Fire - 394-5405 The Building Department must be notified before 7:30AM the day an inspection is needed. Page 2 of 2 Packet Pg. 486 10.A.1 � 2 � v O C m 0 (p o (D O n O O O C Ui n n (D (D 0 0 (u<v O En cn - O O Q C 6� O cn (D m o 3 v o m (n CD Q -• O O (D 0 -� O < (3D 0o in ! 73 v Q v 0v < lD W (D 3 Cr 3 v 3� m O � C v 0 :3 o (D 0 j C- v v O N O (D N = W _Q Q < C - (D O O O (D Cn (D � v � O O 7 � (D O (D C O- v S CA N O _ n CD Cn CD C m 0 O O CD 0 m w 3 S CD CD _ CD CD 0 c (n CD C- N Q O C) C 3 CD 0 O _ 0 CD C• y a 0 c 3 CD C m 0 3 N K m A _ m ui m 0 (n a' O m m n (D m 0 0 a 0 0 m n O C 3 F9 p CL 0 (A () 0 C `° m W m a 3 <r��;� o == CDa y v F;' ? F,• � m CD fn O CD 06) -� CA O 3 CD 7 C O tD N 0 4 N C N C W N p � C c �_ N w D D ^� z °' am m rn p n O O m W ON n m r= 0 D 0 Z D r D T �ig Qo r D 0 w ? � Z Ul m n n O O Z Z N C n C n O Z Z r- r n n 0 m n 0 c K c� O fl1 0 0 O_ Z c� m n 0 m CD I (Q D) Q. m N O CD Q o 0 O CD = O 00 O O 3 3 -0 3 CD N N. = N 0 O l fD N r N N O N Q O r ti ti M Gl Packet Pg. 487 10.A.1 Department of State / Division of Corporations / Search Records / Search by Entity Name / Detail by Entity Name Florida Limited Liability Company DUANE THOMAS MARINE CONSTRUCTION, LLC Filing Information Document Number L03000000532 FEI/EIN Number 76-0720731 Date Filed 01/07/2003 State FL Status ACTIVE Last Event REINSTATEMENT Event Date Filed 10/22/2020 Principal Address 296 ROCKHILL COURT MARCO ISLAND, FL 34145 Changed: 04/21 /2004 Mailing Address 296 ROCKHILL COURT MARCO ISLAND, FL 34145 Changed: 04/21 /2004 Registered Agent Name & Address Duane Thomas Marine Construction, LLC 296 ROCKHILL COURT MARCO ISLAND, FL 34145 Name Changed: 10/22/2020 Address Changed: 10/22/2020 Authorized Persons) Detail Name & Address Title MGR THOMAS, DUANE OJR 296 ROCKHILL COURT MARCO ISLAND, FL 34145 It DIVISION OF CORPORATIONS r N N O N Packet Pg. 488 10.A.1 Annual Reports Report Year Filed Date 2020 10/22/2020 2021 09/13/2021 2022 02/13/2022 Document Images 02/13/2022 —ANNUAL REPORT 09/13/2021 -- ANNUAL REPORT 10/22/2020 -- REINSTATEMENT 04/25/2019 — ANNUAL REPORT 04/03/2018 -- ANNUAL REPORT 04/10/2017 -- ANNUAL REPORT 03/28r2016 -- ANNUAL REPORT 03/31/2015 -- ANNUAL REPORT 09117/2014 -- ANNUAL REPORT 08101 /2013 —ANNUAL REPORT 04/27/2012 -- ANNUAL REPORT 03/21/2011 -- ANNUAL REPORT 04/30/2010 -- ANNUAL REPORT 04/14/2009 — ANNUAL REPORT 04/30/2008 — ANNUAL REPORT 03/29/2007 — ANNUAL REPORT 01/16/2006 — ANNUAL REPORT 02/09/2005 — ANNUAL REPORT 04/21/2004 — ANNUAL REPORT 01/07/2003 -- Florida Limited Liability View image in PDF format —J View image in PDF format View image in PDF format View image in PDF format View image in PDF format -- --........... _--..---- View image in PDF format View image in PDF format View image in PDF format View image in PDF format View image in PDF format — View image in PDF format View im a ge in PDF format View image in PDF format View image in PDF format View image in PDF format View imaae in PDF format View image in PDF format View image in PDF format ! View image in PDF format View image in PDF format N N 0 N Q 0 ti ti M N Packet Pg. 489 10.A.1 CONTRACTORS LICENSING BOARD COLLIER COUNTY, FLORIDA BOARD OF COUNTY COMMISSIONERS COLLIER COUNTY, FLORIDA, Contractors' Licensing Board Petitioner Vs. Duane O. Thomas d/b/a Duane Thomas Marine Construction, LLC �C Case: 2011-11 License: C.C. #24326 THIS CAUSE came on for public hearing before the Contractors' Licensing Board (hereafter Board) on December 21, 2011 for consideration of the Administrative Complaint filed against Duane O. Thomas. Service of the Complaint was made in accordance with Collier County Ordinance 06-46 as amended. The Board made a finding of fact that the service conformed with the requirements of Ordinance 90-105, as amended. The Board having at said hearing heard testimony under oath, received evidence, and heard arguments respective to all appropriate matters, thereupon issues its Findings of Fact, Conclusions of Law and Order of the Board as follows: FINDINGS OF FACT 1. That Duane O. Thomas is the holder of record of License Number 24326. 2. That the Board of County Commissioners of Collier County, Florida is the complainant in this matter. t Packet Pg. 490 10.A.1 N N O N Q O I That the Board has jurisdiction of the person of the Respondent and that ti ti Deane O. Thomas was present at the public hearing and was not represented by N counsel at the hearing on December 21, 2011, 4. All notices required by Collier County Ordinance No. 06-46, as amended, havc been properly issued and delivered by certified mail in accordance with Collier County Ordinance 06-46, as amended. 5. The Respondent stated under oath that he was "guilty as charged". 6. That the Respondent further admitted under oath to constructing a seawall without a permit. 