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CLB Agenda 05/21/2025 (Revised)COLLIER COUNTY Contractors Licensing Board Board of County Commissioners AGENDA Board of County Commission Chambers Collier County Government Center 3299 Tamiami Trail East, 3rd Floor Naples, FL 34112 May 21, 2025 9:00 AM Todd Allen, Chair Kyle E. Lantz, Vice -Chair Stephen M. Jaron Matthew Nolton Robert P. Meister, III Richard E. Joslin, Jr. Jennifer Cassidy Terry Jerulle Kevin Johnson 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. April 16, 2025 (2025-1810) 5. Public Comments Page 1 of 237 6. Discussion 7. Reports 8. New Business 8.A. Orders of the Board 19 (2025-1811) 8.13. Justin J. Rodriguez_ Advanced Structural Builders Inc_Review of Experience. (2025-1812) 8.C. Jorge L. Diaz Gonzalez—J & J Imperial Painting SW FL, LLC—Review of Experience and Credit. (2025-1814) 8.1). Darren R. Gerard Gerard Asphalt LLC—Review of Experience. (2025-1815) 8.E. Ryan Michael Randolph—Randolph's Land Solutions LLC Review of Experience. (2025-1816) 8.17. Susseth Carolina Velasquez Martinez —All Naples Renovations LLC—Review of Experience. (2025-1817) 9. Old Business 9.A. Yoan Gerson Leon Gonzalez —Joan Residential & Commercial Painting, LLC—Probation Review — Credit. (2025-1820) 9.13. Christian Escobar Just Like New Services Inc Probation Review — Credit. (2025-1821) 9.C. Michael S. Mogel— Mike's Clearwater Harvesting, Inc —Probation Review — Credit. (2025-1822) 9.1). Rafael Aguilar —RL Landscapes, LLC (DBA) RL Landscapes Design and Build —Probation Review - Credit. (2025-1824) 9.E. Grant M. Wark_Wark Enterprise LLC (DBA) Wark Painting_Probation Review - Credit. (2025- 1825) 10. Public Hearings 11. Next Meeting Date I I.A. June 18, 2025 (2025-1826) Page 2 of 237 COLLIER COUNTY CONTRACTORS LICENSING BOARD Apr. 16, 2025 — 9:00 a.m. Board of County Commission Chambers Collier County Government Center 3299 Tamiami Trail East, 3rd Floor, Naples, FL 34112 Todd Allen, Chairman Kyle E. Lantz, Vice Chair Stephen M. Jaron Terry Jerulle Matthew Nolton Robert P. Meister, III Richard E. Joslin, Jr. Jennifer Cassidy Kevin Johnson OTHERS PRESENT Patrick Neale, Attorney for Contractors Licensing Board Ryan Cathey, Code Enforcement Ronald Tomasko, Attorney for Collier County Michael Bogert, Collier County Contracting Licensing Supervisor Greg St. Jean, Collier County Licensing Investigator Timothy Broughton, Licensing Agent, Collier County Any person who decides to appeal a decision of the Contractors Licensing Board will need a record of the proceedings pertaining thereto, and therefore may need to ensure that a verbatim record of the proceedings is made, which record includes the testimony and evidence upon which the appeal is to be based, neither Collier County nor the Contractors Licensing Board shall be responsible for providing this record. 1. ROLL CALL Michael Bogert, Collier County Code Enforcement, Div. of Contractor Licensing 2. ADDITIONS OR DELETIONS Michael Bogert 3. APPROVAL OF AGENDA Terry Jerulle motioned to approve the Agenda with above changes Kyle Lantz seconded Motion passed 9-0 Page 3 of 237 4. APPROVAL OF MINUTES A. Mar. 19, 2025 Richard Joslin made the motion to approve the Minutes with the end of Sunshine Pools the word pooling should be pulling Kyle Lantz seconded Motion passed 9-0 5. PUBLIC COMMENTS Michael Bogert No Public Comments 6. DISCUSSION None 7. REPORTS None 8. NEW BUSINESS Michael Bogert We would like to introduce our newest employee of the contractor licensing group, Larry Zydek. Mr. Zydek is the fifth and final full time investigator licensing. A. Order of the Board Richard Joslin motioned for the Chairman to sign the Orders of the Board Kyle Lantz seconded Motion passed 9-0 B. Juan Pablo Torrez, We Tile America Inc., Review of Experience Michael Bogert Mr. Torres has submitted an application for the issuance of a license as a cabinet installation contractor, which requires twenty four months of experience. As part of the application process for the issuance of a cabinet installation contract or license, Mr. Torres was required to submit documentation showing his experience. As part of the review process by staff, mister Torres has submitted the following verification of experience documents. A review of these documents shows the following. Verification of construction experience submitted by Gregory Guillemette, uh, operations manager for Naples Stoneworks LLC. A State certified general contractor with license CGC049716. Uh, that license now belongs to a deceased individual as of 2021, I believe. Dates of employment were from November 2014 through November 2021. Mister Torres' scope of work is listed as install cabinets to spec scope and customer service. 2 Page 4 of 237 • Verification and construction experience, number two, submitted by Adrian Chacon, manager of Naples Film Works LLC also. • Dates of appointment were from November 2021. Mister Torres' scope was listed as installed cabinets according to standard. • Third, verification of construction experience was submitted by Joshua Alter, project manager for I -Roof LLC. License 1264005. Dates of employment are from April 2024 to January 2025. • The scope of work is listed as prepping work area and installing cabinets • Based on the information received, it's staffs opinion that Mr. Torres does not meet the minimum requirements as set forth in the Collier County code of laws and ordinances section twenty two one eighty three a one and twenty two one eighty three b one as it relates to experience and time required in the trade under section twenty two one sixty two, cabinet installation contractor. Kyle Lantz What kind of cabinets did you install? Mr. Torrez Custom and also RTAs. I build and assemble them Terry Jerulle You said you have taken the business test and cabinet test. When you remodel a house do you make sure the plumber disconnects the toilets and the electrician disconnects the electrical. You're not going to do that yourself? Mr. Torrez No, I don't touch any of that. Terry Jerulle You have pictures that you can share? Richard Joslin You said you were a project manager for several companies. One day you might do tile, another day do flooring. How many times did you do cabinetry versus tile or other things? Mr. Torrez About 2/3s flooring and 1/3 cabinetry. Terry Jerulle Confirmed with Mr. Bogert that cabinetry was one of the licenses going away and motioned to approve the license application Richard Joslin seconded Motion pass 9-0 3 Page 5 of 237 C. Wilmer Portillo, Everlast Building Contractors, Inc., Review of Experience Michael Bogert • Mr. Sanchez has submitted an application for a license as a Building Contractor. He previously appeared before this Board on Feb. 13, 2023 seeking the same license. • He was denied due to insufficient experience in building homes, commercial construction and driving pilings and structural work. • As part of the review process by staff, Mr. Sanchez has submitted the following verification of experience documents. • Verification of construction experience was done by Nicholas LaGrasta, qualifier and owner of LaGrasta Homes Inc, State licensed CBC 1255112. Dates of employment are from March 2023 to December 2024. • Scope of work is listed as rough carpentry, forming slabs, field supervisor scheduling, and finished carpentry. • Based on the information received, it is staffs opinion that Mr. Sanchez does not meet the minimum requirements as set forth in the County Court of Laws and Ordinances section 22183A1 and 22183B1 as it relates to experience and time required in the trade under section 22162 building contractor. Mr. Sanchez I don't do much commercial. Terry Jerulle By your own admittance, you don't have the experience in commercial and this allows you to do commercial. So how would you expect us to give you that license? Mr. Sanchez I don't plan to build anything just do remodeling. Richard Joslin motioned to deny the license Terry Jerulle seconded Motion passed 9-0 D. Alain Marien, TMG Group LLC, Review of Experience Michael Bogert • As part of the application and review process for the issuance of an electrical contractor license. Mr. Marien has submitted the following verification of experience documents. Kim Bromley, payroll specialist for Lane Construction Corporation, a State of Connecticut entity with unknown licensure. Dates of employment listed are 05/04/2020 to 10/04/2022. • Scope of work is listed as wiring, trim, CAD welding, lighting, and panels. • Verification and construction experience submitted by Sean Mahoney, qualifier and president for Mahoney Electric Inc. License 13005823. Dates of employment are rd Page 6 of 237 11/10/2022 to 12/19/2024. Scope of work is listed as electrical wiring in residential and commercial buildings. • Verification and construction experience number three submitted by James Lawson, President of Your Home Services of SWFL LLC, licensed CGC 1 5 2 9 8 5 3. Dates of employment are December 2020 to December 2024. Scope of work is listed as electrical work, both residential and commercial. • There are five affidavits in total, each covering essentially the same scope of work. However, the employment dates indicate that Mr. Marien was employed by at least 3 different companies concurrently over a four year span including one position based in Connecticut for possibly 2 of those years. • An additional affidavit falling outside this overlapping period provides an additional 5 months of experience. • During these time frames, Mr. Marien appears to have worked as a part time subcontractor. Mr. Marien has submitted 6 years of formal education. However, only a portion of it is applicable as the majority was not focused on the electrical trade. Based on the information received, it is staff s opinion that Mr. Marien does not meet the minimum requirements as set forth in the Collier County Code of Laws in Ordinance section 22183A1 and 22183B1 as it relates to experience and time required in the trade under section twenty two one sixty two electrical contractor. Kyle Lantz What kind of 3 phase work have you done Mr. Marien I got two type of three phase. I work with Mahoney on a delta leg. When we got one leg, it's 280. And I got experience with 277. So but, uh, the right now, I'm working on a project that is 3 phase. Everything is 120. Kyle Lantz Please explain the difference between 3 phase and 2 phase and 277. Mr. Marien Explained the difference between 3 phase and 2 phase but the first job I worked on with Mahoney was 277 and I don't really get we call that. It was a parking lot with light poles. Kyle Lantz You said you are a journeyman for Tri City. Do you have a journeyman card? Mr. Marien I don't have the card. They give you a test and you get a CEP certification. Kyle Lantz What kind of supervisory experience do you have and how many guys did you supervise. Mr. Marien 5 Page 7 of 237 I was supervisor for Delmar Club. With Mahoney, 5 guys and with Dutch Brew Coffee Shop in Tampa there are 7 people. Kyle Lantz Who does the core in these buildings Mr. Marien I do. Kyle Lantz motioned to approve his license with a 2 year probation Matthew Nolton seconded Motion passed 9-0 9. OLD BUSINESS A. Grant M. Wark, Wark Enterprise LLC dba Wark Painting, Probation Review Credit Michael Bogert • Mr. Wark is here for a probation review for credit. His probation period started March 20, 2024. This was a reinstatement application with a personal credit score of 502 dated 02/08/2024. Mr. Wart was required to submit a payment plan approved by all past due creditors within 60 days. • It was not received and a credit report showing a score at or above 660, which was also not received. • On May 20, 2024, County staff did speak with Mr. Wark. He advised he was currently disputing charges on his credit. He advised that his score did increase at that time. Once again, we never received that. • On July 18, 2024 the review of the record indicated still no plan submitted or credit report submitted. • In October, an email was sent to Mr. Wark requesting an update to his credit. No response. • This past March, review showed still no report received. Another correspondence went out to Mr. Wark with no response. • Yesterday, Mr. Wark spoke with operation supervisor Ryan Cathey who advised he was obtaining a new credit report, and he stated his credit report score is 580. It is unknown about the payment plan for the $2,000 that we had asked for within 60 days last year. Mr. Wark My score today is 563. In regards to the no responses, I'm not sure what that means. I followed up several times with updates. Nothing's changed as far as my credit, but I don't know what the no response thing is. I've called and left a few voice mails to try to speak with somebody to avoid, you know, coming here to share the same situation. I have $4,500 in collections. I don't have open accounts. I don't have employees. I'm an owner operator. C.1 Page 8 of 237 Terry Jerulle We asked for a plan even if your plan showed $10 a month because you need to provide food and shelter for your family. We understand that, but not coming up with a plan or to ignore it is disheartening. Mr. Wark I haven't ignored anything. I have my credit report. When I have the means to pay off the $4500. One by one I would do it that way. Most of these creditors are not going to accept $10.00 a month. Kyle Lantz Because you're not willing to play by the rules that that we have presented here. I don't think it's very difficult to set up a plan. It doesn't mean you have to have it all set with every business. Write it down on paper. Chairman Allen motioned to extend his probation for 30 days. Give him a chance to come back with a written plan on how he's gonna address this and then we can deal with it from there. He is to bring his credit score as well. Richard Joslin seconded Motion passed 9-0 10. PUBLIC HEARINGS A. 2025-04 John McFadden, Mariana Enterprises, LLC dba Blue Landscape & Outdoor Solutions CEMIS20240011865 Chairman Allen motioned to open the public hearing Richard Joslin seconded Motion passed 9-0 Timothy Broughton, Collier County Licensing Investigator A copy of the hearing preamble was given to and read by the respondent. The case number 2025-04 into evidence of this time. Matthew Nolton motioned to accept the packet Richard Joslin seconded Motion passed 9-0 Timothy Broughton We have reached a stipulated settlement. I'll read into the record what the stipulation states. The respondent, John Leach McFadden, Mariani Enterprises LLC doing business as Blue Landscape and Outdoor Solutions with license numbers 20240000554 and 202400000555 respectively. The respondent admits the allegations and administrative complaint 2025-04, numbers 1 through 13, in counts 1 a and b, and counts 2 a and b for the purpose of the stipulation settlement of the matter. 7 Page 9 of 237 The respondent and the Board agree that the respondent shall voluntarily pay a total fine in the amount of $2,000. This fine shall be paid within 60 days from the date of this stipulated settlement agreement and agreed order. Failure to pay the fine within 60 days shall result in the licenses of the respondent being automatically revoked. There was a third part of this that showed, probation for a period of 12 months. Both sides did agree that probation would not be necessary in this case. This is a first offense, and there's no homeowner harm involved. So it is struck out on the stipulation agreement, if you'd like to enter that into evidence. The Board members discussed retaining walls and agreed to have further discussion later. Kyle Lantz motioned to accept the settlement stipulation Matthew Nolton seconded Motion passed 9-0 Chairman Allen motioned to close that public hearing Matthew Nolton seconded Motion passed 9-0 B. 2025-06 Alessandro Turnicio, Florida Plumbing and Water Solutions, LLC CEMIS20240006369 Chairman Allen motioned to open the next public hearing Richard Joslin seconded Motion passed 9-0 Greg St. Jean, Collier County Licensing Investigator A copy of the hearing preamble was given to and read by the Respondent. He has initialed and dated the copy. I would like to enter the preamble and packet into evidence. Matthew Nolton motioned to accept the County's packet Terry Jerulle seconded Motion passed 9-0 Greg St. Jean Respondent, Alessandro Turnicio, a State of Florida licensed certified plumbing contractor with Collier County issuance 20240006369 is the qualifier for and owner of Florida Plumbing and Water Solutions LLC. Florida Plumbing and Water Solutions LLC contracted for and received payment for interior plumbing work at 5230 Sixteenth Place Southwest. On 07/12/2024, I made telephone contact with Mr. Turnicio, the owner and qualified for Flower Plumbing and Water Solutions. I advised Mr. Turnicio of our complaint and that the work he performed at the subject property required a permit. Mr. Turnicio was given a timetable to issue the permits and correct the issue. On 11/07/2024, after numerous extensions that were requested by Mr. Turnicio, permit number PRPL20241144858 was applied for but still remains in denied status as of 1:3 Page 10 of 237 04/15/2025. On 03/05/2025, Chief Building Official, Fred Clum, determined a willful code violation exists. Alessandro Turnicio, is in violation of Collier County laws of codes and ordinances section 22-201.1 subsection 2, which states in pertinent part that willfully violating the applicable building codes or laws of the State, City, or Collier County shall constitute misconduct for and grounds for discipline. • On 02/24/2024, Deputy Chief Building Official, Doug Sposito determined that permits are required for the work that was performed. The scope of work is listed on the invoice from Mr. Turnicio's Business Florida Plumbing and Water Solutions. • On 01/12/2024, I spoke with Mr. Turnicio, and we received a claim from the from the property maintenance guy at code enforcement. Case number CEMIS20240006369 was open to investigate further. • Upon investigation, it was discovered on or about 04/09/2024. • Florida Plumbing and Water Solutions entered into a written contract with Opus Apartments to perform plumbing and leak repairs in Units 1 And 2. A payment of $3,200 was paid by a business check to Florida Plumbing and Water Solutions. On January 12, the review of County records revealed that no building permits were issued for the plumbing work performed at 523016 Place Southwest. • On 07/12/2024, I made contact with Mr. Tunicio and he was given 30 days to obtain and issue permits. • On 08/19/2024, a review of County records revealed no building permits were issued for the plumbing work or applied for at 5230 Sixteenth Place Southwest. • At that time, Mr. Tunicio was given an additional 30 days to obtain and issue a permit. • On 09/30/2024, a review of County records again revealed no permits were issued for a plumbing work at 5230 Sixteenth Place Southwest. • Mr. Tunicio was given a final 30 days to obtain and issue permits. • On 11/11/2024, 2 months later, permit number PRPL20241144858 was applied for and is currently in denied status. • From 11/11/2024 through 03/05/2025, on several occasions, I spoke with Mr. Turnicio informing him that the current permanent application is in denied status and no further action has been taken on his part. Mr. Tunicio continues to ask for additional time. • On 03/05/2025, after several extensions were given to Florida, Plumbing and Water Solutions Chief Building Official, Fred Clum, declared a willful code violation. • spoke with Mr. Turnicio on 04/15/2025, the permit application still remains in denied status, and no further action has been taken and nothing submitted. • Mr. Clum requested plans for the building in order to issue the permit and nothing has been submitted until yesterday. Allessandro Turnicio • I guess it was my mistake that I didn't know more. They told me in the beginning that it was just the shower valve. • I hired an architectural firm, and they got everything together for me to see what was wrong. Chairman Allen Are you acknowledging that a violation exists? N Page 11 of 237 Allessandro Turnicio Yes. Chairman Allen motioned to adopt his admission of guilt Terry Jerulle seconded Motion passed 9-0 Chairman Allen made the motion to close the public hearing Richard Joslin seconded Motion passed 9-0 Ivan Farris, Vincent Architects Yesterday afternoon, I gave a packet to Miranda, which is Fred Clum's personal assistant. She was going to give that to Fred around 6:00 this morning. I also gave a packet to Thomas Mueller in the plumbing department. Yesterday afternoon I spoke with a member of Code Enforcement after I had finished my investigation knowing that the hearing was today. The last piece of evidence I needed came in yesterday morning in the way of a phone call with the former building manager, Marty, and she clarified a couple of things. A floor plan is required and we are working on obtaining that. Richard Joslin made the motion to accept the County's recommendation Matthew Nolton seconded Motion passed 8-1 (nay by Terry Jerulle) Chairman Allen The Board has jurisdiction over the Respondent and the subject matter, rates, and administrative complaint. The Respondent has committed the violation as set forth in count one that there was a willful violation of failing to obtain a permit. Therefore, by a vote of 9 in favor and 0 opposed, the Respondent is found guilty of the violation set forth in count one and the administrative complaint, and the Board imposes the following sanctions against the Respondent, that the permit shall be issued and completed within 60 days of today's hearing and that was voted 8 in favor and 1 opposed by the Board. Failure to get it, there would be a suspension of the permit pulling privileges and another appearance before the Board would be required. 11. NEXT MEETING DATE Wednesday, May 21, 2025 Collier County Government Center Third Floor 12. MEETING ADJOURNED Chairman Allen motioned to adjourn 10 Page 12 of 237 There being no further business for the good of The County, the Contractors' Licensing Board meeting was adjourned at 10:25 a.m. COLLIER COUNTY CONTRACTORS' LICENSING BOARD Chairman Todd Allen The Minutes were approved by: Chairman Todd Allen as presented or amended 11 Page 13 of 237 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY Olger Solis 1360 Green Valley Cir #1404 Naples, FL 34104 CLB Agenda Date: 5/21/2025 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 12884 CEUL20250002272 on 03103125, to SOLIS, OLGER, 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 _d _Allen Print Name Attorney to the CLB PATRICK NEALE Code Enforcement Supervisor Michael Bogert 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 Page 14 of 237 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY Andrea Britos 118 JASMINE CIR N NAPLES, FL 34102 CLB Agenda Date: 5/21/2025 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 13001 CEUL20250003630 on 04/02/25, to BRITOS, ANDREA, 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 PATRICK NEALE Code Enforcement Supervisor Michael Bogert 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 Page 15 of 237 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY James C. Gutrich 574108th Ave N. Naples, FL 34108 CLB Agenda Date: 5/21/2025 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 13094 CECV20250002844 on 03113125, to James C. Gutrich, 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 Alien Print Name Attorney to the CLB PATRICK NEALE Code Enforcement Supervisor Michael Bogert 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 Page 16 of 237 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY James C. Gutrich 574108th Ave N. Naples, FL 34108 CLB Agenda Date: 5/21/2025 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 13091 CEUL20250002847 on 03/28/25, to James C. Gutrich, 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 PATRICK NEALE Code Enforcement Supervisor Michael Bogert 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 Page 17 of 237 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY James C. Gutrich 574108th Ave N. Naples, FL 34108 CLB Agenda Date: 5/21/2025 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 13093 CEUL20250002846 on 03130/25, to James C. Gutrich, 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 PATRICK NEALE Code Enforcement Supervisor Michael Bogert 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 Page 18 of 237 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY James C. Gutrich 574108th Ave N. Naples, FL 34108 CLB Agenda Date: 5/21/2025 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 13090 CEUL20250002848 on 03/31/25, to James C. Gutrich, 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 PATRICK NEALE Code Enforcement Supervisor Michael Bogert For Contractor Licensing Board * If the 151h 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 Page 19 of 237 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY Michael Butar 4141 11TH AVE SW Naples, FL 34116 CLB Agenda Date: 5/21/2025 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 12991 CEUL20250002362 on 03/03/25 to Butar, Michael, in the amount of 2 000.00, 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 PATRICK NEALE Code Enforcement Supervisor Michael Bogert 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 Page 20 of 237 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY Matthew Palmieri 4384 AURORA ST NAPLES, FL 34110 CLB Agenda Date: 5/21/2025 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 13014 CEUL20250003593 on 03/27/25 to PALMIERI MATTHEW 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 PATRICK NEALE Code Enforcement Supervisor Michael Bogert 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 Page 21 of 237 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY Mauricio Pizarro 8106 Dream Catcher Cir. Apt #3410 Naples, FL 34119 CLB Agenda Date: 5/21/2025 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 12250 CECV20250002655 on 03112/25, to Mauricio Pizarro, 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 PATRICK NEALE Code Enforcement Supervisor Michael Bogert 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 Page 22 of 237 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY Mauricio Pizarro 8106 Dream Catcher Cir. Apt #3410 Naples, FL 34119 CLB Agenda Date: 5/21/2025 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 13080 CEUL20250002558 on 03112/25, to Mauricio Pizarro, 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 Alien Print Name Attorney to the CLB PATRICK NEALE Code Enforcement Supervisor Michael Bogert 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 Page 23 of 237 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY Barak Bower 2360 WHITE BLVD NAPLES, FL 34117 CLB Agenda Date: 5/21/2025 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 12982 CEUL20250002328 on 03102/25, to Barak Bower, in the amount of $2,000.00, 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 PATRICK NEALE Code Enforcement Supervisor Michael Bogert 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 Page 24 of 237 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY Barak Bower 2360 WHITE BLVD NAPLES, FL 34117 CLB Agenda Date: 5/21/2025 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 12981 CEUL20250002327 on 03102125, to Barak Bower, in the amount of $2,000.00, 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: RAMW Todd Allen Print Name Attorney to the CLB PATRICK NEALE Code Enforcement Supervisor Michael Bogert 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 Page 25 of 237 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY Barak Bower 2360 WHITE BLVD NAPLES, FL 34117 CLB Agenda Date: 5/21/2025 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 12983 CEUL20250002329 on 03/02/25, to Barak Bower, in the amount of $2,000.00, 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 Gen. DATE: CHAIRMAN Todd Allen Print Name Attorney to the CLB PATRICK NEALE Code Enforcement Supervisor Michael Bogert 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 Page 26 of 237 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY Barak Bower 2360 WHITE BLVD NAPLES, FL 34117 CLB Agenda Date: 5/21/2026 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 12980 CEUL20250002326 on 03/02/25, to Barak Bower, in the amount of $2,000.00, 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 Toad Allen Print Name Attorney to the CLB PATRICK NEALE Code Enforcement Supervisor Michael Bogert 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 Page 27 of 237 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY Carlos Toro 1331 SE 2nd PL Cape Coral, FL 33990 CLB Agenda Date: 5/21/2025 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 12881 CECV20250000782 on 02105125, to Toro. Carlos, 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 PATRICK NEALE DATE: Code Enforcement Supervisor Michael Bogert 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 Page 28 of 237 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY MARINO MEDINA SERRANO 1908 NE 2ND PL Cape Coral, FL 33909 CLB Agenda Date: 5/21/2025 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 12866 CEUL20250000506 on 02/04/25, to MARINO MEDINA SERRANO, 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 PATRICK NEALE Code Enforcement Supervisor Michael Bogert 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 Page 29 of 237 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY Benitez Felix 1518 SW 4th Place Cape Coral, FL 33991 CLB Agenda Date: 5121/2025 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 13011 CEUL20250003226 on 03121/25, to Benitez Felix, 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 PATRICK NEALE DATE: Code Enforcement Supervisor Michael Bogert 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 Page 30 of 237 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY Shay Benish 77821 SCARLET CIRCLE NAPLES, FL 34104 CLB Agenda Date: 5/21/2025 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 13010 CEUL20250002781 on 03/18125, to BENISH, SHAY,_ n 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 PATRICK NEALE Code Enforcement Supervisor Michael Bogert 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 Page 31 of 237 CONTRACTORS' LICENSING BOARD COLLIER COUNTY, FLORIDA ORDER TO PAY CIVIL PENALTY Isaias Antunes 16162 RAVINA WAY Naples, FL 34110 CLB Agenda Date: 5/21/2025 Pursuant to Section 489.127, Florida Statutes, Operations and Regulatory Management Department/Licensing Section issued Citation No. 12878 CECV20240004998 on 06/06124, to Isaias Antunes, in the amount of $950.00, 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 PATRICK NEALE Code Enforcement Supervisor Michael Bogert 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 Page 32 of 237 C Her County Growth management Community ❑evelopment depwlmellt APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY FIRM APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY This application must be typewritten or Iegil�iy 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 0 Building $230.00 ❑ Residential $230,00 ❑ Mechanical $230.00 ❑ Rooting $230.00 Specialty Trade: I. APPLICANT PERSONAL INFORMATION: ❑ Electrician $230.00 ❑ Plumber $230.00 ❑ Air Conditioner $230,00 ❑ Swimming Pool $230.00 ❑ Specialty $205.00 Rodriguez Name: Justin First Middle Initial fast Business Name: Advance Structural Builders Inc 261 20th Avenue NW Naples FL 34120 Address: State Zip street Citq Email: xx;ustin91 Exx@aol.corn Telephone: 239-770-1165 Cate of Birth: 09116/1993 'S5 # (Last 4 digits oniy):6811 Driver's License # (Last 4 digits only): 3360 Pursuant to Copier CoUnty Contractor Won aIng ordinance No. 2006-48 Section 2.1,1.. all applicants are required to submit their social security number. driver's Heense, and date of birth for the following purposes: a) Assess applicant's ability to satisfy credItars by reviewing thelr credit history. bj Verificatlen of applicant's test scores and Information. c) Verittcatisbi of applfcard's Identity. Our office will enly 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 sategusrding and protecting your personal Information and once collected, will be maintained as confidential and exempt under Chapter 119, Fiorlda Statutes. Contractor Licensing — FIRM Appltcatlon Rev. 712022 Page 3 of 14 Operations S Regulelory Management I7lvislon, Contractor Licensing ■ 2800 North Horseshoe Drive ■ Naples, FL 34104 ■ (239) 252-2431 r i i - re t o Page 33 of 237 r 1��• r_ r co�r Comity 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: Estilita Miranda Telephone 239-450-9205 II. NAME OF APPLICANT'S BUSINESS: Business Name: Advance Structural Builders Inc Name. Rodolfo Rodriguez Telephone: 239-293-1496 Business Address; 1328 Saint Clair Shores Rd Naples FL 34104 street City State Zip Telephone: 239-770-1165 Email: xxjustin9l6xx@aol.com Federal ID Tax No.: 81-4861272 III. FINANCIAL RESPONSIBILITY YES NO ALL APPLICANTS MUST ANSWER THE QUESTIONS BELOW: 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? X 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 no€o contendere to, regardless of X adjudication, a crime in any jurisdiction within the past 10 years?* l Had claims or lawsuits filed for unpaid or past due accounts by your creditors as a result of X construction experience? X Been charged with or convicted of acting as a contractor without a license, or if licensed as a contractor in this or any other state, been "subject to" disciplinary action by a state, county, or municipality? 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. 712022 Page 4 of 14 Operations & Regulatory Management Division, Contractor Licensing ■ 2800 North Horseshoe Drive •!Naples, FL 34104 ■ (239) 252-2431 con r ctors]iensln lliercoun v Page 35 of 237 Colrw' r Cou"ty Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTINCATE 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: Supervision & Management List below non formal education (on the job training) you have obtained in the area of competency for which this application is being made: Elands on experience with shell work, pile wotk including masonry walls, trusses, elevated slabs, formwork for structural reinforced concrete. Steel rebar, vapor barrier, rebar ties, variety of lumber, concrete wire mesh, concrete epoxy, pre -cast headers, corrugated steel for new construction. 