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Agenda 11/10/2025 Item #16A21 (Award Invitation for Qualification No. 25-8345, “Landscape Maintenance Contractors,” to Mainscape, Inc., Superior Landscaping & Lawn Service, Inc., A&M Property Maintenance, LLC, John Fideli Landscapes, LLC, and R & N Lawn M11/10/2025 Item # 16.A.21 ID# 2025-4357 Executive Summary Recommendation to award Invitation for Qualification No. 25-8345, “Landscape Maintenance Contractors,” to Mainscape, Inc., Superior Landscaping & Lawn Service, Inc., A&M Property Maintenance, LLC, John Fideli Landscapes, LLC, and R & N Lawn Maintenance, Inc., and authorize the Chair to sign the attached Agreements. OBJECTIVE: To qualify multiple contractors to provide landscape maintenance services throughout all Parks and Recreation locations. CONSIDERATIONS: On April 23, 2025, the Procurement Services Division issued Invitation for Qualifications No. 25-8345, “Landscape Maintenance Contractors”. Nine hundred forty-seven (947) packages were viewed, and five proposals were received by the May 23, 2025, submission deadline. Staff reviewed the proposals received and found four bidders to be responsive and responsible, with minor irregularities. R & N Lawn Maintenance, Inc. was initially found to be nonresponsive due to a lack of required licenses. A selection committee met on August 8, 2025, and reviewed, deliberated, and scored the proposals, resulting in a tie for first place between Mainscape, Inc. and Superior Landscaping & Lawn Service, Inc. Pursuant to the tiebreaker procedure outlined in the solicitation document, the tie was resolved in favor of Mainscape, Inc. as the top-ranked proposal. On September 5, 2025, the selection committee reconvened to re-evaluate the proposal from R & N Lawn Maintenance, Inc., which had been incorrectly deemed nonresponsive during the evaluation process. Ultimately, the selection committee elected to move forward with a final ranking, which resulted in the following: Company Name City County State Final Ranking Responsive/ Responsible Mainscape Inc. Bonita Springs Lee FL 1 Yes/Yes Superior Landscaping & Lawn Service Inc. Bonita Springs Lee FL 2 Yes/Yes A&M Property Maintenance LLC Ave Maria Collier FL 3 Yes/Yes John Fideli Landscapes, LLC Cape Coral Lee FL 4 Yes/Yes R&N Lawn Maintenance Cape Coral Lee FL 5 Yes/Yes Staff recommends awarding contracts to all vendors to establish a pool, so staff can request competitive quotes for each project and award the work for that project to the vendor with the lowest quote. The attached agreements have an initial three-year term with two optional one-year renewals. These agreements are replacing Agreement No. 20-7676, “Parks Landscape Maintenance,” which is currently on an extension and will terminate upon the execution of the attached Agreement No. 25-8373 in the County’s financial system. Page 2896 of 6525 11/10/2025 Item # 16.A.21 ID# 2025-4357 This item falls under the section of Infrastructure and Asset Management of the strategic plan to optimize the useful life of all public infrastructure and resources through proper planning and preventative maintenance. FISCAL IMPACT: The base annual amount of the contract is estimated to be $300,000 plus any additional and unanticipated services. These services will be used Agency-wide. Individual orders are to be consistent with current budget allocations. GROWTH MANAGEMENT IMPACT: This item is consistent with the Collier County strategic plan objective to optimize the useful life of all public infrastructure and resources through proper planning and preventative maintenance. LEGAL CONSIDERATIONS: This item is approved as to form and legality and requires majority vote for Board approval. —SRT RECOMMENDATION(S): To award Invitation for Qualification No. 25-8345, “Landscape Maintenance Contractors,” to Mainscape, Inc., Superior Landscaping & Lawn Service, Inc., A&M Property Maintenance, LLC, John Fideli Landscapes, LLC., and R & N Lawn Maintenance, Inc., and authorize the Chairman to sign the attached Agreements. PREPARED BY: Brooke Roxberry, Management Analyst II, GMCD ATTACHMENTS: 1. [John Fideli Landscapes, LLC] Response Document Report 2. [Mainscape] Response Document Report 3. A&M PROPERTY MAINTENANCE, LLC Proposal 4. 25-8345 A&M COI exp.12.16.25 5. 25-8345 A&M ContractVS 6. 25-8345 John Fideli COI exp.10.6.26 7. 25-8345 John Fideli Contract VS 8. 25-8345 Mainscape COI exp.10.1.26 9. 25-8345 Mainscape Contract VS 10. 25-8345 NORA_Revised 11. 25-8345 R&N COI exp.1.1.26 12. R&N Lawn Maintenance Inc. Proposal 13. 25-8345 R&N Lawn ContractVS 14. Superior Landscaping & Lawn Service Inc. Proposal 15. 25-8345 Superior COI exp.12.1.25 16. 25-8345 Superior Contract VS 17. 25-8345 Total Scores_Final Ranking Page 2897 of 6525 County of Collier, FL Procurement Kenneth Kovensky, Executive Director 3299 Tamiami Trail, East Naples, FL 34112 [JOHN FIDELI LANDSCAPES, LLC] RESPONSE DOCUMENT REPORT GEN No. 25-8345 Landscape Maintenance Contractors RESPONSE DEADLINE: May 23, 2025 at 3:00 pm Report Generated: Friday, May 23, 2025 John Fideli Landscapes, LLC Response CONTACT INFORMATION Company: John Fideli Landscapes, LLC Email: jfideli@landscapesfl.com Contact: John Fideli Address: 4706 Chiquita Blvd South Suite 200 Cape coral, FL 33914 Phone: (239) 258-6126 Website: Landscapesfl.com Submission Date: May 21, 2025 7:30 PM (Eastern Time) Page 2898 of 6525 [JOHN FIDELI LANDSCAPES, LLC] RESPONSE DOCUMENT REPORT GEN No. 25-8345 Landscape Maintenance Contractors [JOHN FIDELI LANDSCAPES, LLC] RESPONSE DOCUMENT REPORT undefined - Landscape Maintenance Contractors Page 2 ADDENDA CONFIRMATION Addendum #1 Confirmed May 21, 2025 11:25 PM by John Fideli QUESTIONNAIRE 1. I certify that I have read, understood and agree to the terms in this solicitation, and that I am authorized to submit this r esponse on behalf of my company.* Confirmed 2. ALL DOCUMENTS REQUIRING EXECUTION SHOULD BE EITHER BY WET SIGNATURES OR VERIFIABLE ELEC TRONIC SIGNATURES. FAILURE TO PROVIDE THE APPLICABLE DOCUMENTS MAY DEEM YOU NON-RESPONSIVE/NON-RESPONSIBLE. Confirmed 3. Invitation for Qualification (IFQ) Instructions Form* Invitation for Qualification (IFQ) Instructions have been acknowledged and accepted. Confirmed 4. Collier County Purchase Order Terms and Conditions.