7. That the Respondent acted in a manner that reflected a disregard for the laws and ordinances of Collier County. 8. That the Respondent did, in fact, proceed on a job without obtaining the necessary permits from the appropriate agencies. CONCLUSIONS OF LAW 1. The Conclusions of Law alleged and set forth in the Administrative Complaint as to Count I are approved, adopted and incorporated herein, to wit, the Respondent violated Section 4.1.18 of Collier County Ordinance 06-46, as amended (section 22- 201(18) of the Code of Laws and Ordinances of Collier County) in the performance of his contracting business in Collier County by acting in violation of the section set out above. The Contractor failed to obtain applicable permits. 2. Collier County has jurisdiction over this contractor pursuant to Collier County Ordinance 06-46, as amended. 2 Packet Pg. 491 10.A.1 ORDER OF THE BOARD Based upon the foregoing Findings of Fact and Conclusions of Law, and pursuant to the authority granted in Chapter 489, Florida Statutes, and Collier County Ordinance No. 06 46, as amended, by a vote of 9 in favor and D opposed, o majority vote of the Board members present, the Respondent has been found in violation as set out above.. Further, it is hereby ORDERED, that after due consideration of all factors required under the Collier County Code of Laws and Ordinances 22-203(c) and based upon the evidence and testimony presented at the hearing on December 21, 2011, the Board, by a vote of 7 in favor and 2 opposed, a majority vote of the Board members present that the following disciplinary sanction(s) and related order are hereby imposed upon the holder of Contractors' License Number 24326. 1. Probation for a period of twelve (12) months whereby the Respondent will perform his contracting activities under the supervision of the Rnard. During which time, should the Respondent violate the Ordinance in any respect, his license will be immediately suspended and a hearing on the suspension and violation shall be held and the next regularly scheduled Board hearing. 1. A fine in the amount of two thousand five hundred dollars ($2,500.00) for count I to be paid within ninety (90) days of the date of this hearing. 2. Administrative and investigative costs in the amount of five hundred dollars ($500.00) to be paid within thirty (30) days of the date of this hearing. Respondent to report all active jobs to the Contractor Licensing Supervisor in a manner to be established by the Contractor Licensing Supervisor after consultation with the Respondent . Packet Pg. 492 10.A.1 N N O N Gl O The parties hereto are hereby notified that the Respondent has a ti right to request a rehearing of this matter. A request for rehearing shall be made in N writing and shall be filed with the Clerk to the Collier County Board of County Commissioners, and served on any other parties, within twenty (20) days from the date of mailing of the Board's written decision under Section 4.3.4.9 and 4.3.4.10 of Ordinance 06-46, as amended. A request for rehearing shall be based only on the ground that the decision was contrary to the evidence or that the hearing involved an error on a ruling of law which was fundamental to the decision of the Board. The written request for rehearing shall specify the precise reasons therefore. The decision of the Board which is the subject of the rehearing request shall remain in effect throughout the rehearing procedure unless the Board orders otherwise. The Board shall make a determination as to whether or not to rehear the matter and its decision shall be made at a public meeting, reduced to writing and mailed to the interested parties within 21 days after the decision is made. if the Contractors' Licensing Board determines it will grant a rehearing, it may: a. Schedule a hearing where the parties will he given the opportunity of presenting evidence or argument limited by the Board to the specific reasons for which the rehearing was granted; or b. Modify or reverse its prior decision, without receiving further evidence, providing that the change is based on a finding that the prior decision of the Board resulted from a ruling on a question of law which the Board has been informed by its counsel was an erroneous ruling and which ruling could effect the substantive decision. The parties are further notified that upon the timely filing of a Notice of Appeal within thirty (30) days you may have the decision of the Board reviewed pursuant to the procedure set out herein. The contractor found to be in violation may appeal a decision of the Board to the Collier County Circuit Court. Such an appeal shall not be a hearing de novo but shall be limited to appellate review of the record created before the Board. Any appeal shall be filed with the Circuit Court and served on the parties within thirty (30) days of the mailing of the decision of the Board under Sections 4.3.4.9 and 4.3.4.10 of Ordinance 90-105, as amended. If there has been a re -hearing request, the appeal shall be filed with the Circuit Court and served on the parties within thirty (30) days of the mailing of the re -hearing decision under Section 5.1.2 of Ordinance 90-105, as amended. In the event that the contractor found to be in violation should elect to appeal, a verbatim record and transcript of the proceedings will be necessary. It shall be the sole responsibility of said party to ensure that a record is made from which a transcript may Packet Pg. 493 10.A.1 N N O N Q O be prepared which includes the testimony upon which an appeal may be taken. Neither ti Collier County nor the Board shall have any responsibility to provide a verbatim record ti transcript of the proceedings. N FURTHER, the Board makes no recommendation to the Florida Construction Industry Licensing Board. In accordance with Chapter 489.131(7) ( c ) and (d), Florida Statutes, the disciplined contractor, the complainant, or the Department of Business and Professional Regulation may challenge the local jurisdiction enforcement body's recommended penalty for Board action to the State Construction Industry Licensing Board. A challenge must be filed within sixty (60) days of the issuance of the recommended penalty to the State Construction Industry Licensing Board in Tallahassee, Florida. If challenged, there is a presumptive finding of probable cause and the case may proceed before the State Board without the need for a probable cause hearing. Failure of the disciplined contractor, the complainant, or the Department of Business and Professional Regulation to challenge the local jurisdiction's recommended penalty within the time period set forth herein shall constitute a waiver of the right to a hearing before the State Construction Industry Licensing Board. A waiver of the right to a hearing before the State Board shall be deemed an admission of the violation, and the penalty recommended shall become a final order according to the procedures developed by State Board rule without further State Board action. Pursuant to Section 120.59, Florida Statutes, the parties are hereby notified that they may appeal the Final Order of the State Board by filing one copy of a Notice of Appeal with the Clerk of the Department of Business and Professional Regulation, Northwood Centre, 1940 Monroe Street, Tallahassee, Florida 32399-0792, and by filing the filing fee and one copy of the Notice of Appeal with the District Court of Appeal within thirty (30) days of the effective date of said Order. Packet Pg. 494 10.A.1 ORDERED by the Contractors Licensing Board effective the 21 day December 2011. Lee Horn, Chairman Contractors Licensing Board HEREBY CERTIFY that a true and correct copy of the above and foregoing Findings of Fact, Conclusions of Law, and Order of the Board has been furnished the Respondent, Duane O. Thomas, Duane Thomas Marine Construction, LLC, 296 Rockhill Court, Marco Island, FL 34145; and Michael Ossorio, Licensing Compliance S 800 North Horseshoe Drive, Naples, FL 34103 on this ay of � \2012. Secretary / Cogiractors Licensing Board m Packet Pg. 495 10.A.1 Duane Thomas Rebuttal Pages r N N O N Q O r Packet Pg. 496 10.A.1 N N From: duanethomasmanne(&comcast.net O To: Delaado5andra N Subject: defense packet for Admin Case 2022-14 Q Date: Tuesday, January 10, 2023 5:16:26 PM G Attachments: imaae001.Dna DOCK-22-02487 - Permit Corrections Reoort.odf ti M N EXTERNAL EMAIL: This email is from an external source. Confirm this is a trusted sender and use extreme caution when opening attachments or clicking links. Hi Sandra, Below is what we'd like to have on file for the hearing, please. I have included links to these documents — not sure if you need these in their entirety, so I've included links to them. Please let me know if you want me to forward. Thank you much. Lee City of Marco Island - 772 Nautilus - DOCK-22-02487 Applied date: 04/11/2022 Review dates: Building Review Approved 04/25/2022 04/14/2022 Tejeda Henry Electric Review Approved 04/25/2022 04/26/2022 Smith Heather Environmental Review Requires Re -Submit 04/25/2022 Kammerer Trish Environmental comments: Please re -submit with FDEP/ACOE permits - PK Zoning Review Approved 04/25/2022 04/18/2022 Kammerer Trish DEP - Permit No.: 0421015-001 El. Attached. Issued: 06/15/2022 Marco Island - City Ordinance 20-07 (page 19, 105.12): "105.12 Work starting before permit issuance. Upon approval of the building official: the scope of work delineated in the building permit application and plan may be started prior to the final approval and issuance of the permit. provided any work completed is entirely at risk of the permit applicant and the work does