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 application and the facts stated in it are true. Justin Rodriguez Applicant (please print) Sign �Ap a State of Florida County of Tl eoregoiisg instrument was acknowledged before me y means of phgsicaI presence or CI online notarization OR this +S day of ��� 20c2.5-- , by Such person(s) Notary Public must check applicable box: ire personally known to me ❑ has produced a current driver license ❑ has produced as identification. (Notary Seal) UANA REYES i F • `F� Notary Nblic • State of Ftcw da l � Comlaission 0 HH 396820 Nay Comm. Expires okay 1Q, i $oared through Nadonai Notary►3an. Notary Signature: �f- -' — � Page 5 of 14 Contractor Llcensing - FIRM Application Rev. 7=22 0perations & Regulatory Management 0[vision, Contractor LlcensIN ■ 2800 North Horseshoe Drive + Naples. FL 34104 ■ (239) 252-2431 0Lndors1lceng nnr14 rni 1-12 Uni�lI, l0y Page 36 of 237 GETS, LLC Examination Operations Division Providing the services and products to assist Govemment Agencies to make Informed educated decisions. Official Score Report: Candidate Information: Name Justin J. Rodriguet Candidate #:. 30933360R Testing S ite_; Naples, FL. Final Scare Result: Official Examination Score Report March 26, 2025 Business Procedures Score: 84% (04/11/20 t 6) Tile and Marble Contractor Score: 84% (1�0/18/2016) i Masonry Contractor Score; 76% (03/16/2017) Concrete Contractor Score: 80% (07/19/2017) 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 B. Bowermeister President PO Box 831127 Ocala, Flartda 34483-1 t27 --- Voice (352) 369-GITS — Fax (352) 387-2443 800 997 2129 Page 38 of 237 GITS, LLC Examination Operations Division Providing the services and products to assist Government Agencies to make informed educated decislons. Official Examination Score Report March 24, 2025 Official Score Report: Candidate information: Name— Justin I Rodriguez' Candidate #: 3093336OR Online Testing Site: Ocala, FL Final Score Result: Building Contractor Score: 76% These results represent the -grade that has been achieved on theabove named examinations) administered by Gainesville Independent Testing Service for Collier ,County, Florida on March 20, 2025. If you have any further questions, please do not hesitate to contact us. Sincerely, Jay E. Bowermeister President PO Box 831127 Ocala, FEorid& 344 83-112 7 — Vaica (352) 369-GETS — Fax (352) 387-2443 800 997 2129 Page 39 of 237 Growth Monagemerrt Community Davalopmen', Ceparlment A PPL)C'ATION FOR COLLIER COUNTY CERTIF.ICAT� .OF CO. PETE.�eY VERIFICATION OF CONSTRUCTION EXPERIENCE Applicanrs Name: Justin Rodriguez Certificate Category Requested: Building Contractor The applicant is seeking a Collier County Certificate of Competency in the trade indicated above. As part of the appllcatfon for this cmrilficate, the applicant must verify hislher 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 (a.g., as a worker commanding the wage of machar is or better in the trade). Time served solely in a aperv,sory a so min isuative rote snouia oe aescnosa, out may or may not be considered suttscient to demonstrate regLit red trade experience. The person verifying trade experlanoe tar the above -named appllcant must provide the following information: Name:��� i Title: 1"�CSI��►f`r _ — Business Name: �» Phone: 77 T License No. fit applicabtey `V_ tZ<3 Business Address' //0 1 tip Street City state Zip The applicant was smptayed by me born l is Gcrl*r-4-- Appllcant's titter iianda on experience with shell work, pile work including masonry walls The applicant`s scope of work [specific dutleg) included: concrete, steel robar, vapor tsarrier, rebar ties, variety of lumber, concrete wire mesh, concrete epoxy, precast headers & corrugated steel Additional comments: huasas, eieVated a;ahs, rorrmra?k tarstruclurw roinlnrcaff NOTE TO LICENSED CONTRACTORS: Falsttyirrg any information provided -herein may subject yourlicense to revOcstiorr. Under penalty of perjury, I declare that the facts stated here are Vue. State of Florida I f �f nature of on provid€ng the statement County of i�I The foregoing insttum t was acknowledged fare me by means of p�- physical resence or O on[ine notarization ont this >�rtay Q, 2t}JS— , by G ► t ( 5 Such person(s) Notm Public must check appi csble ]x�1 0-ure personally known .to me 0 has produced a current driver bo t►sa ❑ has produced as identification. (Notary Seal) 9RMT W. MICA704 Wtary Ppuitc - State ur Florida �1/LJ VVI 7�ratxry argnaem-, Alp COMM. Expires Jul 204 2026 evhded through NatfonaI Notary Assn. Contractor cens€ng - ! p ilon Rev. 712022 Page it3 of 14 0Deraiions & Regulatory Management otvlalon, Contractor Licensing 2800 Ncrth Horseshoe Drive Naples, FL 34104 (239) 252-2431 cARLFr1r[orslicaM1sirLj�cn'1LtL[�iin !hI•ci9Y Page 40 of 237 �i I WNP 914 a AM I -La nes h amfe: r T-rt �{Qk&'It A W C I 'ki[ J tff '.r- CDU!`e Ctt1K-LAD! -N FMY e IM it -PO* {•YMOO:ittj� *17d;1.AS P4rl{'"Ipm0-&'.k.l k, I.Wl-Ctrl..M4 L-2. [ rt���i�Ir+l ntitil vrr� r.ti r'hfi ��pa rtiK� wl n Ir h-s3e Yc:• &,t;b{ftt rt-: r ttd 1.0 rr+;rds lriSf�600 1442 wri"u,r opgA m �n rw�e� rq�as•i+'rrtiti'!. �"IRrL4'a'tr�i'}f 4ht IFr+�e GX! �� tap�YK-xt ��i 4+r fil.�t� xr �t''r� T�++t ��+� i�3ltly Ina 3r�lrar�rr nr adM WgrV+" {++r'6'r rrxWoe S A mn & &4re +)L 6irrld paffek-ht 9G **rli�f-Wi .fi &m rccW td iridk co- prtfki`,{(6. Pt;ow fir` -d17 124 rIorrms15gc,: j :�. SuSintu Lima` G, 1T- Strrt Iy 3ta1t ZIP TkO zpp"nt w J4 teA "FnP tern APPEOnes lit 09pa" da"ptiar• GI qpp.4{•3rie's tope of woo Lift 0L,I10) IF' Mded y L'I checka71 thjq spply: "Fid"tiia �Inglt FaRnlrr E rakia-1 MVMI .. Ailyl COftd"Ir%Y-irTMEl i7.9mmeaticial lbuiwing 7-1 AC 1l &q mr• year ar saprrvKbfy-e"FleAC12: VIS I - �.40= �S,CrIgr rSfi' ✓Qr 7 Ff I )AVIT mearp.[ [al pfe•s•�c 4r �,�1:�:� f:ot�i2a�%or• 4i q� Tht jx►rgOjrj i af�:nrn was a�1r—4,ed&f2� te—" t' 1, rjfl ' I i �. IAAW'S RYA I: Pc 4 c� "I k kvA2c 202 Page 41 of 237 TREVINO CONTRACTING. CO. 2635 47Th Ter SW Apt A Naples Fiorida, 34116 239-289-4542 Fcotrevino1934@hotmail.co m To Whom It May Concern, I am writing to recommend Justing Rodriguez for a Building Contractor license. As a Building Contractor and President of Trevino Contracting Co. I had the opportunityto work with Justin Rodriguez on several projects over the years. I I have been consistently impressed with His professionalism, trade expertise, and ability to deliver high quality work. Justin Rodriguez demonstrated exceptional skills with hands on experience while working on: Masonry walls, trusses, elevated stabs, form work for structural reinforced concrete, steel rebar, rebar ties, variety of lumber, concrete wire mash, concrete epoxy, precast headers and corrugated steel. He was able to stay on schedule as well as having great communication skills. He paid attention to detail and had commitment to excellence. I have no hesitation in recommending Justin Rodriguez for a Building Contractor license and having the knowledge of the trade. I am confident that He will continue to excel in their field. Please do not hesitate to contact me if you have any further questions. Sincerely, rt-5 le-4 l� Francisco J Trevino, President Trevino Contracting Co. CBC-1259363 State of County of / GUi�iGL The foregoing instrument was ack wled ed before me by means of physical notarization an this day of , 20_ , by eiSC ,i Such.p6son(s) Notary Public mu t check applicable box: are personally known to me has produced a current driver license has produced identification. (Notary Seal) ::° nAMARYSSIwn Notary Signatur MY COMMON # HH 587638 EXPIRES: August 28, 2028 or online Page 42 of 237 CKS CONTRACTING . CONSTRUCTION GROUP Whom This May Concern, I am writing this letter to provide recommendation for Justin Rodriguez to obtain a building contractor license. As the General Contractor and owner at CKS Construction, I had the pleasure of knowing and working with Justin Rodriguez for a couple years on a number of construction projects- Throughout this time, Justin Rodriguez has consistently exhibited an exceptional level of skill, professionalism, and dedication. Over the course of our working relationship, I have had the opportunity to observe Justin Rodriguez's ability to manage various construction projects, from inception to completion. In addition to possessing a strong understanding of construction industry and best practices, Justin Rodriguez has displayed an exceptional aptitude for problem -solving and adaptability in the face of challenges. He has demonstrated having a good amount of knowledge. Some of the key strengths and accomplishments that sets Justin Rodriguez apart are that he is a responsible, hard worker, knowledgeable in the trade, and works well with others. He does this with ease and people enjoy being around him. Thank you, Cody Singletary PresidenV/ CKS Contracting (239) 331-1920 State of 'T4MI4 L County of The foregoing instrument was acknowledged before me by means of physical presence or online notarization on this day of �l1, 20 , by 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) DAMARYS SUA MY COMMISSION # HH 587638 "Y'ffaddC4 EXPIRES: August 28, 2028 I Page 43 of 237 CKS CONTRACTING CONSTRUCTION GROUP To whom it may concern: I am writing this letter of recommendation for Justin Rodriguez having good character and integrity along with work experience to get his building contractor license. 1 have worked with Justin Rodriguez as we had used him for some of the company's building projects in the past. The work he done consisted of substantial interior masonry block work along with the exterior brick and masonry backup walls. As well as his knowledge on concrete forming and placing. His knowledge of the trade met and even exceeded all contractual obligations and was an asset to ourprojects. He demonstrated good character and strong work ethics I would recommend to others that they consider using his company for their next construction project. Sincerely, Jesus Blanco Project Manager CKS Contracting Inc. (239) 207-8693 C_ State of affl& County of 6d&2 The foregoing instrument was acknowledged before me by means of I" physical presence or online notarization on this day of , 20 , by 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) _ :''•'' `r?':. DAMARYS SILYA y MY COMMISSION # HH 587638 EXPIRES; August28, 2028 V V Page 44 of 237 Co�I.-ier County Growth Monagernent Community IDevelopment 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 passible revocation of my Certificate of Competency. Justin Rodriguez Applicant [please print Advance Structural Builders Inc Name of Company f' 1Ald 51 nature of Appii I. BEFORE ME this day personally appeared Justin Rodriguez Applicant (please print) who affirms and says that he has less than one emp#oyes 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 Florida Couniy of J, TI a foregoing i strumont was acknowledged before in in by means L ' ltysicai presence ar 12 online notarization on this day of rt�t 20 2_5- , by Such persvu(s) Notary Public must check applicable box: are personalty known to me © has produced a current driver license 0 has produced (Notary Seal) �ei'►o JUANA REYES IP F�F t Notary Pubilr - State of Fiarlda identification. Notary Signature*CAe �� I *i Commission # HH 396620 y. r►•., o :. M• . •- �. r �.. II. ram:' My Camm. Expires May 10, 2011 9anCed through Natlanal Natary Assn. i " Page Tor 14 Contractor Licensing -- FIRM Application Rev. 712022 dperatfons & Regulatory Management DIM-91an, Contractor Licensing icensi ig4l�c800 a nh H meshoe Drive • Naples, Fl- 34104 • (239) 252-2431 n Page 45 of 237 Coer ComntY Growth Management Community Development department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY STATEMENT OF OWNERSHIP This certifies that I, Justin Rodriguez am a member or managing APPLICANT'S NAME (please print) member of Advance Structural Buiiders Inc (LIMITED LIABILITY COMPANY NAME) I own 5a IA 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. Justin Rodriguez Applicant (please print) Advance Structural Builders Inc Name of Company Slgnaiure of Applicant /-2 I , State of Florida County of T'hF foregoing instrument was acknowledgcd before me m ns of ®'physical presence a 0 online notarization on this �. �ay of YL� , 20 2L, by S uchon(s) Notary Public must check applicable box: aknown to me ❑ has produced a current driver license 0 has produced (Notary Seal) r a ... i i►► �v' ., JUANA AFYES ��` Notary PLrWic • Slate Gtflorida '�: • Commission q HIH 34d820 orn " xy Comm, Expfrel May TO202V t onded through HatlonaI Notary Assn, identification, Notary Signature:�� Page B of 74 Contractor Licensing - FIRM Application Rev. 712022 aperatlons & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive ■ Naples, FL 34104 • (239) 252-2431 Page 46 of 237 Resolution of Authorization *Complete this form if multi le people own port of the cornpony the license will be attached to. If there is only one owner, then this form is not required for the application. In accordance with Collier County Ordinance 2006-46, as amended, 1 AuciV-i c s <ttyu L- t.A e k 1 (Company Name) proposes to engage in contracting as -CSC �� �( n Collier County where ��AL jn f I'll z- (Officers/Owners/Partners) (QualfflerNarnefl proposes to qualify for a Certificate of Competency with raXjAVCI r) Ct —4r-U (. r(ty rn) EM 1 1 G f 5 ��- {Company name} It is hereby agreed upon that we the undersigned k r r of W YU(AkvCV1 (officers/owners rtners) (Company) LIB C NVT-- resolve and represent to the Collier County Contractor Licensing Board that the proposed qualifying agent, . USb'rl (i is active in all matters connected with the company named (QualifierName] 4jL)(Af'tk 9f rUOLI (A l We further resolve and represent that kVl ���Y� is legally (Company) [3 jilt v S Jr �- • (Qualifier Nam empowered to act on behalf of �}�{JW C k- 5V11,404 r(n in all matters connected with its contracting rf . - business and has the authority to supervise construction undertaken by i0r{VLt4-%(,t t.ic 4f�r�1 k.� �1��.-.If►C , officers/Owners/Partners ail+ offiee Owners/Partners Officers/Owners/Partners AFFIDAVIT State of 6�4 County of UJ c bofregoing i strum nt was a k le day 2a by person(s) Notary Public must check applicable box; ❑ are personally known to me produced a current driver license El has (Notary ��tY evgz; :" � Notary Signatur MY COMMISSION EXPIRES 8-12-2025 Page 10 of 12 Snp Witness such fV4,f.... Page 47 of 237 V MB f' c � Y CO-WIty Growth Managamen Community ❑evelopment Dopartmer.•! APPLICAT16N FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY . AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER -4iATE OF ,,jorica COUNTYOF I having been first duly sworn, state and affirm: ,gym a resident of .>t tom' County. • WQ (State) and have resided here for more than five (5) years. During the last five (5) years i have known Justin Rodrigue2 (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 poo character. Signature 'Mats of Florida Countv of ' Printed Name Address: li 1 U �c ��e ctnks N7: 3� 1`Ze7 ❑t state Zip Telephone: 225 6 " 2,� `1-1 —1414 The forego' n t to t was acknowledged btfore me by means of hysical p ence or ❑ aniine notarization on this day of . 20 r2S .. t ol ��' ifl �3atS Such person(s) Notary Public must check applicable box: bare personally known to me ❑ has produced a current driver license ❑ has produced 4 r + "•• BRrW W. 8RICKTIti V,�O' NntaryPunic-stat*arFIwWa /commission HN 24pt25 Ay Comm. Erpfres Jul 20, 2©16 iWW'd through Hationit "a►y Assn. Contractor t.icensing — FIRM Application Rev. Tf= as identification. •,qry aignatur Page 13 of 14 Operations & Regulatory Management Division. Contractor Llcenslna ■ 2800 North Horseshoe Drive ■ Naples. FL 34104 ■ f23912521�:. c v Page 48 of 237 CioWww County itfOWill AMnngrplant C )"wvuntly Orwrtleprn0ni Ditpnttrnnnt APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF Florkia cull ;'f•r I. L Ay Sh..4 -FL __-- - , having been first duly sworn, state and affirm.' 1 am a resident of C ►I if, t r County, L (State) and have resided here for 11701e than five (5) years. Du** the tWfve (5) years I have known Justin Rodriguez (applicant). I have had the opportunity io observe his or her business and personal dealings and find him or her to be a person Of honesty, integrity and good ctwacter. ! _ meted Narrm Address: 3 3 0 9 + Street N 4 U'-- Cnv State Iip Telephone: 2 3 "1 - 3 3 I- 1 1 Z L 5t>fR+e a FJOC1 County of ��d7sy':""' u went was acknowledged me b :near! physical presence or © online notarization orb this �, zoQ , by such person(:) Notary Publk must check applicable box: t9`are pawnaiiy known to me 0 has produced a current driver license ❑ has produced _. -- _-_-_. —as identifrcalion. itolary pulgic agate of Florida Taylor L Ward my Cornmlaalon HH fa118d8 N+itury Siglfsliu E><plras Ylrlsaza ru ' — C 9*adw Liranarnp .- FIRM Appkearron Fiat 117p7! . _ �_. _ P"s 14 or ii oparebom i Rapid" Manop prat DlrraWn, Culfilaetffr LKaaalnp . 2600 With I4ua461100 prnw . Naples, FL 341o4 a (239) 252.2131 Lflf illiil�3Jfl�iilllllllWiFld.'Jl�fi3 Wiil3iYf I i1tlY Page 49 of CoV-Iffr C014nty 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. 20GS-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 qualif led 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 We to so bind said business organization. The qualified license holder understands that in all contracting matters, helshe will be held strictly accountable for any and all activities involving his license. Any willful falsification of any information contained herein is grounds for disqualification Justin Rodriguez Applicant (please print Advance Structural Builders Inc Name of Company �) , 0 C, C4 L6�� -- ?tench aHlgn(:�W W#Id90MV w&k IrOL <Vtl soM w4Its. IrUasam. s[evalad alss5. [outmAI Ior e11l uM rOW0 State of Florida County of Th f regoing instrument was acknowledged befo�r e b Means j� ysical presence or © online notarization on this �ay of� 20 �, by 775 rC` C7�'' Such persons) Notary Public must check applicable box; '6e personally known to me © has produced a current driver license © has produced as identification. (Notary Seal) Notary Signature: JQANAME$ �aP �s�', Notary Puplk Starr at i':artde ! ems! Commission M HIM 3461120 My Comm. Expires May 10. 2027 Bonded through 8aft al Notary Assn. Contractor Ltcenain$ — FIRM ADP iicatlon Rev. 7)2022 Page 6 of 14 operail ons R Regulatory Management Division, Contractor Ucensing • 2800 North Horseshoe Drive ■ Naples, FL 34104 • (239) 2 52-24 31 contraC wslicensi I i c fi. v Page 50 of 237 ® DATE (MMIDONYYYI AC"Ra CERTIFICATE OF LIABILITY INSURANCE oa10112025 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 INSURERjS), 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 NAMTACT CUSTOMER SERVICE DEPT. PHONE +1 239 30432D0 we N,; 877 745-556D INTEGRAL UNDERWRITERS CORD ) FA" PO BOX 090337 noaRes Csr@integralund.com NAPLES, FL 34116 INSURER S AFFORDING COVERAGE NAiC # USA INSURER A: EVANSTON INSURANCE COMPANY 35378 INSURED INSURER S ADVANCE STRUCTURAL BUILDERS INC 1328 Saint Claire Shores NAPLES FL, 34104 COVERAGES CERTIFICATE NUMBER- MICV101un Numoorc: 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. iNTR TYPE OF INSURANCE APOLSU n POLICPOUCYNUMBER MMIDDYIYYYY MMIDD EX3' LIMITS X COMMERCIALGENERALLIABILITY ES EACHOCCURRENCDAMAGE 1,000,000 CLAIMS -MADE X OCCUR TO-RSN PREMISES Eaoccurrance S 100,000 }( MED EXP (,any one person) $ 5,000 DEDUCTIBLE $500 A N N 3AA791258 06/04/2024 061W2025 PERSONAL & ADV INJURY $ 1,000,000 GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000.000 PRODUCTS-COMPIOPAGG 5 2,000,000 JECTX POLICY ❑ P' LOC S OTHER: LIABILITY COMAUTOMOBILE Ea aBomSINGLE LIMIT S BODILY INJURY (Per parson) S ANY AUTO BODILY INJURY (Per accident) 5 OWNED SCHEDULE[) AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per a 'd, $ S UMBRELLA LIAB OCCUR EACH OCCURRENCE S HCLAIMS-MADE AGGREGATE S EXCESS LIAB DED I I RETENTIONS S WORKERS COMPENSATION _ AND EMPLOYERS' LIABILRY Y I N ANYPROPRIETORIPARTNERfEXECUTiVE PER STATUTE ERH E.L. EACH ACCIDENT 3 E.L. DISEASE - EA EMPLOYEE $ OFF ICE RIMEMS ER EKC 4UDED? ❑ (Mandatory In NH) N'A E.L. DISEASE -POLICY LIMIT $ if yes, describe under DESCRIPTION OF OPERATIONS below i I DESCRIPTION OF OPERATIONS I LOCATIONS 1 VE#ICLES [ACORD 101. Additional Remarks Schedule, may be attached if more space Is required] CONTRACTOR CERTIFICATE FIOLr)ER CANCELLATION Collier County Contractor licensing board SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 2600 N. Horseshoe Drive THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Naples, Ft_ 34104 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE & A • ,ys U 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Page 51 of 237 7 a A� v CERTIFICATE OF LIABILITY INSURANCE DATE iMINODIYYYY) 04101l2025 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 Oft PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the pollcy(iii 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 Ileu of such endorsements . PRODUCER Innovate Business Consulting A Diana Salazar NA — PHONE . (913 944-0744 FAX No : E"MAIL , info@innovatebconsulting.com 6151 NW Barry Rd INSURER(S) AFFORDING COVERAGE NAIC 1I INSURER A: THE PIE INSURANCE COMPANY 22981 Kansas City MO 64154 INSURED !nufiER 0 , INSURER C Advance Structural Builders Inc INSURER D : 1328 Saint Clair Shores Rd INSURER E . _ INSURER F : Naples FL 34104 miccai+�o r�COYMIf`ATC Nil IR11RFA• i{it-VI.51lJIV 14Uanii vTHIS 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 INSURANCEA suan UBRI p�.lCY NUMBER POLICY E:F POLICY E]IP LJ!lNi5 COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S DAMAGEO PREMISES Ea o S CLAIMS-MADi OCCUR MED EXP 'Any one parson $ PERSONAL & ADV INJURY S Gli AGGREGATE LiM1T APPLIES PER: GENERAL AGGREGATE S PRODUCTS - COMPIOP AGG $ POLICY ❑ JECT PRO. ❑ LOC S OTHER: AUTOMOBILE LIABILITY COMBINE accident) LIMIT faa S BODILY INJURY (Per parson) S ANYAUTO BODILY INJURY {per arrJde A) $ OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY P.PROPERTY DAMAGE ; 5 UMBRELLA LOB OCCUR EACH OCCURRENCE S AGGREGATE S EXCESS LIAR CLAIMS•MADE H OEO I I RETENTIONS S WORKERS COMPENSATION X PER OTH- T UTE A AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNEWEXECUTIVE YIN OFFICERlMWSER EXCLUDED? �N (Mandatory In NH) N 1 A WC Pl 2209029-004 02127I2025 02127l2028 1 EACH ACCIDENT $ 1,000,000 E.L. DISEASE -EA EMPLOYEE $ 1,000,000 E.L. DISEASE -POLICY LIMIT $ 1,000,000 If yes A1=10' a under DE IPTION OF ERA71ON5 below I DESCRIPTION OF OPERATIONS 1 LOCATEONS 7 VgHICLES (ACORD 161, Additional Remarks Schedule, may, he attached if more apace Is ralukadi SHOULD ANY OF THE ABOVE DESCRIBED POLICIES HE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Collier County Contractor Licensing Board AUTHORIZED REPRESENTATIVE 2800 North Harsehoe Drive Naples FL 34104 C 1938-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORI) Page 52 of 237 rp IR DEPARTMEN`i' OF THE TREASURY AP IRS INTERNAL REVENUE SERVICE CINCINNATI OH 45999-0023 ADVANCE STRUCTURAL BUILDERS INC % RODRIGUEZ RODRIGUEZ 5960 GREEN BLVD NAPLES, FL 34116 Date of this notice: 01-05-2017 Employer Identification Number: 81-4861272 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 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 81-4861272. 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 forms) by the date(s) shown. Form 941 04/30/2017 Form 940 01/31/2018 Form 1120 04/15/2018 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.H. 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. JHPORTANT INFORMATION FOR S CORPORATION EBLECIION: If you intend to elect to file your return as a small business corporation, an election to file a Form 1120-S must be made within certain timeframes and the corporation must meet certain tests. All of this information is included in the instructions for Form 2553, Election by a Small Business Corporation. Page 53 of 237 (IRS USE ONLY) 575A 01-05-2017 ADVA B 9999999999 SS-4 If you are required to deposit for employment taxes (Forms 941, 943, 940, 944, 945, CT-1, or 1042), excise taxes (Form 720), or income taxes (Form 1120), you will receive a Welcome Package shortly, which includes instructions for making your deposits electronically through the Electronic Federal Tax Payment System (EFTPS). A Personal Identification Number (PIN) for EFTPS will also be sent to you under separate cover. Please activate the PIN once you receive it, even if you have requested the services of a tax professional or representative. For more information about EFrPS, refer to Publication 966, Electronic Choices to Pay All Your Federal Taxes. if you need to make a deposit immediately, you will need to make arrangements with your Financial Institution to complete a wire transfer. The IRS is committed to helping all taxpayers comply with their tax filing obligations. If you need help completing your returns or meeting your tax obligations, Authorized a -file Providers, such as Reporting Agents (payroll service providers) are available to assist you. visit the IRS Web site at www.irs.gav for a list of companies that offer IRS a -file for business products and services. The list provides addresses, telephone numbers, and links to their Web sites. 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 L-800-829-4059) or visit your local IRS office. 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 ADVA. You will need to provide this information, along with your EIN, if you file your returns electronically. Thank you for your cooperation. Page 54 of 237 3/24125, 10:11 AM Detail by Entity Name ial Vl$IQPF OF CORAORdTIC•NS rfrr rJffts`ltt4 SltrrC aj llr�rkllt ;�vrtf;ltr Qaaartment oj�Sj I Division ai GorT, r ins ! Search Recordp I Search 6v entity Name 1 hops:Ilsearch.sunbiz.orq)InquirylCorporationSearch/Search ReSnitDetaiI?inquirytype=EntityName&direction Type=Init al&searchNameOrder=ADVANCE.. 112 Page 55 of 237 3124125, 10*11 AM Detail by Entity Name RODRIGUEZ, RODOLFO 1328 SAINT CLAIR SHORES RD NAPLES, FL 34104 Annual hie-4is Report Year Filed Date 2022 03/22/2022 2023 0412812023 2024 04/24/2024 02cumeot tmege 04124=4 ANNUAL REPORT. View Image in PDF format 0412&2023 ANNUAL REPORT View image in PDF format View Image In W7F format View image in POF format J 03125P1020 — ANNUAL REEM View Image in PDF format 046=019 - ANNUAL REPORT Vtow image in PDF rornst View image in PCF formal J View image in PDF format Ml da 0V -Y11W d ar https:llsearch.sunbiz,orgllnquirylCorporahonSearchiSearchResultDatail?lnquirytype=EntitYName&directionType=lnitiai&SearchNamooMer--ADVANCE,,, 212 Page 56 of 237 Electronic Articles of Incorporation For ADVANCE STRUCTURAL BUILDERS INC P17000000605 FILED January 03, 2017 Sec. Of State ndmccleessam 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: ADVANCE STRUCTURAL BUILDERS INC Article II The principal place of business address: 5960 GREEN BLVD NAPLES, FL. 34116 The mailing address of the corporation is: 5960 GREEN BLVD NAPLES, FL. 34116 Article III The purpose for which this corporation is organized is: ANY AND ALL LAWFUL BUSINESS. Article IV The number of shares the corporation is authorized to issue is: ONE HUNDRED Article V The name and Florida street address of the registered agent is: JUSTIN J RODRIGUEZ 5960 GREEN BLVD NAPLES, FL. 34116 I certify that I am familiar with and accept the responsibilities of registered agent. Registered Agent Signature: JUSTIN J RODRIGUEZ Page 57 of 237 P17000000605 FILED Article VI January 03, 2017 Sec. Of State The name and address of the incorporator is: ndmccleessam JUSTIN J RODRIGUEZ 5960 GREEN BLVD NAPLES FL 34116 Electronic Signature of Incorporator: JUSTIN J RODRIGUEZ I am the incorporator submitting these Articles of Incorporation and affirm that the facts stated herein are true. I am aware that false information submitted in a document to the Department of State constitutes a third degree felony as provided for in s.817.155, F.S. I understand the requirement to file an annual report between January 1 st and May 1 st in the calendar year following formation of this corporation and every year thereafter to maintain "active" status. Article VII The initial officer(s) and/or director(s) of the corporation is/are- Title: P JUSTIN J RODRIGUEZ 5960 GREEN BLVD NAPLES, FL. 34116 Title: VP RODOLFO RODRIGUEZ 5960 GREEN BLVD NAPLES, FL. 34116 Page 58 of 237 NMI 0 701 E Commercial Blvd, 4" Floor, Fort Lauderdale FL 33334 Phone (954) 771-2100 Fax (954) 771-1777 entail: Van@GoLCA.com al -a. " - LUMBEJIZMEIWB LUMBERMEN IS, LLC - Business Credit Report Prepared for: STATE OF FLORIDA -- DBPR April 2, 2025 ADVANCE STRUCTURAL BUILDERS INC 1328 SAINT CLAIR SHORES R❑ NAPLES, FL 34104 Document Number: P17000000605 FEIIEIN Number: 81-4861272 Date Filed: 01 /0312017 Authorized Person(s) Detail Title P RODRIGUEZ, JUSTIN J 1328 SAINT CLAIR SHORES RD NAPLES, FL 34104 Title VP RODRIGUEZ, RODOLFO 1328 SAINT CLAIR SHORES RD NAPLES, FL 34104 Public Records Summary: NO PUBLIC RECORDS PUBLIC RECORDS HAVE BEEN CHECKED ON LOCAL, STATE AND FEDERAL LEVELS Page 59 of 237 JUSTIN RODRIGUEZ Credit Report Summary !experian. Inquiries: 2 Wlecdons: 0 PuCllc Records: 0 30160M 41316 S PUBLIC RECORDS CHECKED ON LOCAL„ STATE AND PEDFRAL LBVUS ALL LINE OF STUDENT REVOLVING 1 iiJ STALLYENT MORTGAGE AUTO LOANS CORM CREDIT ALL ACCOUNTS ANALYSIS I t 3 ACCOUNTS 20 16 - 1 - OPEN ACCOUNTS B 7 - — 0 - 1 _ Y CLOSED 9 - 1 - 2 - M Wv NT5 NEWESTOPI_N 01/27/2025 10/2412022 - Wk t?J30F2O15 - 01/27/2025 I DATE OLDEST OPEN 091191I011 OW1912011 12l3O=5 - ORI0812017 - - DATE . ..-... .. OPEN ACCOUNTS ANALYSIS I ... AEOHIT HLY $2,412 $1.705 - - $707 PAYMENTS BALANCE $90,526 S42.594CREDIT LPAIT S72.000 EV72,00D - $d ' AVAILABLE S16,06a $16,068 - SO - CREPIT UTILIZATION 77.58% 77.68% RATIO Personal Information tiame: jUSTIN RODR14GUEZ SSN 35"11 Credit Score Score Undel: F1CO B Scare: 683 Reason SERIOUS DELINQUENCY codes: RAT10 OF BALANCE TO LIMIT ON BANl( REVOLVING OR OTHER REV ACCTS TOO HIGH P ROPORTIOM OF LOAN BA LAN CIS TO LOAN AMO LINTS IS TOO HIGH LENGTH 0F7IMFACC OUNTS HAVE BEEN ESTABLISHED Address History CURRENT Strcet•, 261 NTH AVE PAW Gcy' 14APLES Stale: FL Alp: 3412023715 !]ate �epcned: 074E•4012 PREVIOUS Street 131 GOLDEN GATE BLVD E Clly: 14APLIS sicwi FL Z4E 34l'IM16 Gate Reputed: 01-30.1010 PREVIOUS �itr"tt 14990 COASTAL SAY C1 City: NAPLES State: FL Iip: 3411STM Oa=r ReAartecl: 11-11.2411 Page 60 of 237 Employment History CURRENT Name: COLM COUNTY SCHOOLS Dam RepaRed: 07.31.2013 Page 61 of 237 Trade Accounts V ADD SORT Catnpany: fININtSHCR Date Rennrted: 07-01.20M Account Status: CLOSED Account Rating: ACCOUNT DELINQUENT 151 DAYS PAST DUE DATE Account Number: NIA Account Type: CREDIT CARD PcrdolloType: REVOLVING rT4n:ana: ACCOUNT PAID IN FULL FOR LEM THAN FULL BALANCE, CLOSER REVIEW 1S REQUIRED Paymenr History Start W-w 0741.2020 Company. FURNISHER hateRepcjtedt 11-01.2020 Account Status: CLOSED Account Rating: ACCOUNT DELINQUENT 120 DAYS PAST DUE DATE ACCOLinl Number: NIA Accttt:mt Type: CMARG£ACCOUNT RurtfdSo Tyne REVOLVING Remarks: ACCOUNT PAID IN FULL FOR LESS THAN FULL BALANCE. CLOSER RRVIEW IS REQUIRED Payment History SL1tT Dator 11.18.1020 Company: FURNISHER Gate RBjl01 t8d: 05-01-2023 Aomint Stat— CLOSED Accounr Ratlrrg: THIS IS AN ACCOUNT iN GOOD SFANWNG Account Humber NIA AccruntType: AUTO LOAN Portfolio Type: INSTALLMENT Remarks: NOAODITIOHALREVIEWISREQUIRRO Payment History Stan Date: 05.31.2023 PayrowtFrequency: MONTHLY Res pansibility: INDIVIDUAL Date or Opening: 03.14 7?Gls rel'me' REVOLVING Last Paym.em. Date: 0544-2020 Payment rrer{ue+xy- MONTHLY ResponsitNH(y. INDIVIDUAL Dare Olflpening: 11.12-2017 Terms: REVOLVING Last Pa7anemt Date: 70-30-30W Payment FTecuency. MONTHLY Rospgnsibllity, JOINT ACCOUNT ]ate Of<.,nmg 03-11-2010 &�larxe: SO }{igh Balance pmounC $2,433 Credk Llnft. $2,06 Monthly PaymentAmvJnc $0 Past Due: NIA Balance: SC HighBatantr-Amoum: SIJU Credit Lima: $910 Ma only Payment Amount: $0 Past Due: NfA Balance: SD r]flgEnai Wan Arno unt: $16,266 Credit Llrniu SO Terms: 072 MONTHS MortthyFaymertt Amount $0 Lest Payment Date: 05-45.2023 Pas[ Due: NIA ®�1�®ENNEMENEM Months Reviewed: 16 30160A0 Uay DeRnci"-den 02101103 Max Oelinquency Elate: NIA MOr.ITS Remevgeo: 3S 301(,j)MO Day Delinquencies: 02102/03 Max Deg nquency Date: NIA mbrets R-Ari Wcci: 51 3016aM Day Uclinquentle5: 00100MU Max Del lnqu 4noy Date: NIA Page 62 of 237 Company: FDitNISHER Dale Reported: 10-01.2022 ACC7unt Status: CLOSED Account id ting: THIS Is AN ACCOUNT IN GOOD STANDING ACCOUnt Nombei.' NIA ACCOunt Type: AUTO LOAN Portfolio Type: INSTALiMENT Remarks: NO A001110NAL RfVtEW 15 REQUIRED Pjylnent Histary Start Date: 10.31.2022 Paymenzfre4ue0cy: MONTHLY Responsibikty, JOINT ACCOUNT Date Of Opening. 