* Collier County Purchase Order Terms and Conditions have been acknowledged and accepted. Confirmed 5. Insurance Requirements* Vendor Acknowledges Insurance Requirement and is prepared to produce the required insurance certificate(s) within five (5) days of the County's issuance of a Notice of Recommended Award. Page 2899 of 6525 [JOHN FIDELI LANDSCAPES, LLC] RESPONSE DOCUMENT REPORT GEN No. 25-8345 Landscape Maintenance Contractors [JOHN FIDELI LANDSCAPES, LLC] RESPONSE DOCUMENT REPORT undefined - Landscape Maintenance Contractors Page 3 Confirmed 6. Proposal Submittal* Please submit a proposal per Evaluation Criteria outlined in Solicitation. JFL_Bid_Response_25-8345_IFQ_Landscape_Maintenance_Contractors.pdf 7. County Required Forms VENDOR DECLARATION STATEMENT (FORM 1)* JFL_Vender_Declartion_Statement.pdf CONFLICT OF INTEREST AFFIDAVIT (FORM 2)* JFL_Conflict_of_Interest_Cert_Affidavit.pdf IMMIGRATION AFFIDAVIT CERTIFICATION (FORM 3)* JFL_Immigration_Affidavit_Cert.pdf LOCAL VENDOR PREFERENCE (IF APPLICABLE FORM 4) Include a copy of the business tax receipt. JFL_Local_Vender_Preference_Cert.pdf REFERENCE QUESTIONNAIRE (IF APPLICABLE FORM 5) JFL_Refernce_Forms.pdf GRANT PROVISIONS (IF APPLICABLE FORM 6) All forms must be completed No response submitted PROOF OF STATUS FROM DIVISION OF CORPORATIONS - FLORIDA DEPARTMENT OF STATE (SUNBIZ)** Page 2900 of 6525 [JOHN FIDELI LANDSCAPES, LLC] RESPONSE DOCUMENT REPORT GEN No. 25-8345 Landscape Maintenance Contractors [JOHN FIDELI LANDSCAPES, LLC] RESPONSE DOCUMENT REPORT undefined - Landscape Maintenance Contractors Page 4 http://dos.myflorida.com/sunbiz/ should be attached with your submittal. Division_of_Corporations_John_Fideli_Landscapes.pdf E-VERIFY - MEMORANDUM OF UNDERSTANDING* Vendor MUST be enrolled in the E-Verify - https://www.e-verify.gov/ at the time of submission of the proposal/bid. E-Verify Memorandum of Understanding or Company Profile page should be attached with your submittal. E-Verify_MOU_John_Fideli_Landscapes.pdf W-9 FORM* JFL_w9.pdf SIGNED ADDENDUMS (IF APPLICABLE) JFL_Signed_25-8345_Addendum_1.pdf MISCELLANEOUS DOCUMENTS No response submitted Page 2901 of 6525 Page 2902 of 6525 Page 2903 of 6525 Page 2904 of 6525 Page 2905 of 6525 Page 2906 of 6525 Page 2907 of 6525 Page 2908 of 6525 Page 2909 of 6525 Page 2910 of 6525 Page 2911 of 6525 Page 2912 of 6525 Page 2913 of 6525 Page 2914 of 6525 Page 2915 of 6525 Page 2916 of 6525 Page 2917 of 6525 Page 2918 of 6525 Page 2919 of 6525 Page 2920 of 6525 Page 2921 of 6525 Page 2922 of 6525 Page 2923 of 6525 Page 2924 of 6525 Page 2925 of 6525 Page 2926 of 6525 Page 2927 of 6525 Page 2928 of 6525 Page 2929 of 6525 Page 2930 of 6525 Rev. 1 2025 Additional Contact Information Send payments to: (required if different from above) Company name used as payee Contact name: Title: Address: City, State, ZIP Telephone: Email: Office servicing Collier County to place orders (required if different from above) Contact name: Title: Address: City, State, ZIP Telephone: Email: John Fideli President 4706 Chiquita blvd South, Suite 200 Cape Coral, FL 33914 Cell 239-258-6126 Jfideli@landscapesfl.com Same As Above John Fideli Landscapes, LLC Page 2931 of 6525 Page 2932 of 6525 Page 2933 of 6525 Page 2934 of 6525 John Fideli Landscaping,LLC John Fideli Keithon Patterson, Sr., MPA City of Cape Coral kmpatterson0322@gmail.com 239-242-3819 median landscape, mowing, maint. Contract: BPW2171-MM/A 1OCT26 $777,500.00 1,825 10 10 10 10 10 10 10 10 10 10 100 Page 2935 of 6525 John Fideli Chuck Peters Charlotte County BOCC chuck.peters@charlottecountyfl.gov 941-575-3658 South County ROW Mowing $290,000 12/31/2025 365 10 10 08 10 10 10 08 10 10 10 96 By Chuck Peters at 2:56 pm, Feb 11, 2025 John Fideli Landscapes, LLC Page 2936 of 6525 John Fideli Landscapes John Fideli Natosha Graves Department of Juvenile Justice Natosha.Graves@fldjj.gov 850-717-2543 Lawn care at Pompano Youth Treatment Center 24 10 10 10 10 10 10 10 10 10 10 100 June 30, 2025 $28,500.00 Page 2937 of 6525 Document Number FEI/EIN Number Date Filed State Status Last Event Event Date Filed Event Effective Date Department of State / Division of Corporations / Search Records / Search by Entity Name / Detail by Entity Name Florida Limited Liability Company JOHN FIDELI LANDSCAPES, LLC Filing Information L14000109077 47-1330672 07/10/2014 FL ACTIVE LC STMNT OF RA/RO CHG 07/31/2017 11/30/2015 Principal Address 4706 Chiquita Blvd South Suite 200 Cape coral, FL 33914 Changed: 11/29/2022 Mailing Address 4706 Chiquita Blvd South Suite 200 Cape coral, FL 33914 Changed: 11/29/2022 Registered Agent Name & Address J FIDELI, JOHN A, II 4706 CHIQUITA BLVD, SUITE 200 CAPE CORAL, FL 33914 Name Changed: 11/30/2015 Address Changed: 07/31/2017 Authorized Person(s) Detail Name & Address Title PRESIDENT D C Florida Department of State Page 2938 of 6525 J. FIDELI, JOHN A, II 4706 Chiquita Blvd South Suite 200 Cape coral, FL 33914 Title VP FIDELI, PHYLLIS 4706 CHIQUITA BLVD SOUTH SUITE 200 CAPE CORAL, FL 33914 Annual Reports Report Year Filed Date 2022 01/08/2022 2023 01/10/2023 2024 01/18/2024 Document Images 01/18/2024 -- ANNUAL REPORT View image in PDF format 01/10/2023 -- ANNUAL REPORT View image in PDF format 01/08/2022 -- ANNUAL REPORT View image in PDF format 01/07/2021 -- ANNUAL REPORT View image in PDF format 01/11/2020 -- ANNUAL REPORT View image in PDF format 01/28/2019 -- ANNUAL REPORT View image in PDF format 01/11/2018 -- ANNUAL REPORT View image in PDF format 07/31/2017 -- CORLCRACHG View image in PDF format 03/18/2017 -- AMENDED ANNUAL REPORT View image in PDF format 01/17/2017 -- ANNUAL REPORT View image in PDF format 04/02/2016 -- ANNUAL REPORT View image in PDF format 11/30/2015 -- REINSTATEMENT View image in PDF format 07/10/2014 -- Florida Limited Liability View image in PDF format Florida Department of State, Division of Corporations Page 2939 of 6525 Company ID Number: THE E-VERIFY MEMORANDUM OF UNDERSTANDING FOR EMPLOYERS ARTICLE I PURPOSE AND AUTHORITY The parties to this agreement are the Department of Homeland Security (DHS) and (Employer). The purpose of this agreement is to set forth terms and conditions which the Employer will follow while participating in E-Verify. E-Verify is a program that electronically confirms an employee’s eligibility to work in the United States after completion of Form I-9, Employment Eligibility Verification (Form I-9). This Memorandum of Understanding (MOU) explains certain features of the E-Verify program and describes specific responsibilities of the Employer, the Social Security Administration (SSA), and DHS. Authority for the E-Verify program is found in Title IV, Subtitle A, of the Illegal Immigration Reform and Immigrant Responsibility Act of 1996 (IIRIRA), Pub. L. 104-208, 110 Stat. 3009, as amended (8 U.S.C. § 1324a note). The Federal Acquisition Regulation (FAR) Subpart 22.18, “Employment Eligibility Verification” and Executive Order 12989, as amended, provide authority for Federal contractors and subcontractors (Federal contractor) to use E-Verify to verify the employment eligibility of certain employees working on Federal contracts. ARTICLE II RESPONSIBILITIES A. RESPONSIBILITIES OF THE EMPLOYER 1.The Employer agrees to display the following notices supplied by DHS in a prominent place that is clearly visible to prospective employees and all employees who are to be verified through the system: a.Notice of E-Verify Participation b.Notice of Right to Work 2.The Employer agrees to provide to the SSA and DHS the names, titles, addresses, and telephone numbers of the Employer representatives to be contacted about E-Verify. The Employer also agrees to keep such information current by providing updated information to SSA and DHS whenever the representatives’ contact information changes. 