not proceed past the first required inspection." Pursuant to Florida Statute 166.033(5), a municipality cannot withhold issuing their permit based on state or federal permits being issued first. Please see below. I have also included a link to the State's website for your reference. "(5) For any development permit application filed with the municipality after July 1, 2012, a municipality may not require as a condition of processing or issuing a development permit or development order that an applicant obtain a permit or approval from any state or federal agency unless the agency has issued a final agency action that denies the federal or state permit before the municipal action on the local development permit." Duane Thomas Rebuttal Page 1 Packet Pg. 497 10.A.1 N http://www.leg.state.f1.us/statutes/index.cfm? N N ADD_mode=Display_Statute&Search_String=&URL=0100-0199/0166/Sections/0166.033.html Q 0 The state also defines a development permit in Florida Statue 380.031 (4) as shown below. I have ti included a link to this as well. CO)It "(4) "Development permit" includes any building permit, zoning permit, plat approval, or rezoning, certification, variance, or other action having the effect of permitting development as defined in this chapter." ti http://www.leg.state.f1.us/statutes/index.cfm? ADD_mode=Display_Statute&Search_String=&URL=0300-0399/0380/Sections/0380.031. htm I 0 o 0 Based on the Florida Statues provided above, we request that our application continue N MARINE CON STRUeT1.014 CONFIDENTIALITY NOTICE: This e-mail and any files attached may contain confidential information that is legally privileged. If you are not the intended recipient, or a person responsible for delivering it, you are hereby notified that any disclosure, copying, distribution or use of any of the information contained in or attached to this transmission is STRICTLY PROHIBITED. If you have received this transmission in error, please destroy the original transmission and its attachments without reading or saving in any manner. Duane Thomas Rebuttal Page 2 Packet Pg. 498 10.A.1 PERMIT CORRECTIONS REPORT (DOCK-22-02487) N FOR CITY OF MARCO ISLAND 04 0 PERMIT ADDRESS: 772 Nautilus CT PARCEL: 57932880008 Marco Island, FL 34145 APPLICATION DATE: 04/11/2022 SQUARE FEET: 1,350.00 DESCRIPTION: NOC Install dock. Install removable decking over 11 EXPIRATION DATE: 05/03/2023 VALUATION: $99,900.00 sewall cap. Install lift. CV) N REV 1 - ADD ONE LIFT. CONTACTS NAME COMPANY ADDRESS Applicant DUANE THOMAS DUANE THOMAS MARINE 296 ROCKHILL CT to CONSTRUCTION LLC MARCO ISLAND, FL 34145 O O O Contractor DUANE THOMAS DUANE THOMAS MARINE 296 ROCKHILL CT N CONSTRUCTION LLC MARCO ISLAND, FL 34145 N O KEVIN LAPORTE ALL BRIGHT ELECTRICAL 3165 37TH AVE NE N Cn CONTRACTORS OF SWFL LLC NAPLES, FL 34120 2 Owner AVALLON FLORIDA TRUST 772 Nautilus CT LLI Marco Island, FL 34145 V C) Dock Lift - plan reviews J J REVIEW ITEM STATUS REVIEWER Z Building Review v.1 Approved Henry Tejeda email: htejeda@cityofmarcoisland.com 0 Plans Review Building Review v.2 Approval is in previous Henry Tejeda email: htejeda@cityofmarcoisland.com submittal Plans Review Building Review v.3 Approval is in previous Henry Tejeda email: htejeda@cityofmarcoisland.com submittal Z Plans Review 0 U Code Review v.1 Approved James Reynolds email: jeynolds@cityofmarcoisland.com LU Plans Review Z Electric Review v.1 Approved Heather Smith Ph: 239-389-5057 email: hsmith@cityofmarcoisland.com Electric Review Electric Review v.2 Approval is in previous Heather Smith Ph: 239-389-5057 email: hsmith@cityofmarcoisland.com submittal Electric Review O Electric Review v.3 Approval is in previous Heather Smith Ph: 239-389-5057 email: hsmith@cityofmarcoisland.com = submittal H Electric Review LU Environmental Review v.1 Approved Kathryn Grigsby Ph: 239-389-3949 email: Z Q kgrigsby@cityofmarcoisland.com Plans Review Correction: General Correction - Trish Kammerer (4/15/22) - Not Resolved Qm Corrective Action: Please re -submit with FDEP/ACOE permits - PK C Environmental Review v.2 Requires Re -Submit Kathryn Grigsby Ph: 239-389-3949 email: kgrigsby@cityofmarcoisland.com Plans Review Correction: General Correction - Trish Kammerer (7/26/22) - Resolved Correction: General Correction - Kathryn Grigsby (8/24/22) - Not Resolved Comments: 8/24/2022-Please provide ACOE approved permit. Please update Marco Island Marine permit application to correlate with DEP permit proposal of 2 uncovered boat lifts, 1 platform lift, and 1350 sqft. dock. KGrigsby Environmental Review v.3 Passed -with Mary Holden Ph: 239-389-3975 email: mholden@cityofmarcoisland.com Conditions Plans Review Correction: General Correction - Trish Kammerer (7/26/22) - Resolved Correction: General Correction -Kathryn Grigsby (10/5/22) -Resolved Comments: 8/24/2022-Please provide ACOE approved permit. Please update Marco Island Marine permit application to correlate with DEP permit proposal of 2 uncovered boat lifts, 1 platform lift, and 1350 sqft. dock. KGrigsby December 21. 