08-08.ZUI7 Terms: C75 MONTHS Last Payment Date: 10.2&.2022 Halancw $G Origmnilt-oan AiMVA: S21,207 CredlttlrnlU $0 Ltorltnly Peymenc AmounL $O Past Due: NIA Mon Ihs Reviex�d: 83 391G0190 Day Defl>1IjUHlCles: COMW00 Mar DelikNmncy Oate: NIA it C C C C: .0 C. [: C 1' C C(' r r c r. C r Company: FURNISHER Oate Repwied! W-01.2020 ACtOunt Status: CLOSED ACLalnt Rating: 7111S IS AN ACCOUNT IN GOOD S7ANDING Acrourrt Number: NIA Account Type= CHARGEACCOUMT Portfo{ioType: REVOLVING Rern;; t - ACCOUNT CLOSED AT CREDIT GRANTOR'S REQUEST, CLOSER REVIEW IS REQUIRED Payment History 5tart 133Le: 10.21.2020 Paymen[Frequency: MONTHLY ReiiponsitA0f-- INDIVIDUAL Date 0l0penwR: 08-08.2619 Terms: REVOLVING Last Payment Date: 09-19.2019 Balance: So Higll8alalue Amount: $541 Credit Limit: $500 Monthly Payment Afmmnt: $d Past Dow NIA Months Reviewed: 17 30150190 Day Oclinquencles: 00/00/00 Max DclllaplenCy Wte: NIA O }: l: L k it71111 6 Er V. $ }: E }: (: (: f.: is Company FURNISHER Date Repoted: 05-01.2020 AC,;W1 tSUWS: CLOSED Accouni Rating THIS is AN ACCOUNT IN GOOD STANDING Accotmr Number: WA mcovnLTyper CHARGEACCOUNT PartfoRo Type: REVOLVING Remarks: ACCOUNTCLOSEO AT CREDIT GRANTOR'S REQUEST. CLOSER RMV W IS REQUIRED Paymcl:t rkis[ory:[art ❑nte. 05-17.202,0 Payrunt FragLienLy, MONTHLY ReSpdnsiiriE[y. INDIVIDUAL Date OLCpe.ning 11"s-2019 Terms- REVOLVING •_ast Payment ➢ate: NIA Balance: $0 Hrgh Batance Amount 50 Credlt Limit: S1,500 LtonthlyPaymentAmnunr $0 Pas[ Due: NIA ©90Uaa9a00aa0 MGwhs Re. wed: 13 301GOf90 Oay OehNumnes: 00/00/00 Wx Delinquency pate: NIA Page 63 of 237 Company: FURNISHER bete Reported: 04-01-2620 A[[ountstatus: CLOSED Account Rating: TEES IS AN ACCDUNY IN GOOD STANDING Account Number: NIA Account Type: CHARGEACCOUNT PorftlioTy1w REVOLVING Mmark- ACCOUNTCLOSED AT CREDrTGRANTOR'S REQUEST, CLOSER REVIEW IS REQUIRED Payment History Stator Date: 04-25-2R10 Paylnent Fmqueucy. MONTHLY Respo nsibiiiry. INDIVIDUAL Date of opening: 03.29.2015 Terms: REVOLVING Last Payment Date: 07.1111 OMd Balance: $0 High Ba0vee A,'A6unt: Sa3S Credit omit: $1,190 Mond* Payment Amount: $o Past Due! NIA Months Reviewed: fit 30IWM Day Dellrquemries: 00towlia MBx DeNnquercy bite: NIA E. E: E F: L E. E. G F is E E: . C (' C.: C C (t C F. C. E R £ C C C' C C L' E C Company. FURNISHVt Date Reported: 0241.202(1 Account5tatus: CLOSED Account RatI g: THIS IS AN ACCOUNT IN GOOD STANDING Account. Humber: NIA Account Type: CHARGE ACCOUNT Portfolio Type: REVOLVING ReffQft ACCOUNT CLOSED AI CREDIT GRANTOR'S REQUEST. CLOSER REVIEW IS REQUIRED Payment Hlstay S[att 02[e: Ob20.26R0 Payment Frequency. MONTHLY Responsiblitty. INDIVIDUAL Date OfOperdnE 03 M2017 Tema: REVOLVING Last Payment Date: W14-2011 Balance- f0 H-0gh Balance Amount: 5405 Credt Limit: M Mouthy Payment Amounc $0 Past Doe: NIA Months Reviewe6: 36 30160M Day ➢ellnquendes: ONOW00 max Deltrtquency MT, NIA E. F £ E F: E F. E E:: E E _ k E E 1: 8 C Canpany FURNISHER Date Reported: 04-01.2019 AccourITSOCUS: CLOSED Account Ratkng: THIS IS AN ACCOUNT IN GOOD STANDING AC[Dunt Number: NIA Account Type: CREPITCARD Pon%iioType: REVOLVING Rernar": ACCOUNT CLOSED AT CREDIT GRANTOR'S REQUEST, CLOSER RENEW IS REQUIRED Payment Hlstary Sian Date: 04.18.1a19 Payment Frequency. MONTHLY ReSpwsibllliy: AUTHORIZED USER Date Of Operxng! 05-30-2014 Ten-: REVOLVING Last Paymem Date: 09-07.2018 Ra6ince_ S0 High Balance AITIOunr: $1,763 Credit UmIt� SZ,SW ,monthly Payment Airounc $0 Past Due: NIA klomh5 Revlewed: 59 ii Y601WNVDefinque.R[ie500/00/00 Aiax De#nquency Date: NIA Page 64 of 237 [i E L' R r .. R 0 f C l' C C C �• .f' L'C'. E C C C r: !'. C F' C i r- e: Company. FURNISHER Date Reported? 03-01.2019 Ac00um.5 us! CLOSED Arcaun[ Rating: TNP! IS AN ACCOUNT IN GOOD STANDING Account Numher: NIA Accwnt Type: LEASE Portfolio Type: INSTALLMENT R4+narkm FULL TERMINATIONIOBLIGATtON SATiSNED• CLOSER REVIEW IS REQUIRED Paymerd Hislary Start Dace. 03.3H-2019 PWTient Frequency: MONTHLY RpsparvslWli[y: I ND [V I D UAL Date of opening: 13-30.201 S retms: 039 MONTHS Last Payment Date- 03-1$-2019 Balance $O (]rlgrnal Lnan Amoum: 510.519 Credlumit_ $0 Monthly Payrnertt AMOunt. $0 Past Due: NIA Months Revkvmd: 39 3WF4M6 Day Delinquencies: OO/OOM Max Oellnquency Dace: NIA Ik C L' C C C C C C C C L' C C C C C: C C. C. C C C C C C C 4 4 C; C r: C C Company: FURNMIR Date Reported: ObAI-Mil Account Sratus CLOSED Account Rating: THIS IS AN ACCOUNT IN GOOD STANDING Account Hunter. NIA A,:Ouni Type: CHARGEA000UNT POrtfolloType: RLVOLViNG Remarks: AFFECTED BY NATURAL OR DECLARED DrSAS7ER, NO ADDfIIONAL REVIEW PS REQUIRED Psyr"-m 4istoryStartDate: W,10.201 B Payment rrequency- MONTHLY ResaanstbiRty, INDIVIDUAL Date Otopening 0549.2015 Terms: REVOLVING Las- Paymem Dale: O-29-2015 Rafance: $0 High 9alaMe Amei-ine $0 Credit Limit•. $100 MonthlyPayriltmAmount: $O Past Due: NIA Months Renewed: 33 Nv6u9O Day oefr+quendes-. 60/OOWO Mzzx Delinquengr Wtw NIA 1.. E E F E £ C [. E: E 6 E E m •E. Ulk Page 65 of 237 companty. FURNISHER Dace Reported: OSM-2016 Account 5iatus: CLOSED Account RatlTg: 114I515 AN ACCOUNT iN GOOD STANDING Account Number N/A Account TWv. CHARGEACCOUNT PortfaROTypc REVOLVING RenarkS: ACCOUNT CLOSED AT CREDIT GRANTOR'S REQUEST, CLOSER StEWWW 15 REQUIRED Payment History S[art oate' 0248.21116 Paysmnr Frequency: MONTHLY RevonslN Y[y. IN OMDUAL Date OT Opening: 047&2015 Terms: REVOLVINd Last Pay"nt Date: 0144.2056 a00EN0N00EN® Company. FURNISHER Date Reported; D3.01.2025 woum Sialus: OPEN Account Ra[Ing TWS IS AN ACCOUNT IN GDOD STANDING AccuvRt Nurrd7er: NIA ACCdUn[ rMW. CREDFT CARD PortfoFoType; REVOLVING Rem3r%S: NO ADDITIONAL REVIEW IS REgLllFlE➢ vaymen[ HlSlory 5[d ft Od[n: 03.27.2025 Company: %URNISHFA Cate Reported: 03-01.1125 ACCUUM SIDUPS: OPEN Payment Frequency: MONTHLY :z%Pcnghi1ty. AUTHORIZED USER Late Or C pe ning: 03.15_2019 Terms: REVOLVING Last Payrrrenr Dare. 03-YT-7015 Balance: $0 High Balance Amourrt: $430 Credit limtt $1.400 Monthly Payment Amount: Ito Past Due: NIA Raiance: $0 Hlgh Baianee Amount: $1,674 Credit Limit: $2,000 V. Wthy Payment , rMCUnT: S0 PaSt Due: NIA Months RwweH d: 12 301WtM Day DOi rtquen des: 00AM/00 Max OWkquc�ry Oate: NIA ,doxiths R&Aeomdl. 72 30160MDeyDelingLie ncies: *VW00 Max ❑e5n0uency Dace: NIA C P 4 .CC C . C Account Rating: THIS IS AN ACCOUNT IN 0000 STANDING Account Number: NIA Account Type: CREOR CARD PortfOle Type: REVOLVING Remarks: NOADDITIONAL REVIEW IS REQU[REO Payment H6Yory Scart Date: 03-19-2025 Payment Frequency. MONTHLY RersporsliAlity. INDMIDUAL Dale 6f ❑pening e4-19-201 r Terms: REVOLVING Lasr Payment Dale: 06-17•2024 0aiance: $0 High 9atance Amount: 5303 Credit Limit S560 Monthly Payment Amount: m Pau Dire: NIA Months R"Qmd: 98 36/60/50 Day Delin quen[ le s: 00/00/00 Mar DPEnGuenr/ Udte' NIA Page 66 of 237 G F r p F. S: E. P. F & R L :- C C. C C L: L: f: !: i' C C CG k . [_ C C. C C p F. P Cl C' [: ri C LonrpanW FURNISHER (Tate Reported: 03-01.2025 Account Status OPEN ACCount Rating: THIS IS AN ACCOUNT IN GOOD STANDING Account Number! NIA AccountTWv CRBDITCARD POITfgIIOType: REVOLVING Rrmarkv NO ADDITIONAL REVIEW IS REQUIRED pay, rent Hpsiciy Start Date: 03-17.2025 payment preµuency- MONTHLY ResponsitiAty INDIVIDUAL Aatt WOperinly 10.24.2022 Terms REVOLVING tasi Payment Date: 03-13.2023 Uance: $42.M H43h BaWMe Amouni: SQ,910 CreLir'E umir. ; OOO Monthly Phmant Amount: 41,445 Past Due: NIA M umlls Reviewed: 29 30160/90 oay ❑elmauenc=s: 00/00/00 IuantL7elinquertc�rF7afc: NIA Mauna anENNOREENEE0® Company, FURN15HER 03te Reported' 0341.2D25 ,kecae nt 5tam: OPEN Acrmnt Rating: TMS 15 AN ACCOUNT IN GOOD STANDING Accoum Number: NIA Account Type: CREDIT CARD Portfolio Type: REVOLVING Remafk$: NO ADOtT1ONAL REVIEW IS REQ8IRFD Payment History Start Date: 03.12-2025 PaKrientf(Nuency, MONTHLY Respomibllity. AUTHORIZED USER Date Of Opening. 02-15-2020 Terms: REVOLVING Last payrnern Date: 03-W2925 Balance: $413 High Balance Amuunt: $1,066 Credit Lima: S1500 Monthly P"Dent Amount no Pz-% Due: NIA mon«ns Reviewed: at 30160M Cay ORIlnquencies: 00/0140 L & 06nouer" Oate: NIA v C C C c C IC C: r C C' - . C C` C- L' C C C t: C.:. 1 C:! C C . C C C ['. L': C C:. C C' C C. C. ..0 r C C C C: C. O .0 C C r c C. c r r c Page 67 of 237 Company: FURNISHER Date Reported: 0341.2025 Account Status: OPEN Account Rating: THIS IS AN ACCOUNT IN 60011 STANINNa Acco .nt Number: NIA Account Type: CREVITCARD PonFafioTyoe REVOLVING Remarks: NO ADDITIONAL REVIEW ES REQUIRED Payment History Start Date: 0-06-2025 Pa}nnen; FreyuE;ncy- MONTHLY Res pans ibiW ry: 1N D I V WUAt Datc Ot Openin& 01-06.2019 Terms; REVOLVING Last Payin ene Date: 02.i I.202S Balance: $919 High Balance Amount: $3,169 Creolt Limit' ",400 Mo nthly Payment Amount: $29 Actual Paymert AmwnU S127 Past Due: WA Months Reviewed: 75 3016QM Ray Oelinquendes: OOI00/0O Max Delinquency DatX NIA C C: K C T: L' C F: F: ii ]: ti R (.' L•: . � F ti 1: i P F i' r F E K. F; E C C i' C C:. C F: C C C C C C C Company: FURNISHER Date Reported: 02-01.2W5 Account Status: OPEN &count Radnj: T413 15 AN ACCOUNT IN GOOD STANDING Actuum Number•. NIA Account Type; AUTO LOAN Portfolio Type: INSTALLMENT Remafks: NOADDITIONAL REVIEWIS REQUIRED Payment tNstary Start Dair: 0y=8-2025 ®® Company: FURNISHER Dare Reported: 02-01.2025 Account Status: OPEN Accavnf Rating: THIS IS AN ACCOUNT IN GOOD STANDING Account NumCcr NIA Account Type CREDIT CARD Portfolio Type: REVOLVING RenlarltS NO ADDfTROMAL REVIEW 15 REQUIRED PaymentMstorySWI Date: 02-28-2025 PSyfrrefm Frequency. MONT14LY Res"IbiRty SIGNER Date Of Opewng. 01.27.2M Terms. 072 MONTHS Last Pey Wt Date. N/A Payment Frequency. MONTHLY ReSponsbl Styr. INOIWDUAL Date tN Opening: 09-02-201 B Terms: REVOLVING Last Payment Date. 02.21.2M Haiance: $42,%4 Orr jtnal Loan Arnounc t4Z594 Credit Llrr& $0 Manrhly Payment Arnuunc S707 Past Due, NIA Month% He Hewed: 02 30160M Day Detinquen[ies: OW W 160 MaxRelnquencyDatc: NIA Balance! SIZ370 FAamhs Re iev+ed: 66 High Balance Amounr. S7$42S credst limit•. 516,m Monthly Payment Amount $190 Actual Payment Amount $9.172 Fast Due: MIA 3OISOM Day Detinquencles: 00000/00 Max Delinquency Date: NIA Page 68 of 237 anMEN MEEMEN ®®®®■®® M®®®®a0aM Company,. FURNISHER Payment Frequency: MONTHLY Balance= Fa Months Reviewed: 99 Date Ropnrted: ezei-2022 Responslbiky. INDIVIDUAL i+lgh Balance Amount: $1,080 30160M Day De[inquendes: COM M0 AtrauptStaws: OPEN Date Of Opening: 034M-2013 credittimic $1,400 Max DelinquentyDate: WA Aavuni Rating: THIS ISAN ACCOUNT IN GOOD STANDING Terms: REVOLVING Monthly Payment Amount: $O Account Number: NIA Last Payment Date: 11.15.2017 Past Due: MIA Account Type: CHARGE ACCOUNT PomWloType: RCVOLVMIO Remarks: NO ADDITIONAL REVIEW IS REQUIRED Payment History stoat Oate: 02-1.5.2022 E E E is E E. E IL T: C E S: is f: F. L I•: E. F: E !: E E. E C E li li R E 1: F f: 1; E f: E F. E F. G - F. E. E L' E L'.C'. CR P. c F. . C. C C c c U-11 t:lf. E F. Inquiries Daley 01.27.2025 Company 7001GERMAIN TOYOTA Date: 01.07-2025 Company. 700/GERMAIN TOYOTA Page 69 of 237 L�����o� Cor County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY FIRM APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY 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 Q Specialty $205.00 Specialty Trade: 11) I. APPLICANT PERSONAL INFORMATION: Name: L ,Q i✓� �� (Lid r Middle Initial Last Business Name: y',, pall) kl,- �L i Address: /C( �c%� l� S A i CI 3y// Street City State Zip Email: jand k IL Ci C117 //% s w A Q_ ii,24,/J. (- /-12 Telephone: �d 3 % Fd L 6i( L► *SS # (Last 4 digits only): Date of Birth: I/ 0/do02— n.,, .�i .� a+ii. +n a +� ,i.,�• LLB/1--l� 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. Page 3 of 14 Contractor Licensing — FIRM Application Rev. 7/2022 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 e (239) 252-2431 contractors I ice ns i ng (cD col I i e rcou ntyfl.gov Page 70 of 237 Florida DRIVER LICENSE '1a as mM F3- L1 JOKE LIEONIEL U 4 CLASSE 11D I UOP 1113012002 movap 1 tt202 uas so t POD NONE t%st,IBM 4mm MI )131'2018 P& AC-90 W2102M -430-0 M(weiFFk -*4 .0 1FW1i IM F v1014 w I[ imsul oltl" % iI wtb%olu 1 i.2 900V + %4 I&J* Wjb* `` 14.1d fIIIh41%4 Page 71 of 237 COIT 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 l �/C 1' Name: / �✓ -��' c�% E'�� Telephone: 6 (i D Telephone: 2- Ill. NAME OF APPLICANT'S BUSINESS: Business Name: c 7 ,(/ . J ,451"Marl.1 all I 6/i7 ' r 11 ,� A/ T/ . L. Z C Business Address: /D!"/C­k,, 3,11I_9 Street City/ State Zip Telephone: �f Ka 1 & (O 7 9i) Email: ,% G)ild / //7)/7pr /Ct/ JC(/I)-11; 1 S iN41 CY-' �j�71/ � Cori Federal ID Tax No.: — 21 Z 93 (P (O 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? 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? 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 X construction experience? Been charged with or convicted of acting as a contractor without a license, or if licensed as a "subject contractor in this or any other state, been 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 contractors Iice nsina ancolIiercountyFl.gov Page 72 of 237 COY 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: 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 application and the facts stated in it are true (riles LeWm Diaz C�nz�c� Applicant (please print) State of R"'/' o County of (26111er The foregoing instrument was acknowledged before me by means of S physical jLday of pry, 20 26, by -T)oiG b;.-n eJ D1\az 11 Such person(s) Notary Public must check applicable box: ❑ are personally known to me ■ has produced a current driver license `%%IIII1111��' ❑ has produced RB 1 /� rr as identification. (Notary Seal) �•'OT1"•�� �. 04/1 028'N No. HH 5182101 (P '• q•' AUgfL\G, �Q�� Notary Signature: Contractor Licensing — FIRM Pt'pgiyc�i�n� ��t<2(�22 Signature of Applicant or ❑ online notarization on this Page 5 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe contractors Iicensing a col Iiercountyfl.gov • Naples, FL 34104 • (239) 252-2431 Page 73 of 237 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 — Jorge L. Diaz Gonzalez Candidate #: 32024300D Online Testing S� Ocala, FL Final Score Result: March 24, 2025 Painting Contractor Score: 94% (07/29/2022) Business Procedures Score: 78% (08/03/2022) 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 Page 74 of 237 Coley county Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION Applicant's Name: as OF CONSTRUCTION EXPERIENCE I✓ Certificate Category Requested: ?a t i The applicant is seeking a Collier County Certificate of ompetency 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:-(Ll��'1C.©L��<{��S iT!'��GiI;Ir1� I i� • Title: G f \J License No. (if applicable): Business Address: `-4 ?--I1 f; x0 y-)c, t V'A{ Ave. *� !V(A pi r 5 T1 C34 l v1:4 Street /I ,^, J City `State i Zip The applicant was employed by me from Le 15 12_.01 G to � ( 1 /-i 1202 1 .02 Applicant's title The applicant's scope of work (specific duties) included: 1 dhS li-el-fi"_l tUle �1-fi~tm M,,, , y&H,T Additional comments*r4e ; .S r�>eter�rninPd Gerd } Gin d ,Oc,�r/cx.hl'r i�ldr y� 1 Ccilh�.y 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 C OI 11-f.Y The foregoing instrument was acknowledged before me by means of physical presence or ❑ online notarization on this 2day of Pt�,rj. , 20 2 5 , by � C,[) mpf (ill-GS Such person(s) Notary Public must check applicable box: Vare personally known to me ❑ has produced a current driver license ❑ has produced as identification. (Notary Seal) VIVIANA ALVAREZ Notary Public - State of Florida Commission N HH 318710 ?or My Comm. Expires Oct 3, 2026 Bonded through National Notary Assn. 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 contractorslicensing(o colliercountyfl.aov Page 75 of 237 C01 V County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Name: ; /l LtZAZ 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: \ 1(j:' YY1 A YA%,i Y n(nYl^ `_ - Title: Oil mkF �j Business Name: �fy( -{-� oor, COYt C Y'Q't \ ` N L Phone: �)2) � - `) "' q - S 2a?5 License No. (if applicable): Business Address: 100- W ., \ 1 o,-, (1 r-\ Vp 1t" h \ ar\ L Ft __ Street CIV State Zip The applicant was employed by me from I � - ri E - 1 C) ,, I to t; (o - O b - a o �� Applicant's title: The applicant's scope of work (specific duties) included: Additional comments: NOTE TO LICENSED CONTRACTORS: Falsifying any information provided herein Under penalty of perjury, I declare that the facts stated here are true. -.11 State of f k -6 \& County of The foregoing instrument was acknowledged before me by means of dayof'ON\i 2 ,20 by \iuet, innan S44 Such person(s) Notary Public must check applicable box: 6 are personally known to me ❑ has produced a current driver license 0 has produced identification. i of person t)hY�P.c1c�,P_ Ct\\A WctS lA, CA`,, ,YrA yourlic!tase to revocation. presence or 0 online notarization on this (Notary Sea[)FE- NARYS G0NZALEZy Public -State of Floridamission# HH 591930 Commission Expires eptember 10, 2028 Notary Signature.4, Contractor Licensing — FIRM Application Rev. 712022 Page 11 of 14 Page 76 of 237 cotiter County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Name: (_/Ut_,`� Certificate Category Requested: The applicant is seeking a Collier County Certificate of Grompetency 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: Alejandro Avila Title: Owner Business Name: KAMO Construction Design Inc. Phone: (239) 961-6095 License No. (if applicable): CBC1266621 Business Address: 4073 Northli ht Drive Naples Florida 34112 Street City State Zip The applicant was employed by me from 03/04/2024 to Present Applicant's title: Foreman The applicant's scope of work (specific duties) included: _Jorge ensured project ran smoothly, manages the the work schedule conductinq daily bhefin s to assign task and provide guidance. Additional comments: Extensively experience and ensured high quality work. 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 ,� ` ignatur a providi a statement State of DK d CI County of W t 1 I �i'� The regoing instrument was acknowler �- ay of Vl 1 12a a5 , by before me by means of 4,physical presence or ❑ online notarization on this Such person(s) Notary Public must check applicable box: �re personally known tome ❑ has produced a current driver license ❑ has produced as identification. (Notary Seal) aR`�Y SARAMAROIJEZ *' MY COMMISSION # HH 62W2 EXPIRES: Fe6ruery S. 2ti29 Notary Signature: Contractor Licensing — FIRM Application Rev. 712022 Page t 1 of 14 Operations & Regulatory Management Division. Contractor Licensing • 2800 North Horseshoe Drive . Naples. FL 34104 • (239) 252-2431 contractorslicensi ng0colliercountyfl.gov Page 77 of 237 Applicant's Name: Certificate Category Requested: 111,2611e / The applicant is seeking a Collier County Certificate of Corr�pency 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. Please verify the time of active experience and be as detailed as possible. Time served solely in a supervisory or administrative can be included but may or may not be considered sufficient to demonstrate the required trade experience. Please provide the following information: Name: Alejandro Avila Title: Owner Business Name: KAMO Construction Desiqn Inc. Phone: (239) 961-6095 License No. (if applicable): BC 1 26662 1 Business Address.4073 Northlight Drive Naples Florida 34112 Street City State Zip The applicant was employed by me from 03/04/2024 to Present Applicant's title: Foreman Detailed description of the applicant's scope of work (specific duties) included: Jorge has worked on Interior / exterior commercial and residential proiects with multiples techniques that includes Roller painting, Spray painting with different materials (High gloss paints, Oil based paints, Acrylic paints, stains and water base paints. Check all that apply: Residential Single FamilyResidential Multi -Family✓ Condominium Commercial Building At least one year of supervisory experience: YES ZNO f Interior Exterior Signature of person providing the statement AFFIDAV T State of County of The regoing instrument was acknowledged before me by means of [physical presence or❑ online notarization on this day of r sy 20 ,x1 _ , by A u% ,Ci.i'1.� �,tn 1 V 1.�-Gta Such 1 �person(s) Notary Public must check applicable box: L� ire personally known to me ❑ has produced a current driver license J❑_has produced as identification. (Notary Seal) Notary Signature: 4LOu SARAMARQUEZ MY COMMISSION # HH 628662 Page 4 of 12 �rF oil' EXPIRES: February 6, 2029 Page 78 of 237 PRESTIGEIDA-171 NGS & coNSTRucnoK INC. License# CGC1534130 (239)919-8850 4277 Exchange Ave, STE 6 Naples, FL 34104 04/10/2025 Re: Jorge L. Diaz To whom it may concern, I am writing this letter to offer my strong recommendation for Jorge L. Diaz Jorge L. Diaz was employed with A.M. Prestige Painting as a professional painter from 06/05/2019 to 11/04/2021, during which time he consistently demonstrated exceptional skill, reliability, and professionalism. He quickly became known among clients, supervisors, and property owners for the high quality of his work and his courteous, respectful manner. His attention to detail and commitment to customer satisfaction set him apart in every job he undertook. Beyond his technical skills, Jorge has always displayed outstanding character and integrity. He is punctual, hardworking, and maintains a positive attitude even under pressure. His communication with clients was always professional, and he took pride in representing our company with the highest standards. Should you require any additional information, please feel free to contact me directly. Federico Omar Morales Owner STATE OF FLO�UUA� COUNTY OF subscribed before me this 26 day of August 20 24 by Cl? (Name of Person Making Statement). Print, Type or St mp Name of Notary I 13 ZO I(0 My Commission xpires (Seal) ®Oti VIVIANAALVAREZ `:_ Notary Public -State of F4r1da - 1 Commission r r!h 3�87s0 *F! ° My Comm. Expires Oct 3, 2026 Bonded through National Notary Assn. Personally Known: OR Produced Identification: Type of Identification Produced: Page 79 of 237 Sown C Csnirele LLC Commerc+o! Concrete, foirodatian & Structures Tilt -Up Concrete WWW.sourAcoaSf:-*r c.carn South Coast Concrete, LLC 5ouar Coast Ccntrete, LLC 3330 Palm Ave %%Judge Edward Dufresne Pkwy Fort Myers, FL 33901 Luling, LA 70070 239-491-3241 995 240-0280 April 7, 2025 To whom it may concern, I have personally known Mr. Jorge Diaz for over 10 years both personally and professionally. Mr. Diaz is a great reliable worker, very knowledgeable in his area of expertise. I would highly recommend the opportunity to receive his certification. Mr. Bradley Harger Owner/Member South Coast Concrete, LLC 239-491-3141 State of _T _ D_at 1 _ ,_ County of - - ez __ The roregoing Fnstru Jnt was acknowledged before 'm�e�by means oC�physical prey nce or ❑ ottlille notanzaGon on this day of AfL1AY-.20 Q5 by _ - -I, ;ijjLW . Such person(s) Notary Public must check applicable box. lt,ire personally known to me ❑ has produced a current driver license Cl has prod`u �`S io' (Notary �_ ai).'=�G1V0FR F Q •_ o Mai T51Sgg * = L`OrXfaCiOr iAMM4 tNl alV. ii i as identification (Votary Signature Page 80 of 237 VERIFICATION OF CONSTRUCTION EXPERIENCE To Whom it may concern: PK.A.M.o COMS"vCt0K CETIC.X INC I am writing to formally acknowledge the commendable work experience of Jorge Diaz, who has completed several jobs for Kamo Construction Design. Throughout his tenure, Jorge exhibited exceptional skills and a commendable work ethic that greatly contributed to the successful completion of our initiatives. Jorge has successfully completed various tasks that reflect his versatility and proficiency in construction work. His ability to adapt to different roles and work collaboratively within a team has been a valuable asset. Furthermore, his attention to detail and commitment to maintaining high - quality standards. We appreciate the professionalism Mr. Diaz demonstrated throughout these projects with us and are confident that the experience he gained at Kamo Construction. AlPianrfm Avila State of i-'LovldG1 County of 0XtItf-1(- The foregoing instrumellt was ack owledged before me by means of b� physical presence or Elonline notarization on this Iry ay of Y"i 20 C'!!.IT-- , by ._�►�� �� D P]V LtQ_ Such person(s) Notary Public must check applicable box: XLare personally known to me ❑ has produced a current driver license ❑ has produced as identification. (Notary Seal) P P SARA MARQUEZ *" MY COMMISSION # FtN 6288R2 ''� �F F44,p , `XPRES: I•obnwy 6, 2029 Notary Signature: 4073 Northlight Drive, Naples, Florida, 34112. (239) 961-6095 Kamo_cd@hotmail.com Page 81 of 237 Co1r Count y 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. D1,67i! Applicant 01ase print v✓rci/ f Gi,,�ii�� So/ FL Z1 Name of Company � Signature of Applicant BEFORE ME this day personally appeared Joorcje U%C; a �.. 01)j, 6;ewho 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 AQP�'t County of W U f 9-,r The foregoing instrument was acknowledged before me by means of IF physical presence or ❑ online notarization on this day of /'1' , 20 , by Vy4P— 1,2 Ae.� 17 IQZ C--,aq W� >2Z 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) 0 %%1111it//, PRBif 46 TAA -:!�-'My Notary Signature: 18/20 g N�•�N= .,N. HH 518210:' 9j AVBL1c; 'F OFFLo '�,\`�. Contractor Licensing — FIRM Application Rev. 7/2022 Page 7 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 . (239) 252-2431 contractors Iice nsino cDcolliercountyfl.aov Page 82 of 237 Cor?r County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY STATEMENT OF OWNERSHIP This certifies that I, �• / C/ O -? le Z am a member or managing APPLICANT'S NAME (please print) member of i LIABILITY COMPANY NA ) I own 16) C) % 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. J rci e L. TD cf a 6 cl) ?- cj le Z Applicant (please print) SRC LC Nam of Company' Signature of Applicant State of County of The foregoing instrument was acknowledged before me by means of 9 physical pr/e ence or ❑ online notarization on this day of r , 20 � , by T(j� �Or) 0 .tJ 1 aZ Q! � /%I ZA t?,7_ Such person(s) Notary Public must check applicable box: ❑ are personally known to me i has produced a current driver license ❑ has produced as identification. (Notary Seal) My Ej�itPS :� Notary Signature: f anp28 �. NOHH 5182�0 � �''�qTE OF'F�,� `• 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] ice nsing c@colIiercountvfl.gov Page 83 of 237 CO ler County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF —TIC I' I'A COUNTY OF 1. 01 W L\=' 9 15.S o , having been first duly sworn. state and affirm: I am a resident of ZU I S ' (1,P—c v_y _ County, LnLL (State) and have resided here for more than five (5) years. foj a + (!-,A, During the last five (5) years I have known 1 F (applicant). I have had the opportunity to observe his or her business and personal dealings and find him or her to be a person of honesty. integrity and good character. '.;b ""3S C) Signature Printed Name Address- _olr A_),AP L F 5 - �L 3 1 t Z City State LILT Telephone: 231r- Z;b State of of I-QlldX County of ay, The foregoing instrument was acknowledged before me by means of IRphysical presence or ❑ online notarization on this 0?7 day ofQo ua 20 9�- . by Ud Such person(s) No Public must check applicable box: U fare personally known to me ❑ has produced a current driver license ❑ has produced as identification. (N-otary Seal) t*a* o?g Wary Puoiic state of Florida a° 11r Ana Barreiros Taralb My Gomrnission HH 150493 Notary Signature: 'tawj Expires 07108,12025 Contractor licensing - FIRM Application Rev. 712022 Page 13 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples. FL 34104 • (239) 252-2431 contractorslicensingAcolliercountyfl�ov Page 84 of 237 collier County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF a Ird A COUNTY OF 0 oa 1)2-z I, C ,,i .5% T T having been first duly sworn, state and affirm: I am a resident of �d %�/ �/� County, _ D/�Ni C (Stag more than five (5) years. During the last five (5) years I have known —/ OK &; C to observe his or her business and personal dealings and find hi good character. State of Flop—Ido County of & I ( I,qx The foregoing instrument was acknowledged before me by means of ■/ _LLday of &Pj I -, 206, by �nnl S ,rQmes C Such person(s) Notary Public must check applicable box: her resided here for had the opportunity nestv. inteari v and Signature Printed Name Address: -jQkStreet ` 5 r/ J. ,�—Ll j cif State Zip Telephone: 947' 3d1)— 00,46 ❑ are personally known to me ! has produced a current driver license ❑ has produced III/ as identification. i (Notary Seal) ` �`P�OT�}%•;+�' My :N = 04/18/2028 No. HH 518210 -- p • ;r: Notary Signature: �q'• UB��G� OF Contractor Licensing — FIRM Application Rev. 7/2022 presence or ❑ online notarization on this r-dye 1 w ui 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractorslicensing(abcolliercountvfl.gov Page 85 of 237 Co*r 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. 4 Jorcle-L nit3k,:� Applicant (pl J se print'.i llr'1Gt J Name of Company Signature of Applicant State of jlqZV, 4;a Countyof Q.Q)(1 - r The foregoing instrument was acknowledged before me by means of M physical tday of 1202 , by QeflE Leon( D eca Such person(s) Notary Public must check applicable box: ❑ are personally known to me ! has produced a current driver license ❑ has produced (Notary Seal) `�tBI ttr,tr�iii ;bb My Corm,. Expires .�.► 04/18/2028 No. HH 518210 r: as identification. Notary Signature: or ❑ online notarization on this 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 contractorslicensina aacolliercountyfl.00v Page 86 of 237 IRDEPARTMENT OF THE TREASURY liW INTERNAL REVENUE SERVICE CINCINNATI OH 45999-0023 J & J IMPERIAL PAINTING SW FL LLC JORGE L DIAZ GONZALEZ SOLE MBR 5344 CALDWELL ST NAPLES, FL 34113 Date of this notice: 11-26-2024 Employer Identification Number: 33-2129366 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 33-2129366. 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. 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 contact us at the phone number or address listed on the top of this notice. 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. 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. Page 87 of 237 (IRS USE ONLY) 575G 11-26-2024 J&JI 0 9999999999 SS-4 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. * Provide future officers of your organization with a copy of this notice. Your name control associated with this EIN is J&JI. You will need to provide this information along with your EIN, if you file your returns electronically. Safeguard your EIN by referring to Publication 4557, Safeguarding Taxpayer Data: A Guide for Your Business. You can get any of the forms or publications mentioned in this letter by visiting our website at www.irs.gov/forms-pubs or by calling 800-TAX-FORM (800-82 9-367 6) . If you have questions about your EIN, you can contact us at the phone number or address listed at the top of this notice. If you write, please tear off the stub at the bottom of this notice and include it with your letter. Thank you for your cooperation. Keep this part for your records. CP 575 G (Rev. 7-2007) ---------------•-------------------------------------------------------------------------- Return this part with any correspondence so we may identify your account. Please correct any errors in your name or address. CP 575 G 9999999999 Your Telephone Number Best Time to Call DATE OF THIS NOTICE: 11-26-2024 ( ) EMPLOYER IDENTIFICATION NUMBER: 33-2129366 FORM. SS-4 NOBOD IY!flitiii!i!it!i!��f ff Sf [!!}c!IIi!]9,f .i.. i i...... -�✓'i ♦.l�. ��liY S.�liL �. Page 88 of 237 State of Florida Department of State I certify from the records of this office that J & J IMPERIAL PAINTING SW FL, LLC, is a limited liability company organized under the laws of the State of Florida, filed electronically on November 22, 2024, effective December 01, 2024. The document number of this company is L24000493693. I certify that said company has paid all fees due to this office through December 31, 2024, and its status is active. I certify that this is an electronically transmitted certificate authorized by section 15.16, Florida Statutes, and authenticated by the code noted below. Authentication Code: 241126090500-60044006975641 Given under my hand and the Great Seal of the State of Florida at Tallahassee, the Capital, this is the Twenty -Sixth day of November 2024 Cord_'By�rdr Secretary o%Sta.te Page 89 of 237 Electronic Articles of Organization L24000493693 For FILED 8:00 AM Florida Limited Liability Company Sec. O state' 2024 rlrichardson Article I The name of the Limited Liability Company is: J & J IMPERIAL PAINTING SW FL, LLC Article II The street address of the principal office of the Limited Liability Company is: 5344 CALDWELL ST NAPLES, FL. US 34113 The mailing address of the Limited Liability Company is: 5344 CALDWELL ST NAPLES, FL. US 34113 Article III The name and Florida street address of the registered agent is: JORGE L DIAZ GONZALEZ 5344 CALDWELL ST NAPLES, FL. 34113 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: JORGE L DIAZ GONZALEZ Page 90 of 237 Article IV The name and address of person(s) authorized to manage LLC Title: MGR JORGE L DIAZ GONZALEZ 5344 CALDWELL ST NAPLES, FL. 34113 US Article V The effective date for this Limited Liability Company shall be: 12/01/2024 Signature of member or an authorized representative Electronic Signature: JORGE L DIAZ GONZALEZ L24000493693 FILED 8:00 AM November 22, 2024 Sec. Of State rlrichardson 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 I st in the calendar year following formation of the LLC and every year thereafter to maintain "active" status. Page 91 of 237 AC�R 1 0 CERTIFICATE OF LIABILITY INSURANCE DATE (MWDDNYYY) 4 11 ,I,,; THIS CERTIFICATE 1S 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($), 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 K&L Insurance Scrn ices, Inc �251 Golden Gate Pkwy Ste C Naples FL 34116 CONTACT NAMES VERONICA ROCHA FAX PAlJCONN , Ezt : (239) 234-6553 (A/C, No): ADORESS: teronicaCwklinsinc.com INSURERS) AFFORDING COVERAGE NAIL u INSURER A: HERITAGE PROPERTY & CASUALTY INS COMPAN 14407 INSURED 1&.1 Imperial Painting SW FL LLC 144 Caldwell St 5aple, 1 1. 141 1 , INSURER B : INSURER C : INSURER D INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS - LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MMrDOIYYYY)(MWDDIYYYY) LIMITS A x COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR HCR024650 11/15/2024 11/15/2025 EACH OCCURRENCE $ 1.000.000 PREMISES (Ea occurrence) $ 100,000 MED EXP (Any one person) S 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENL AGGREGATE LIMIT APPLIES PER, POLICY ❑ PRO- ❑ lECT LOC HOTHER GENERAL AGGREGATE $ 1,000d000 PRODUCTS - COMPIOP AGG $ 1.000,000 $ AUTOMOBILE LIABILffY ANY AUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY AUTOS ONLY (Ea accident) $ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ I (Per accident! g $ UMBRELLA LIAR EXCESS LIAR OCCUR EACHOCCURRENCE S HCLAIMS-MADE AGGREGATE $ pEP I I RETENTION S $ WORKERS COMPENSATION D EMPLOYERS' LIABILITY YIN ANY PROPRIETORIPARTNERIEXECUTIVE ❑ FFICERWEMBER EXCLUDED? Mandatory In NH) Ityes, describe under DESCRIPTION OF OPERATIONS below N I A - STATUTE I ER E.L EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE S E.L. DISEASE - POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) CER Collier County Licensing Board 2800 N Horseshoe Drive 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 © 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Page 92 of 237 rl- cM N O cM m (1) O) cB d v � rn O (a n U N O M # p a) O N c`omE 7 U �" o°)c=V o LOO JN J O` Z-1 a N� O CL o c ° U^ o� z0 U Q In 0 () U cn O a) c>o=m m ° a � ul w N (n C p =Nvdr L Y Z C4 E > O O CL0w9°o co�� V u u� 0)C) > co U -Nm90 M cn CV _ -ELL 0m NL O tnz W O CV Q C� 0 o oo IN a U1 U1= m ova' oy j Q O p v IOU a c 3cz c IC Q. _ a Q F- in o Q Q QQw tX U 2�-°°ocp C„ 0 �v O a) CUyU ,O°O E Q) Z -c J LL O 30� QD ID Zo O o m cOLLY °Om0 cc Q d w w c R m° m x r ° L L_ E Y U c0 L L) to W O W co . O E cc y°° W m ? Z 3 Z <5v = c �° E O Z �O W O �n N cc E� m o w Co m N U J n ti 3 U °3�a,w c W w16y z O a� a J J E O mac: M 0 W 0 Q J j� O O LLNo°E� 04 w o 0 x N N u O U r'ymSUd 0 O �2 p } 7 O cn = oE°9U° va°oo°' O U N 0 O c _U) W c CV H U 'U a°i�o��o U W a .