3.The Employer agrees to grant E-Verify access only to current employees who need E-Verify access. Employers must promptly terminate an employee’s E-Verify access if the employer is separated from the company or no longer needs access to E-Verify. Page 1 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 John Fideli Landscapes, LLC 1567022 Page 2940 of 6525 Company ID Number: 4.The Employer agrees to become familiar with and comply with the most recent version of the E-Verify User Manual. 5.The Employer agrees that any Employer Representative who will create E-Verify cases will complete the E-Verify Tutorial before that individual creates any cases. a.The Employer agrees that all Employer representatives will take the refresher tutorials when prompted by E-Verify in order to continue using E-Verify. Failure to complete a refresher tutorial will prevent the Employer Representative from continued use of E-Verify. 6.The Employer agrees to comply with current Form I-9 procedures, with two exceptions: a.If an employee presents a "List B" identity document, the Employer agrees to only accept "List B" documents that contain a photo. (List B documents identified in 8 C.F.R. § 274a.2(b)(1)(B)) can be presented during the Form I-9 process to establish identity.) If an employee objects to the photo requirement for religious reasons, the Employer should contact E-Verify at 888-464-4218. b.If an employee presents a DHS Form I-551 (Permanent Resident Card), Form I-766 (Employment Authorization Document), or U.S. Passport or Passport Card to complete Form I-9, the Employer agrees to make a photocopy of the document and to retain the photocopy with the employee’s Form I-9. The Employer will use the photocopy to verify the photo and to assist DHS with its review of photo mismatches that employees contest. DHS may in the future designate other documents that activate the photo screening tool. Note: Subject only to the exceptions noted previously in this paragraph, employees still retain the right to present any List A, or List B and List C, document(s) to complete the Form I-9. 7.The Employer agrees to record the case verification number on the employee's Form I-9 or to print the screen containing the case verification number and attach it to the employee's Form I-9. 8.The Employer agrees that, although it participates in E-Verify, the Employer has a responsibility to complete, retain, and make available for inspection Forms I-9 that relate to its employees, or from other requirements of applicable regulations or laws, including the obligation to comply with the anti- discrimination requirements of section 274B of the INA with respect to Form I-9 procedures. a.The following modified requirements are the only exceptions to an Employer’s obligation to not employ unauthorized workers and comply with the anti-discrimination provision of the INA: (1) List B identity documents must have photos, as described in paragraph 6 above; (2) When an Employer confirms the identity and employment eligibility of newly hired employee using E-Verify procedures, the Employer establishes a rebuttable presumption that it has not violated section 274A(a)(1)(A) of the Immigration and Nationality Act (INA) with respect to the hiring of that employee; (3) If the Employer receives a final nonconfirmation for an employee, but continues to employ that person, the Employer must notify DHS and the Employer is subject to a civil money penalty between $550 and $1,100 for each failure to notify DHS of continued employment following a final nonconfirmation; (4) If the Employer continues to employ an employee after receiving a final nonconfirmation, then the Employer is subject to a rebuttable presumption that it has knowingly Page 2 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 1567022 Page 2941 of 6525 Company ID Number: employed an unauthorized alien in violation of section 274A(a)(1)(A); and (5) no E-Verify participant is civilly or criminally liable under any law for any action taken in good faith based on information provided through the E-Verify. b.DHS reserves the right to conduct Form I-9 compliance inspections, as well as any other enforcement or compliance activity authorized by law, including site visits, to ensure proper use of E-Verify. 9.The Employer is strictly prohibited from creating an E-Verify case before the employee has been hired, meaning that a firm offer of employment was extended and accepted and Form I-9 was completed. The Employer agrees to create an E-Verify case for new employees within three Employer business days after each employee has been hired (after both Sections 1 and 2 of Form I-9 have been completed), and to complete as many steps of the E-Verify process as are necessary according to the E-Verify User Manual. If E-Verify is temporarily unavailable, the three-day time period will be extended until it is again operational in order to accommodate the Employer's attempting, in good faith, to make inquiries during the period of unavailability. 10.The Employer agrees not to use E-Verify for pre-employment screening of job applicants, in support of any unlawful employment practice, or for any other use that this MOU or the E-Verify User Manual does not authorize. 11.The Employer must use E-Verify for all new employees. The Employer will not verify selectively and will not verify employees hired before the effective date of this MOU. Employers who are Federal contractors may qualify for exceptions to this requirement as described in Article II.B of this MOU. 12.The Employer agrees to follow appropriate procedures (see Article III below) regarding tentative nonconfirmations. The Employer must promptly notify employees in private of the finding and provide them with the notice and letter containing information specific to the employee’s E-Verify case. The Employer agrees to provide both the English and the translated notice and letter for employees with limited English proficiency to employees. The Employer agrees to provide written referral instructions to employees and instruct affected employees to bring the English copy of the letter to the SSA. The Employer must allow employees to contest the finding, and not take adverse action against employees if they choose to contest the finding, while their case is still pending. Further, when employees contest a tentative nonconfirmation based upon a photo mismatch, the Employer must take additional steps (see Article III.B. below) to contact DHS with information necessary to resolve the challenge. 