2022 50 Bald Eagle Drive Page 1 of 2 Packet Pg. 499 10.A.1 rim N Zoning Review v.1 Approved Joshua Ooyman email: jooyman@cityofmarcoisland.com N Plans Review Zoning Review v.2 Approved Jason Utley Ph: 239-389-5191 email: jutley@cityofmarcoisland.com p Plans Review Zoning Review v.3 Approval is in previous Jason Utley Ph: 239-389-5191 email: jutley@cityofmarcoisland.com ti submittal M Plans Review Ict N CONDITION(S) Environmental - The dock construction must follow the DEP/ACOE approved plans. Comment: The dock construction must follow the DEP/ACOE approved plans. ti December 21, 2022 50 Bald Eagle Drive Page 2 of 2 Packet Pg. 500 10.A.1 .:_ .. DOCK 22-02487 x 1 = EI x ('} https://marwislandfl-oneugovpub.Lyierhastnet/AppsfSeffSew[ce#Jpermit/f42a9710-fd59-d66f A" [[" � ••• J Good Morning, CITY C)F DUANE THOMAS MARINE CONSTRUCTION LLC_.- 1q D ^144 40 *JJ`S4(W_#4 I Permit Number. DOCK-22-02487 Permit Details I Tab Elements I Main Menu Type: Dock/Lift-SingleFamiiy New Status: Permit Active Project Name: Applied Date: 04/11/2C22 Issue Date: 1011812022 District: Marco Uand Expire Date_ 07X5/2023 Square Feet: 1.350.00 Valuation: $99300.00 Finalized Date: Description: NOC Install dock. Install removable decking over sewaRcap. lnstalllift. REV 1-ADD ON E LIFT. Summary Locations. Fees Inspections Attachments Contacts Sub -Records Hoids More Info Duane Thomas Rebuttal Page 5 Packet Pg. 501 10.A.1 x. I � DOCK-22-02487 x — ❑ x 0 t. http5://marcoislandfl-energovpub.tyterhostnet/Apps/SelfService#Jpermitlf42ag719-fd59-466f A'" Q Is, "' 85 - Dock/ Lift - plan reviews Submittal Status Realved Date Due Date Completed Date Approved 12/00/2022 12/16/2022 12/21/2022 Q Zoning Review. Approved • CkWnan Joshua M, • Completed :12/06/2022 Q Environmental Review • Approved • Grigsby Kathryn m • Completed :12/20/2022 Q Electric Review • Approved • Smith Heather z. • Completed :12/OB/2022 Q Code Review • Approved • Reynolds James in • Completed :12/07/2022 R$ - Dock / Lift - plan reviews Submittal Status Realved Date Due Dale Completed Date Approved 10/05/2022 10/10/2022 10/17/2022 Q Zoning Review • Approval is in previous submittal • Utley Jason S • Completed: 10/05/2022 Q Environmental Review • Passed -with Conditions ■ Holden Mary M,+ Completed : 10/12/2022 Q Electric Review • Approval Is in previous submittal a Smith Heather m. Completed :10/05/2022 Q Building Review • Approval is in previous submittal • Tejeda Henry - • Completed :10/05/2022 Duane Thomas Rebuttal Page 6 N N O 04 Q O ti ti M N Packet Pg. 502 10.A.1 Public!nfcrmation X DOCK-22-02487 X j https://marcuisiandfl-energovpub.tylerhastnet/Apps/SeEervlice#Jpermitlf42ag710 fd59-466f A" {8 �= id+ + ••• BS - Dock / Lift - plan revieyvs ^ Submittal Status Received Date Due Date Completed Date Partial or Incomplete 07/26/2022 03101/2022 08/24/2022 0 Environmental Review • Requires Re -Submit • Grigsby Katfryn z • Completed: 08/24/2022 Due Date Completed Date 08/01/2022 08/24/2022 Comment 8/24/2022-131ease provicieACOE approved permit Please update Marco Island Marine pe rmit application to correlate with DEP permit proposal of 2 uncovered boat lifts,1 platform lift, and 1.350 sgft. dock KCrigsby Corrections (2) Correction Type General -Ecrreetion Category Genera' Cal reetion Correction Type General Correction Category Genera I Correction Comment 8/24/2022-Please provideACOE approved permit Please update Marco Island Marine permit application to correlate with DE P permit proposal of 2 uncovered boat lifts,1 platform lift, and 1350 sq#t. dock KGrlgsby Q Zoning Review + Approved * Utley Jason M. • Completed: 07/26/2022 Q Electric Review • Approval is in previous submittal • Smith Heather m a Completed :07126/2022 4 Building Review • Approval is in previous submittal • Tejeda Henry - • Completed:07/26/2022 Duane Thomas Rebuttal Page 7 N N O N d O ti ti M N Packet Pg. 503 10.A.1 x:1 • , DCCK-22-02487 x .1t — ❑ x 0 2. https://marcoislandfl-epergovpub.Lyierhostnet/Apps/Se[(Service#Jpermitlf42ag710 fd59-466f A" �= (E .0& "' es - M6 / Lift - plan reviews Submittal Status Received date Due Date Completed Date Partial or Incomplete 04/13/2022 04/25/2022 04/26/2022 0 Environmental Review • Requires Re -Submit • Kammerer Trish y • Completed: 04/15/2022 ^ Cue i]au• Completed Date 04/25/2022 04/15/2022 Correction (1) Co.. action General Correction CaLepDry General Correction Corrective Action Pleasere-submitwith FDEP/ACOEpermits -PK Q Zoning Review • Approved • Kammerer Trish m • Completed: 04/18/2022 4) Electric Review • Approved • Smith Heather Z. • Completed :0412612022 Q Building Review • Approved • Tejeda Henry 3 • Completed: 04/14/2022 Ayof Marto Island. FL itizen Self Service Portal for Building Services Division and Growth Management D Bald Eagle Dr. Marco Island F L 34145 general Mailbox: permitsubmittais@ciWf rcoisiand.com Duane Thomas Rebuttal Page 8 N N O N Q O ti ti M N Packet Pg. 504 10.A.1 N N 0 N The 2022 Florida Statutes Q 0 ti ti Title XII M N �I�I►1[�ll7e\�Ilrhf.