- J CO Z Z I- a) U N a� T` oU. o ?W N_QQ W d - J p-0 a) o>2-aE c W O H O a) O a ocm ; U 0)J Q M Z > > J I"- a) U ti a-ti N cV CV �Q N d LL c O d c y - N`� O U LL. c� Q•� a'�4ax�u t0 ¢? W. F U p Z U W °i U)) zcy�~� o a a LL LL ZN U LLJ N rnV-U:W Q-L C o36 cN tDN Wi O W W °6 Q 2(D UO oo a) n LL C LL ` ['rrr/if Rc��)IlJ•�i»•�� .ticr�•ic•c�� PERSONAL CREDIT REPORT MERGED REPORT COMPILED FROM NATIONAL RECORDS Entry #17364 FICO CLASSIC SCORE - 600 Phone: 850-539-8000 Email: unitedcrsapps@gmail.com www.UnitedCRS.com 3590 Frontier Road Tallahassee, FL 32309 March 21, 2025 Personal Information Since 03/08/25 FAD 03120125 Source Reported Name DIAZ-GONZALEZ. JORGE SSP -4046 DOB 11/30/2002 Address 5344 CALDWELL ST, MAPLES, FL 34113 03125 Summary PR/OI 0 Rev 1 # Accts 1 30 0 Hist 30 0 Lowest HC Bankruptcies 0 Inst 0 # inq 0 60 0 Hist 60 0 Highest HC Collections 0 Open 0 Curr Accts 1 90 0 Hist 90 0 Type High Balance Past Due Payment %Avail Revolving $4,000 $0 SO $0 100% Installment $0 $0 50 $0 Real Estate $0 $0 $0 $0 Open/Other $0 $0 $0 $0 Totals $4.000 $o $0 $0 Revolving Accounts Current Status Hist Status Acc Name/Address RPTD High PMT Bal PastDue Mths 30 60 90 Rating Date OPND Limit Terms DLA ECOA BK OF AMER 03125 SO R 1 Customer: 801 ON001 19 02125 $4,000 CREDIT CARD Individual AMOUNT IN HIC COLUMN IS CREDIT LIMIT Revolving Totals $0 $0 $0 PUBLIC RECORDS Pa (y 1 42 Page 94 of 237 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 Page 95 of 237 Vw7yi-����` T Unr.tech•GrRS (i•ctlil Rcptorti».q .S'cs-�ic•c� Phone: 850-539-8000 Email: unitedcrsapps@gmail.com www.UnitedCRS.com 3590 Frontier Road Tallahassee, FL 32309 BUSINESS CREDIT REPORT Entry # 17364-0000 J & J IMPERIAL PAINTING SW FL, LLC Credit Summary: 5344 CALDWELL ST NAPLES, FL 34113 Bankruptcies: PHONE: (239) 821-6678 � Liens: Trade Lines Found: 0 Credit Standing: New Business Business Type: LLC FEIN Number. 33-2129366 Florida SOS Document #: L24000493693 Key Facts Years in Business: Key Personnel: Florida Registered Agent: V Judgments Filed: Collections: As of:3119125 DBPR PUBLIC RECORD STATEMENT: PUBLIC RECORDS HAVE BEEN CHECKED AT LOCAL, STATE AND FEDERAL LEVELS RESULTS: NONE FOUND 0 Years Manager: DIAZ GONZALEZ, JORGE L Page 1 of 1 DIAZ GONZALEZ, JORGE L 5344 CALDWELL ST NAPLES. FL 34113 Page 96 of 237 Cotxer Cori nt y Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY FIRM APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY 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. 2005-4E7, 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 l' Specialty $205.00 Specialty Trade: 'VIC-4 4 n o I. APPLICANT PERSONAL INFORMATION: Name: First �i Last Business Name: &C-��(—J P�e,�v\a LC Address: �to t�1 �G{ . [� `'r�r zA4 G c street city ,�j State Zip Email: C���rG'�C �t`rdcr`� {ter-��-d QS �\CL (��"'7Zj Telephone: �,O - )4- 3 �t Date of Birth:__' L[] Middle Initial "SS # (Last 4 digits only): T-) I. Drivees License # (Last 4 digits only): Pursuant to Coiner 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. bj Verification of applicant's test scores and infarmation. 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, 712022 Page 3 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2 1 contractorslicensin collierGount fl. ov 'Page 97 of 237 I � I I i I USA • maune --- MMERCIAL SpoTtary of State DRIVER'S LICENSE Matthew Dunlap --- 4d DL NO. =19 D2 4b EXPIRES 06109/2023 DOB 09/1991 r 1 GERARD z DARREN R ` s 56 HAY BROOK DR - �FRED, ME 04002 uED 11l19/20201b o M ` IGMT 17 `i'Ls,-' , " 13 S 1R 6'-02" 195 lb R R 9, CLASS A L 11,2 REST K 1 G~ram f , DD 0000000000000000087449218 � 1 I I i f I 1 I 1 1 ! 11 I r q 1 {1 �� jl� (j�� iI♦ ; 1`' � I I � !I �i Co�er CoH.-rl1t y 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: P-� C- Ct 4 Telephone: 17V II. NAME OF APPLICANT'S BUSINESS: Business Name: (,c r-rL J `� r Name: Telephone:-d�j— c.,�� LLL Business Address: �lo �3 Cvcl�-v r- CA ` � Street O� _ City State 2i p Telephone: _ a� ��--� � �� Email: J G' a` -a~ t, t,s`-c�r� Ck5 ��. `�' • tCiw1 Federal ID Tax No.: %7 — r')r,_3 L� l a-���-- III. FINANCIAL. RESPONSIBILITY YES N❑ ALL APPLICANTS MUST ANSWER THE gUESTIQNS 6ELOW: YI Filed for or been discharged in bankruptcy within the past 5 years? ' I Had a lien filed against you by the Internal Revenue Service or Florida Corporate Tax Division? I 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? H nvicted ❑r found guilty of, or entered a plea of nolo contenders to, regardless of tion, a crime in any jurisdiction within the past 10 years?* ms or lawsuits filed for unpaid or past due accounts by your creditors as a result of tion 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. 712022 Page 4 of 14 Operations & Regulatory Management division, Contractor Licensing • 2800 North Horseshoe Drive e Naples, FL 34104 • (239) 252-21 contractomkensin cogieraountyfLoov Page 99 of 237 COOAr C014nt y 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: C,G,�► r�, � �ec5 �,� 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 application and the facts stated in it are true. 1 art.►-� 1—,�,r�,r-� Applicant {please print} State of County of! ( �� Signature of Applicant The foregoing instrument was acknowledged before the by means of E'physica] presence or 1] online notarization on this day of A�, 20 aL 1, by Such person(s) Notary Public must check applicable box: are personally known to me I] has produced a current driver license 0 has produced as identification. (Notary Seal) Notary Signature: Contractor Licensing — FIRM Application Rev. 712022 DEBRA L. MONTO Page 5 of 14 Niftl6h WIil s )q4*QM1 Operations & Regufatory Management Division, Contractor Licensing ■ 2800 North Horseshoe D contractorsiicensin calliercoun f1. ov Page 100 of 237 From: "scorenoreply@provexam.com" <scorenoreply@prove xam.corn > Subject: Score Letter, Gerard Date: February 23, 2924 at 6,06,29 PM EST To:"darrengerard@gerardasphalt. corn" <darrengerard@gerardasphalt.com> Scare Report Narne: Darren R Gerard Business and Law, 2nd Sponsor. Collier County 02/23/2024 ID #: 433654870 Module Subject Area Stat us LOW FLB❑ Business Organization P FLLIC I Licensing F FLTL Tax Laws P FLSRR Safety OSHA P FLLL Labor Laws P FLCM Contract Management F FLPM Project Management F FLE&B Estimating & Bidding P FLFM Financial Management P FLRM Risk Management P FLLIEN Lien laws F Page 101 of 237 From: "scorenoreply@provexam.com" <scorenoreply@prove xam.corn > Subject: Score Letter, Gerard Date: March 5, 2024 at 7,23-34 PM EST To:"darrengerard@gerardasphalt. corn" <darrengerard@gerardasphalt.com> A A zicore Ke on T- Nai-r%=.Darren R Gerard Test: Paving - (FL08321) Sponsor. Collier County Date: 03/05/2024 ID #: Test ID: 824014218 Score: 84 Result: Pass # Unanswered Questions: 0 Module Subject Area Sust LOW FLSAFE Safety F FLC&R Concrete and Reinforcement F FLSUR Survey & Layout P FLP&S Plans & Specifications F FLECS Earthwork, Compaction & Stabilization P FLAPP Asphalt Paving Procedures F FLAPG u Asphalt Properties and General Uses P FLAE Use &Application of Asphalt Emulsions P FLAPM Asphalt Preservation & Maintenance P . L T L L B '.SEPA P 5 P.' Page 102 of 237 C;0# r C014 t Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Name: r ' er r 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 requ€rement. 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 seared 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: Marne: .Al d C1W1 ! ff Title; Business Neme:b t1CT J �t3 Phone' �} � � � License No. (if applicable): AIA Business Address: Street City stabs Zip The applicant was employed by me from 5 C a r✓ a 6117 ^ Pre5oA Applicant's title: r The appLplicanta scope Of work (speci0cc duties) ilnducled: )c ± re, vi A k ' OTI r - � � b � s, � Additional comments: an NOTE TO LICENSED CONTRACTORS: FalsiWng Dray irtformadon provided herein may subject your license to revocation. Linder penetty of perjury, I declare that the facts stated here are true. r Al State of County of f re of person prGvidirig the statement 14 The foregoing instrument was acknowledged before me by Means crfPypltysical presence or ❑ online notarization on this j day of —(Jacp�, 20 , by Such person(s) Notary Public must check applicable box: ;%are personally known to me ❑ has produced a current driver license El has produced as identification. (Notary S ! Rosanne Chassie Notary Public - l�laine MY Commission Expires J 3w 4, 2f128 October 9 Notary Signature: Contractor Licensing - FIRM Application Rev. 7f2022 Page 10 of 14 Operations & Regulatory Management Division, Contractor Licensing . 2804 Nvdti Horseshoe Drive NapfBS, Fl- 34104 a (239) 252-2431 contr etorsl ns'n llie n v Page 103 of 237 QOV6 CADU .ty Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Name: - t,* Certificate Category Requested- �'► a 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. a] �A_ a CC:)Title: Business !Name: Phone: 2-07 - 3 G3 L License No. (if applicable): Business Address: 31 +h�, A,!_ -.,,A, �{I ✓��,�j AA�iar� Street r City state The applicant was employed by me from i i l' l to t- Applicant's title: T. 6 C- The applicant's scope of work (specific duties) included: Additional comments: NOTE TO LICENSED CONTRACTORS: Falsifying any informafian provided herein may subject your license to revocation. Under penalty of perjury, I declare that the facts stated here are true. v Signature of person providing a statement State of lei County of The foregoing instrument was acknowledged before me by means of ® physical presence or ❑ online notarization on this Refday of -> 20 , by Such persons) Notary Public must check applicable box: Fare personally known to me ❑ has produced a current driver license ❑ has produced as identification, (Notary Seat) = Notary Signature:' Contractor Licensing - FIFW Application Rev, 712022 W of 14 Operations & Regulatory Management Division, Contractor Licensing a 2800 North Horse ® Nb{� ff L}3elbCtilce"4252- 31 contractarsi ensin colliercvunt fi. ov My Commis ion Expires �, 6� 1 P ge 104 of 237 { coo r county Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY STATEMENT OF OWNERSHIP This certifies that 1, DD rr _ G`C� am a member or managing APPLICANTS1 NAME (please print) member of��- ■ ' S �l� ` �' �� (LIMrT£D L ILl77YCOM ANYNAME) i own k c C) % of the units issued by the Limited Liability Company listed above_ Affidavit of Applicant: l certify under penalty of perjury that the information contained is a true and correct statement to the hest of my knowledge. State of ' ti \if\% �- County of � 6 U - The foregoin instrument was acknowledged before me by means of ❑ physi L 1 day of/"i akE , 20 j3h by — ...r i ❑.r. Such person(s) Notary Public must check applicable box: §-91personally known to me ❑ has produced a current driver license ❑ has produced (Notary Seat) identification. Applicant (please print) fJa of Company Signature of Applicant presence or ❑ online notarization on this Notary Signature: J:;�-- DEBRA L. MONM Notary Public - state of Mahe My Commission Explms July 9, 2025 Contractor Licensing — FIRM Application Rev. 712022 Page 9 of 14 Operations & Regulatory Management Division, Contractor Licensing a 2800 North Horseshoe Drive ■ Naples, FL 34104 . (239) 252-2431 cyntractors yoensind1ACollierryinbAla Page 105 of 237 CO117eY Count 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. Applicant (please print 4 � V LL Name of Company Signature of Applicant BEFORE ME this day personally appeared 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 COMDOUtion Insurance_ State of A kit .Q County of � 6 �-&-- r The foregoing instrument was acknowledged before me by means Of 0 physical presence ❑r Cl online notarization on this 11 day of 2A t 20 A L4 , by [ Such person(s) Notary Public must check applicable box: 'Kare personalty known to me El has produced a current driver license ❑ has produced _ as identification. (Notary Seal) Notary Signature: 1 f DEgAA L. NIONTO My CoOmmrl e�icn Expires of ly�9 2g25 Contractor Licensing - FIRM Application Rev. 712D22 Page 7 of 14 Operations & Regulatory Management Division. Contractor Licensing r 2de0 North Horseshoe Drive • Naples, FL 34144 ■ (239) 252-2431 rontractorslic�nsing COIifEfCU�rltVfl.L]UV Page 106 of 237 C; 03 Aw r C o; ,may Growth Management Cpmmunity ❑& Mopment Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE DP ' COUNTYOF having been first duly sworn, state and affirm: I am a resident of Yo r-k -_ -- , County, ;j (State) and have resided here for more than five (5) years. During the last five (5) years I have known e, rP (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 PrinW Noma Addram.It) 6S- W4 o re�� s� allo )3 aty Stata aA Telephone:_ 00 - y90 -�-606 State of County of The foregoing instrum t was acknowledged before rpe by means of 19 physical presence or 11 online notarWtion on this day of zD F , by _ m Such person(s) Notary Public must check applicable box: 09 are personally known to me ID has produced a current driver license © has produced _ _ as identification. (Notary Sealy Rosanne Chessie . , t Notary Public - Maine 3- My Commission Expires October 14, 2028 Contractor Licensing — FIRM Application Rev. 7R022 operations & Regulatory Management Division, Contractor Lung Page 14 oft 4 Ct� �g 28M Harth Horseshoe Drive ■ Nepiea. FL 341t)4 . (s3s3 252- n}rAr3nriliryanainn, N 6e 107 of 237 Ca,1�r C014VIt Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF COUNTY OF An having been first duly sworn, state and affirm; I am a resident of 1�-�r� - '� County, z ov'IC Mc\'1 2- (State) and have resided here for more than five (5) years. During the last five (5) years I have known Wt"" to observe his or her business and personal dealings and find him or her to (be allcant). I have had the opportunity person of honesty, int egrity a d good character. y Signature C Printed Name Address.,L11 A4 Street 0 0 Z City State Zip Telephone:. ZC -7r 3(,3 7 y State of kyl County of J�ZThtforegoing instrument was acknowledged before ine by means of ❑ physicaI presence or 0 online notarization on this day of —MAIL—, 20 ± , by - - -- Such person(s) Notary Public must check applicable box: dare personally known to me ❑ has produced a current driver license ❑ has produced _as identification. (Notary Sen!) t' Notary signature. Contractor Licensing — FIRM Application Rev. 712422 uperativns & Regulatory Management Division, Contractor Licensing a 2800 North MICHELLP A LORD Notary Public -Maine Pale 14 Of 14 age 108 of 237 CUlrt7Yd>E'1t Growth Managernem Community Development Department APPLICATION! FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF L,' COUNTY OF having been first duly sworn, mite and afflrrn-. I am a resident of Y4 Ilk County. :q (State) and have resided here for more than Live (5) years. During the kW five (5) years I have known re /i r (applicant). I have had the opportunity W observe his or her business and personal dealings and find him or her to be a person of honesty, integrity and good character, State of County a `The fbreguing instrrntt t was acknowledgedr beiFoune a by moans of 19 5 _— y of 2D } by Such pt oa(s) Notary Public must check aMIicable box: 19 am personally known to me ❑ has produced SlMature Printed Marne Address:__&29 C f_'�G ► � a�'treet City State Zip Telephone: , �2 0 7 - `% 9 b _ �-506 © has produced a current driver license (Notary Seal) Rosanne Chessie Notary Public -Maine �. My Commission Expires k October 14, 2028 as ideMifeation. Notary Signatme: mince or E3 amine nourizat ion on this Contractor Licensing — FIRM Application Rev, 7I2(]22 Page 14 of 14 Operations & RegulatorY Management Division, Contractor Licensing s 2800 tdorth Horseshoe DHva + Naples, FL 34104 ■ (239) 252 1 contractorshmnslnancoArercountvtr.aav �d je 109 of 237 Corw` y 4Z,'014nt y Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY CERTIFICATION OF APPLICATION The undersigned hereby makes application for Certificate of Competency ender the provisions of Collier County No. 2006-40, 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 cOnstructiorl undertaken by himself or such business or organization and that he Will continue during th15 registration to be able to so bind said business organization. The qualified license holder understands that in all contracting matters, helshe will be held strictly accountable for any and all activities involving his license. Any willful falsification of any information contained herein is grounds for disqualification. GrT�� Applicant {please print Name of Company Signature Z::� State of -e-e County of & The foregoing instrument was L acknowledged he re me by means of ❑ physical presence or 11 online notarization on this day of Jt�i "1. 20 �- l by ■ d � Such on(s) Notary Public must check applicable box - are personally known to me Q has produced a current driver license ❑ has produced as identification. (Notary Seal) Notary Signature: Notary❑ESFIA L. MONTO ICY Conrrn71581on ExPlms JUJY 9, 2025 Contractor Licensing — FIRM Application Rev. 712022 Operations & Regulatory Management Division, Contractor Licensing a 2800 North Horseshoe Drive , PageNaples, 6 of 14 contractorslicansin NaAles, FL 34toa . (23g1 2g2_2�37 colliercoun t7. ov Page 110 of 237 D1RSDEPARTMENT OF THE TREASURY 11\ INTERNAL REVENUE SERVICE CINCINNATI OH 45999-0023 GERARD ASPHALT LLC DARREN GERARD SOLE MBR 27 CHICOPEE LN BIDDEFORD, ME 04005 Date of this notice: 10-26-2018 Employer Identification Number: 83-2341222 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 FIN 63--2341222. This EIN will identify you, your business accounts, tax returns, and documents, even if you have no employees. Please keep this notice in your permanent records. When filing tax documents, payments, and related correspondence, it is very important that you use your EIN and complete name and address exactly as shown above. Any variation may cause a delay in processing, result in incorrect information in your account, or even cause you to be assigned more than one EIN. If the information is not correct as shown above, please make the correction using the attached tear off stub and return it to us. A limited liability company (LLC) may file Form 8832, Entity Classification Election, and elect to be classified as an association taxable as a corporation. If the LLC is eligible to be treated as a corporation that meets certain tests and it will be electing S corporation status, it must timely file Form 2553, Election by a Small Business Corporation. The LLC will be treated as a corporation as of the effective date of the S corporation election and does not need to file Form 8832. 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. I MRTANT 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. I€ you do not need to write us, do not complete and return the stub. Your name control associated with this EIN is GERA. You will need to provide this information, along with your EIN, if you file your returns electronically. Thank you for your cooperation. Page 111 of 237 3fM25, 12'51 PM Detail by Entity Name ❑3ViSION OF CORPORATIONS 4 1LH u�;r•ir'1 J31r;.? rif If�ICl rl;g 'v.�r•ir �{r1 Department of State f Division of Corporations 1 Search Records 1 Search Emily Name / Detail by Entity Name Foreign Limited Liability Company GERARD ASPHALT LLC Fiiing Information Document Number M25000003550 FEIIEIN Number NONE Date Filed 03/06/2025 State ME Status ACTIVE Principal Address 56 HAYBROOK DR. ALFRED, ME 04002 Mailing Address 56 HAYBROOK DR. ALFRED, ME 04002 Registered Agent Name & Address AGENTS AND CORPORATIONS, INC. 91 NINTH STREET SOUTH, STE. 330 NAPLES, FL 34102 Authorized Person[sj Detail Name & Address Title MBR GERARD,DARREN 56 HAYBROOK DR. ALFRED, ME 04002 Annual Reports No Annual Reports Filed Document Images 03/0612025— Foreign Limited View image in PaFformat https:/1search sunbiz.argflnquirylCorporationSearchfSearchRes ultDetail?inquirytype=EntityName&directianType=Initial&searchNamearder=KaNRP12 of S7 CREDIT CHECK A61floIN]VIII9fill Commercial Credit Report Company: GERARD ASPHALT LLC Address: 56 HAYBROOK DRIVE ALFRED, MAINE 04002 Telephone: (207) 229-3551 PRINCIPALS: OWNER/MEMBER Address: Social Security Number: Stock Ownership: Address: Social Security Number: Stock Ownership: Address: Social Security Number: Stock Ownership: Address: Social Security Number: Stock Ownership: GERARD, DARREN 56 HAYBROOK DRIVE ALFRED, MAINE 04002 -7327 1000 Date: 03/23/25 Cust. No: 9999 Ordered By: 25343 Page: 1 (x) LLC EIN: 83-2341222 GERARD ASPHALT LLC was FORMED in the county of YORK, state of MAINE, on 10/29, 2018. The charter number is M25000003550. The registered agent is AGENTS AND CORPORATIONS, INC. of 91 NINTH STREET SOUTH, SUITE 330, NAPLES, FLORIDA 34102. 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 CHASE The officer handling the account is N/A - SACO, MAINE Reported for: APPLICANT - SEE NAME ABOVE Reported by: Credit Check, Inc. - 3017 Exchange Court, Suite H, West Palm Beach, FL 33409. (561) 616-5556 Page 113 of 237 CREDIT CHECK CONFIDENTIAL Commercial Credit Report Company: GERARD ASPHALT LLC Address:56 HAYBROOK DRIVE ALFRED, MAINE 04002 Date: 03/23/25 Cust. No: 9999 Ordered By: 25343 Page: 2 PUBLIC RECORDS WERE CHECKED FOR MULTIPLE COUNTY, FLORIDA. A SEARCH OF LOCAL, STATE, AND FEDERAL RECORDS HAS BEEN CONDUCTED WITH THE FOLLOWING RESULTS: CLEAR AS 3/23/25 - SEVEN YEAR SEARCH. *** Credit Profile *** Creditor Opened High Balance Rating N/A 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. Page 114 of 237 MAINE LIMITED LIABILITY COMPANY STATE OF MAINE CERTIFICATE OF FORMATION r cc M IS.uu File No. 20192458DC Pages 2 Fee Paid $ 175 DGN 2183052270014 DLLC 10/29/2018 �btwy A Tru Copy When Attested By Signature Deputy Secretary of stat Pursuant to 31 NfRSA §1531, the undersigned executes and delivers the following Certificate of Formation: FIRST; SECOND: The name of the limited liabilitycompany 7pis: Cre~rar j A s hAl + L. L C (A limited liability company romt find contain the words "limited liability company" or "limited company- or "LL-C,:' "LLC, "LC.- or "LC' or, in the case ora tow -profit limited liability company, "L3C- or "13c - see 31 MRSA 15M.) Filing Date: (select one) ✓ Date of this filing; or Later effective date (specified here): THIRD: Designation as a low profit LLC (Check only if applicable): the abbreviation ❑ T)tis is a low -profit limited liability company pursuant to 31 MRSA §1611 meeting all qualifications set Forth here: A. The company intends to qualify as a low -profit limited liability company; B. The company must at all times significantly further the accomplishment of one or more of the charitable or educational purposes within the meaning of Section 170(c)(2)(B) of the Internal Revenuc Code of 1986, as it may be amended, revised or succeeded, and must list the specific charitable or educational purposes the company will further; C. No significant purpose of the company is the production of income or the appreciation of property. The fact that a person produces significant income or capital appreciation is not, in the absence of other factors, conclusive evidence of a significant purpose involving the production of income or the appreciation of property; and D. No purpose of the company is to accomplish one or more political or legislative purpose within the meaning of Section 170(c)(2)(D) of the Internal Revenue Code of 1986, or its successor. FOURTH: Designation as a professional LLC (Check only if applicable): This is a professional limited liability company formed pursuant to I3 MRSA Chapter 22-A to provide the following professional services: (Ty m or professional servim) Form No_ MLLC-6 (I of 2) Page 115 of 237 FIFTH: The Registered Agent is a: (select either a Commercial or Noncommercial Registered Agent) Commercial Registered Agent CRA Public Number: (blame of commercial registered agent) ZNoncommercial Registered Agent William C Arthur (Name ornoncommercial registered agent) 199 Main Street, Saco, ME 04072 (physical location, not P.O. Sox — street, city, state and zip code) P.O. Box 717, Saco, ME 04072 (mailing address if different from above) SIXTH: Pursuant to 5 MRSA § 105.2, the registered agent listed above has consented to serve as the registered agent for this limited liability company. SEVENTH: Other matters the members determine to include are set forth in the attached Exhibit , and made a part hereof. (Signature of authorized person) Dated 1 2 Z/ f s Crype or print name of authorized person) (Type or part name of authorized person) *Examples of professional service limited liability companies are accountants, attorneys, chiropractors, dentists, registered nurses and veterinarians. (This is not an inclusive list — see 13 MRSA §723.7) %*Pursuant to 31 MRSA §1676.LA, Certificate of Formation MUST be signed by at least one authorized person. The execution of this certificate constitutes an oath or affirmation under the penalties of Use swearing under 17-A MRSA §453. Please remit your payment made payable to the Maine Secretary of State. Submit completed form to: Secretary of State Division of Corporations, UCC and Commissions 101 State House Station Augusta, ME 04333-0101 Telephone Inquiries: (207) 624-7752 Email Inquiries: CEC.Corporations@Maine.gov Form No. MLLC-6 (2 of 2) Rev. 10/31/2012 Page 116 of 237 STATE OF MAINE Department of the Secretary of State Bureau of Corporations, Elections and Commissions 101 State House Station Augusta, Maine 04333-0101 �T�+ November 2, 2018 NOV 0 b 7018 WILLIAM C ARTHUR BY; - AVALON ADVISORY GROUP LLC P.O. BOX 717 SACO ME 04072 ATTESTED COPIES WR DCN: 2183052270013 Enclosed please find copies of documents recently placed on file with our office. Each copy has been attested as a true copy of the original and serves as your evidence of filing. We recommend that you retain these permanently with your records. Charter#: 20192458DC Legal Name: GERARD ASPHALT I,I,C CERTIFICATE OF FORMATION DCN: 2183052270014 Total Pages 2 Page(s) 2 Page 117 of 237 MAINE LIMITED LIABILITY COMTANY STATE OF MAINE CERTIFICATE OF FORMATION 11 eebI f�.UU Deputy Secretary of State A True Copy When Attested By Signature Deputy Secretary of State Pursuant to 31 MRSA §1531, the undersigned executes and delivers the following Certificate of Formation: FIRST: The name of the limited liability company is: (� ev- -k G-tI L L B. (A limited liability company name =A contain the words "linuted liability company' or "limited tampany" pr the abbreviation " I..L.C.." "LLC," "L.0 " or 'LC— or. in the cast ofa low -profit limited Liability company. "UC" or "lac" —see 31 MRSA 1508.) SECOND: Filing Date. (select one) Date of this filing; or Later effective date (specified here): THIRD: Designation as a low profit LLC (Check only if applicable): This is a low -profit limited liability company pursuant to 31 MRSA §1611 meeting all qualifications set forth here: A. The company intends to qualify as a low -profit limited liability company; S. The company must at all times significantly further the accomplishment of one or more of the charitable or educational purposes within the meaning of Section 170(c)(2)(11) of the internal Revenue AVALON ADVISORY�GROUP, LLC [78ri3 Bangor Savings Bank . ' 5318 -P-D. 8aX 711 1&1 Main Street 199 Main Street, Ste 102 Biddeford, ME 04605 Saco, Maine.04072 52.743812112 (207) 494-8419 10126/2018 Maine Secretary of State `175 One Hundred Seve .00 Five and L3011�0�..��.......►..*....t...,,..,.,.,..*..,.......,,.,.�.#.......�.�.�,,....... �t+ at; Division of Corporations UCG and Commissions 101 State Mouse Station Augusta, ME 04333-0101 Gerard Asphalt, LLC - Page 118 of 237 U J V V. fJ -r J J V V P . 0 1 / 0 1 TRANSACTION REPORT OCT/26/2018/FRI 03:58 PM FAX(TX) # I DATE START T. RECEIVER CDM.TIME PAGE TYPE/NOTE FILE -001 OCT/26 03:56PM 1B552704081 0:01:37 4 MEMORY OK @CM 0865 FSS_ a 70 yv 6'1 Form 2553 Election ley a Small Business Corporation (under section 1362 of the internal Revenue code) (RW. December 2017) (Incfuding a late election filed pursuant to Rev. Proc. 2013-3o) Oahe Na 1645-0123 Cva,b❑vntaf tAa 7reverrry 1 You can fax this form to the IFt$, $ee separate instructions, IntVnal9arenLW 9ervloe ► Go to WWW-Wrs.90v/Form2b9810r inatructions and the istest Informatian- Note: This election to be an 5 corporation can be accepted only If all the tests are met under Who May Elect In the Insiruo -ns, all shareholders have signed the consent statement, an officer has signed below, and the exact name and address of the Corporation (entity) and other required farm information have been provided. N&LX (see InstruCtlens) --- Type lJ?Teller A sjo A et or Numher, street, nd room or suffUna. If a P,o, hox, see Print a e to f 0I1 ar tovr�n, state or prov , Gauntry, and ZIP or fcrai /o 0 Ctseok the ap&-ebie boxes) H the corporation (entity) after app{ying for the EN shown In A above, changed its Q name or address E Election Is to be effective for tax year beginning (month, day, year} (see Instructions) , , , , _ ► - Caution: A oorpormlon (entity) making the election for Its first tax year In existence will usually enter the begInning date of a short tax year that begins on a date other than January t. F SeleFCC tax year: [1}(2)iscal year ending (month and day) No- (3) ❑ 52-53-week year ending wfth reference to the month of December (4) ❑ 52-53-week year ending with reference to the month of ► If box (2) or (4) is checked, complete Part II. G If more than 10o shareholders are listed for Hem J (509 page 2), cheek this box if treating members of a farrrily as one shareholder results in no more then 1 oo shareholders (see test 2 under Who May Elect in the inotructlona) ► ❑ H Name and title of officer or legal representative whom the IRS may call for more information Telephone number of officer or legal a rre 11 G rOt,r representative 1 If this 5 corporation election Is being filed late. I declare I had reasonable cause for not fling Form 2553 timely, If this late ~1 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 ola5slftcation election timely and the representations Hated 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 diiigerrt actions to correct the mlStake upon its discovery. See instructions, Under penalties of periu aclare t I have i n knoMadge sndy ele0tlo ontains 9 r 519r1Mr%0t Officer For paperwork Reduction Act Nodcs, sea saperate insfructtena, this elsctlon, including accompanying documents, and, to the b t facts reiating to the election, and auch facts era true, correct, and of my r corrrplete, ;tie l7atq ~ Cal. No. aasm Form 2553 {lieu. 12-2017) Page 119 of 237 AC'QR" CERTIFICATE OF LIABILITY INSURANCE GATE iMMfDD1YYYR') d 5/28/2424 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 pollcy(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 Mikaela Nida-Eidr+dge NAME: Rousseau Insurance Agency PHONE (207) 282.7568 FAX (207) 282-7560 o Ext : AIC No : IV9 No. ADORES, meldridge@rousseauinsurarice.cam 334 Elm Street I N S U RERI S I AFFORD ING C OVERAGE NAIL it Biddeford ME 04005.0303 INSURER A: Ohio Security Insurance Company 24082 INSURED INsueER e Gerard Asphalt LLC INSURER C : INSURER D : % Hay Brook Dr INSURER E ; INSURER F : Alfred ME 04002 COVERAGES CERTIFICATE NUMBER: 24-25 COI 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 SE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND COND17IONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPEOFINSURANCE INSO WV0 POLICYNUMBER (MMMID EF POICY MMLDD P LIMrrS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 CLAIMS -MADE[ OCCUR PREMISES Ea accurrancei 300.000 WED EXP (Any one parson) S 15.D00 PERSONAL & ADV INJURY S 1,D00.000 A 8KS60128550 04/2412024 04124/2025 GE N'L AGGREGATE LI M IT APPLIES PER: GENERAL AGGREGATE S 2,W0.000 POLICY JECT LOC F1 PRODUCTS •CiOMPIOP AGG S 2'000'0Q0 t OTHER: AUTOMOBILE LL4BILITY COMBINE"SINGLE LIMIT Ea acG6ant s t D00 000 KDILY INJLJRY(Per parsonl S ANYAUTO A ❑MED SCHEDULED AUTOS ONLY AUTOS BASS0128550 0412412024 04l24M25 BODILY INJURY (Per accidanll 3 PROPERTY DAMAGE Per aaidenl 5 XHiRED 'kFON-OWNED AUTOS ONLY AUTOS ONLY Medical Payments S 5,000 UMBRELLA LIAS OCCUR EACH OCCURRENCE S AGGREGATE S EXCESS LIAR CLAIMS -MADE DED RETEHI ON $ 5 A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROP R 1ET0FUPARTNER+EXECUTIVE ❑FFICERIMEMBER EXCLUDED? (Mandatory in NH) N fA XWS60128550 0412412024 04/24/2025 X STATUTE ERH E L. EACH ACCIDENT 3 1d0,Ddd E.L. DISEASE - EA EMPLOYEE 5 100,Odd If vas. describe under DESCRIPTION OF OPERATIONS below E L DI SEASE • POLICY L I M IT 5aa,00d $ DESCRIPTION OF OPERATIONS f LOCATIONS 1 VEHICLES IACORD IQ 1, Additional Remarks Schedule, may he attached if more spaco!s required) HOLDER Proof of Insurance ACORD 25 (2016103) CANCELLATION SHOULD AN Y OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS - AUTHORIZED REPRESENTATIVE A- C,'1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Page 120 of 237 A� )Zh� CERTIFICATE OF LIABILITY INSURANCE DA E(MWDD„M) THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLYAND 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 COMMA Mikaela Nida-Eldridge Rousseau Insurance Agency w ivo (207} 282-7568 FAX %: (207) 2B2-7560 334 Elm Street E-MAIL ADDRESS: meadricl9 a rousseauinsurance.00m INSURERS) AFFORDING COVERAGE NAIC # INSURERA: Ohio Security Insurance Company 24082 Biddeford ME 04005-0303 INSURED INSURER B : Gerard Asphalt LLC INSURER C : 56 Hay Brook Dr INSURER D : INSURER E : Alfred ME 04002 INSURER F : COVERAGES CERTIFICATE NUMBER: 24-25 COI 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 OFANY 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 ALLTHE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE IN5D NND POLICY NUMBER POLICY EFF IMMIDQIYYYYj POLICY YY (MMA7DfYYYYy LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,o0D CLAIM84AADE FX7 OCCUR PREMISES (Ea occurrence) $ 300,000 MED EXP (Any one person) $ 15,000 PERSONALS ADV INJURY $ 1,0001000 A BK560128550 04124I2D24 04124)2025 GEN'LAGGREGAT£ LIMITAPPLIES PER: GENERALAGGREGATE $ 2,000,OW POLICY JE LOC PRODUCTS -COMPIOPAGG $ 2,000,OW $ OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 1,000,0DD BODILY INJURY (Per person) $ ANY AUTO A OWNED SCHEDULED AUTOS ONLY AUTOS BAS60128550 04/24/2024 04/2412025 BODILY INJURY (Per accident) $ x HIRED NON -OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ Medical Payments $ 5,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ HCLAIMS4AADE AGGREGATE $ EXCESS LIAB QED RETENTION $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y I N ANY PROPRIETORIPARTNERIEXECUTIVE OFFICER MEMBER EXCLUDED) nY (Mandatory in NH) N f A XVV560128550 04/24/2024 0412412025 X STA UTE EOTH- R E.L. EACHACCIDENT $ 100,000 E.L. DISEASE - EA EMPLOYEE $ 100,ODD if yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 500,ODD DESCRIPTION OF OPERA-PONS I LOCATIONS f VEHICLES (ACORD 101, Additional Remarks Schedule, may be 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 Proof of Insurance ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Ak D 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD dame and logo are registered marks of ACORD Page 121 of 237 C,O er County Growth Management Community Deve€opment Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY FIRM APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY 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 ❑ 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 Trade: C— j r_4',l , �C✓�,�f�C ✓ IW_1:2»I[illlk1:1111i»*_1101.I_1XII'll 17•]Nky,r-%910111 Name: / First j Business Name: Address:', 7G ��� S f r c`� Street Email: Telephone: --2 Date of Birth: G/ JD D i��Ce Middle Initial Sc%v JL1 can .