13.The Employer agrees not to take any adverse action against an employee based upon the employee's perceived employment eligibility status while SSA or DHS is processing the verification request unless the Employer obtains knowledge (as defined in 8 C.F.R. § 274a.1(l)) that the employee is not work authorized. The Employer understands that an initial inability of the SSA or DHS automated verification system to verify work authorization, a tentative nonconfirmation, a case in continuance (indicating the need for additional time for the government to resolve a case), or the finding of a photo mismatch, does not establish, and should not be interpreted as, evidence that the employee is not work authorized. In any of such cases, the employee must be provided a full and fair opportunity to contest the finding, and if he or she does so, the employee may not be terminated or suffer any adverse employment consequences based upon the employee’s perceived employment eligibility status Page 3 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 1567022 Page 2942 of 6525 Company ID Number: (including denying, reducing, or extending work hours, delaying or preventing training, requiring an employee to work in poorer conditions, withholding pay, refusing to assign the employee to a Federal contract or other assignment, or otherwise assuming that he or she is unauthorized to work) until and unless secondary verification by SSA or DHS has been completed and a final nonconfirmation has been issued. If the employee does not choose to contest a tentative nonconfirmation or a photo mismatch or if a secondary verification is completed and a final nonconfirmation is issued, then the Employer can find the employee is not work authorized and terminate the employee’s employment. Employers or employees with questions about a final nonconfirmation may call E-Verify at 1-888-464-4218 (customer service) or 1-888-897-7781 (worker hotline). 14.The Employer agrees to comply with Title VII of the Civil Rights Act of 1964 and section 274B of the INA as applicable by not discriminating unlawfully against any individual in hiring, firing, employment eligibility verification, or recruitment or referral practices because of his or her national origin or citizenship status, or by committing discriminatory documentary practices. The Employer understands that such illegal practices can include selective verification or use of E-Verify except as provided in part D below, or discharging or refusing to hire employees because they appear or sound “foreign” or have received tentative nonconfirmations. The Employer further understands that any violation of the immigration-related unfair employment practices provisions in section 274B of the INA could subject the Employer to civil penalties, back pay awards, and other sanctions, and violations of Title VII could subject the Employer to back pay awards, compensatory and punitive damages. Violations of either section 274B of the INA or Title VII may also lead to the termination of its participation in E-Verify. If the Employer has any questions relating to the anti-discrimination provision, it should contact OSC at 1-800-255-8155 or 1-800-237-2515 (TDD). 15.The Employer agrees that it will use the information it receives from E-Verify only to confirm the employment eligibility of employees as authorized by this MOU. The Employer agrees that it will safeguard this information, and means of access to it (such as PINS and passwords), to ensure that it is not used for any other purpose and as necessary to protect its confidentiality, including ensuring that it is not disseminated to any person other than employees of the Employer who are authorized to perform the Employer's responsibilities under this MOU, except for such dissemination as may be authorized in advance by SSA or DHS for legitimate purposes. 16.The Employer agrees to notify DHS immediately in the event of a breach of personal information. Breaches are defined as loss of control or unauthorized access to E-Verify personal data. All suspected or confirmed breaches should be reported by calling 1-888-464-4218 or via email at E-Verify@uscis.dhs.gov. Please use “Privacy Incident – Password” in the subject line of your email when sending a breach report to E-Verify. 17.The Employer acknowledges that the information it receives from SSA is governed by the Privacy Act (5 U.S.C. § 552a(i)(1) and (3)) and the Social Security Act (42 U.S.C. 1306(a)). Any person who obtains this information under false pretenses or uses it for any purpose other than as provided for in this MOU may be subject to criminal penalties. 18.The Employer agrees to cooperate with DHS and SSA in their compliance monitoring and evaluation of E-Verify, which includes permitting DHS, SSA, their contractors and other agents, upon Page 4 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 1567022 Page 2943 of 6525 Company ID Number: reasonable notice, to review Forms I-9 and other employment records and to interview it and its employees regarding the Employer’s use of E-Verify, and to respond in a prompt and accurate manner to DHS requests for information relating to their participation in E-Verify. 19.The Employer shall not make any false or unauthorized claims or references about its participation in E-Verify on its website, in advertising materials, or other media. The Employer shall not describe its services as federally-approved, federally-certified, or federally-recognized, or use language with a similar intent on its website or other materials provided to the public. Entering into this MOU does not mean that E-Verify endorses or authorizes your E-Verify services and any claim to that effect is false. 20.The Employer shall not state in its website or other public documents that any language used therein has been provided or approved by DHS, USCIS or the Verification Division, without first obtaining the prior written consent of DHS. 21.The Employer agrees that E-Verify trademarks and logos may be used only under license by DHS/USCIS (see M-795 (Web)) and, other than pursuant to the specific terms of such license, may not be used in any manner that might imply that the Employer’s services, products, websites, or publications are sponsored by, endorsed by, licensed by, or affiliated with DHS, USCIS, or E-Verify. 22.The Employer understands that if it uses E-Verify procedures for any purpose other than as authorized by this MOU, the Employer may be subject to appropriate legal action and termination of its participation in E-Verify according to this MOU. B. RESPONSIBILITIES OF FEDERAL CONTRACTORS 1.If the Employer is a Federal contractor with the FAR E-Verify clause subject to the employment verification terms in Subpart 22.18 of the FAR, it will become familiar with and comply with the most current version of the E-Verify User Manual for Federal Contractors as well as the E-Verify Supplemental Guide for Federal Contractors. 