� Chapter 166 MUNICIPALITIES View Entire Chapter 166.033 Development permits and orders.— (1) Within 30 days after receiving an application for approval of a development permit or development order, a municipality must review the application for completeness and issue a letter indicating that all required information is submitted or specifying with particularity any areas that are deficient. If the application is deficient, the applicant has 30 days to address the deficiencies by submitting the required additional information. Within 120 days after the municipality has deemed the application complete, or 180 days for applications that require final action through a quasi-judicial hearing or a public hearing, the municipality must approve, approve with conditions, or deny the application for a development permit or development order. Both parties may agree to a reasonable request for an extension of time, particularly in the event of a force majeure or other extraordinary circumstance. An approval, approval with conditions, or denial of the application for a development permit or development order must include written findings supporting the municipality's decision. The timeframes contained in this subsection do not apply in an area of critical state concern, as designated in s. 380.0552 or chapter 28- 36, Florida Administrative Code. (2)(a) When reviewing an application for a development permit or development order that is certified by a professional listed in s. 403.0877, a municipality may not request additional information from the applicant more than three times, unless the applicant waives the limitation in writing. (b) If a municipality makes a request for additional information and the applicant submits the required additional information within 30 days after receiving the request, the municipality must review the application for completeness and issue a letter indicating that all required information has been submitted or specify with particularity any areas that are deficient within 30 days after receiving the additional information. (c) If a municipality makes a second request for additional information and the applicant submits the required additional information within 30 days after receiving the request, the municipality must review the application for completeness and issue a letter indicating that all required information has been submitted or specify with particularity any areas that are deficient within 10 days after receiving the additional information. (d) Before a third request for additional information, the applicant must be offered a meeting to attempt to resolve outstanding issues. If a municipality makes a third request for additional information and the applicant submits the required additional information within 30 days after receiving the request, the municipality must deem the application complete within 10 days after receiving the Duane Thomas Rebuttal Page 9 Packet Pg. 505 10.A.1 N N O N additional information or proceed to process the application for approval or denial unless the applicant c waived the municipality's limitation in writing as described in paragraph (a). r- (e) Except as provided in subsection (5), if the applicant believes the request for additional information M is not authorized by ordinance, rule, statute, or other legal authority, the municipality, at the applicant's N request, shall proceed to process the application for approval or denial. ti (3) When a municipality denies an application for a development permit or development order, the to municipality shall give written notice to the applicant. The notice must include a citation to the c applicable portions of an ordinance, rule, statute, or other legal authority for the denial of the permit or N order. c N U) (4) As used in this section, the terms "development permit" and "development order" have the same M meaning as in s. 163.3164, but do not include building permits. U (5) For any development permit application filed with the municipality after July 1, 2012, a municipality may not require as a condition of processing or issuing a development permit or JZ development order that an applicant obtain a permit or approval from any state or federal agency 0 unless the agency has issued a final agency action that denies the federal or state permit before the V municipal action on the local development permit. (6) Issuance of a development permit or development order by a