�— City state `SS # (Last 4 digits only) Last 31-1Q-o Zip Driver's License # (Last 4 digits only): ' - (. Pursuant to Collier County Contractor Licensing Ordinance No. 2006-46 Section 2.1.1., ail 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 colliercoun ov Page 122 of 237 Co lei 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{ GG c /CSC,�rC� Name: r Telephone: -� � — 7 CW ` —76 (( II. NAME OF APPLICANT'S BUSINESS: Business Name: Telephone: 2 31 7 C Business Address: --�-; C A/Cie Street 1 City Telephone:, -Oyll — Email: Federal ID Tax No.: III. FINANCIAL RESPONSIBILITY /.: C"G,M zZ s e�I� U 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? v 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 L outstanding? Been convicted or found guilty of, or entered a plea of nolo contendere to, regardless of V 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."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. 712022 Page 4 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractors licensing @colliercountyfl.Qov Page 124 of 237 Cofer County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Name: Certificate Category Requested: li �(CG j/G� �1 C Cr G,/� fr/��,�✓ The applicant is seeking a Collier County Certificate of Competency in the trade indcated 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: G `L (_C� �7�A1 t Title: Business Name: �Y, S a� �� �r r�X _5_r✓�'cN5 �Ze_ Phone: C_ 2�19 _.21 License No. (if applicable): Business Address: 7 7 L 10`1 + 1 Street F-1- 3io` State Zip The applicant was employed by me from _ u,;-4 to i7,-e-511iI_� Applicant's title The applicant's scope of work (specific duties) included: iya ri in u, • 1 ' e�T5 _7�Cc, �� • c �' �,,1�, r IYl1l�InJ i. �S o!"1'ch far /,,e /�f o9C(Jt4' 54J 5-4ee✓ card eA/_rt, 0,- J,iJL PeCS;60, Additional comments: G�LQ ��n� �u� ?rne� ra�v. G� ��� y ,mil ri �Ps�,�zt ots u 4 p wn tv, 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. fSigna ure of person providing the statement State of (1['� G. County of I t � The foregom stru ent was acknowledged befor�jb m�Jans o pL�S h sical resence or ❑ online notarization on this 21day of ArL 202s, by G u l �. , Such person(s) Notary Public must chZas licabie box: ❑ are personally known to me roduceda current driver license ❑ has produced (Notary Seal) identification. (, ,q%V P&,, Nicholas A. Shim r State of Florida &A My Commission Expires 06/15/2025 Notary Signature: '%, Commission No HH 142484 Contractor Licensing - FIRM Application Rev. 712022 Page 12 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractors licensin❑Acolliercountvfl.Qov Page 125 of 237 3113/25, 3:59 PM Gmail - Score Letter. Randolph Gmail Score Letter, Randolph Ryan Randolph <randolphsearthworks@gmail.com> scorenorepiy@provexam.com <scorenoreply@provexam.com> Thu, Mar 13, 2025 at 11:29 ANC To: "RANDOLPHSEARTHWORKS@GMAIL.COM" <RANDOLPHSEARTHWORKS@gmaii.corn> Score Report Print Name: Ryan M Randolph Test: Business and Law, 2nd edition Sponsor: Collier County Date: 02/06/2025 ID #: Test ID: 593356235 Score: 82 Result: Pass # Unanswered Questions: 0 Module Subject Area Status LOW Cut Score HIGH ----------------------------------------------------------------------- - ----------- ------ FLBO Business Organization------------------------------ P FLLIC Licensing P ---- FLTL Tax Laws P ------------------------------- -- --- FLSRR Safety P OSHA ----- ---------------------------------------------------------------------- - - - --- - -- FLLL Labor Laws F ------------------------------------------------------------------------------- -- -- FLCM Contract F Management ------------------------------------------------------------- - FLPM Project F Management --------------------------------------------------------- FLE&B Estimating & P Bidding ------------------ FLFM Financial F Management --------------------------------- Risk FLRM Management I' ------------------- FLLIEN Lien laws P https:llmail.google.comlmail1W2l?ik=c8eb2aeOa2&view=pt&search=all&permmsgid=msg-f:1826493348076104930&simpl=msg-f:182649310AWN3gf 21* 3/13/25, 4:00 PM Gmail - Score Letter, Randolph M Gmail Score Letter, Randolph Ryan Randolph <randolphsearthworks@gmail.com> scorenoreply@provexam.com <scorenoreply@provexam.com> Thu, Mar 13, 2025 at 11:29 AMV To: "RAN DOLPHSEARTHWORKS@GMAIL.COM" <RANDOLPHSEARTHWORKS@gmail.com> Score Report! Print Name: Ryan M Randolph Test: Sponsor: Collier County Date: ID #: Test ID: Score: 80 Result: # Unanswered Questions: 0 Module Subject Area Status LOW Excavation - (FL08315) 01 /17/2025 282845871 Pass Cut Score HIGH --------------------------------------------------------------------------------------------------------------------------- Plan ----------- FLPRE Reading & F Estimating ------ - --- ---------------------------------------------- FLSAFE Safety F - -------------------------- FLGK General ------------------------------------- ------------------- P Knowledge --------------------- ---------------------------------------------------- FLSUR .....--------------...........---...-..---- Survey & P Layout - _--------------------------------------------------------------------------.-..----_ -_ ---------------------- Fl_C&G Clearing & ----.- P 1111111110 Grubbing --------------------------- ------------------------------------ ---------- FLEXC ...-.--....--- Excavating P FLDEW Dewatering ---------------------------------- F -------------- FLGRAD Grading P https:llmaii.google.comlmaiVul21?ik=c8eb2ae0a2&view=pt&search=all&permmsgid=msg-f:1826493340071357757&simpl=msg-f:18264933� ��3�7Z7757of h7 Coder C01414ty Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Name: 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 hislher 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 pen verifying trade experience for the above -named applicant must provide the following information Name: 1�_4 L 1 LK U I It \I l V 11 Vt u Business Name: 1 Phone: Business Address: Street The applicant was employed by me from Applicant's title: The applicant's scope of work (specific duties) included: y l`f t d Additional comments: Title: 0 %l-i 1 c _ License No. (if applicable): City State Zip to Grp ren + _ 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 T—V26CAck County of Signature of person providing the statement The foregoing instrument was acknowledged before me by means ofSphysicai presence or ❑ online notarization on this day of i1­)Gur 20 Z, by kf� �c]1 t �1P� Such person(s) Notary Public must check applicable box: El are personally known to me ❑ has produced a current driver license ❑ has produced identification. (Notary Seal) Notary Public State of Florida Tarsis Gonzalez IIII My Commission HH 362983 Expires 3/1112027 Notary Signature: Contractor Licensing — FIRM Application Rev. 712022 Page 12 of 14 Operations R Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractorslicensi ng(�bcol I iercountyfl.gov Page 128 of 237 Cool rjerC,014ftty Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY VERIFICATION OF CONSTRUCTION EXPERIENCE Applicant's Name: i q x r �'C /� ✓� G�Z Certificate CategoryRe Requested: � (' C 1/� �r C � 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: �—,wy1V WvfL-- Business Name: Title: ] Ur`��I Phone: _ Z / 1 .� J J� ,, II License No. (if applicable): LA 1 [ Z Business Address: Street t f/� City �j �-} State Zip The applicant was employed by me from 11v"+�t`T��'`� to v� L 1 Applicant's title: The applicant's scope of work (specific duties) included: �F ,I Additional comments: NOTE TO LICENSED CONTRACTORS: Falsifying any information provided herein may subject your license to revocation. Under penaity of perjury, I declare that the facts stated here are true. State of L (Q/1 G��GI County of The foregoing ylstrument was ackpckwledged before me by day of giA 20 61, , by l �.(1 f? Signature of person providin he statement or 2/physical presence or ❑ online notarization on this Such persons) Notary Public must check applicable box: ❑ are personally known to me 2'has produced a current driver license i produced-( tl�7�1 �lG as identification. (Notary S �►� A�. BEATRIZ PANTOJA `` Notary Pubic - State of Florida -y Commission 0 HH 376311 ` d Jl/1 °F`'` M Comm- Expires Mar 20, 2027 Y Notary Signature: Contractor Licensing - FIRM Application Rev. 712022 Page 10 of 14 Operations & Regulatory Management Division, Contractor Licensing a 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractorslicensing ..coll+ercountyfl.gov Page 129 of 237 Davis Bobcat &Septic My name is Chad Davis and 1 am writing to confirm Ryan Randolph's construction experience for his excavation contractor license application. Ryan worked for me from 2003-2006. During his employment, he installed septic systems using an excavator, graded land and used precision measuring tools such as a grade laser. I'm fully confident in Ryan's excavation and machinery skills and would recommend his talents to anyone or company. Additionally, I am unable to produce this letter on company letter bead die to my dissolution of Davis bobcat & septic for economic reasons. if any further information is needed, feel free to reach out. Chad Davis (813) 764-4606 —�k , C 1 i7 C., (4, 1 m -- 0" - 9 BZQZ'LZWRYI 53a1d%d ;A 4 i s�so7e ". .• � "(rB Page 130 of 237 To Whom it May Concern, My name is Zachary Radford. i am writing this letterto inform the licensing board of Ryan Randolph's (Radolph's Land Solutions) construction experience. From 2012 to 2015 Ryan Randolph worked with Robert's Wilson Landscaping and Hauling. During Ryan's time with us, he cleared land, trenched irrigation and installed culverts for water mitigation. He was a valuable asset in excavation. He certainly is knowledgeable and able to operate within his field. Zachary Radford 2011st St. Aberdeen N.C., 28315 910-603-1$76� f Signature: ' Date: 3 f f 'Z rJZS M Notary: S;arey Staufer Notary Public Moore Count North Carollj My Commission Ex ird_ Page 131 of 237 Affidavit of Construction Experience State of Florida County of Collier I, Daniel R. Brooks Jr., being duty sworn, depose and say as follows: 1. 1 am the golf course superintendent of Panther Run Golf Club, located at 6681 Anthem Parkway, Ave Maria, Florida 34142. 2. 1 have direct knowledge of Ryan Randolph's employment and construction experience, as he has worked under my supervision from 2/26/2024 to Present. 3. During his employment, Ryan Randolph has performed the following duties: o Operating heavy machinery and equipment. o Site preparation, excavation, and land clearing. o Reading project plans. o Performing grading and drainage work. o Ensuring compliance with safety regulations and project specifications. o Supervising and coordinating tasks with team members. 4. Ryan Randolph has demonstrated competency, professionalism, and reliability in all assigned tasks. 5. 1 affirm that the information contained in this affidavit is true and correct to the best of my kno edge. Signature: Daniel R. Brooks Jr. Golf Course Superintendent Panther Run Golf Club 3/21 /2025 Notary Public: Sworn to and subscrib before me Tsi::M' day of "(-(V,)Q025 Signature of Notary Notary Public, State of Cd My Commission Expires: - ---2, t t ► 1aA ZH � - V Z 4 X8�j Notary Public State of Florida ` Tarsis Gonzalez My Commission HH 362983 1111 Expires 3111I2027 Page 132 of 237 CO ICT COunty Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF {' l-c Rt. DA COUNTY OF (_0 LL 1. F 1, IA ` having been first duly sworn, state and affirm: I am a resident of Co C I 6K County, F^ L.oii OA (State) and have resided here for more than five (5) years. During the last five (5) years I have known _G idol 0 Lj (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. State of Fl. County of The foregoing instrument was acknowledged before means of ,'l"ay of �, 20 �r, by iTby 4 Signature Printed /Name Address: 073 2-q -1" AvG 1 �' Street E5 FL- 3yW3 City State Zip Telephone: 2-31 57S 6YrG 2- Such person(s) Notary Public must check applicable box: }are personally known to me Cl has produced a current driver license ❑ has produced (Notary M. :. NADItA DAVIS C,orrxnWM * HH 627137 Expires Febn=y 17, 2029 Contractor Licensing — FIRM Application Rev. 712022 as identification. Notary Signature: presence or ❑ online notarization on this Page 13 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractorslicensing(&colliercountyfl.gov Page 133 of 237 Growth Management Community Development Deparlment APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF Florida COUNTY OF Collier Steven Durand l am a resident of Collier more than five (5) years. having been first duly sworn, state and affirm: County Florida (State) and have resided here for During the last five (5) years I have known Ryan Randolph (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 State of Florida County of Collier Steven Durand Pnnted Name Address. 1721 16th Ave. S.W. Naples Florida 34117 (Iry r G, Telephone: 239-370-3378 The foregoing in:trum nt was acknou.-tedged before me by means ofO-physical presence or ❑ online notarization on this 3rd day of March 2025 by Steven K. Durand Such person(s) Notary Public must check applicable box: ® are personally known to me ❑ has produced a current dri%-er license ❑ has produced (Notary Seat) as identification. ANA DE LA CRUZ Notary Public a State of Florlda Y ; Comm# HH357472 Explras 2/15/2027 Notary Signatuir Contractor Licensinq -- FIRM ADokkcatron Rev- 712022 PagdFa(5)4Y-f(2317+ coi[Yer county Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY STATEMENT OF OWNERSHIP This certifies that 1, ASV )Z4A LG ZF171 am a member or managing APPLICANT'S NAME (please print) member of u o✓I S (LIMITED LIABILITY COMPANY NAME) 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. / Applicant (please print) zljw solV74CV\s Name of Company Signature of Applicant State of County of L C The foregoing instrument was acknowledged before me by means ofsical presence or ❑ online notarization on this � day of m�Ch , 20 , by �_ oin �(� f, JQ� Such person(s) Notary Public must check applicable box: axe personally known to me ❑ has produced a current driver license ❑ has produced as identification. (Notary Seal) err o�a`rrt4r " Notary Signature:. TIFFANY c. BURNS * * Commission # HH 387512 M r f * &�,: •�''Ft TIFFANY C. BURNS C; ; , ° . o....r<�� TIFFANY C. BURNS m s r � 307512 a Corr, HFI 3$7512 d� Expini April t7, 202T Eµ irEs Arn; 17, 2027 �=�'j ` '1��, $ April 17, 2027 Contractor Licensing — FIRM Application Rev. 712022 Page 9 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252-2431 contractorslicensing d-colliercountvfl.gov Page 135 of 237 CO�Y`er 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. Applicant (please print l Name of Company '/�� 45�e� ign a of Applicant State ofr—IoLzb'dCounty of �el / e�� Th foregoin�instr�u�ent was acknowledged before mebymeans of E:'physical presence or ❑ online notarization on this % day of ) 2�, by � na [A - Such person(s) Notary Public must check applicable box: ❑ are personally known to me 71 (as produced a current driver license ❑ has produced (Notary Seal) as identification. Notary Notary P Le State of Florida .49 Sherrie D Le Femina My Commission HH 155903 �« a� Expires 07R0l2025 Contractor Licensing — FIRM Application Rev. 7/2022 "O/'G�'W! Page 6 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive • Naples, FL 34104 s (239) 252-2431 contractorslicensing@colliercountO.gov Page 136 of 237 02340f IRSDevartment urlhe TrCasurf Internal Revenue Serviec ©GDEN UT 84201-0038 RANDOLPHS LAND SOLUTIONS LLB: RYAN RANDOLPH SOLE MBP '0n 6TH ST NW NAPLES EL 34120-1394 In reply refer to: 045873042- Apr. 09, 2024 LTR 147C 0 88-3601642 000000 00 00006101 301L' l.. . SD uU Employer identification number: 88-3601642 De -m, ic::iPL. v Thank you for your inquiry of Mar. 29, 202�, Your employer identification number (EIN) is 88-3601642. Please keep this letter in your permanent records. Enter your name and EIN on all federal business tax returns and on related correspondence. You can get any of the forms or publications mentioned in this letter by visiting our website at IRS.gov/farms or by calling 800-TAX-FORM (800-829-3676). If you have questions, you can call us at 800-829--0115. If you prefer, you can write to us at the address at the top of the first page of this letter. When you write, include a copy of this letter, and provide your telephone number and the hours we can reach you in the spaces below. Telephone number ( ) Hours Keep a copy of this letter for your records. Thank you for your coopera.,c'; Page 137 of 237 G RANDOLPHS LANs] SOLUTIONS LLC R YAN RANDOLPH SOLE MBR 2830 47H ST NW NAPLES FL 34120-1394 Enclosures: Copy ref this letter Apr. 09, 2024 LTR 88-3601642 000000 Sincerely yours, 0458730423 147C 0 00 00006102 Dwayne Wilson Department Managers Accounts Mgmt. Page 138 of 2P State qf Florida Department of State I certify from the records of this office that RANDOLPH'S LAND SOLUTIONS LLC is a limited liability company organized under the laws of the State of Florida, filed on August 1, 2022, effective August 1, 2022. The document number of this limited liability company is L22000337827. I further certify that said limited liability company has paid all fees due this office through December 31, 2025, that its most recent annual report was filed on March 4, 2025, and that its status is active. Given under my hand and the Great Seal of the State of Florida at Tallahassee, the Capital, this the Fourth day of March, 2025 Secret(ay of tote Tracking Number: 1300975924CC To authenticate this certificate,visit the following site,enter this number, and then follow the instructions displayed. https:llservices.sunbiz.org/Filings/CertificateOfStatusICertificateAuthentication Page 139 bf 237 L2200 033"4 821 (Reguestors Name) (Address) (Address) (City/StatelZip/Phone #) PICK-UP WAIT ❑ IViAIL (Business Entity Name) (Document Number) Certified Copies Certificates of Status Special Instructions to Filing Officer: Office Use Only I�I�III�I��lllli�llllll��llll��llll�lf IIIIII 200413922322 DE . I I:,;/ Lo3--rat 028--001 0".30. l_m CP C2 ern w G' Cn Cr � � W rri y Y. SCOTT SEP 13 2023 Page 140 of 237 COVER LETTER TO: Registration Section Division of Corporations SUBJECT: 3 ( — A" Name of Limited Liability Company The enclosed Articles of Arnendrnent and fee(s) are submitted for filing. Please retuni all correspondence concerning this matter to the following: FLA Ie5 Name of cl I ( i 4 4A cL 7 1 V �y N La Address Fz-- 3y/;-0 City/State and Zip Code � a I'A 4-f,n A,7 c e L l C. 0a4 rI - �, C mail address: (to be used for future annual repoWhoutication) For further information concerning this matter. please call: E`h do at (� 3 4 7 Nano of Person Area Code Daytime Telephone Number Enclosed is a check for the 1'011OAing amount: ❑ S25.00 Filing Fee 0 530.00 Filing Fee &. Certificate of Status Mailing Address: Registration Section Division of Corporations P.O. Box 6327 Tallahassee. FL 32314 ❑ $55.00 Filing Fee & Certified Copy (additional copy is enclosed) ❑ $60.00 Filing Fee. Certificate of Status & Certified Cop} (additional copy is enclosed) Street Address: Registration Section Division of Corporations The Centre of Tallahassee 2415 N. Monroe Street, Suite R 10 Tallahassee, FL 32303 Page 141 of 237 j ARTICLES OF AIMENDMENT TO ARTICLES OF ORGANIZATION OF C,MA-'eA0ACC ZL G tv ;0 The Articles of'On,anirttion for this Limited 1-lability Company were filed on and assigned Florida document rtunlber This amendmem is submittal to amend the 10110F1'tn`.;: A. If amending name. enter the new name of the limited liahilitv company here: 2G ,f.o�� i� i•1 s Z�., ) The new name must be disintgtnshablc and conuain the woal, " Unified Liability Company. the destenatlon " i,1.0 �,r_lhe reriatrun " L.L.C' Enter new principal offices address. if applicable: (Principal office address MUST BE A STRL:F_T JDDRL'SS) Enter new mailing address, if applicable: (Mailin_t,• address ,V1AY BL' A POST OFFICE BL)A GJ. ' -17 N B. If amending the registered agent anti/or registered office address on our records, enter the name of the new registered agent and/or the new rc ►istered office address here: Namc of `ew Registcred Agent: New Re,-,Istcred Office Address: Cit r New Re Listered A ;ent's Si tnaturc if changiny. Re pistered A ent. Enter Florida street uddn xs Florida zip Code herchr accept the appointment as registered uvc�nt and agree to caa in this capacity. 1 f u-ther ag�rec� to compl- frith the pros-isiorrs of all statule�v relative to the proper and complete perlormance� of rrry duties, and / anr.lantiliar with and accept the ohli,�;atioras o1"n11- pry+�ition as registered o' ent crs provided_Jor ill Chapter 605. F-5, Or. ifthis document i�Y being f led to merely rc.fect a chon e ill the registered office uddress. 1 herc'hv confirm that the' limited liability- company hus heat notified in nv-iting of iltis chance. If ChanVing Regislervd Agent, Signature of Nnv Registered Agent Page 142 of 237 If amending Authorized Persons) authorized to manage, enter the Lille —name, and address of each person heinz added `r removed from our records: rNIGR = Manager AiNIBR = Authorized Member Title Name Address 'rype of action ❑Add ❑ Remove ❑Change ❑ Add Rcmuvc ❑Ghangc -v ❑JAId a N ❑ Removr ❑Change ❑ Add ❑ Remove ❑Chant,c 7Add ❑ Remove ❑Change ❑ Add ❑ Remove ❑Ch age 143 of 237 D. Af amending any other information, enter change(s) here: (Attach additional sheets, if necessary.) C') r] ON ^ E y_ �q N E. Effective date, if other than the date of filing: fJ C) (optional) (I fan effective date is listed. the date must be specific and cannot be prior to date of filing or more than 90 days after Fling.) Pursuant to 605.0207 (3)(b) Note: Ifthc date inserted in this block does not meet the applicable statutory filing requirement,. this date will not be listed as the document's effective date on the Departnient of States records. If the record specifies a delayed effective date. but not an effective time, at 12:01 a.tti. on the earlier of: (b) The 90th day after the record is filed_ Dated �5 - / C/— or nnntea name of gwnee Filing Fee: $25.00 Page 144 of 237 CREDIT CHECK CONFIDENTIAL Commercial Credit Report Company: RANDOLPH'S LAND SOLUTIONS LLC Address: 2830 47H STREET NW NAPLES, FLORIDA 34120 Telephone: (239) 544-7121 OWNER/AP Address: Social Security Number: Stock Ownership: Address Social Security Number: Stack Ownership: � Address: Social Security Number: Stock Ownersnip. RANDOLPH, RYAN 2830 4TH STREET NW NAPLES, FLORIDA 34120 7735 100% Date: 03/12/25 Cust. No: 9999 Ordered By: 25166 Page: 1 (X) LLC MLI ee AL`h�L�AA Lrne. vV-JVV Iv -Fe RANDOLPH'S LAND SOLUTIONS LLC was FORMED in the county of COLLIER, state of LORIDA. on 08/01. 2022. The charter number is L22000337827. The registered agent is RANDOLPH, RYAN of 2830 4TH STREET NW, NAPLES, FLORIDA 34120. Offices are LEASED from N/A at N/A per month. The company employs NIA. NETWORTH: ON FILE WITu IZTATF he company maintains banking relations with SUNCOAST CREDIT UNION the officer handling the account is N/A - TA.MPA, FLORIDA Reported tar: APPLICANT - SEE NAME ABOVE Rcoorted hv: Credit Check. Inc. - 3017 Exchanae Court. Suite H_ West Palm Beach. FL 33409. (561 ] 616-55F�= Page 145 of 237 CREDIT CHECK CONFIDENTIAL Commercial Credit Report Company: RANDOLPH'S LAND SOLUTIONS LLC Address:2830 4TH STREET NW NAPLES, FLORIDA 34120 Date: 03/12/25 Cust. No: 9999 Ordered By: 25166 Page: PUBLIC RECORDS WERE CHECKED FOR COLLIER COUNTY, FLORIDA. A SEARCH OF LOCAL, STATE, AND FEDERAL RECORDS HAS BEEN CONDUCTED WITH THE FOLLOWING RESULTS: CLEAR AS OF 03/12/25 - SEVEN YEAR SEARCH. *** Credit Profile "F- Creditor Opened High Balance Ratin:x N.'A REMARKS: NIA = NOT APPLICABLE/NOT AVAILABLE REPORT WORKED BY KELLY END OF REPORT. This commercial report is furnished simply as ap aid in determining the credit desirability of the appiicant[s]. It is based upon information obtained in good faith by this agency from sources deemed reliable. --a accuracv of same. however. is in no wav guaranteed. Hv vour dcceolance and use of this report. you specifically agree to hold Credit Check. Inc. harmless Irom anv liability whatsoever. Page 146 of 237 CREDITCAHECKsm CONFIDENTIAL Individual Credit Report Name ... :RANDOLPH,RYAN MICHAEL Ordered By:25166 Address:2830 4TH STREET NW Customer ;9999 NAPLESt FL 34220 Received ;03/12/25 Socia14; Applicant: -7735_ Completed :03/12/25 CREDIT SCORE: APPLICANT FICO SCORE: 711 (scores range from 300 to 850) SOURCES): EXPERIAN TRANSLINION PUBLIC RECORDS: PUBLIC RECORDS HAVE BEEN CHECKED AT THE LOCAL, STATE AND FEDERAL LEVELS WITH THE FOLLOWING RESULTS AS OF 03/12/25: CLEAR CREDIT RECORD Credit history has been checked for a period of seven years or from o en date. Creditor Date Date High Unpaid Fast Historar Status Current Mos 7oCovnt Nym4er Reported opened Credit Balance Due 30 60 96 Status Rev ECOA BMW FIN SVC AS AGREED 1002530940 12/16 10/16 50644 0 0 00 00 00 101 01 1 L r.A=l 2 / 1 (, CB/KAY 778850405932 Di-A-78/20 M I DF LORI DAC U 121730987 nT,A=1 0 1 7i1C� C l�LL 2ii4F62300 nr n—nn r7n SIMMONS BAWK 461098868140 -Y- ONS BANK 461098650049 AS AGREED 08/20 05/16 3748 0 0 00 00 00 R01 34 1 AS AGRr�rli 10/15 06/15 13164 0 0 00 00 00 I01 04 1 AS AGREED 02/24 02/23 16206 0 0 00 00 00 101 12 I AS AGRELv 02/25 07/09 8323 3070 0 00 00 00 Rol 4b i 08/16 07/09 7116 0 0 AS AGREED R01 00 1 Licensee Applicant: APPLICANT — SEE NAME ABOVE ReDortina Acencw: Credit Check, Inc. - 3017 Exchange Court. Suite H. West Palm Beach. FL 33409. 150W'W7 iif 237 CREDITCHECK CONFIDENTIAL Name: RANDOLPH RYAN MICHAEL Customer: 9999 Page:2 SUNCOAST CU AS AGREED 4040414 02/25 10/24 22752 22060 0 00 00 00 101 04 I DLA=02/25 SUNCOAST CU AS AGREED 4040414 06/15 03/11 35231 0 0 00 00 00 I01 48 1 DLA=06/15 SUNCOAST CU AS AGREED 4040414 07/18 11/16 51587 0 0 00 00 00 101 20 I DLA=07/18 SUNCOAST CU AS AGREED 4040414 12/22 03/20 20070 0 0 00 00 00 101 33 1 DLA=12/22 DUNCOAST CU AS AGREED 4040414 04/23 02/23 54967 0 0 00 00 00 101 02 I DLA=04/23 SUNCOAST CU AS AGREED 4040414 09/24 03/23 18015 0 0 00 00 00 101 18 I DLA=09/24 SUNCOAST CU AS AGREED 4040414 02/25 12/22 17308 16974 0 00 00 00 C01 26 I DLA=02/25 SUNCST CU AS AGREED 460819002134 02/25 01/16 26376 25423 0 00 00 00 R01 48 I DLA=02/25 SYNCB/AMER EAGL AS AGREED 604410058437 11/16 09/06 0 0 0 00 00 00 R01 01 I TRUIST AS AGREED 461608111082 02/25 09/12 6253 2913 0 00 00 00 R01 48 z DLA=02 /''` 1 trade lines on this report: 16 INQUIRIES: 10/16/24 by SUNCOAST CREDIT UNION (EXP) #1879040 06/28/24 by SUNCOAST CREDIT UNION (EXP) #1916598 06/12/24 by SUNCOAST CREDIT UNION (EXP) #1879040 05/16/23 by SUNCOAST CREDIT UNION (EXP) #1879040 RESIDENCE HISTORY: Licensee Applicant: APPLICANT — SEE NAME ABOVE Reporting Agency: Credit Check, Inc. - 3017 Exchange Court, Suite H, West Palm Beach, FL 33409. CREDIT CHECK CONFIDENTIAL Name: RANDOLPH RYAN MICHAEL Customer: 9999 Page.-3 RESIDENCE HISTORY - continued: 413005 PO BOX 413005, NAPLES FL 34101 2830 NW 4TH ST, NAPLES FL 34120 2602 VIOLA LN, VALRICO FL 33594 -ATKELAND FL COMMENTS: 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: SIMMONS BANK BZ1067003 P.O.B 6609 PINE BLUFF AR. 71611 CBIKAY JAINZ8344 PO BOX 182789 COLUMBUS OH. 43218 TRUIST BB295SO59 PO BOX 849 WILSON NC. 27894 SUNCST CU OC2980007 6801 HILLS AVE TAMPA FL. 33680 SHEFFIELD FZ40ZM002 PO BOX 849 WILSON NC. 27894 MIDFLORIDACU OU486E001 P O BOX 8008 LAKELAND FL. 33802 BMW FIN SVC AZ82WT002 PO BOX 3608 DUBLIN uri. 4,iu.> CREDIT CHECK Z 0630273 3017 EXCHANGE COUR riuEST PAT,M BFAry Fz. 344nc (501) 541-1000 (866) 635-1330 (813) 621-7511 (336) 766-1388 (863) 616-2100 [800l 518-5u1Ju (877) 616-5556 -- D OF REPORT s i -forrttat:on Is confidential and is not to be divulged except as required by the Fair Credit Regor6ng Ac[. This personal report is furnished simply as an aid in determining the credit desirability n1 the appdicant(sj. It �s based uppopn tnlormation obtained Fn goad faith by this agency from sources deemed reliable. as of same. however. is in no way ouaranteed. By your acceptance and use of this report. you soeC�cally aorae to hold Credit Check, Inc. harmless from any liability whatsoever. Licensee Applicant: APPLICANT - SEE NAME ABOVE Renortina Aaencv: Credit Check. Inc. - 3017 Exchanae Court. Suite H. West Palm Beach. FL 33409. f5441ko'o;�237 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: 9/12/2024 PERSON: RYAN M RANDOLPH FEIN: 883601642 BUSINESS NAME AND ADDRESS: RANDOLPH'S LAND SOLUTIONS LLC 2830 4TH STREET NW NAPLES, FL 34120 EXPIRATION DATE: 9/12/202C EMAIL: RAN DO LPHSEARTHWORKS@GMAIL.COM This certificate of election to be exempt is NOT a license issued by the Department of Business and Professional Regulation. To determine if the certificate holder is required to have a license to perform work or to verify the license of the certificate holder, go to www.myfloridaticense.com. IMPORTANT: Pursuant to subsection 440.05(13), 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(11), F.S., Certificates of election to be exempt issued under subsection (3) apply only to the corporate officer named on the notice of election to be exempt. Pursuant to subsection 440.05(12), 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. OFS-F2-DWC-252 CERTIFICATE OF ELECTION TO BE EXEMPT RULE 69L-6.0.12. F.A.C. REVISED 01/202: E01996723 QUESTIONS? (850) 413-1609 Page 150 of 237 l& MIDATE �MDDNYM Aco►z�CERTIFICATE OF LIABILITY INSURANCE ��- 03n v2o2s THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS I 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 endorsementisy. PRODUCER CONTACT NAME' Next First Insurance Agency, Inc. PRONE (855j 222-5919 FAX PO Box 60787 IAIC, N9,.Eidl: _ . (AIC, No);__ Palo Alto, CA 94306 E-MAIL-ADDRESS: -MAILADOREsS: support@nextinsurance.com INSURERS AFFORDING COVERAGE NAIC # racurzrrz s . State National insurance Comoanv, Inc. 112831 INSURED Randolph's Land Solutions LLC 2830 4th St NW Naples, FL 34120 INSURER B INSURER D COVERAGES CERTIFICATE NUMBER: 407732262 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. tNSR TYPE OF INSURANCE INSD SWBR• POLICY NUMBER MMfDDY EFF MM p01YEYYY LTLIMITS X I COMMERCiALGENERAL LIABILITY EACH OCCURRENCE $11000,000.00 CLAIMS -MADE " OCCUR $100,000.00 PREMISES SfEa�occurrence) MEO EXP {Any one person $5,000.00 PERSONAL &AOV INJURY $1.000,000.00 A X NXTVTHRY7H-00-GL 03/21/2024 03/21/2025 GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000.00 PRODUCTS - COMPIOP AGG - - - $ 2,000,000.00 X ❑ PRO- POLICYJECLOC $ OTHER: AI1TOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident]. $ $ ANY AUTO BODILY INJURY (Per person) OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED AUTOS ONLY .AUTOS ONLY BODILY INJURY (Per accident) $ PROPERTY DAMAGE Per acckderd $ $ UMBRELLA LiAB OCCUR EACH OCCURRENCE $ AGGREGATE $ EXCESS LIAR CLAIMS -MADE . DE❑ 1 1 RETENTION $ $ WORKERS COMPENSATION AN D EMPLOYERS' LIABILITY Y f H ANYPROPRIETORIPARTNERIEXECUTIVE PER OE TH- ST ATUTE E.L. EACH ACCIDENT S E.L. MEASE- EA EMPLOYEE $ OF FICERIMEMSER EXCLUDED? ❑ (Mandatory In NH) N I A E.L. DISEASE •POLICY LIMIT S ff yy®s, descr be under DESCRIPTION OF OPERATIONS bekrry DESCRIPTION OF OPERATIONS I LOCATIONS f VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) The Certificate Holder is Collier County. Contractor Licensing. This Certificate Holder is an Additional Insured on the General Liability policy per the Additional Insured Automatic Status Endorsement. Al Certificate Holder privileges apply only if required by written agreement between the Certificate Holder and the Insured, and are subject to policy terms and conditions. CERTIFICATE HOLDER GANLtLILA I IUN ollier County Contractor Licensing LIVE CERTIFICATE ollier County Contractor Licensing Board SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 800 N horseshoe Dr THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN laples. FL 34104 ACCORDANCE WITH THE POLICY PROVISIONS. AUT4+ORiZEDREPRE5ENTATIVE ,f Click or scan to view Oc 19B8-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD Page 151 of 237 O� J3 O W) N Z O � U � w Q d z ¢ J U U J ❑ O U) ZD O Z IL �- O r O F- � ❑ U7 O z O U] Q z N D J �Z� p U a (n F- g O S S cn Lt d w W C1 = a O OF >' ❑ w ❑ V J LL CD a- Q Qco Q a a wN z co 0) N CN N Co N J L1. Z N zO� Q V) a' LD D :rum C.,C ) J Ow owZ N O Oo-ca 0 Ef) w O Q 0 Z O m W Ln ,zT O f-- N O .