2.In addition to the responsibilities of every employer outlined in this MOU, the Employer understands that if it is a Federal contractor subject to the employment verification terms in Subpart 22.18 of the FAR it must verify the employment eligibility of any “employee assigned to the contract” (as defined in FAR 22.1801). Once an employee has been verified through E-Verify by the Employer, the Employer may not create a second case for the employee through E-Verify. a.An Employer that is not enrolled in E-Verify as a Federal contractor at the time of a contract award must enroll as a Federal contractor in the E-Verify program within 30 calendar days of contract award and, within 90 days of enrollment, begin to verify employment eligibility of new hires using E-Verify. The Employer must verify those employees who are working in the United States, whether or not they are assigned to the contract. Once the Employer begins verifying new hires, such verification of new hires must be initiated within three business days after the hire date. Once enrolled in E-Verify as a Federal contractor, the Employer must begin verification of employees assigned to the contract within 90 calendar days after the date of enrollment or within 30 days of an employee’s assignment to the contract, whichever date is later. Page 5 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 1567022 Page 2944 of 6525 Company ID Number: b.Employers enrolled in E-Verify as a Federal contractor for 90 days or more at the time of a contract award must use E-Verify to begin verification of employment eligibility for new hires of the Employer who are working in the United States, whether or not assigned to the contract, within three business days after the date of hire. If the Employer is enrolled in E-Verify as a Federal contractor for 90 calendar days or less at the time of contract award, the Employer must, within 90 days of enrollment, begin to use E-Verify to initiate verification of new hires of the contractor who are working in the United States, whether or not assigned to the contract. Such verification of new hires must be initiated within three business days after the date of hire. An Employer enrolled as a Federal contractor in E-Verify must begin verification of each employee assigned to the contract within 90 calendar days after date of contract award or within 30 days after assignment to the contract, whichever is later. c.Federal contractors that are institutions of higher education (as defined at 20 U.S.C. 1001(a)), state or local governments, governments of Federally recognized Indian tribes, or sureties performing under a takeover agreement entered into with a Federal agency under a performance bond may choose to only verify new and existing employees assigned to the Federal contract. Such Federal contractors may, however, elect to verify all new hires, and/or all existing employees hired after November 6, 1986. Employers in this category must begin verification of employees assigned to the contract within 90 calendar days after the date of enrollment or within 30 days of an employee’s assignment to the contract, whichever date is later. d.Upon enrollment, Employers who are Federal contractors may elect to verify employment eligibility of all existing employees working in the United States who were hired after November 6, 1986, instead of verifying only those employees assigned to a covered Federal contract. After enrollment, Employers must elect to verify existing staff following DHS procedures and begin E-Verify verification of all existing employees within 180 days after the election. e. The Employer may use a previously completed Form I-9 as the basis for creating an E-Verify case for an employee assigned to a contract as long as: i.That Form I-9 is complete (including the SSN) and complies with Article II.A.6, ii.The employee’s work authorization has not expired, and iii.The Employer has reviewed the Form I-9 information either in person or in communications with the employee to ensure that the employee’s Section 1, Form I-9 attestation has not changed (including, but not limited to, a lawful permanent resident alien having become a naturalized U.S. citizen). f.The Employer shall complete a new Form I-9 consistent with Article II.A.6 or update the previous Form I-9 to provide the necessary information if: i.The Employer cannot determine that Form I-9 complies with Article II.A.6, ii.The employee’s basis for work authorization as attested in Section 1 has expired or changed, or iii.The Form I-9 contains no SSN or is otherwise incomplete. Note: If Section 1 of Form I-9 is otherwise valid and up-to-date and the form otherwise complies with Page 6 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 1567022 Page 2945 of 6525 Company ID Number: Article II.C.5, but reflects documentation (such as a U.S. passport or Form I-551) that expired after completing Form I-9, the Employer shall not require the production of additional documentation, or use the photo screening tool described in Article II.A.5, subject to any additional or superseding instructions that may be provided on this subject in the E-Verify User Manual. g.The Employer agrees not to require a second verification using E-Verify of any assigned employee who has previously been verified as a newly hired employee under this MOU or to authorize verification of any existing employee by any Employer that is not a Federal contractor based on this Article. 3. The Employer understands that if it is a Federal contractor, its compliance with this MOU is a performance requirement under the terms of the Federal contract or subcontract, and the Employer consents to the release of information relating to compliance with its verification responsibilities under this MOU to contracting officers or other officials authorized to review the Employer’s compliance with Federal contracting requirements. C. RESPONSIBILITIES OF SSA 1.SSA agrees to allow DHS to compare data provided by the Employer against SSA’s database. SSA sends DHS confirmation that the data sent either matches or does not match the information in SSA’s database. 2.SSA agrees to safeguard the information the Employer provides through E-Verify procedures. SSA also agrees to limit access to such information, as is appropriate by law, to individuals responsible for the verification of Social Security numbers or responsible for evaluation of E-Verify or such other persons or entities who may be authorized by SSA as governed by the Privacy Act (5 U.S.C. § 552a), the Social Security Act (42 U.S.C. 1306(a)), and SSA regulations (20 CFR Part 401). 3.SSA agrees to provide case results from its database within three Federal Government work days of the initial inquiry. E-Verify provides the information to the Employer. 