municipality does not create any right on the part of an applicant to obtain a permit from a state or federal agency and does not create any liability on the part of the municipality for issuance of the permit if the applicant fails to obtain requisite approvals or fulfill the obligations imposed by a state or federal agency or undertakes actions that result in a violation of state or federal law. A municipality shall attach such a disclaimer to the issuance of development permits and shall include a permit condition that all other applicable state or federal permits be obtained before commencement of the development. (7) This section does not prohibit a municipality from providing information to an applicant regarding what other state or federal permits may apply. History.—s. 2, ch. 2006-88; s. 3, ch. 2012-205; s. 3, ch. 2013-92; s. 3, ch. 2013-193; s. 2, ch. 2013-213; s. 8, ch. 2019-165; s. 3, ch. 2021-224. Duane Thomas Rebuttal Page 10 Packet Pg. 506 10.A.1 N N O N Gl O The 2022 Florida Statutes ti ti M N Title XXVIII NATURAL RESOURCES; CONSERVATION, RECLAMATION, AND USE Chapter380 LAND AND WATER MANAGEMENT View Entire Chapter 380.031 Definitions. —As used in this chapter: (1) "Administration commission" or "commission" means the Governor and the Cabinet; and for purposes of this chapter the commission shall act on a simple majority. (2) "Developer" means any person, including a governmental agency, undertaking any development as defined in this chapter. (3) "Development order" means any order granting, denying, or granting with conditions an application for a development permit. (4) "Development permit" includes any building permit, zoning permit, plat approval, or rezoning, certification, variance, or other action having the effect of permitting development as defined in this chapter. (5) "Downtown development authority" means a local governmental agency established underpart III of chapter 163 or created with similar powers and responsibilities by special act for the purpose of planning, coordinating, and assisting in the implementation, revitalization, and redevelopment of a specific downtown area of a city. (6) "Governmental agency" means: (a) The United States or any department, commission, agency, or other instrumentality thereof, (b) This state or any department, commission, agency, or other instrumentality thereof; (c) Any local government, as defined in this chapter, or any department, commission, agency, or other instrumentality thereof; (d) Any school board or other special district, authority, or other governmental entity. (7) "Land" means the earth, water, and air above, below, or on the surface, and includes any improvements or structures customarily regarded as land. (8) "Land development regulations" include local zoning, subdivision, building, and other regulations controlling the development of land. (9) "Land use" means the development that has occurred on land. Duane Thomas Rebuttal Page 11 Packet Pg. 507 10.A.1 N N O N (10) "Local comprehensive plan" means any or all local comprehensive plans or elements or portions c thereof prepared, adopted, or amended pursuant to the Community Planning Act, as amended. ti (11) "Local government" means any county or municipality and, where relevant, any joint airport 1- zoning board. N (12) "Major public facility" means any publicly owned facility of more than local significance. ti (13) "Parcel of land" means any quantity of land capable of being described with such definiteness that c its location and boundaries may be established, which is designated by its owner or developer as land to 0 be used or developed as a unit or which has been used or developed as a unit. (14) "Person" means an individual, corporation, governmental agency, business trust, estate, trust, partnership, association, two or more persons having a joint or common interest, or any other legal entity. (15) "Regional planning agency" means the agency designated by the state land planning agency to exercise responsibilities under this chapter in a particular region of the state. (16) "Rule" means a rule adopted under chapter 120. (17) "State land development plan" means a comprehensive statewide plan or any portion thereof setting forth state land development policies. Such plan shall not have any legal effect until enacted by general law or the Legislature confers express rulemaking authority on the state land planning agency to adopt such plan by rule for specific application. (18) "State land planning agency" means the Department of Economic Opportunity and may be referred to in this part as the "department." (19) "Structure" means anything constructed, installed, or portable, the use of which requires a location on a parcel of land. It includes a movable structure while it is located on land which can be used for housing, business, commercial, agricultural, or office purposes either temporarily or permanently. "Structure" also includes fences, billboards, swimming pools, poles, pipelines, transmission lines, tracks, and advertising signs. (20) "Resource planning and management committee" or "committee" means a committee appointed pursuant to s. 380.045. History.