- Qo0 N r co N O Lu Ln J N m 4 4 o O z ,n D LL w Z O z z ate. cn w O W D Oe l� ' U L1J o -2 � 7C n 0 Z � IS x VJ W W U w m o Q c� d J O o '} o u% O U O Z 67 C 47 U y � o .E a E m W L�z l_L V C � Z CO V7 � v' O Ln m O v U S v c J U U J ❑ O U) 00 z a � O o z � 4 Q❑ Z (D O �M w O () �' Z Q � Q [i. � 11 n' W J J = Ct) � O Ot-3.w O ¢ Z Z LL con. 0 Z N Y N O N J d LI ) IS - Q U f� N O N � � coN O w Y O m N O � z CD D �� LL w Z O z v� w � w M N O N LO N O) cz d J U U J ❑ O U) 00 z a � O o z � 4 Q❑ Z (D O �M w O () �' Z Q � Q [i. � 11 n' W J J = Ct) � O Ot-3.w O ¢ Z Z LL con. 0 Z N Y N O N J d LI ) IS - Q U f� N O N � � coN O w Y O m N O � z CD D �� LL w Z O z v� w � w M N O N LO N O) cz d N Y N O N J d LI ) IS - Q U f� N O N � � coN O w Y O m N O � z CD D �� LL w Z O z v� w � w M N O N LO N O) cz d Collier County ...E,) Application for Certificate of Competency — Business Organization This application must be typewritten or legibly printed. The application fee must be paid upon approval and is NOT refundable. checks should be made payable to: Collier County Board of County Commissioners. For further information, consult Collier Coy Ordinance No. 2006-46, as amended. TYPE OF CERTIFICATE OF COMPETENCY: ❑ General $230.00 ❑ Building $230.00 [residential $230.00 ❑ Mechanical $230.00 ❑ Roofing $230.00 Specialty Trade: ❑ Electrician $230.00 ❑ Plumber $230.00 ❑ Air Conditioner $230.00 ❑ Swimming Pool $230.00 ❑ Specialty $205.00 I. Applicant's Personal Information: Name: ��✓� f "L C, First Middle Initial Last Address: _ ` t .p-�5 +t )� j C,112 fJQ- we -e!!� :rL- N,j �2-0 Street City state Zip Email: CLUL r2� VC11i o�S (�j 10-k ,�L, 6o771 Date of Birth Primary Phone Cell Phone 23 9 k 24 g(p 09 Last 4 of Driver's License # 2 0 C- 0 Other Phone a5 9 31-PI Last 4 of Social Security # Uaw— 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. Page 1 of 12 Cofr Count y 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: Telephone:103 clW3 Name: ., "1 A (-r�C\ Telephone:�t II. NAME OF APPLICANT'S BUSINESS: Business Name: aNu- N a.;¢ !" ��� orb L L-C �3y 3 43 Business Address: 4-tp-36 43 rc) Qu- N c- f �zi Street City State Zip Telephone: 31 � 21 L to o Email•►-�a�ePio✓r'�:{a�,s 1C�rr�aa^-� .C.�►" Federal ID Tax No.: ! - 3 % l 2Z, % III. FINANCIAL RESPONSIBILITY YES NO ALL APPLICANTS MUST ANSWER THE QUESTIONS BELOW: X 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? 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, xcompleted or made financial statements on? Made an assignment of assets in settlement of construction obligations for less than the debts Xoutstanding? Been convicted or found guilty of, or entered a plea of nolo contendere to, regardless of in the 10 adjudication, a crime any jurisdiction within past years?* n/ 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 xcontractor 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 e (239) 252-2431 contractors licensing a(�.colIiercountyfl.gov Page 154 of 237 CO*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: List below non formal education (on the job training) you have obtained in the area of competency for which this application is being made: (-,, W:�2 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 appl(catiq and the facts stated in it are true. Applicant (please print) 7 Signature of Applicant State of County of Ir The foregoing instru ent was acknowlei i Z• day of_ , 20ca.5L , by Such person(s) Notary Public must check applicable box: ❑ are personally known to me Pi has produced a current driver license ❑ has produced as identification. (Notary Seal) TANYA L. LAW +: tE MY COMMISSION # HH 309047 EXPIRES: September 6, 2026 n Notary Sig,,,, •�E OFF���t _- r Contractor Licensing — FIRM Application Rev. 712022 .... —T& [ -� 0. W Page 5 of 14 Operations & Regulatory Management Division. Contractor Licensing • 2800 North Horseshoe Drive . Naples, FL 34104 • (239) 252-2431 contractorslicensincl( .colliercounW.gov Page 155 of 237 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 — Susseth C Velasquez Martinez Candidate #: 83868070V Online Testing Site: Ocala, FL Final Score Result: May 6, 2025 Residential Contractor Score: 77% (4/30/25) Business Procedures Score: 82% (3/25/25) 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 March 25 & April 30, 2025. 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 Page 156 of 237 Co�er C,0"Hty Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY VERIIFIC,ATIONOF Applicant's Name: �U�"`�\� • YtItt Certificate Category Requested: CONSTRUCTION EXPERIENCE a The applicant is seeking a Coflier 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 v ifying trade, experience for the above -named applicant u�stt pr�ov�ide the following information: Name: Vi Title: �,e i- Business Name:tS,r/.LTC/{�S, Phone: �_ �. � 2 IIW Y cf 0(p License No Business Address: % N Nl i f A S ! Street City (if applicable): tit C�� State Zip The applicant was employed by me from V _ to Applicant's title: The applicant's scope of work (specific duties) included:T-�f��t�u SLA 15 -t�iuLqW r7s W l Ck om1� }v.�[CJ (0 irl t Additional comments: ,;tAu L LW CLet- 0 �_ -K r� CtZ (h 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. I S a e of per5o providing the statement State of �4- l/ v ri d,�_ County of Cc 1 e C `� gThe foregoing instrument was acknowledged before me by means of �gh sicaI presence or ❑ o�1ron this d.-,}day of Y&CC 2025 ,by / 4L C5k5 uerT —SO`� pi. Such person(s) Notary Public must check applicable box: co FXAI/!/Ssf ❑ are personally known to me El�S� has produced a current driver license c!� 8'18VV phas produced �C l iS r'tfE as identification. 'r`�'i l� UUr ��pP.•',� (Notary Seal) Notary Signature: Contractor Licensing — FIRM Application Rev. 712022 Page 11 of 14 Operations & Regulatory Management Division, Contractor Licensing a 2800 North Horseshoe Drive • Naples, FL 34104 • (239) 252f'5age 157 of 237 contractorslicensinq(acolliercountvfl.gov col r county Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF F—j QV—j A6 COUNTYOI` C-Ae-r Yli✓ �ti` 1 having been first duly sworn, state and affirm: ti am a resident of Lo [ LA e- t/ more than five (5) years. County, A or cq C1 (State) and have resided here for During the last five (5) years I have known i55C"fG.�GiY�>,(J'L, Ve G46 �applican ohav 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:'—: �- /�I \dNl Stree' ` C I\ 0-6 es F-L S4 n2 Oty Stale Zip Telephone:551 ZO5 — 0SD4-- State of i C? tr �� County of The fofegoing instrument was acknowledged before me by means of,&physical presence or ❑ online notarization on this ay of ti& 20 c�s> bySuch person(s) Notary Public must check applicable box: fare personally known to me ❑ has produced a current driver license ❑ has produced as identification. (Notary Seal) Oo��y P 0�4UQ� . MY CONMuUSSION EXPIRES 15-2D24 = Notary Signature: Contractor Licensing — F Page 13 of 14 Operations & Regulatory Manageme'At l�1Gis on. Contractor Licensing • 2800 North Horseshoe Drive a Naples. FL 341 Dd • ?� I .--7d'.I contractorslicensing@colliercountyfl.gov Page 158 of 237 COffler County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF flO h, 3 a COUNTY OF CU�lor 1, \) QtMRV-u5 `t �/Yti��( having been first duly sworn, state and affirm: I am a resident of L Ob I I`Qi- County, I dYt d (State) and have resided here for more than five (5) years. I 1_ V�aHI''' During the last five (5) years I have known S V SSe'I LVt e • VoI(�S%t a Z (applican . I have had the opportunity to observe his or her business and personal dealings and find him or her to bn person of honesty, integrity and good character. % I A A r Signature Printed Name Address:! O Sb-2Y0✓UY��Vt i� `V� Street ik/0, S, �L city State Zip Telephone: 3/ 1 — 0 S S-6 State of -rIQ e-ja A County of CCU I OK The foregoing instrument was acknowledged before me by means P�f ( p ys'Cal presence or ❑ online notarization on this day of i� ✓t 20 , by i�VnQrl C, V \/ Such person(s) Notary Public must check applicable box: 0 are personally known to me ❑ has produced a current driver license ❑ has produced (Notary Seal) KEREN J. ARITA W COMMISSION # HH 373680 EXPIRES: Match 15, 2027 OF F� ,.• as identification. Notary Signeg 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) 25 431 contractors licensing(a)colIiercountyfl.pov age 159 of 237 COV.r County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY AFFIDAVIT OF INTEGRITY AND GOOD CHARACTER STATE OF (eel 1 U— COUNTY OF LD \ ( I e I, lk\�,CA Cl- F::) C)� j (_� , having been first duly sworn, state and affirm: I am a resident of qu(N � 6- County, C" `I 1 (7,( (State) and have resided here for more than five (5) years. During the last five (5) years I have knoi� Cat ° `�`�� "Ic�S`ty e (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 r\ Pri va d Name Address: ;Ji o' o � 1 G e 7� ._ Sj State of O o ► , Clp. County of Lq_:e_ Street �(- 337dCs City State Zip Telephone:0� ST) Svc, The foregoing instrument was acknowledged before me by means ofAn physical presence or El online notarization on this o� day of (y)o,, JN , 20 aS , by Y 10. 3L, r-t.,L,) Such person(s) Notary Public must check applicable box: ❑ are personally known to me Chas produced a current driver license ❑ has produced as identification. (Notary Sea Y r'k'. JAIME LONG Notary Public • State of Florida Commission t HH 570158 My Comm. Expires Jul 11, 2028 Notary Signature: Contractor Licensing - FIRM Application Rev. 7/2022 Page 13 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive 9 Naples, FL 34104 0 (239) 252- 431 contractorslicensing(a)colliercountyfl.aov Wage 160 of 237 Coi[7er 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. Applicant (please print BEFORE ME this day personally appeared ZrWr"),,k 0-r -s U. C 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 The foregoin instru ent was acknowled ed before me b means of hysical presence or ❑ on In a notarization on this ]day of 20� , by 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) , iANYA L. LAW =�?'" Notary Signs 4; My COMMISSION # HH 309047 ExPIRES: Sept 6.2026 Contractor Licensing — FIRM Application Rev. 712022 Page 7 of 14 Operations & Regulatory Management Division, Contractor Licensing • 2800 North Horseshoe Drive a Naples, FL 34104 s (239) 252-2431 contractorslicensinaCcDcolllercount_fl.aoy Page 161 of 237 C0T[1'er County Growth Management Community Development Department APPLICATION FOR COLLIER COUNTY CERTIFICATE OF COMPETENCY STATEMENT OF OWNERSHIP This certifies that I, t• 4 am a member or managing ,, APPLICANT'S NAME (ple a prin N member of AUL � w gu-lOVMH a-" I own /Voo LIABILITY COMPANY % 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 VI C County of r The foregoing instrument was acknowled ed before me by means of &day of `�-F�C�, 20 &5, by Such person(s) Notary Public must check applicable box: ❑ are personally known to me lPthas produced a current driver license ❑ has produced (Notary Seal) as identification. Applic lease print) Name of Company Signature of Applicant presence or ❑ online„notarization on this TANYA L. LAW •: *' MY COMMISSION # HH 309047 Notary S ignatyre�� EXPIRES: September 6, 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) 25 431 contractorslicensing a0colliercountvfl.Qov Page 162 of 237 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/she 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/her license. Any willful falsification of any information contained herein is grounds for disqualification. OUQJJ VAY'C*)%L� Applicant (please print) n r State of The foregoing instrument was acknowledged before me by means of k day of 202S,by �VSSA6Can( person(s) Notary Public must check applicable box: aCa' �re personally known to me ❑ has produced a current driver license ❑ has produced as identification. (Notary Seal) Notary Signature: ;;••. Oamaris Vymota llotary Public - State of Florida commission a HN 286312 ?oFF� My Comm. Expires Sept 14, 2026 I presence or ❑ online notarization on this A 1 1 1 Such Page 12 of 12 IRSDEPARTMENT OF THE TREASURY INTERNAL REVENUE SERVICE CINCINNATI OH 45999-0023 ALL NAPLES RENOVATIONS LLC SUSSETH C VELASQUEZ SOLE MBR 6380 RADIO RD NAPLES, FL 34104 Date of this notice: 10-03-2023 Employer Identification Number: 93-3712273 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 93-3712273. 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. 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 contact us at the phone number or address listed on the top of this notice. 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. 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. Page 164 of 237 (IRS USE ONLY) 575G 10-03-2023 ALLN 0 9999999999 SS-4 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. * Provide future officers of your organization with a copy of this notice. Your name control associated with this EIN is ALLN. You will need to provide this information along with your EIN, if you file your returns electronically. Safeguard your EIN by referring to Publication 4557, Safeguarding Taxpayer Data: A Guide for Your Business. You can get any of the forms or publications mentioned in this letter by visiting our website at www.irs.gov/forms-pubs or by calling 800-TAX-FORM (800-829-3676). If you have questions about your EIN, you can contact us at the phone number or address listed at the top of this notice. If you write, please tear off the stub at the bottom of this notice and include it with your letter. Thank you for your cooperation. Keep this part for your records Return this part with any correspondence so we may identify your account. Please correct any errors in your name or address. CP 575 G (Rev. 7-2007) -------------------------------- CP 575 G 9999999999 Your Telephone Number Best Time to Call DATE OF THIS NOTICE: 10-03-2023 ( ) - EMPLOYER IDENTIFICATION NUMBER: 93-3712273 FORM: SS-4 NOBOD INTERNAL REVENUE SERVICE CINCINNATI OH 45999-0023 ALL NAPLES RENOVATIONS LLC SUSSETH C VELASQUEZ SOLE MBR 6380 RADIO RD NAPLES, FL 34104 Page 165 of 237 4/7/25, 3:31 PM Detail by Entity Name .org Department of State / Division of Corporations / Search Records / Search by Entity Name / Detail by Entity Name Florida Limited Liability Company ALL NAPLES RENOVATIONS LLC Filing Information Document Number L23000445328 FEI/EIN Number APPLIED FOR Date Filed 07/31/2023 Effective Date 08/01 /2023 State FL Status ACTIVE Principal Address 6380 RADIO ROAD LOT 49 NAPLES, FL 34104 Mailing Address 6380 RADIO ROAD LOT 49 NAPLES, FL 34104 Registered Agent Name & Address VELASQUEZ, SUSSETH C 6380 RADIO ROAD LOT 49 NAPLES, FL 34104 Name Changed: 04/17/2024 Authorized Persons) Detail Name & Address Title MGR VELASQUEZ, SUSSETH C 6380 RADIO ROAD LOT 49 NAPLES, FL 34104 Annual Reports Report Year Filed Date 2024 04/17/2024 L 1[ https://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=EntityName&directionType=Initial&searchNameOrder=� geP106 Of L 7 Electronic Articles of Organization For Florida Limited Liability Company Article I The name of the Limited Liability Company is: ALL NAPLES RENOVATIONS LLC L23000445328 FILED 8:00 AM July 31, 2023 Sec. Of State tburch Article II The street address of the principal office of the Limited Liability Company is: 6380 RADIO ROAD LOT 49 NAPLES, FL. 34104 The mailing address of the Limited Liability Company is: 6380 RADIO ROAD LOT 49 NAPLES, FL. 34104 Article III The name and Florida street address of the registered agent is: SUSSETH C VELASQUEZ 6380 RADIO ROAD LOT 49 NAPLES, FL. 34104 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: SUSSETH C VELASQUEZ MARTINEZ Page 167 of 237 Article IV The name and address of person(s) authorized to manage LLC: Title: MGR SUSSETH C VELASQUEZ 6380 RADIO ROAD LOT 49 NAPLES, FL. 34104 Article V The effective date for this Limited Liability Company shall be: 08/01/2023 Signature of member or an authorized representative Electronic Signature: SUSSETH C VELASQUEZ MARTINEZ L23000445328 FILED 8:00 AM July 31, 2023 Sec, Of State tburch 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 I st in the calendar year following formation of the LLC and every year thereafter to maintain "active" status. Page 168 of 237 -WN ited•'RS'= C i-c�di1 Rc•/�urtin�• .tic��•iicc� - _ Phone: 850-539-8000 Email:unitedcrsapps@gmail.com www.UnitedCRS.com 3590 Frontier Road Tallahassee, FL 32309 BUSINESS CREDIT REPORT Entry # 17500-0000 ALL NAPLES RENOVATIONS LLC Credit Summary: 4635 43RD AVE NE NAPLES, FLORIDA 34120 ✓ Bankruptcies: PHONE: (239) 367-2876 ✓ Liens: s raae L-ines rouna. 1 ✓ Judgments Filed: ✓ Collections: Credit Standing- New Business Business Typ LLC FEIN Number: 93-3712273 Florida SOS Document i L23000445328 Key Facts Years in Business: Key Personnel: Florida Registered Agent: As of: DBPR PUBLIC RECORD STATEMENT: PUBLIC RECORDS HAVE BEEN CHECKED AT LOCAL, STATE AND FEDERAL LEVELS RESULT:: NONE FOUND 0 Years Manager: VELASQUEZ, SUSSETH C Page Iof1 VELASQUEZ, SUSSETH C. 6380 RADIO ROAD LOT 49 NAPLES, FL 34104 Page 169 of 237 Phone: 850-539-8000 Emai1:unitedcrsaPPsOcimail.com www.UnitedCRS.com 3590 Frontier Road ri-Wil .Se.-vive Tallahassee, FL 32309 PERSONAL CREDIT REPORT MERGED REPORT COMPILED FROM NATIONAL RECORDS April 3, 2025 Entry #17500 FICO CLASSIC SCORE - 672 Personal Information Since 03/06/10 FAD 04/02/25 - Source Reported Name VELASQUEZ MARTINEZ, SUSSETH CAROLINA Former Name VELASQUEZ MARTINEZ, SUSSE Former Name VELASQUEZ MARTI, SUSSETH Former Name VELASQUEZ, SUSSETH S: 12872 DOB: 08/27/1986 Address 4635 43RD AVE NE, NAPLES, FL 34120 ALIT 02/25 - 04/25 Employment Employer City Hired Verified Occupation State Separated Indirect Ind. A FLOORING GROUP 06/24 10/20 AMARO BUILDERS 06/24 02/22 Summary PR/OI 0 Rev 23 # Accts 38 30 0 Hist 30 16 Lowest HC $240 Bankruptcies 0 Inst 14 # Inq 11 60 1 Hist 60 9 Highest HC $548,534 Collections 1 Open 1 Curr Accts 32 90 0 Hist 90 136 Type High Balance Past Due Payment %Avail Revolving $18,893 $2,703 $0 $268 86% Installment $93,198 $91,054 $21,326 $1,523 Real Estate $548,534 $543,313 $0 $4,547 Open/Other $3,025 $3,025 $0 $0 Totals $663,650 $640,095 $21,326 $6,338 Collections Page 1 of 6 Page 170 of 237 Client DLA Reported Balance Stat Code Acct/Serial# Assigned Stat Desc Narr Customer# ECOA Orig Amt Bal Date Stat Date FLORIDA POWER L 06/20 09/21 $0 P Individual 10/20 09/21 Paid 168YC 10622 $405 09/21 Collection Totals $0 $0 Revolving Accounts Current Status Hist Status Acc Name/Address RPTD High PMT Bal PastDue Mths 30 60 90 Rating Date OPND Limit Terms DLA ECOA CBNA 03/25 $29 $111 03 R 1 Customer:485FP00552 12/24 $500 CHARGE 03/25 Individual AMOUNT IN H/C COLUMN IS CREDIT LIMIT MACYSCBNA 03/25 $30 $86 05 R 1 Customer:636DC26977 10/24 $300 CHARGE 03/25 Individual AMOUNT IN H/C COLUMN IS CREDIT LIMIT CAP ONE 03/25 $25 $245 18 RI Customer:85OBB01498 09/23 $1,300 CREDIT CARD 03/25 Individual AMOUNT IN H/C COLUMN IS CREDIT LIMIT CRDTONEBNK 03/25 $30 $134 38 02 00 00 R 1 Customer: 18OBB27505 01/22 $300 R 2 05/23 CREDIT CARD 03/25 Individual R 2 12/22 AMOUNT IN H/C COLUMN IS CREDIT LIMIT SYNCB/SRDC 03/25 $30 $401 04 R 1 Customer:404131311962 11/24 $1,500 CREDIT CARD 03/25 Individual AMOUNT IN H/C COLUMN IS CREDIT LIMIT SYNCB/TJX 03/25 $0 07 R 1 Customer:404ON02867 08/24 $1,000 CREDIT CARD 03/25 Individual AMOUNT IN H/C COLUMN IS CREDIT LIMIT SYNCB/SAMS 03/25 $40 $619 01 R 1 Customer:404DVO0193 02/25 $1,500 CHARGE 03/25 Individual AMOUNT IN H/C COLUMN IS CREDIT LIMIT CB INDIGO 03/25 $10 $10 04 R 1 Customer:1330N00200 11/24 $1,500 CREDIT CARD 03/25 Individual AMOUNT IN H/C COLUMN IS CREDIT LIMIT CRDTONEBNK 03/25 $500 $0 14 R 1 Customer:180BB27505 01/24 ACCOUNT PREVIOUSLY IN 02/25 Individual DISPUTE - NOW RESOLVED BY DATA FURNISHER CREDIT CARD Page 2 of 6 Page 171 of 237 CAP ONE 03/25 $20 $20 14 R 1 Customer:850BB01498 12/23 $300 CREDIT CARD 03/25 Individual AMOUNT IN H/C COLUMN IS CREDIT LIMIT CAP1/KOHLS 03/25 $29 $368 03 R 1 Customer:484BB06299 11/24 $1,000 CHARGE 03/25 Individual AMOUNT IN H/C COLUMN IS CREDIT LIMIT AMEX 03/25 $0 11 R 1 Customer:402BB48257 03/24 $1,000 CREDIT CARD Auth AMOUNT IN H/C COLUMN IS User CREDIT LIMIT CRDTONEBNK 03/25 $0 01 R 1 Customer:180BB27505 01/25 $1,000 CREDIT CARD 03/25 Individual AMOUNT IN H/C COLUMN IS CREDIT LIMIT OPENSKYBNK 03/25 $500 $0 06 R 1 Customer:496BB24305 08/24 ACCOUNT CLOSED AT 02/25 Individual CONSUMER'S REQUEST PAID ACCOUNT/ZERO BALANCE OPENSKYBNK 03/25 $300 $0 19 R 1 Customer:496BB24305 07/23 ACCOUNT CLOSED AT 12/24 Individual CONSUMER'S REQUEST PAID ACCOUNT/ZERO BALANCE WEBBANK/OM 03/25 $25 $709 14 R 1 Customer:243FP44267 12/23 $1,000 CREDIT CARD 03/25 Individual AMOUNT IN H/C COLUMN IS CREDIT LIMIT TBOMMILSTN 01/25 $700 $0 12 R 1 Customer:619BB17015 01/24 PAID ACCOUNT/ZERO BALANCE 10/24 Individual ACCOUNT CLOSED BY CREDIT GRANTOR 53 BANK NA 02/24 $2,000 $0 28 02 02 01 R 5 Customer: 6360N24228 09/21 R 4 11/23 ACCOUNT CLOSED AT 06/23 Individual R 3 10/23 CONSUMER'S REQUEST R 2 09/23 ACCOUNT PAID FOR LESS THAN FULL BALANCE SYNCB/BAN 11/21 $0 29 R 1 Customer: 404CG01167 03/15 $200 PAID ACCOUNT/ZERO BALANCE 09/16 Individual AMOUNT IN H/C COLUMN IS CREDIT LIMIT CAP ONE 02/24 $688 $0 99 01 01 18 R 9 Customer: 850BB01498 06/10 R 5 05/19 ACCOUNT PREVIOUSLY IN 01/19 Individual R 5 04/19 DISPUTE - NOW RESOLVED BY R 4 03/19 DATA FURNISHER ACCOUNT PAID FOR LESS THAN FULLBALANCE CBNICSCRT 02/24 $405 $0 99 R 9 Customer:667CG30022 09/13 CHARGED OFF ACCOUNT 08/22 Individual ACCOUNT TRANSFERRED OR SOLD Page 3 of 6 Page 172 of 237 MACYSCBNA 11/21 $1,000 $0 85 R 1 Customer: 636DC26977 11 /12 ACCOUNT CLOSED AT 12/16 Joint CONSUMER'S REQUEST PAID ACCOUNT/ZERO BALANCE SYNCB/JCP 11/21 $400 $0 58 R 1 Customer:404DCO2910 06/12 PAID ACCOUNT/ZERO BALANCE 02/14 Individual ACCOUNT CLOSED BY CREDIT GRANTOR Revolving Totals $268 $2,703 $0 Installment Accounts Current Status Hist Status Acc Name/Address RPTD High PMT Bal PastDue Mths 30 60 90 Rating Date OPND Limit Terms DLA ECOA SUNCOASTCU 03/25 $6,237 $6,356 $6,356 99 04 02 60 19 Customer:728F000168 07/15 60M 14 03/20 CONSUMER DISPUTES AFTER 10/19 Individual 1 3 02/20 RESOLUTION 12 01 /20 CHARGED OFF ACCOUNT ALLY 03/25 $71,991 $1,523 $69,728 05 11 Customer:613FA16693 08/24 AUTO 03/25 Individual FIXED RATE TOYOTA MTR 02/25 $14,970 $14,970 $14,970 99 01 03 57 19 Customer:180FA00959 09/15 52M 13 03/19 CHARGED OFF ACCOUNT 12/18 Individual 12 02/19 AUTO 13 01/19 ACA 09/24 $47,083 $0 31 03 00 00 11 Customer:828FA00087 02/22 74M 12 03/23 REDEEMED OR REINSTATED 09/24 Individual 12 02/23 REPOSSESSION 12 06/22 PAID ACCOUNT/ZERO BALANCE KOVO INC 09/24 $240 $0 07 11 Customer:163ZF00017 02/24 24M PAID ACCOUNT/ZERO 09/24 Individual BALANCE INSTALLMENT SALES CONTRACT SELF/SOUTH 08/24 $511 $0 07 11 Customer:416BB27167 01/24 24M PAID ACCOUNT/ZERO 08/24 Individual BALANCE SECURED SHEFFIELD 11/21 $6,642 $0 53 11 Customer:062FP00203 06/14 PAID ACCOUNT/ZERO 09/18 Individual BALANCE SUNCOASTCU 02/24 $16,509 $0 20 11 Customer:728F000168 02/14 PAID ACCOUNT/ZERO Individual BALANCE SUNCOASTCU 02/24 $18,380 $0 07 11 Customer:728F000168 07/13 PAID ACCOUNT/ZERO Joint BALANCE SUNCOASTCU 02/24 $2,007 $0 06 11 Customer:728FC00168 08/13 Individual Page 4 of 6 Page 173 of 237 PAID ACCOUNT/ZERO BALANCE TOYOTA MTR 02/24 $20,025 $0 90 02 01 00 13 Customer:906FA00067 06/15 13 08/20 PAID ACCOUNT/ZERO 01/20 Individual 12 01/20 BALANCE 12 08/19 AUTO ACA 02/24 $35,211 $0 40 01 00 00 11 Customer:828FA00087 10/20 12 02/21 PAID ACCOUNT/ZERO 02/22 Individual BALANCE AUTO AARONRENTS 12/16 $1,020 $0 11 Customer: 401 HZ01 894 01/16 12M PAID ACCOUNT/ZERO 12/16 Individual BALANCE Installment Totals $1,523 $91,054 $21,326 Mortgage Accounts Current Status Hist Status Acc Name/Address RPTD High PMT Bal PastDue Mths 30 60 90 Rating Date OPND Limit Terms DLA ECOA LOANDEPOT. 03/25 $548,534 $4,547 $543,313 06 11 Customer:18OFM24053 08/24 REAL ESTATE MORTGAGE 03/25 Individual FHA MORTGAGE Mortgage Totals $4,547 $543,313 $0 Open Accounts Current Status Hist Status Acc Name/Address RPTD High PMT Bal PastDue Mths 30 60 90 Rating Date OPND Limit Terms DLA ECOA AMEX 03/25 $3,025 $3,025 01 01 Customer:402BB48257 01/25 CREDIT CARD 03/25 Individual Open Totals $0 $3,025 $0 Inquiries Date Customer Name 11/14/2024 CAPITALONE 08/22/2024 HEDRIDODGE 07/22/2024 CREDCO 07/19/2024 CREDCO 07/12/2024 CREDCO 06/25/2024 CREDCO 03/12/2024 XACTUS 01/28/2024 FCTUALDATA 08/22/2024 GMFNANCIAL 12/17/2023 CAPITALONE 08/16/2023 CAPITALONE Page 5 of 6 Customer Number 484BB05812 991AN22962 181ZB23380 181ZB23380 181ZB23380 181ZB23380 414ZB00011 497ZBO1449 682FA10627 484BB05812 484BB05812 Page 174 of 237 PUBLIC RECORDS PUBLIC RECORDS HAVE BEEN CHECKED AT LOCAL, STATE AND FEDERAL 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 6 of 6 Page 175 of 237 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: 5/15/2024 PERSON: SUSSETH C VELASQUEZ FEIN: 933712273 BUSINESS NAME AND ADDRESS: ALL NAPLES RENOVATIONS LLC 6380 RADIO ROAD LOT 49 NAPLES, FL 34104 EXPIRATION DATE: 5/15/2026 EMAIL: ALLNAPLESRENOVATIONS1@GMAIL.COM This certificate of election to be exempt is NOT a license issued by the Department of Business and Professional Regulation. To determine if the certificate holder is required to have a license to perform work or to verify the license of the certificate holder, go to www.myfloridalicense.com. IMPORTANT: Pursuant to subsection 440.05(13), 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(11), F.S., Certificates of election to be exempt issued under subsection (3) apply only to the corporate officer named on the notice of election to be exempt. Pursuant to subsection 440.05(12), 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 RULE 69L-6.012, F.A.C. REVISED 01/2023 E01929606 QUESTIONS? (850) 413-1609 Page 176 of 237 4/7/25, 3:31 PM Detail by Entity Name Document Images 04/17/2024 --ANNUAL REPORT View image in PDF format 07/31/2023 -- Florida Limited Liability, View image in PDF format https://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=EntityName&directionType=Initial&searchNameOrder=AEL l.77 Of2Z37 ACOR" CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDlYYYYj 04r11/2a25 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 Simply Business p y 53 State Street 19th Floor Boston, MA 02109 CONTACT Simply Business NAME: PHONE FAX o Eat: 844 654-7272 Arc No: Arc No. nI DRESS: contactus@simplybusiness.com INSURER(S) AFFORDING COVERAGE NAIL # INSURER A: Markel Insurance Company 38970 INSURED ALL NAPLES RENOVATIONS Li INSURERS: INSURER C 4635 43rd Ave NE Naples, Florida 34120 INSURER D INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADOL INSD SUER WVD POLICY NUMBER POLICY EFF MMlDolYYYY) POLICY EXP 1MM/DDrrY`(Y1 LIMITS A X COMMERCIAL GENERAL LIABILITY MKUS4864428XB 2/07/2025 2/07/2026 EACH OCCURRENCE $1,000,000 CLAIMS -MADE � OCCUR AMAGF TO PREM SE5 Ea occu D nce $100,000 MED EXP (Anyone person) $5,000 PERSONAL&ADV INJURY $1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER-, GENERAL AGGREGATE $2,000,000 X PRO- POLICY P JECT ❑ LOC PRODUCTS-COMPlOPAGG $2,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLELIMIT Ea accident BODILY 4NJURY (Per person) ANY AUTO SCHEDULED OWNED 7 BODILY INJURY (Per accident) AUTOS ONLY HIRED NON -OWNED H PROPERTYOAMAGE AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE AGGREGATE EXCESS LIAB CLAIh1S-MADE OEO I I RETENTION WORKERS COMPENSATION PER OTH- AND EMPLOYERS' LIABILITY YIN STATUTE ER EL EACH ACCIDENT ANYPROPRIETORIPARTNERlEXECUTIVE OFFICEFUMEMBEREXCLUDED? ❑ N!A E.L. DISEASE - EA EMPLOYEE (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT PROFESSIONAL LIABILITY EACH CLAIM AGGREGATE DESCRIPTION OF OPERATIONS 1 LOCATIONS r VEHICLES (ACORD 1D1, Additional Remarks Schedule, may be 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 Collier County Contractor Licensing Board, ACCORDANCE WITH THE POLICY PROVISIONS. 2800 N Horseshoe Dr, Naples, FL 34104 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD Page 178 of 237 Orosa Custom Renovations 1937 Elsa Street Naples FL 34109 orosacustom@gmaii.com Office: (239) 260-1928 To Whom it May Concern: April 2nd, 2025 This letter is to inform that I have known Carolina Susseth Velasquez Martinez for the past 10 years and I trust on her great qualities as a supervisor, on construction and remodeling sites. I feel she is more than qualify to complete any project at the highest standards. Please feel free to contact me if you need additional information or have any questions. Sincerely, Owner Signature: 'SA_ 0 Printed Name: Notary stamp: S .. JENNIFEROROSA +: •_= MY COMMISSION # HH 652142 EXPIRES: March 16, 2029 Notary n g,,. Page 179 of 237 GATOR HOME CONSTRUCTION, INC. April 9th, 2025 282416TH AVE N E NAPLES, FL 34120 Phone: 239-919-9978 To Whom it May Concern: This Letter Is to inform that I known Susseth C Velasquez for more than 14 years and she is more than capable of complete any project on new construction or remodeling, having all the knowledge and experience needed to complete any type of project and be able to manage a business in the Construction trade. Sincerely, Owner signature Printed name_'4-�d�� Notary Stamp DSLE: (JPEZ r�ctary Pucli a of Florida Conimissi 233928 my Commis,iC:-' Expires June _26 OSLEIDYS L PEZ ??� �. Notary Public -State of Florida Commission # HH 233928 My Commission Expires June 21, 2026 �UQ- (Z-0, Notary Signature Page 180 of 237 GROUP w A. A,1AASTIRS'CQNSTRUCTIOV 2 a v� Z O M UJ 7 � c April 9`' 2025 500 NW 94"' St Miami, FL 33150 Phone: (305) 481-7057 aamastersconstructions@gmail.com Lic. # CGC152-5211 CCC1333215 I, Felix de Jesus Guerra the undersigned contractor of AA Masters Construction, in consideration of this letter is to Inform that l have work with Susseth Carolina Velasquez since 2021, Since day 1 she has not only show her excellent knowledge in the construction trade, new construction and remodeling, permitting process, block trusses roof, inside cabinetry framing roof and paint, carpentry countertops and all construction process, having ail cover experienced to manage big or small project from day one until project is 100% completed and owners are fully satisfied with her, I also have to mention that she is very knowledgeable with workers and management of laborers. She meets the highest standards of business trade. Sincerely, Felix de Jesus Guerra ) Page 181 of 237 CONSTRUCTION AGREEMENT CLUBHOUSE, OFFICE AND APARTMENT THIS AGREEMENT made on the date the last of the parties executes this Agreement, by and between AA Masters Construction Development and Engineering Group, a Florida Corporation, with a mailing address of 500 NW 94`h Street, Miami, FL 33150 (phone: (305) 244-0746, email: salesAaamastersconstruction.com ) (hereinafter "Contractor"), and Indies West Association, Incorporated, with a mailing address of 2200 GULF SHORE BLVD N, Naples, FL (phone: 239-263- 6905, email: indieswestngplesAgmail.com) (hereinafter "Association"). RECITALS Association is the condominium association for Indies West, a Condominium, as described in the Declaration of Condominium recorded in O.R. Book 238, Page 670, Public Records of Collier County, Florida, as amended (the "Property"). Association desires to have certain work performed at the Property, more particularly described below. In consideration of payment for the same, Contractor desires and is willing to perform the said work for Association. TERMS OF AGREEMENT For good and valuable consideration, the receipt of which is hereby acknowledged, Association and Contractor agree as follows: ACCORDING TO FLORIDA'S CONSTRUCTION LIEN LAW (SECTIONS 713.001-713.37, FLORIDA STATUTES), THOSE WHO WORK ON YOUR PROPERTY OR PROVIDE MATERIALS AND SERVICES AND ARE NOT PAID IN FULL HAVE A RIGHT TO ENFORCE THEIR CLAIM FOR PAYMENT AGAINST YOUR PROPERTY. THIS CLAIM IS KNOWN AS A CONSTRUCTION LIEN. IF YOUR CONTRACTOR OR A SUBCONTRACTOR FAILS TO PAY SUBCONTRACTORS, SUB -SUBCONTRACTORS, OR MATERIAL SUPPLIERS, THOSE PEOPLE WHO ARE OWED MONEY MAY LOOK TO YOUR PROPERTY FOR PAYMENT, EVEN IF YOU HAVE ALREADY PAID YOUR CONTRACTOR IN FULL. IF YOU FAIL TO PAY YOUR CONTRACTOR, YOUR CONTRACTOR MAY ALSO HAVE A LIEN ON YOUR PROPERTY. THIS MEANS IF A LIEN IS FILED YOUR PROPERTY COULD BE SOLD AGAINST YOUR WILL TO PAY FOR LABOR, MATERIALS, OR OTHER SERVICES THAT YOUR CONTRACTOR OR A SUBCONTRACTOR MAY HAVE FAILED TO PAY. TO PROTECT YOURSELF, YOU SHOULD STIPULATE IN THIS CONTRACT THAT BEFORE ANY PAYMENT IS MADE, YOUR CONTRACTOR IS REQUIRED TO PROVIDE YOU WITH A WRITTEN RELEASE OF LIEN FROM ANY PERSON OR COMPANY THAT HAS PROVIDED TO YOU A "NOTICE TO OWNER" FLORIDA'S CONSTRUCTION LIEN LAW IS COMPLEX, AND IT IS RECOMMENDED THAT YOU CONSULT AN ATTORNEY. 1. Scope of the Work 1.1 Contractor shall furnish all supervision, tools, equipment, labor, materials and other items Page 182 of 237 required to perform all of the work at the Property described in Exhibit A, attached hereto and incorporated herein, and as shown on the plans and described in the specifications attached to Exhibit A (collectively the "Work"). 1.2 Contractor may engage subcontractors to perform work hereunder after providing Owner with written notice, provided that Association shall have the right to approve the subcontractors, which approval shall not be unreasonably withheld. In addition, Contractor shall fully pay said subcontractors and in all instances remain responsible for the proper completion of the Work under this Agreement and Association shall have no liability to any subcontractors engaged by Contractor. Contractor shall enter into written agreements with subcontractors performing portions of the Work by which Contractor and subcontractors are mutually bound, which agreements shall be subject to and shall comply with the terms of this Agreement. Contractor shall be responsible for the acts and omissions of all Contractor's employees and all subcontractors, their agents and employees and all other persons performing any of the Work under an agreement with Contractor. In the event this Agreement is terminated, all agreements with subcontractors shall automatically terminate without liability to Association. 