4.SSA agrees to update SSA records as necessary if the employee who contests the SSA tentative nonconfirmation visits an SSA field office and provides the required evidence. If the employee visits an SSA field office within the eight Federal Government work days from the date of referral to SSA, SSA agrees to update SSA records, if appropriate, within the eight-day period unless SSA determines that more than eight days may be necessary. In such cases, SSA will provide additional instructions to the employee. If the employee does not visit SSA in the time allowed, E-Verify may provide a final nonconfirmation to the employer. Note: If an Employer experiences technical problems, or has a policy question, the employer should contact E-Verify at 1-888-464-4218. D. RESPONSIBILITIES OF DHS 1.DHS agrees to provide the Employer with selected data from DHS databases to enable the Employer to conduct, to the extent authorized by this MOU: a.Automated verification checks on alien employees by electronic means, and Page 7 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 1567022 Page 2946 of 6525 Company ID Number: b. Photo verification checks (when available) on employees. 2. DHS agrees to assist the Employer with operational problems associated with the Employer's participation in E-Verify. DHS agrees to provide the Employer names, titles, addresses, and telephone numbers of DHS representatives to be contacted during the E-Verify process. 3. DHS agrees to provide to the Employer with access to E-Verify training materials as well as an E-Verify User Manual that contain instructions on E-Verify policies, procedures, and requirements for both SSA and DHS, including restrictions on the use of E-Verify. 4.DHS agrees to train Employers on all important changes made to E-Verify through the use of mandatory refresher tutorials and updates to the E-Verify User Manual. Even without changes to E-Verify, DHS reserves the right to require employers to take mandatory refresher tutorials. 5.DHS agrees to provide to the Employer a notice, which indicates the Employer's participation in E-Verify. DHS also agrees to provide to the Employer anti-discrimination notices issued by the Office of Special Counsel for Immigration-Related Unfair Employment Practices (OSC), Civil Rights Division, U.S. Department of Justice. 6.DHS agrees to issue each of the Employer’s E-Verify users a unique user identification number and password that permits them to log in to E-Verify. 7.DHS agrees to safeguard the information the Employer provides, and to limit access to such information to individuals responsible for the verification process, for evaluation of E-Verify, or to such other persons or entities as may be authorized by applicable law. Information will be used only to verify the accuracy of Social Security numbers and employment eligibility, to enforce the INA and Federal criminal laws, and to administer Federal contracting requirements. 8.DHS agrees to provide a means of automated verification that provides (in conjunction with SSA verification procedures) confirmation or tentative nonconfirmation of employees' employment eligibility within three Federal Government work days of the initial inquiry. 9.DHS agrees to provide a means of secondary verification (including updating DHS records) for employees who contest DHS tentative nonconfirmations and photo mismatch tentative nonconfirmations. This provides final confirmation or nonconfirmation of the employees' employment eligibility within 10 Federal Government work days of the date of referral to DHS, unless DHS determines that more than 10 days may be necessary. In such cases, DHS will provide additional verification instructions. ARTICLE III REFERRAL OF INDIVIDUALS TO SSA AND DHS A. REFERRAL TO SSA 1. If the Employer receives a tentative nonconfirmation issued by SSA, the Employer must print the notice as directed by E-Verify. The Employer must promptly notify employees in private of the finding and provide them with the notice and letter containing information specific to the employee’s E-Verify case. Page 8 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 1567022 Page 2947 of 6525 Company ID Number: The Employer also agrees to provide both the English and the translated notice and letter for employees with limited English proficiency to employees. The Employer agrees to provide written referral instructions to employees and instruct affected employees to bring the English copy of the letter to the SSA. The Employer must allow employees to contest the finding, and not take adverse action against employees if they choose to contest the finding, while their case is still pending. 2.The Employer agrees to obtain the employee’s response about whether he or she will contest the tentative nonconfirmation as soon as possible after the Employer receives the tentative nonconfirmation. Only the employee may determine whether he or she will contest the tentative nonconfirmation. 3.After a tentative nonconfirmation, the Employer will refer employees to SSA field offices only as directed by E-Verify. The Employer must record the case verification number, review the employee information submitted to E-Verify to identify any errors, and find out whether the employee contests the tentative nonconfirmation. The Employer will transmit the Social Security number, or any other corrected employee information that SSA requests, to SSA for verification again if this review indicates a need to do so. 4.The Employer will instruct the employee to visit an SSA office within eight Federal Government work days. SSA will electronically transmit the result of the referral to the Employer within 10 Federal Government work days of the referral unless it determines that more than 10 days is necessary. 5.While waiting for case results, the Employer agrees to check the E-Verify system regularly for case updates. 6.The Employer agrees not to ask the employee to obtain a printout from the Social Security Administration number database (the Numident) or other written verification of the SSN from the SSA. B. REFERRAL TO DHS 1.If the Employer receives a tentative nonconfirmation issued by DHS, the Employer must promptly notify employees in private of the finding and provide them with the notice and letter containing information specific to the employee’s E-Verify case. The Employer also agrees to provide both the English and the translated notice and letter for employees with limited English proficiency to employees. The Employer must allow employees to contest the finding, and not take adverse action against employees if they choose to contest the finding, while their case is still pending. 2.The Employer agrees to obtain the employee’s response about whether he or she will contest the tentative nonconfirmation as soon as possible after the Employer receives the tentative nonconfirmation. Only the employee may determine whether he or she will contest the tentative nonconfirmation. 