—s. 3, ch. 72-317; s. 1, ch. 79-73; s. 1, ch. 80-313; s. 1, ch. 83-308; s. 41, ch. 85-55; s. 32, ch. 98- 176; s. 53, ch. 2011-139; s. 257, ch. 2011-142. Duane Thomas Rebuttal Page 12 Packet Pg. 508 10.A.1 N N 0 N 105.6.2 Pursuant to Section 553.79(16), Florida Statutes, a local enforcement agency may not c deny issuance of a building permit to a contractor solely because the contractor is listed on other building permits that were not closed. A local enforcement agency has the authority to deny a new permit application from an applicant for other reasons. � IAI 105.7 Placement of permit The building permit or copy shall be kept on the site of the work v until the completion of the project. -- ti 105.8 Notice of commencement. In accordance with Section 713.135, Florida Statutes, when to 0 any person applies for a building permit, the authority issuing such permit shall print on the face c of each permit card in no less than 14-point, capitalized, boldfaced type: "WARNING TO cN.i OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT N IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF N COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE w THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH �? YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF L) COMMENCEMENT." z 105.9 Asbestos. The enforcing agency shall require each building } ermit for the demolition or renovation of an existing structure to contain an asbestos notification statement which indicates U the owner's or operator's responsibility to comply with the provisions of Section 469.003, Florida Statutes, and to notify the Department of Environmental Protection of his or her intentions to cn remove asbestos, when applicable, in accordance with state and federal law. z O U 105.1 Certificate of protective treatment for prevention of termites. A weather -resistant iob- w z site posting board shall be provided to receive duplicate treatment certificates as each required protective treatment is completed, providing a copy for the person the permit is issued to and another copy for the building permit files. The treatment certificate shall provide the product used, identity of the applicator, time and date of the treatment, site location, area treated, chemical used, N a percent concentration and number of gallons used, to establish a verifiable record of protective 2 treatment. If the soil chemical barrier method for termite prevention is used, final exterior treatment shall be completed prior to final building approval. w z 105.11 Notice of termite protection. A permanent sign which identifies the termite treatment D provider and need for reinspection and treatment contract renewal shall be provided. The sign shall be posted near the water heater or electric panel. m 0 105.12 Work startin_ before permit issuance. Upon a's nroval of the buildiaz official, the scone Cn a of work delineated in the building permit application and plan may be started prior to the final � approval and issuance of the permit, provided any work completed is entirely at risk of the permit = applicant and the work does not proceed past the first required inspection. w z 105.13 Phased permit approval. After submittal of the appropriate construction documents, the a building official is authorized to issue a permit for the construction of foundations or any other o part of a building or structure before the construction documents for the whole building or structure have been submitted. The holder of such permit for the foundation or other parts of a N building or structure shall proceed at the holder's own risk with the building operation and without N assurance that a permit for the entire structure will be granted. Corrections may be required to meet d the requirements of the technical codes. o a� E Duane Thomas Rebuttal Page 13 19 a Packet Pg. 509 11.A 01/18/2023 COLLIER COUNTY Contractor Licensing Board Item Number: I LA Doc ID: 24373 Item Summary: NEXT MEETING DATE - MONDAY, FEBRUARY 13, 2023 Meeting Date: 01/18/2023 Prepared by: Title: — Contractor Licensing Name: Sandra Delgado 01/11/2023 3:28 PM Submitted by: Title: — Contractor Licensing Name: Tim Crotts 01/11/2023 3:28 PM Approved By: Review: Contractor Licensing Contractor Licensing Contractor Licensing Sandra Delgado Review item Tim Crotts Tim Crotts Review Item Meeting Pending Completed 01/11/2023 4:26 PM Completed 01/11/2023 4:49 PM 01/18/2023 9:00 AM Packet Pg. 510