1.3 All Naples Renovations, LLC and Carolina (Susseth) Velasquez with a phone number of (239) 821-8609 will act as Contractor's sub -contractor ("Sub -Contractor") and is hereby designated as being the principal and representative of Contractor authorized to act in its behalf with respect to the Work specified herein and make all decisions in connection therewith. 1.4 The Association shall have full access to the site during construction and may conduct site visits at its own discretion. 2. Time of Completion 2.1 The Work shall be commenced on June 1, 2024 (or sooner if possible) (the "Commencement Date") (Pending permit application), and shall be substantially completed on or before the date that is 16 weeks after the Commencement Date (the "Completion Date"). The Commencement Date and Completion Date shall not be altered except by amendment signed by Association and Contractor. The Work shall not commence prior to the signing of this Agreement and Association receiving a signed copy of this Agreement. 2.2 In addition to the foregoing Commencement Date and Completion Date, Contractor shall adhere to the construction schedule and payment schedule attached hereto as Exhibit B (the "Work Schedule"), unless modified by appropriate written amendment. 2.3 For the purposes of this Agreement, the Work shall be considered substantially complete when the Work shall be complete to the extent that it is usable as intended by Association, but only punch list items remain to be completed. 2.4 Contractor shall not be liable for any delay due to circumstances beyond its reasonable control including strikes, inclement weather, casualty, or acts of God 2.5 Time is of the essence of this Agreement. 3. The Contract Price and Payment Terms 3.1 Association shall pay Sub -Contractor for the Work the sum of TWO HUNDRED TWENTY EIGHT THOUSAND DOLLARS ($228,000) (the "Contract Price"), subject to additions and deductions by change order as provided herein. The Contract Price includes all expenses incurred by Contractor in connection with the Work, including without limitation, all labor, materials, rental of equipment, tools, permits, licenses, insurance, bonds, transportation, meals, lodging, overtime, profit, overhead and applicable taxes. 2 Page 183 of 237 3.2 Payment of the Contract Price shall be made in the following manner and paid to the Sub - Contractor, not the Contractor: 3.2.1 Sub -Contractor shall submit to Association an application for payment in accordance with Exhibit B. The application for payment shall request payment for the portion of the Work actually performed and materials actually delivered through the date of application for payment. An application for a periodic progress payment which is neither approved nor rejected by Association within twenty (20) days shall be deemed to be approved. 3.2.2 Association shall promptly pay to Sub -Contractor all undisputed amounts in the application for payment within 15 days of receipt of the application. 3.2.3 If payment is not made when due, Sub -Contractor may, after 30 days' written notice to Association, suspend the Work until such time as all payments due have been made. Any changes to the contract will be preapproved by Change Order by Association. 3.2.4 Final payment to Sub -Contractor of all unpaid and outstanding balances due under this Agreement shall be paid when all of the Work contemplated under this Agreement is fully performed in accordance with the terms of this Agreement. Before issuance of final payment, Sub -Contractor, shall submit a Contractor's Final Payment Affidavit and any necessary Final Waivers and Releases of Lien from subcontractors and other third parties pursuant to Section 713.06(3)(d), Florida Statutes and Sub -Contractor shall have removed all debris and left the Property in broom clean condition. Acceptance of final payment by Sub -Contractor shall constitute a waiver of all claims against Association. 3.2.5 Payments due and unpaid under this Agreement shall bear interest at a rate of 8.00% per annum. 4. Termination of Agreement 4.1 Association may terminate this Agreement if, in Association's sole and reasonable discretion, Contractor fails, neglects, or refuses to carry out the Work or any change order or otherwise fails, neglects or refuses to perform under this Agreement. 4.2 Contractor may terminate this Agreement if Association fails, neglects, or refuses to pay undisputed amounts requested and owed to Contractor in accordance with the terms of this Agreement and such failure continues for 15 days after Contractor has delivered written notice to Association. 4.3 In the event this Agreement is terminated, Contractor shall be entitled to receive payment for Work satisfactorily performed and completed in accordance with the terms of this Agreement and non -defective materials required by this Agreement and actually delivered to the Property. 5. Insurance 5.1 Contractor shall maintain the following insurance: 5.1.1 Contractor shall purchase and maintain comprehensive general commercial liability (hereinafter "GCL") insurance naming Association as an additional insured. The GCL policy shall have limits of not less than $1,000,000.00 per occurrence and $2,000,000.00 in the aggregate. The GCL policy shall contain no more than a $5,000.00 per claim deductible. The GCL shall be primary and non-contributory. 5.1.2 Workers' compensation insurance in the statutory amount. Page 184 of 237 5.1.3 Contractor shall maintain documentation for workers' compensation insurance on its subcontractors with at least statutory limits. 5.1.4 Contractor shall purchase and maintain business automobile liability insurance naming the Association as an additional insured. The business automobile liability insurance policy shall have limits of not less than $1,000,000.00 per accident and shall be primary and non-contributory. 5.2 Contractor shall be responsible for insuring its own personal property, tools, equipment, materials, and inventory stored at the Property against theft and loss. 5.3 Such insurance shall be issued by an insurer authorized to do business in Florida. 5.4 Contractor shall furnish Association with a certificate of insurance for all insurance required under this Agreement and shall provide for non -cancellation without thirty (30) days' prior written notice to Association. All policies shall be written with Association named as an additional insured. 5.5 Contractor waives all rights against Association and all other contractors and subcontractors and their agents, officers, directors and employees for recovery of damages to the extent such damages are covered by Contractor's insurance whether or not such insurance is required to be maintained under this Agreement. 6. Safety 6.1 Contractor shall be responsible for initiating, maintaining and supervising all safety precautions and programs in connections with the Work. Contractor shall take all reasonable safety precautions and provide all reasonable protection to prevent damage, injury, or loss to all employees and subcontractors at the Property and all other persons affected by the Work, all materials and equipment in the care and custody of Contractor or subcontractor, all Work, and the Property. Contractor shall take all reasonable measures to cooperate and coordinate with other contractors and subcontractors working at the Property to ensure a safe and efficient working environment. 7. Warranty 7.1 Contractor warrants to Association: 7.1.1 that the materials used in connection with the Work shall be of good quality, shall be new, and shall be free from defects; 7.1.2 that the Work shall be in accordance with Exhibit A and with all change orders; 7.1.3 that the Work shall be completed in a good and workmanlike manner consistent with the standards in the industry; and 7.1.4 that the Work and materials supplied shall conform with all applicable federal, state, and local laws, rules, regulations, ordinances, codes and requirements. 7.2 This warranty shall be in addition to all others imposed by statute or regulation. 7.3 No act of Association or any extension of time for the completion of the Work, shall be regarded as an acceptance of such Work or any part thereof, or of materials used therein, either wholly or in part. Acceptance shall be evidenced only by a final certificate of Association. 7.4 No waiver of any breach of this Agreement by Association or anyone acting on Association's behalf shall be held as a waiver of any other subsequent breach thereof. 7.5 The provisions of this section shall apply to Work done by subcontractors as well as to Work 4 Page 185 of 237 done by direct employees of the Contractor and are in addition to any other remedies or warranties provided by law. 7.6 Contractor shall provide Association with a one year warranty. The one year warranty time period shall commence upon final completion of scope of work. Contractor agrees to comply with all requirements of manufacturers and suppliers and will insure that any inspections or other requirements of such manufacturers and suppliers take place or alternatively will assume responsibility for any warranty that might otherwise have been provided. 8. Indemnification Contractor shall defend (with counsel approved by Association), indemnify and hold harmless Association, its members, directors, officers, committee members, agents and employees from and against all claims, damages, losses and expenses, including without limitation attorneys' fees, which arise out of or are in any way connected with the performance of the Work, provided that any such claim, damage, loss or expense (1) is attributable to bodily injury, sickness, disease or death, or to injury to or destruction of tangible property, including the loss of use; and (2) is caused in whole or in part by any negligent act or omission of Contractor, any subcontractor, anyone directly or indirectly employed by any of them or anyone for whose acts any of them may be liable. Such obligation shall not be construed to negate, abridge or otherwise reduce any other right or obligation of indemnity which would otherwise exist as to any party described in this Section. Contractor's obligations pursuant to this Section shall survive termination of this Agreement. In any and all claims against Association or any of its members, directors, officers, committee members, agents or employees by any employee of Contractor, any subcontractor, anyone directly or indirectly employed by any of them or anyone for whose acts any of them may be liable, the indemnification obligation under this Section shall not be limited in any way by any limitation on the amount or type of damages, compensation or benefits payable by or for Contractor or any subcontractor under workers' or workmen's compensation acts, disability benefit acts or other employee benefit acts. 9. General Provisions 9.1 Any alteration or deviation from the Work, including but not limited to any such alterations or deviation involving additional material and/or labor costs, will be executed only upon written change order for same, signed by Association and Contractor, and if there is any charge or reduction in cost for such alteration or deviation, the charge will be added to or subtracted from the Contract Price. Any request for a change order shall be approved or rejected not more than ten (10) days after submission of the request or commencement of the changed work, whichever is later. In the event a change order is rejected in whole or in part, said rejection must be made in writing, explain the basis for rejection and be certified as made in good faith. If a change order is not rejected as set forth herein, it shall be deemed approved, unless properly rejected before the next payment is due under this Agreement. 9.2 Contractor shall pay all sales, consumer, use and other similar taxes required by law and Contractor shall be responsible for permits and shall at its own expense obtain all permits necessary for the Work to be performed. 9.3 Contractor shall make the Work accessible at all reasonable times for inspection by Association. Contractor shall, upon delivery, inspect all material and equipment delivered to the Property by others to be used or incorporated into the Work. Page 186 of 237 9.4 Contractor agrees to keep the Property and surrounding area free from an accumulation of waste materials or rubbish caused by operations performed under this Agreement. 10. Jurisdiction and Dispute Resolution 10.1 This Agreement shall be construed according to Florida law. In the event of litigation or other adversarial proceedings arising from or relating to this Agreement, the prevailing party shall be entitled to recover all expenses of any nature incurred, whether incurred before or during litigation or other adversarial proceedings, in an appeal or in connection with the enforcement of a judgment, including, but not limited to attorney's fees, expert witness fees and costs. Venue shall lie in Collier County, Florida. 11. ANY CLAIMS FOR CONSTRUCTION DEFECTS ARE SUBJECT TO THE NOTICE AND CURE PROVISIONS OF CHAPTER 558, FLORIDA STATUTES.Florida Provisions 11.1 Contractor's License No. CGC1525211 11.2 Association and Contractor agree Association may cancel this Agreement and the transactions contemplated herein within three (3) business days from the date of this Agreement. 11.3 FLORIDA HOMEOWNERS' CONSTRUCTION RECOVERY FUND PAYMENT MAY BE AVAILABLE FROM THE FLORIDA HOMEOWNERS' CONSTRUCTION RECOVERY FUND IF YOU LOSE MONEY ON A PROJECT PERFORMED UNDER CONTRACT, WHERE THE LOSS RESULTS FROM SPECIFIED VIOLATIONS OF FLORIDA LAW BY A LICENSED CONTRACTOR. FOR INFORMATION ABOUT THE RECOVERY FUND AND FILING A CLAIM, CONTACT THE FLORIDA CONSTRUCTION INDUSTRY LICENSING BOARD AT THE FOLLOWING TELEPHONE NUMBER AND ADDRESS: Construction Industry Licensing Board 2601 Blair Stone Road Tallahassee, Florida 32399-2215 Phone 850-487-1395 12. Independent Contractor Contractor is an independent contractor and not an agent or employee of Association. This Agreement shall not be construed to create a contractual relationship of any kind between Association and any persons or entities other than Contractor. 13. Assignment Contractor shall not assign this Agreement in whole or in part without the prior written consent of Association which may be withheld in Association's sole discretion. 14. Notice All notices under this Agreement shall be provided in writing and shall be deemed to have been duly served if delivered in person or by mail to the address above or by electronic transmission if an email address is provided above. 15. Modification and Merger Page 187 of 237 This Agreement shall not be altered or amended except in writing signed by both parties. This Agreement, together withh all schedules and exhibits, sets forth the entire agreement and understanding between the parties as to the subject matter hereto and supersedes and takes precedence over any prior discussions and agreements between the parties pertaining to the subject matter hereof, whether written or oral. 16. Invalid Provision If any one or more of the terms, provision, covenants or restriction of this Agreement shall be determined by a court of competent jurisdiction to be invalid, void or unenforceable, the remainder of the terms, provisions, covenants and restrictions of this Agreement shall remain in full force and effect. CONTRACTOR AA MASTERS CONSTRUCTION DEVELOPMENT AND ENGINEERING GROUP By: Prir Titl Date: `r O ASSOCIATION INDIES WEST ASSOCIATION, INCORPORATED py,az, Siolature Name: John Haesler (Indies West President) Date: 6/6/24 ALL NAPLVS JENOVATIONS, LLC Name: Su*eth Carolina Velasyuez Date: 7 Page 188 of 237 Exhibit A THE FOLLOWING SCOPE OF WORK FOR THE CLUBHOUSE, INCLUDES THE FOLLOWING MATERIAL AND LABOR: * ELECTRICAL 1- Install new decorative lights in the club house according to scope of work and new city of Naples codes, add and update switches and outlets dimmable as needed according tojob material and labor will be provided by CONTRACTOR. 2- Update Electrical panel up to new codes, install new appliances, and Tv labor and Materials will be provided by CONTRACTOR. 3- Electrical scope of work includes rough work and final trim, until it Passes city of Naples final inspection. *PLUMBING 1- Install new plumbing connections according to codes and drawings in new kitchen area water line fridge and new dishwasher Club house 2- Plumbing includes rough work and final trim until it passes Final inspection CONTRACTOR will provide Materials and labor for scope of work *INSULATION 1- Install new insulation as needed in all wall areas, Club house, rough work, until it passes Final inspection Material and labor provide by CONTRACTOR * FIRE 1- Fireproof protection in compromise common walls fire department rough required and final work until it passes inspections Club house, office *SHEETROCK AND FINISH COMPOUND 1- Install all new sheetrock wall areas as needed keeping same layout club house and office area material and labor will be provided by CONTRACTOR Install new sheetrock all walls and new layout attached apartment 2- Finish compound in all areas as needed (level 4 finish matching existing finish in all the walls, materials and labor included) *CARPENTRY 1- Install new solid wood doors Plywood boxes 1/" kitchen, new entry area, tv area kitchen island, shaker door according to space -based existing layout (includes material and labor) 2- Install new Interior 6 or 4 Panel doors with all casing and new frame around, 2 exterior doors with glass or flat as needed FIBER GLASS 3- Install new wood wainscoting boards around the exterior bathroom walls men's and women's 4- Install all new baseboard in whole club house 5-1/4" wood pine (baseboard style TBD) Includes Material and labor provided by CONTRACTOR. *COUNTERTOPS 0 Page 189 of 237 1- Install new countertop granite entry area, Install existing countertops kitchen area and Island. Includes Fabrication delivery and Material (entry area Only) 'PAINT 1- Paint entire ceiling, walls, doors and trims, super paint flat finish walls and ceiling, semigloss all doors and trims Sherwin Williams (customer color selection) Materials and labor will be provided by CONTRACTOR. *MISELANIOUS 1- Install stainless steel handicap bar in both bathrooms material and labor included 2-Install mirrors 3- Install cabinets handles or knows 4- Door Hardware 4- Permit Submittal and permit Inspections Processing until the job is completed (Includes, being responsible for permit process filling up applications, call inspections, HOA permit process) 5- Punch list according to Final walk through *OWNER WILL BE RESPONSIBLE FOR 1- Any county fees, engineering drawings and fire department work protection if required. 2- Appliances, fridge, dishwasher, stove, microwave oven, tv 3- accessories, Kitchen handles, or knobs 4- Door Hardware 5- Kitchen undermount sink 6- Kitchen faucet TOTAL COST $122,000.00 THE FOLLOWING SCOPE OF WORK IS FOR THE OFFICE AND ATTACHED APARTMENT INCLUDES MATERIAL AND LABOR: *DEMOLITION 1- Demo existing Partition walls where the Kitchen area used to be 2- Demo existing floors apartment area 3- Removal and disposal all debris * FRAMING 1- Install new wood Frame new closet area for new clubhouse utility room frames new kitchen area according to new drawings, material and labor provided by CONTRACTOR *ELECTRICAL 1- Install new decorative lights in the office and attached apartment according to scope of work and 0 Page 190 of 237 new city of Naples codes, add and update switches and outlets dimmable as needed according to new drawing, material and labor will be provided by CONTRACTOR. 2- Update Electrical panel up to new codes, install new appliances, labor and Materials will be provided by CONTRACTOR. 3- Electrical scope of work includes rough work and final trim, until it Passes city of Naples final inspection. *PLUMBING 1- Install new plumbing connections according to codes and drawings in new kitchen and bathroom vanities change toilet if needed, new water line fridge and new dishwasher Attached apartment 2- Update Plumbing includes rough work and final trim until it passes Final inspection CONTRACTOR will provide Materials and labor for scope of work 3- Exterior Trim update, exterior bathroom update plumbing new under -mount sink *INSULATION 1- Install new insulation as needed in all new wall areas, office and attached apartment, rough work, until it passes Final inspection Material and labor provide by CONTRACTOR I, FIRE 1- Fireproof protection in compromise common walls fire department rough required and final work until it passes inspections, office - attached apartment *SHEETROCK AND FINISH COMPOUND 1- Install all new sheetrock wall areas as needed new attached apartment, existing layout office area material and labor will be provided by CONTRACTOR Install new sheetrock all walls 2- Finish compound in all areas as needed (level 4 finish matching existing finish in all the walls, materials and labor included) 'CARPENTRY 1- Install new solid wood doors Plywood boxes 3/4" kitchen, kitchen area, kitchen island, shaker door according to space -based existing layout (includes material and labor) 2- Install new Interior and bifold door closets, 6 or 4 Panel doors with all casing and new frame around 3- Install all new baseboard in whole unit 5-1/4" wood pine (baseboard style TBD) Includes Material and labor provided by CONTRACTOR. "COUNTERTOPS 1- Install new countertop granite kitchen area, bathroom vanities Install new countertop kitchen area and Island. Includes Fabrication delivery and Material. 10 Page 191 of 237 1- Paint entire ceiling, walls, doors and trims, super paint flat finish walls and ceiling, semigloss all doors and trims Sherwin Williams (customer color selection TBD) Materials and labor will be provided by CONTRACTOR. *FLOORS 1- Install new Vinyl floor waterproof Entire unit allowance $3.89 sgft, includes material and labor provided by CONTRACTOR (color selection TBD) *EXTERIOR KITCHEN BY POOL AREA 1- Install new stainless -steel cover for exterior kitchen doors Includes material and labor provided by CONTRACTOR *MISELANIOUS 1- Kitchen or bathroom accessories (towel bars, paper holder etc.) 2-Install mirrors 3- Install cabinets handles or knows 4- Door Hardware 5- Permit Submittal and permit Inspections Processing until the job is completed (Includes, being responsible for permit process filling up applications, call inspections, HOA permit process) 6- Punch list according to Final walk through *OWNER WILL BE RESPONSIBLE FOR 1- Any county fees, engineering drawings and fire department work protection if required. 2- Appliances, fridge, dishwasher, stove, microwave oven, tv 3- accessories, Kitchen handles, or knobs 4- Kitchen undermount sink 5- Kitchen faucet 6- Door Hardware Tr TAL $ 106,000.00 11 Page 192 of 237 EXHIBIT B Payment Schedule *90% of total shall be paid upon majority completion of project, prior to final inspection by City of Naples and receipt of Certificate of Occupancy. *Remaining 10% to be paid upon successful Final Inspection and receipt of Certificate of Occupancy Page 193 of 237 This Agreement shall not be altered or amended except in writing signed by both parties. This Agreement, together with all schedules and exhibits, sets forth the entire agreement and understanding between the parties as to the subject matter hereto and supersedes and takes precedence over any prior discussions and agreements between the parties pertaining to the subject matter hereof, whether written or oral. 16. Invalid Provision If any one or more of the terms, provision, covenants or restriction of this Agreement shall be determined by a court of competent jurisdiction to be invalid, void or unenforceable, the remainder of the terms, provisions, covenants and restrictions of this Agreement shall remain in full force and effect. CONTRACTOR AA MASTERS CONSTRUCTION DEVELOPMENT AND ENGINEERING GROUP By: Prir. Titl Date:0 ASSOCIATION INDIES WEST ASSOCIATION, INCORPORATED Sioiature Name: John Haesler (Indies West President) Date: 6/6/24 ALL NAPLF5-VNOVATIONS, LLC S Name: Susbeth Carolina Velasquez Date: 7 Page 194 of 237 Findings of Fact, Conclusions of Law and Decision of the Board Collier County Contractor Licensing Board For Applications Submitted to the Board for Review Type of Application: X _ Credit Report Review Waiver of Testing Requirements Reinstatement of License Request to Qualify Second Entity X Other (specify) Review of Experience THIS CAUSE came on for public hearing before the Contractor Licensing Board (hereafter Board) on April 17, 2024, for consideration of an application submitted to the Board for review. The application submitted is for a license as a Residential and Commercial Painting Contractor. YOAN G. LEON GONZALEZ, dba JOAN RESIDENTIAL AND COMERCIAL PAINTING LLC is before the Board for review of his credit score and a determination of whether the Applicant's credit and experience level should prevent the license from being issued to the Applicant. 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. The Applicant applied to the Collier County Contractor Licensing Supervisor, or his designee, for issuance of a license as a Residential Contractor. 2. Based on the credit report supplied by the Applicant to the Licensing Supervisor, a review of the creditworthiness of the Applicant by the Board is necessary. It was also determined that a review of the Applicant's experience was necessary. 1 Page 195 of 237 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 adequate relevant experience and creditworthiness to be issued the subject license subject to certain restrictions. 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, the subject application met the requirement(s) requiring Board review and approval of the application. 3. The Applicant has sufficiently demonstrated to the Board that he meets the creditworthiness standard(s) as set out in Section 2.5.1 (d) of Collier County Ordinance 2006-46, as amended, as codified in the Code of Laws and Ordinances of Collier County, Section 22-184 (3) and (4), to be issued a license as a Residential and Commercial Painting Contractor subject to certain restrictions. 4. Applicant has demonstrated through testimony and evidence presented at this hearing that he has sufficient relevant, recent work experience to satisfy the requirements of a Residential and Commercial Painting Contractor as set forth in Section 1.6.1.3 of Collier County Ordinance 2006-46, as amended, as codified in Sec. 22-162 of the Code of Laws and Ordinances of Collier County, Florida. 2 Page 196 of 237 ORDER OF THE BOARD 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 4 in favor and 2 opposed, a majority vote of the Board present, the application for licensure as a Residential and Commercial Painting Contractor is hereby granted. 2. The subject license is placed on a probationary term for up to twelve (12) months. Within 30 days, Applicant must submit a payment plan approved by all listed creditors. This information is to be submitted to Contactor Licensing Supervisor, or his designee. At or before the six (6) month date of the probationary period, the Applicant shall submit to Contactor Licensing Supervisor, or his designee, a credit report showing and increased credit score of at least 669, no additional credit issues, and evidence that all payment plans are current and up to date. At the end of the twelve (12) month probationary period, the Applicant shall provide an updated credit report to the Contractor Licensing Supervisor, or his designee, evidencing an improved credit score with no new delinquencies or non -payments and that all collection amounts have been paid in full. If the credit score is 660 or greater at any point during the probationary term, the probation shall be automatically lifted. Failure to meet the above requirements shall require the Applicant to appear before the Board for a review and possible disciplinary action as deemed necessary by the Board.. 3 Page 197 of 237 ORDERED by the Contractor Licensing Board effective the 17th day of April, 2024. CONTRACTOR LICENSING BOARD COLLIER COUNTY, FLORIDA By: er e, ice -Chair 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 1, day of 20Z�, _. Secretary/Contractor Licensing Board 4 Page 198 of 237 Findings of Fact, Conclusions of Law and Decision of the Board Collier County Contractor Licensing Board For Applications Submitted to the Board for Review Type of Application: X Credit Report Review Waiver of Testing Requirements Reinstatement of License Request to Qualify Second Entity Other (specify) THIS CAUSE came on for public hearing before the Contractor Licensing Board (hereafter Board) on April 17, 2024, for consideration of an application submitted to the Board for review. The application submitted is for a license as a Floor Covering Installation Contractor. CHRISTIAN ESCOBAR, dba JUST LIKE NEW SERVICES INC (hereinafter "Applicant") is before the Board for review of his credit score and a determination of whether the Applicant's credit should prevent the license from being issued to the Applicant. 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. The Applicant applied to the Collier County Contractor Licensing Supervisor, or his designee, for issuance of a license as a Floor Covering Installation Contractor. 2. Based on the credit report supplied by the Applicant to the Licensing Supervisor, a review of the creditworthiness of the Applicant by the Board is necessary. 3. The Applicant was present at the public hearing and was not represented by counsel. 1 Page 199 of 237 4. The Applicant has demonstrated to the Board's satisfaction that the Applicant has improved his creditworthiness to be issued the subject license subject to certain restrictions. CONCLUSIONS OF LAW 1. All notices required by the Cade 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, the subject application met the requirement(s) requiring Board review and approval of the application. 3. The Applicant has sufficiently demonstrated to the Board that he meets the creditworthiness standard(s) as set out in Code of Laws and Ordinances of Collier County, as amended, to be issued a license as a Floor Covering Installation Contractor subject to certain restrictions. ■Gi A is / a I a 1511111,5167.3:4 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 6 in favor and 0 opposed, a unanimous vote of the Board present, the application for licensure as a Floor Covering Installation Contractor is hereby granted. 2. The subject license is placed on a probationary term for up to twelve (12) months. Within thirty (30) days the Applicant shall submit to the Licensing Supervisor or his designee, a payment plan approved by the listed creditor(s). Within six (6) months the Applicant shall provide an updated credit report to the Contractor Licensing Supervisor, 2 Page 200 of 237 or his designee, no new delinquencies or non -payments. If the credit score is 660 or greater the probationary term shall be automatically lifted. If the score is not 660 or greater at the six (6) months period, the Applicant shall provide a second updated credit report to the Contractor Licensing Supervisor, or his designee, at twelve (12) months. If the credit report shows a score of 660 or greater, all accounts in collections have been paid in full, and no new credit issues have occurred, the probationary period shall be automatically lifted. if at any time during the 12-month probation period, the Applicant can show that all collections have been paid in full, and no other credit issues have occurred, and the personal credit score has reached 660 or higher, County staff will remove the probation requirement. If the score has not improved to at least 660 the Applicant shall appear back before this Board to explain the reason(s) the score is below the 660 minimum requirement. ORDERED by the Contractor Licensing Board effective the 17th day of April, 2024. CONTRACTOR LICENSING BOARD COLLIER COUNTY, FLORIDA B : T e, Vice -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 day of VAV 20Z r Secretary/Contractor Licensing Board 3 Page 201 of 237 Findings of Fact, Conclusions of Law and Decision of the Board Collier County Contractor Licensing Board For Applications Submitted to the Board for Review Type of Application: X Credit Report Review Waiver of Testing Requirements Reinstatement of License Request to Qualify Second Entity Other (specify) THIS CAUSE came on for public hearing before the Contractor Licensing Board (hereafter Board) on April 17, 2024, for consideration of an application submitted to the Board for review. The application submitted is for a license as a Landscaping Restricted Contractor. MICHAEL S. MOGLE — REVIEW OF CREDIT, dba MIKE'S CLEARWATER HARVESTING INC (hereinafter "Applicant") is before the Board for review of his credit score and a determination of whether the Applicant's credit should prevent the license from being issued to the Applicant. 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. The Applicant applied to the Collier County Contractor Licensing Supervisor, or his designee, for issuance of a license as a Landscaping Restricted Contractor. 2. Based on the credit report supplied by the Applicant to the Licensing Supervisor, a review of the creditworthiness of the Applicant by the Board is necessary. 3. The Applicant was present at the public hearing and was not represented by counsel. 1 Page 202 of 237 4. The Applicant has demonstrated to the Board's satisfaction that the Applicant has improved his creditworthiness to be issued the subject license subject to certain restrictions. 14Eel ► Eel KIbyEel 0RWe] aI_1r►► 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, the subject application met the requirement(s) requiring Board review and approval of the application. 