3.The Employer agrees to refer individuals to DHS only when the employee chooses to contest a tentative nonconfirmation. 4.If the employee contests a tentative nonconfirmation issued by DHS, the Employer will instruct the Page 9 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 1567022 Page 2948 of 6525 Company ID Number: employee to contact DHS through its toll-free hotline (as found on the referral letter) within eight Federal Government work days. 5.If the Employer finds a photo mismatch, the Employer must provide the photo mismatch tentative nonconfirmation notice and follow the instructions outlined in paragraph 1 of this section for tentative nonconfirmations, generally. 6.The Employer agrees that if an employee contests a tentative nonconfirmation based upon a photo mismatch, the Employer will send a copy of the employee’s Form I-551, Form I-766, U.S. Passport, or passport card to DHS for review by: a.Scanning and uploading the document, or b.Sending a photocopy of the document by express mail (furnished and paid for by the employer). 7.The Employer understands that if it cannot determine whether there is a photo match/mismatch, the Employer must forward the employee’s documentation to DHS as described in the preceding paragraph. The Employer agrees to resolve the case as specified by the DHS representative who will determine the photo match or mismatch. 8.DHS will electronically transmit the result of the referral to the Employer within 10 Federal Government work days of the referral unless it determines that more than 10 days is necessary. 9.While waiting for case results, the Employer agrees to check the E-Verify system regularly for case updates. ARTICLE IV SERVICE PROVISIONS A. NO SERVICE FEES 1. SSA and DHS will not charge the Employer for verification services performed under this MOU. The Employer is responsible for providing equipment needed to make inquiries. To access E-Verify, an Employer will need a personal computer with Internet access. ARTICLE V MODIFICATION AND TERMINATION A. MODIFICATION 1. This MOU is effective upon the signature of all parties and shall continue in effect for as long as the SSA and DHS operates the E-Verify program unless modified in writing by the mutual consent of all parties. 2. Any and all E-Verify system enhancements by DHS or SSA, including but not limited to E-Verify checking against additional data sources and instituting new verification policies or procedures, will be covered under this MOU and will not cause the need for a supplemental MOU that outlines these changes. Page 10 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 1567022 Page 2949 of 6525 Company ID Number: B. TERMINATION 1.The Employer may terminate this MOU and its participation in E-Verify at any time upon 30 days prior written notice to the other parties. 2.Notwithstanding Article V, part A of this MOU, DHS may terminate this MOU, and thereby the Employer’s participation in E-Verify, with or without notice at any time if deemed necessary because of the requirements of law or policy, or upon a determination by SSA or DHS that there has been a breach of system integrity or security by the Employer, or a failure on the part of the Employer to comply with established E-Verify procedures and/or legal requirements. The Employer understands that if it is a Federal contractor, termination of this MOU by any party for any reason may negatively affect the performance of its contractual responsibilities. Similarly, the Employer understands that if it is in a state where E-Verify is mandatory, termination of this by any party MOU may negatively affect the Employer’s business. 3.An Employer that is a Federal contractor may terminate this MOU when the Federal contract that requires its participation in E-Verify is terminated or completed. In such cases, the Federal contractor must provide written notice to DHS. If an Employer that is a Federal contractor fails to provide such notice, then that Employer will remain an E-Verify participant, will remain bound by the terms of this MOU that apply to non- Federal contractor participants, and will be required to use the E-Verify p rocedures to verify the employment eligibility of all newly hired employees. 4.The Employer agrees that E-Verify is not liable for any losses, financial or otherwise, if the Employer is terminated from E-Verify. ARTICLE VI PARTIES A.Some or all SSA and DHS responsibilities under this MOU may be performed by contractor(s), and SSA and DHS may adjust verification responsibilities between each other as necessary. By separate agreement with DHS, SSA has agreed to perform its responsibilities as described in this MOU. B.Nothing in this MOU is intended, or should be construed, to create any right or benefit, substantive or procedural, enforceable at law by any third party against the United States, its agencies, officers, or employees, or against the Employer, its agents, officers, or employees. C.The Employer may not assign, directly or indirectly, whether by operation of law, change of control or merger, all or any part of its rights or obligations under this MOU without the prior written consent of DHS, which consent shall not be unreasonably withheld or delayed. Any attempt to sublicense, assign, or transfer any of the rights, duties, or obligations herein is void. D.Each party shall be solely responsible for defending any claim or action against it arising out of or related to E-Verify or this MOU, whether civil or criminal, and for any liability wherefrom, including (but not limited to) any dispute between the Employer and any other person or entity regarding the applicability of Section 403(d) of IIRIRA to any action taken or allegedly taken by the Employer. Page 11 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 1567022 Page 2950 of 6525 Company ID Number: E. The Employer understands that its participation in E-Verify is not confidential information and may be disclosed as authorized or required by law and DHS or SSA policy, including but not limited to, Congressional oversight, E-Verify publicity and media inquiries, determinations of compliance with Federal contractual requirements, and responses to inquiries under the Freedom of Information Act (FOIA). F. The individuals whose signatures appear below represent that they are authorized to enter into this MOU on behalf of the Employer and DHS respectively. The Employer understands that any inaccurate statement, representation, data or other information provided to DHS may subject the Employer, its subcontractors, its employees, or its representatives to: (1) prosecution for false statements pursuant to 18 U.S.C. 1001 and/or; (2) immediate termination of its MOU and/or; (3) possible