3. The Applicant has sufficiently demonstrated to the Board that he meets the creditworthiness standard(s) as set out in Code of Laws and Ordinances of Collier County, as amended, to be issued a license as a Landscaping Restricted Contractor subject to certain restrictions. ORDER OF THE BOARD 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 6 in favor and 0 opposed, a unanimous vote of the Board present, the application for licensure as a Landscaping Contractor is hereby granted. 2. The subject license is placed on a probationary term for up to twelve (12) months. Within ninety (90) days the Applicant shall provide proof to the Contractor Licensing Supervisor, or his designee that payment plans have been established and current for all past due debts and no new credit issues. Within six (6) months the Applicant shall provide 2 Page 203 of 237 an updated personal and business credit report to the Contractor Licensing Supervisor, or his designee, evidencing an improved credit score with no new delinquencies or non - payments. If the credit score is 660 or greater and the business credit risk score is at least 3 (medium risk) the probationary term shall be automatically lifted. If the score is not 660 or greater at the six (6) months period, the Applicant shall provide a second updated credit report to the Contractor Licensing Supervisor, or his designee, at twelve (12) months. If the credit report is 660 or greater and the business credit risk score is at least 3 (medium risk) the probationary period shall be automatically lifted. If the score has not improved to at least 660 at the conclusion of the twelve (12) month probationary period. the Applicant shall appear back before this Board to explain the reason(s) the score is below the 660 minimum requirement. ORDERED by the Contractor Licensing Board effective the 17th day of April, 2024. CONTRACTOR LICENSING BOARD COLLIER COUNTY, FLORIDA By. Terry Jerul e, Vice -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 C day of 20Z. Secretary/Contractor Licensing Board 3 Page 204 of 237 From: Mike Moole To: Ryan Cathey Subject: Probation Date: Wednesday, April 23, 2025 8:25:12 AM 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..I have paid off my excavator 1 loan and 10 g more on my truck loan my 2 credit cards are more than half paid off nothing is late and my score hasn't changed..can I get an extension so I can find out why? And get it fixed insurance audit last month took my time. Im afraid may 21 may not be enough time to fight these reports. Mike Mogle 239-272-8219 please send mail to 3441 golden gate blvd east naples fl 34120 as I'm not getting mail at second avenue anymore. Or email but sometimes I don't get these either. Phone is usually the best way to contact me thank you. Sent from AOL on Android Page 205 of 237 Findings of Fact, Conclusions of Law and Decision of the Board Collier County Contractor Licensing Board For Applications Submitted to the Board for Review Type of Application: X Credit Report Review Waiver of Testing Requirements Reinstatement of License Request to Qualify Second Entity X Other (specify) Review of Experience THIS CAUSE came on for public hearing before the Contractor Licensing Board (hereafter Board) on April 17, 2024, for consideration of an application submitted to the Board for review. The application submitted is for a license as a Landscaping Restricted Contractor. RAFAEL AGUILAR, dba RL LANDSCAPE DESIGN AND BUILD (hereinafter "Applicant") is before the Board for review of his credit score and a determination of whether the Applicant's credit should prevent the license from being issued to the Applicant. He is also before the Board for review of his work experience. 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. The Applicant applied to the Collier County Contractor Licensing Supervisor, or his designee, for issuance of a license as a Landscaping Contractor. 2. Based on the credit report supplied by the Applicant to the Licensing Supervisor, a review of the creditworthiness and work experience of the Applicant by the Board is necessary. 1 Page 206 of 237 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 improved his creditworthiness to be issued the subject license subject to certain restrictions. 5. Applicant has demonstrated through testimony and evidence presented at this hearing that he has sufficient relevant, recent work experience to satisfy the requirements of a Landscape Restricted Contractor as set forth in Sec. 22-162 of the Code of Laws and Ordinances of Collier County, Florida. 6. His knowledge of the Landscaping business is adequate, when combined with his full application to protect the public health and safety of the citizens of Collier County, such that the issuance of a Certificate of Competency for a Landscaping Restricted Contractor is warranted with certain restrictions. CONCLUSIONS OF LAIN 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, the subject application met the requirement(s) requiring Board review and approval of the application. 3. The Applicant has sufficiently demonstrated to the Board that he meets the creditworthiness standard(s) as set out in Code of Laws and Ordinances of Collier County, as amended, to be issued a license as a Landscaping Restricted Contractor subject to certain restrictions. E Page 207 of 237 ORDER OF THE BOARD 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 6 in favor and 0 opposed, a unanimous vote of the Board present, the application for licensure as a Landscaping Restricted Contractor is hereby granted with certain conditions. 2. The subject license is placed on a probationary term for up to twelve (12) months. Within twelve (12) months the Applicant shall provide an updated credit report to the Contractor Licensing Supervisor, or his designee, evidencing an improved credit score with no new delinquencies or non -payments. If the credit score is 660 or greater the probationary term shall be automatically lifted. If the score is not 660 or greater at the twelve (12) months period, the Applicant shall appear back before this Board to explain the reason(s) the score is below the 660 minimum requirement. ORDERED by the Contractor Licensing Board effective the 17th day of April, 2024. CONTRACTOR LICENSING BOARD COLLIER COUNTY, FLORIDA B : Te 1 e, Vice�hairman 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 day of 202V . Secretary/Contractor Licensing Board 3 Page 208 of 237 Findings of Fact, Conclusions of Law and Decision of the Board Collier County Contractor Licensing Board For Applications Submitted to the Board for Review Type of Application: X Credit Report Review Waiver of Testing Requirements Reinstatement of License Request to Qualify Second Entity X Other (specify) Reinstatement THIS CAUSE came on for public hearing before the Contractor Licensing Board (hereafter Board) on March 20, 2024, for consideration of an application submitted to the Board for review. The application submitted is for reinstatement of a license as a Painting Contractor. GRANT M. WARK, dba WARK ENTERPRISE LLC (hereinafter "Applicant") is before the Board for review of his credit score and a determination of whether the Applicant's credit should prevent the license from being issued to the Applicant. 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. The Applicant applied to the Collier County Contractor Licensing Supervisor, or his designee, for reinstatement of a license as a Painting Contractor. 2. Based on the credit report supplied by the Applicant to the Licensing Supervisor, a review of the creditworthiness of the Applicant by the Board is necessary. 3. The Applicant was present at the public hearing and was not represented by counsel. 1 Page 209 of 237 4. The Applicant has demonstrated to the Board's satisfaction that the Applicant, even though his credit scare and report d❑ not meet the standards set out in Florida Administrative Code Section 6104-15.006, as adopted by Colier County, may be issued the subject license subject to certain restrictions to protect the public of Collier County. 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, the subject application required requiring Board review and approval of the application. 3. The Applicant has sufficiently demonstrated to the Board that he meets the creditworthiness standard(s) as set out in Code of Laws and Ordinances of Collier County, as amended, to be issued a license as a Painting Contractor subject to certain restrictions. ORDER OF THE BOARD 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 the Code of Laws and Ordinances of Collier County, as amended, by a vote of 7 in favor and 0 opposed, a unanimous vote of the Board present, the application for licensure as a Painting Contractor is hereby granted. 2. The subject license is placed on a probationary term for up to twelve (12) months. Within 60 days Applicant must submit proof that he has established payment plans for all delinquent credit accounts. Within six (6) months the Applicant shall provide an updated 2 Page 210 of 237 credit report to the Contractor Licensing Supervisor, or his designee, evidencing an improved credit score with no new delinquencies or non -payments. If the score is not 660 or greater at the six (6) months period, the Applicant shall provide a second updated credit report to the Contractor Licensing Supervisor, or his designee, at twelve (12) months. If at any time during the probationary period, the credit report is 660 or greater and all payment plans have been satisfied and paid in full the probationary period shall be automatically lifted. If the score has not improved to at least 660 by the end of the probationary period, the Applicant shall appear back before this Board to explain the reason(s) the score is below the 660 minimum requirement. 2024. ORDERED by the Contractor Licensing Board effective the 20th day of March, CONTCTIPR LICEN ING BOARD COLLI ,� NTY, Fk RIDA By: Stepheh M. Jaron, Ohairman 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 Z-� �, day of IWIr-ch 202-1. Secretary/Contractor Licen and 3 Page 211 of 237 Findings of Fact, Conclusions of Law and Decision of the Board Collier County Contractor Licensing Board For Applications Submitted to the Board for Review Type of Application: Credit Report Review Waiver of Testing Requirements Reinstatement of License Request to Qualify Second Entity Other (specify) Probation X Review THIS CAUSE came on for public hearing before the Contractor Licensing Board (hereafter Board) on April 16, 2025, for consideration of the Applicant's compliance with the terms of the probationary license granted to the Applicant on March 20, 2024. The review is for a license as a Painting Contractor. GRANT M. WARK, dba WARK ENTERPRISE LLC (hereinafter "Applicant") is before the Board for review of his credit score and a determination of whether the Applicant's credit has improved such as to allow removal of the probationary status of the license, or the license should be denied. 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. The Applicant applied to the Collier County Contractor Licensing Supervisor, or his designee, for issuance of a license as a Painting Contractor. 2. Based on the credit report supplied by the Applicant to the Licensing Supervisor, a review of the probationary status of the Applicant by the Board is necessary. 1 Page 212 of 237 3. The Applicant was present at the public hearing and was not represented by counsel. 4. The Applicant has not demonstrated to the Board's satisfaction that the Applicant has improved his creditworthiness to have the probation lifted at this time. 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, the subject application met the requirement(s) requiring Board review and approval of the application. 3. The Applicant has not sufficiently demonstrated to the Board that he meets the creditworthiness standard(s) as set out in Code of Laws and Ordinances of Collier County, as amended, to have the probationary status lifted and be issued a license as a Painting Contractor subject to certain restrictions. ORDER OF THE BOARD 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 8 in favor and 1 opposed, a vote of the Board present, the application for licensure as a Painting Contractor is hereby continued to the May 21, 2025 Board hearing. 2. The subject license will continue on a probationary term for review at the May 21, 2025 Contractor Licensing Meeting. At that time the Applicant shall provide an updated credit report to the Contractor Licensing Supervisor, or his designee, evidencing his 2 Page 213 of 237 current credit score, and evidence of payment plans in place with all delinquent creditors. The Board will review that evidence and decide what next steps are appropriate. ORDERED by the Contractor Licensing Board effective the 16th day of April 2025. CONTRACTOR LICENSING BOARD COLLIER COUNTY, FLORIDA By: Stephen M. Jaron, 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 day of 20 Secretary/Contractor Licensing Board 3 Page 214 of 237 EqUIFAX@ At a glance FICOOScore 8 30U Poor 5 ` 3 FICO (� Equdax :3nla Atlr 15.20ZS Account summary Overall credit usage Open accounts 2 Accounts ever late 9 Closed accounts o 55 % Collections 3 Average 5 yrs 3 mos account age Oldest account 10 yrs 6 mos. Credit used: $164 Credit hmit $300 Prepared For GRANT WORK Personal & confidential Date generated: Apr 15, 2025 850 Debt summary Credit card and credit line debt$164 Loan debt $29,994 Collections debt $2580 Total debt $32338 Page 215 of 237 EQUIFAX Personal information GRANT WORK 3720 81ST AVE SW NAPLES, FL 34117 GRANTM WARKE 3722 31ST AVE SW NAPLES, FL 34117 GRANT WARK 5727 112 LAKEVIEW DR SAGINAW, MI 48604 1985 894 N SCHEURMANN RD APT 10 ESSEXVILLE, MI 48732 3 DEJA LN AUBURN, MI 48611 307 N JEFFERSON ST BAY CITY, MI 48708 305 N JEFFERSON ST SAY CITY, MI 48708 3784 LONGFORE DR BAY CITY, MI 48706 £'msatiaf staternents Na Statement(s) present at this time Prepared For GRANT WORK Date generated: Apr 1 S. 2025 WARK PAINTING Page 216 of 237 EQUIFAX Prepared For GRANT WORE( Date generated: Apr i 5,1fl'LS Open accounts 9CARMAX AUTO FINANCE 529,994 1 late payment Balance updated Mar 15, 2025 I, Account info Account name GARMAX AUTO FINANCE Balance $29,994 Account number 579553XX Balance updated Mar 15, 2025 Original creditor Original balance 530,202 Company sold Paid off 1 Account type Installment Monthly payment $660 Date opened Sep 30, 2024 East Payment pate Mar 01, 2025 Open/closed Open Past due amount Status Pays account as agreed Terns 78 Months Status updated Mar 2025 Responsibility Joint Account Your statement $ Paytrrent history Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Der. 7025 30 2024 2023 2022 - - - 2.021 - 20213 - 0 Contact info Address Phone number Q Comments FIXED RATE PO BOX 440609 €CENNESAW, GA 30160-9511 (800) 925-3612 Page 217 of 237 EQUIFAX Prepared For GRANT WORK Date generated: Apr 15, 2{]25 MC8 INDIGO S164 - payment history Balance updated Mar 21, 2025 IN Accountinfa Account name CB INDIGO Balance S164 Account number 534348XXXXXXXXXX Balance updated Mar 21, 2025 Original creditor Credit lim;t S300 Company sold Credit usage 54% Account type Revolving Monthly payment $40 Date opened Sep 02, 2019 last Payment pate Mar 01, 2025 open/closed Open Past due amount - Status Pays account as agreed Highest balance $320 Status updated Mar 2025 Terms - Responsibility Individual Account Your statement $ Payment history Jan Fete Wir Apr May Jun Jul Aug Sep Oct Nov 7�r 2025 2024 2023 2022 2021 r 0 Contact info Address PO BOX 4499 BEAVERTON, OR 97076-4499 Phone number (800) 353-5920 d Comments Page 218 of 237 ZgUFFAX PrBpUsed For GRANT WORK bate generated: Apr I S.:i0Z5 Closed accounts sCAPITAE. LINE AUTO FEN SO 10 late payments Closed [i Account info Account name CAPITAL ONE AUTO FIN Balance SO Account number 620627XXXXXXXXXXX Balance updated Oct 21, 2024 Original creditor Original balance $22,996 Company sold Monthly payment $0 Account type Installment Last Payment Date Apr tit, 2024 Dale opened Sep 05, 2020 Past due amount Open/closed Closed Terms 72 Months Status Pays account as agreed Responsibility Joint Account Status updated Oct 2024 Your statement $ Payment history Jan Feh Near Apr WY Jun J'A Aug Sep Qct Nov Dec 2024 30 60 2023 30 30 30 30 2022 30 60 - 30 30 2021 ' 2020 - .ncn I..r�r:rlxp« 0 Contact info Address Phone number D2 Comments FIXED RATE c. 6: DA t Lve CREDIT BUREAU DISPUTE PO BOX 2 CREDIT BUREAU DISPUTE PLANO, TX 75025-9407 (800) 946.0332 Page 219 of 237 EgUIFAX Prepared Far GRANT 4YORIC date generated: Apr i $, 2025 nCAPITAL ONE BANK USA so payment history Closed ACCotmt info Account name CAPITAL ONE BANK USA Balance so Account number 517805XXXXXX Balance updated Sep 24, 2024 Original creditor Credit limit $300 Company sold Monthly payment - Account type Revolving Past due amount Date opened Jun 14, 2022 Highest balance Si3 Open/closed Closed Terms Status Pays account as agreed Responsibility Authorized user Status updated Sep 2024 Your statement $ Payment history Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2024 2023 J 2021 2020 i'1 Contact info Address PO BOX 31293 SALT LAKE CITY, UT 84131-1293 Phone number (800) 955-7070 0 Comments ACCOUNT CLOSED BY CREDIT GRANTOR Page 220 of 237 EQVI AX *CAPITAL ONE BANK USA Unknown payment history Di Account info Prepared Far GRANT WORK date generated: Afar 1$, 2025 $0 Closed Account name CAPITAL ONE DANK USA Balance $0 Account number 517805XXXXXX Balance updated Aug 07, 2020 Original creditor Credit limit $300 Company sold Monthiy payment - Account type Revolving Last Payment Date Mar 01, 2015 Date opened Oct 07, 2014 Past due amount - OpeNolosed Closed Highest balance $387 Status Pays account as agreed Terms - Status updated Aug 2020 Responsibility individual Account Your statement $ Payment history No payment history available to display. ® Contact info Address PO BOX 31293 SALT LAKE CITY, LIT 84131-1293 Phone number (8GO) 955-7070 0 Comments Page 221 of 237 *CAP#TAL ONEIWMT 9 potentially negative months D Account into Account name Account number Original creditor Company sold Account type Date opened Open/closed Status Status updated $ Payment history CAPITAL ONEIWMT 60322OXXXXXXXXXX Revolving Dec 22, 2019 Closed Charge -off Oct 2024 Prepai ; F;•.r GRANT WORK Case generated: Apt 15,2025 Balance Balance updated Credit limit Monthly payment Last Payment pate Past due amount Highest balance Terms Responsibility Your statement $0 Closed S0 Oct 21, 2024 $300 Sep 01, 2023 Individual Account Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov ❑ec 2024 r r 2023 120 Co Co Co CO Co Co CO Co 7022 30 60 90 120 1 30 50 90 120 2021 r 30 r 30 2020 - - - - - b'. 4�'LYps L91e .., 'V GYp4 L3Se 1[�11m.ijsw :,lJO ® Contactinfo Address PO BOX 31293 SALT LAKE CITY, UT 84131-1293 Phone number (800) 955-707D Comments SETTLEMENT ACCEPTED ON THIS ACCOUNT PAID CHARGE OFF Page 222 of 237 F'renareci F cF GRANT WORN Date generated: Apr 15,2025 %FINGERHUTIWEBBANK So C. el.+:=[ ts. ; payment history Closed e? Account into Account name FINGERHUT/WEBBANK Balance SO Account number 636992XXXXXXXXXX Balance updated Jun 21, 2022 Original creditor Credit limit $600 Company sold Monthly payment $0 Account type Revolving Past due amount - Date opened Nov 20. 2019 Highest balance $o Openlclosed Closed Terms Status Pays account as agreed Responsibility Individual Account Status updated Jun 2022 Your statement $ Payment history Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov 0,c 2022 2023 202© 2019 2018 ED Contact info Address 6250 RIDGEWOOD RO ST. CLOUD, MN 56303 Phone dumber (666) 734•0342 d Comments �' ..... 3 ..-.--e[ ..Y- .. .. .. ..... ... .....:1':=.i:LJ.��l1:s:]:3��•3.4z:4-: t:']:1 75; Page 223 of 237 EQUIFAX *FIRST PREMIER ,,6 potentially negative months iR Account info Account name Account number Original creditor Company sold Account type date opened Open/closed Status Status updated $ Payment history FIRST PREMIER 51780OXXXXXXXXXX Revolving Nov 21, 2019 Closed Charge -off Mar 2025 Prepared For GRANT WORK Date generated: Apr I5, 20Z� Balance Balance updated Credit limit Monthly payment Last Payment Date Past due amount Highest balance Terms Responsibility Your statement $789 Closed $789 Mar 02, 2025 $500 Jun 01, 2022 $789 Individual Account .Tan Feb Mar Apr May Jun Jul Aug Sep Oci Nov Dee 2025 CO Co 2024 Co Co Co co co Co Co co co co Co Co 2023 CO CO Co CO Co Co Co CO CO Co CO Co 2022 30 60 90 120 30 60 60 90 120 2021 - - I 1 30 v 1 r 0 Contact info Address Phone number 0 Comments CHARGED OFF ACCOUNT 3820 N LOUISE AVE TAPE ONLY SIOUX FALLS, SD 57107-0145 (800)501-6535 Page 224 of 237 Fq#JIFAX Prepared For GRANT WORK date gerveratOd Ater F 5, 2P25 , *SANTANDER CONSUMER U ? late payments Ci Account info Account name SANTANDER CONSUMER U Balance Account number 300002XXXXXXXXXXX Balance updated Original creditor GATEWAY ONE LENDING FINANCIA Original balance Company sold - Monthly payment Account type Installment Last Payment Date Date opened Apr 09, 2015 Past due amount Open/closed Closed 'erms Status Pays account as agreed Responsibility Status updated Jun 2022 Your statement $ Payment hisliary so Closed so .fun 2t 2l)22 S17,499 $a May 01, 2021 78 Months Individual Account Jan Feb Mar Apf- May Jun Jul Aug Sep Oct Nov Dec 2021 2020 30 30 1 2019 2018 0 Contact into Address Phone number 0 Comments PO BOX 961211 SANTANDER CONSUMER/GOLF FORT WORTH, TX 76161 (888) 222.4227 Page 225 of 237 Prepapvd For GRANT WORK Date generated: Apr 15, 2025 *TBOM MIL to Fwceptis�r— payment history Glosed n Account info Account name TBOM MIL Balance S0 Account number 549806XXXXXXXXXX Balance updated May 13, 2025 Original creditor Credit limit $700 Company sold Monthly payment - Account type Revolving Past due amount - Date opened Jan 21, 2024 Highest balance $221 Openiclosed Closed Terms Status Pays account as agreed Responsibility Individual Account Status updated Mar 2025 Your statement $ Payment history Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Doc 2025 _ 2024 2023 202.2 2021 0 Contact info Address Phone number @ Gammen% PO BOX 4499 TBOM MUSTONE BEAVERTON, OR 97076 (800) 305.0330 Page 226 of 237 E QUIFAX `: *WELLS FARGO CARD SEA 5 late payments N' Account info Account dame Account number Original creditor Company sold Account type Date opened Open/closed Status Status updated $ Payment history Prepared For GRANT WORK Date generated: Apr 15.2025 WELLS FARGO CARD SER Balance 442644XXXXXXXXXX Balance updated Credit limit Monthly payment Revolving Last Payment Date Apr 12, 2019 Past due amount Closed Highest balance At least 120 days or more than Terms four payments past due Responsibility Jul 2024 Your statement to Closed $0 Jul 26, 2024 $300 Jun 01, 2022 $554 Individual Account Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2024 ' . 120 - 2023 2022 30 60 90 Y 2021 30 2020- Yr :•: sit rsw�e �e.. ��� �ir�:a�r Mtn ;naw��e M Contact info Address CREDIT BUREAU DISPUTE RESOLUTI DES MOINES, IA 50306 Phone number (son) 642.4720 >3 Comments ACCOUNT CLOSED BY CREDIT GRANTOR Page 227 of 237 EgVIFAX Collection accounts OCR EDIT COLLECT40N5 Original creditor: PROGRESSIVE D Account info Prelfa red For GRANT WORK date generated: Apr 15, 2025 Account name CREDIT COLLECTIONS Balance Account number 110444XX Balance updated Original creditor PROGRESSIVE Paid off Company sold - Monthly payment Account type Collection Account Past due amount Hate opened Aug 29, 2024 Terms Status Unpaid Responsibility Status updated Apr 2025 Your statement $ Payment history No payment history available to display. 0 Contact info Address 725 CANTON ST NORWOOD, MA D2062.2679 Phone number (603) 570-4784 0 Comments S690 Balance updated - $690 0% Individual Account Page 228 of 237 EQUIFAX eCREAIT COLLECTIONS Original creditor: SAFECO IN Account info Account name Account number Original creditor Company sold Account type Date opened Status Status updated CREDIT COLLECTIONS 40XXXX SAFECO IN Collection Account Oct Cis, 2022 Unpaid Apr 2025 Payment history No payment history available to display, ® Contact into Address 725 CANTON 5T NORWOOD, MA 02062-2679 Phone number (603) 570-4784 0 Comments Prepared For GRANT WORN t7ate generated: Apr 15, 2025 Balance Balance updated Paid off Monthly payment Past due amount Terms Responsibility Your statement 81,057 Balance updated - S1,057 0/ Indi►ridual Account Page 229 of 237 EQUIFAX •PORTFOLIO RECOVERY A Original creditor: CAPITAL ONE N A Account info Account name Account number Original creditor Company sold Account type Date opened Status Status updated $ Payment history PF,?PaK'-d 1 or GRANT WORK QPt®geFierated: AP)' 1$. 2U25 $833 Balance updated Mar 26r 2025 PORTFOLIO RECOVERY A Balance $833 CAPIT-XXXXXXXXXXXXXX Balance updated Mar 26, 2025 CAPITAL ONE N A Paid off 0% Monthly payment - Open Account Past due amount S833 Jun 24, 2024 Terms - - Responsibility Individual Account Mai-2025 Your statement Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 202.5 C C 2024 C C 2023 2022 2021 - 2020 0 Contact info Address Phone number Pi Comments COLLECTION ACCOUNT ","a- e- RIVERSIDE COMMERCE CENTER NORFOLK, VA 23502.4962 (s00)772-1413 Page 230 of 237 EQUIFAK Public records No public records reported. PfPP3F@d Fur GRANT WORK Dato qemerawdi Apr I 5, 2. Ij J_S Pa -A c 1 Page 231 of 237 f[1UIFAJIX Inquiries AMERICAN CREDIT ACCE Inquired an Sep 10, 2024 Business Type: Auto Financing 961 EAST MAIN STREET 2ND FLOOR SPARTANBURG,SC 29302.2149 (866) 441.0251 This inquiry is scheduled to continue on record until Oct 2026 CAP ONE VIA DEALER inquired on Apr 14.2024 Business Type: Auto Financing PO BOX 259407 PO# USBNK518211 PLANa TX 75025 (800)946-0337 This inquiry is scheduled to continue on record until May 2026 WESTLAKE SERVICE INC Inquired on Sep 10, 2024 Business Type: Auto Financing 4751 WILSHIRE BLVLi SUITE 100 LOS ANGELES, CA 90010 (323) 692-4188 This inquiry is scheduled to continue on record until Oct 2026 Frepared FVr GRANT WORK Date generated: Apr 15, 202S CAP ONE VIA DEALER Inquired on Sep 10, 2024 Business Type: Auto Financing PO BOX 259407 PO# US8NK518211 PLANO. TX 75025 (800) 946-0332 This utquiry is scheduled to continue on record until Oct 202fi CAP ONE VIA DEALER Inquired on Apr 16. 2024 Business Type Auto Financing PO BOX 259407 PO# USBNK519211 PLANO. TX 75025 (800) 946-10332 This inquiry is scheduled to continue on record unid May 2026 CARMAX AUTO FINANCE CARMAX AUTO FINANCE Inquired on Sep 6.2024 Inquired on Apr 14, 2024 Business Type: Auto Financing Business Type. Auto Financing 225 CHASTAIN MEADOWS CT 225 CHASTAIN MEADOWS 07 KENNESAW, GA 30144 (7701792 4600 This inquiry is scheduled to continue on record until Oct 2026 KENNESAW, GA 30144 (770) 792-46110 This inquiry is scheduled to continue on record until May 2026 Page 232 of 237 EQUIFAX Credit scores FICO° Score 8 $� 563 FICA Equifax Prepared For GRANT WORK pate generated: ART 15. -e J025 Your score Is well below the average score of U.S- con sumerS and demonstrates to lenders that you are a risky borrower. What's helping 0 Recent credit card usage • Yotive shown recent useaf credit cards andior Nnnk-issued open-ended accounts • Ff CQ_ Scores evaluate the mix of Credit Cards, instalim ent loans and mortgages. People ilho demonstrate recent and re spun si bre use of credit Cards and/or hank -issued wen -ended accounts are generally considered less t€xky I lenders What's hurting - Negative items • You have a serious deIingi€ency or derogatory uidicalar, public record andior cotfection on your credit repnfl. • Number of your accounts that were ever 60 days late or worse or have a derogatory indicator- 3 aamunls • Vrrlually no FICO High Achievers have a 60 days late payment or worse listed on their credit report • Number of colter tions on your credit reprxl 3 collections • Virlualiv no FfCO High Achievers have public record Cyr Cotfec bon fisted on [heir credit fepafl. • The presence of a serious delinquency or derogatrrry indicator and a derogatrxypuhlicferord (such as a bankruptcy) V collec-lion is a powerIul prednaor of f inure payrnerit risk. However, new,ar Verson% of the score including F ICM Score 9, FIC"� Score 10- and Score 10 T orily con sideT unpaid collections. Most collections, public records and dehnquemues stay an the report f or no mote than seven years • thou4h tti ere are certain items that cuukt remain longer As these items age, they may have less impact on the FICO k Score. SWisfying the public re[-ord or paying off the ccIlection will not remove the itern from a credit report. And it wilf still be considered by a 1-1i." SCOTe as long as it IS reported. -- Bad payment history • You have one or more accounts simwing missed payments or denrgatnry indreatorS • Number of your accounts with a missed payment w derogatory indicator. S acrounts • About 98% of FICO High AcNLvers have no missed payments al aft- Put of those who do, the missed payment happened neafiy 4 years ago. opt average. • The presence of missed and late payol nts or derogatory inchcafors on a ctedri report- intruding the number of late payments, how fate they were and how recently they occurred, are correlated with future Credit nsk- Your FICO@ Score was lowered due to the number of missed and €ate payments andior Page 233 of 237 • accounts with derogatory Indicators reported As the number of accounts with dehaquency or derogatory indicators decmuses. they have less irnpact on a Flt^OM Snare Recent missed payment • You recently cussed a payment or had a derogatory indicator reported on yDUt credit mport- • Your moss recent missed payment happened: 3 Months ago • About 98:. of FIC0 High Achwvers have no missed payments al all. But of those who do. She missed payment happened nearly 4 years ago. on aye rage • The presence Of missed of la le payments or derogatory indicators on a credit report, including the numbef of missed paynenis, hour late they were and how recently they occurred, are correlated with future credit risk. Generally speaking, people why cpnsrstent Iy poy their bills on time are less risky oornpared zo people with recently missed payments As missed payments age, they have less impart on a FIC01- Score. Short account history • You have a shore credit history. • Your oldest accounl was opened: 10 Years, 6 Months ago • FIC0 High Achievers opened their oldest account 25 years aqo, on average, • Average age of your actounls S Years. 5 Months • Most FICO High Achievers have all ave re ge age 0 account$ of 9 years oir inore. • People with longer credit Nsiories who infrep uently open new ac'COUr7i5 generally pose Tess risk to lenders. fn your case, the age of "uf oldesl :lccounl an djar the average age of your accounts is relatively low. L:L,ri it rill e:r: ra Ci1'.; %`=iilt21.1`C"rep oi'tiC: rrii i t;y si2f0217 C741:11.4, Fj 4 0. 'K).)0 y) !jF L Page 234 of 237 EgUIFAX ` Disclaimer About your 1 IWC " Score S or other FlCaO Scores Prepared For GRANT WORK pate generated: Apr l5, TU25 Your FICA' Score 8 powered by Experian data is formulated using the information in yourcredit file at the time it is requested. Many but not all lenders use FICD' Score 8. In addition to the FICD° Score 8, we may offer and provide other base or industry•specPfic FICQ'` Scores (such as FJCOe Auto Scores and FICA" Bankcard Scores). The other FICD"' Scores made available are calculated from versions of the base and industry -specific FJCC) F Scoremodels- BaseFICO'` Scores (including the F1CO$ Score 8) range from 300 to 850 Industry -specific FICD` Scares range from 250.900 Higher scores represent a greater likelihood that you'll pay back your debts so you are viewed as being a Iower credit risk to lenders- A tower FICD` Score indicates to lenders that you may be a higher credit risk. there are many scoring models used in the marketplace. The type of scare 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 cred Ftworthinass. keep in mind that your score is just one factor used in the application process. Other (actors, such as your annual salary and length of employment, may also be considered by lenders when you apply for a Ioan- 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 F I C 0 ' Score than FICV Score 8 or other base or industry -specific FtCa'�' Scores provided by us, or different scori3ng models to determine how you score a_:r- . •s I'° ^-:...:;• {allot 2vi:t:;1 'a !aaC=i35 Page 235 of 237 Grant Wark Wark Enterprise L!_C (SBA) Wark Painting LCC20160000378 gra n tvva rk@gm a i l_c o m (239) 699-2870 3720 31"Ave SW Naples, EL 34117 CREDIT _SUM MARY__At4-D PLAN TO RESOLVE DEBTS DATE CREDIT BUREAU SCORE 05/19/2025 EXPERIAN 559 — 05/19/2025 EQUIFAX 563 05/19/2025 TRANSU NiON 558 TOTAL AMOUNT COLLECTIONS $4,533.00 T_ CREDITOR AMOUNT OWED MONTHLY PAYMENT DURATION PAY OFF DAT E CAPIO PARTNERS LLC $1,953.00 $162.75 12 MONTHS _ 06/01/2026 2222 Texoma Pkwy, Ste. 150, Sherman, TX 75090 (909)892-7400 CREDIT COLLECTION SERV $690.00 $57.50 12 MONTHS 06/01/2026 (PROGRESSIVE) 725 Canton St, Norwood, MA 02062 (617) 965-2000 CREDIT COLLECTION SERV $1,057.00 $88.08 12 MONTHS 0610112C28 (SAFECO) 725 Canton St, Norwood, MA 02062 (617) 965-2000 PORTFOLIO RECOV ASSOC $833.00 $69.41 12 MONTHS 05/01/2026 (CAPITOL ONE) 120 Corporate Blvd, Suite 100, Norfolk, VA 23502 (757) 519-9300 Page 236 of 237 WARK FNTFRl)Rl51; LL[ 1720 >> ST AVE SW WELLS FARGG BANK 4795 GOLDEN GATE PKY 53�10ra513 NrAPI-US FL 3d117 MAPLES FL 34116 - - DATE - PAY TO THE ^r !' -� ORDER OF• DOLLARS MEMO WARNING: THIS noci •,-•-:.� . - .- WARK ENTF.RPRISi. LLC 2 WELLS >=ARGQ SANK 37203 ISTAVESW 4795 GOLD EN GATE PKY 53.310n5t-3 NAPLES Fl- 34117 _ NAPLES FL 34116 DATE-1-- PAY TO THE DRDER OF — DOLLARS MEMO r' -2 L `' WARM IN Gz THIS MOUtiAEN7 44AS Sf..L':' ' = - WARK F.NTF.RPRISE LLC 3 372031s1' AVEi 5w WELLS FAI�GD BANK 4795 GOLDEN GATE PKY 6&31 pr553 NAPLES FL 34117 NAPLES FL 34118 DATE PAY TO THE ORDER OFF, DOLLARS MEMO WA14NING: TIMS fl0�!11:=E =d• F•..:5 WARK ENTERPRISE LLC 4 }7?0 31 ST A V F SW WELLS FARGD BANK 4795 GOLDEN GATE PKY 63 3t017513 NAPLES FL 34117 NAPLES FL 34116 DATE p - -- PAY TO THE ORDER QF— MEMOi��:.l 1� 12' Z 'd L*mac s Page 237 of 237