debarment or suspension. G. The foregoing constitutes the full agreement on this subject between DHS and the Employer. To be accepted as an E-Verify participant, you should only sign the Employer’s Section of the signature page. If you have any questions, contact E-Verify at 1-888-464-4218. Page 12 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 1567022 Page 2951 of 6525 Company ID Number: Approved by: Employer Name (Please Type or Print) Title Signature Date Department of Homeland Security – Verification Division Name (Please Type or Print) Title Signature Date Page 13 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 USCIS Verification Division 07/19/2020 John A Fideli Electronically Signed John Fideli Landscapes, LLC 07/23/2020 Electronically Signed 1567022 Page 2952 of 6525 Company ID Number: Information Required for the E-Verify Program Information relating to your Company: Company Name Company Facility Address Company Alternate Address County or Parish Employer Identification Number North American Industry Classification Systems Code Parent Company Number of Employees Number of Sites Verified for Page 14 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 John Fideli Landscapes, LLC LEE 811 10 to 19 1567022 4706 CHIQUITA BLVD S STE#200 CAPE CORAL, FL 33914 471330672 1 site(s) Page 2953 of 6525 Company ID Number: Are you verifying for more than 1 site? If yes, please provide the number of sites verified for in each State: Page 15 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 FL 1 1567022 Page 2954 of 6525 Company ID Number: Information relating to the Program Administrator(s) for your Company on policy questions or operational problems: Page 16 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 Email 2392586126 John A Fideli 1567022 Name Phone Number Fax jfideli@landscapesfl.com Page 2955 of 6525 Company ID Number: This list represents the first 20 Program Administrators listed for this company. Page 17 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 1567022 Page 2956 of 6525 Form W-9 (Rev. March 2024) Request for Taxpayer Identification Number and Certification Department of the Treasury Internal Revenue Service Go to www.irs.gov/FormW9 for instructions and the latest information. Give form to the requester. Do not send to the IRS. Before you begin. For guidance related to the purpose of Form W-9, see Purpose of Form, below.Print or type. See Specific Instructions on page 3.1 Name of entity/individual. An entry is required. (For a sole proprietor or disregarded entity, enter the owner’s name on line 1, and enter the business/disregarded entity’s name on line 2.) 2 Business name/disregarded entity name, if different from above. 3a Check the appropriate box for federal tax classification of the entity/individual whose name is entered on line 1. Check only one of the following seven boxes. Individual/sole proprietor C corporation S corporation Partnership Trust/estate LLC. Enter the tax classification (C = C corporation, S = S corporation, P = Partnership) . . . . Note: Check the “LLC” box above and, in the entry space, enter the appropriate code (C, S, or P) for the tax classification of the LLC, unless it is a disregarded entity. A disregarded entity should instead check the appropriate box for the tax classification of its owner. Other (see instructions) 3b If on line 3a you checked “Partnership” or “Trust/estate,” or checked “LLC” and entered “P” as its tax classification, and you are providing this form to a partnership, trust, or estate in which you have an ownership interest, check this box if you have any foreign partners, owners, or beneficiaries. See instructions . . . . . . . . . 4 Exemptions (codes apply only to certain entities, not individuals; see instructions on page 3): Exempt payee code (if any) Exemption from Foreign Account Tax Compliance Act (FATCA) reporting code (if any) (Applies to accounts maintained outside the United States.) 5 Address (number, street, and apt. or suite no.). See instructions. 6 City, state, and ZIP code Requester’s name and address (optional) 7 List account number(s) here (optional) Part I Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later. Note: If the account is in more than one name, see the instructions for line 1. See also What Name and Number To Give the Requester for guidelines on whose number to enter. Social security number – – or Employer identification number – Part II Certification Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and 2. I am not subject to backup withholding because (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and 3. I am a U.S. citizen or other U.S. person (defined below); and 4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct. Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and, generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part II, later. Sign Here Signature of U.S. person Date General Instructions Section references are to the Internal Revenue Code unless otherwise noted. Future developments. For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go to www.irs.gov/FormW9. What’s New Line 3a has been modified to clarify how a disregarded entity completes this line. An LLC that is a disregarded entity should check the appropriate box for the tax classification of its owner. Otherwise, it should check the “LLC” box and enter its appropriate tax classification. New line 3b has been added to this form. A flow-through entity is required to complete this line to indicate that it has direct or indirect foreign partners, owners, or beneficiaries when it provides the Form W-9 to another flow-through entity in which it has an ownership interest. This change is intended to provide a flow-through entity with information regarding the status of its indirect foreign partners, owners, or beneficiaries, so that it can satisfy any applicable reporting requirements. For example, a partnership that has any indirect foreign partners may be required to complete Schedules K-2 and K-3. See the Partnership Instructions for Schedules K-2 and K-3 (Form 1065). Purpose of Form An individual or entity (Form W-9 requester) who is required to file an information return with the IRS is giving you this form because they Cat. No. 10231X Form W-9 (Rev. 3-2024) John Fideli Landscapes, LLC ✔s 4706 Chiquita Blvd South, Suite 200 Cape Coral, FL 33914 4 7 1 3 3 0 6 7 2 5-10-2025 Page 2957 of 6525 Form W-9 (Rev. 3-2024)Page 2 must obtain your correct taxpayer identification number (TIN), which may be your social security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN), or employer identification number (EIN), to report on an information return the amount paid to you, or other amount reportable on an information return. Examples of information returns include, but are not limited to, the following. • Form 1099-INT (interest earned or paid). • Form 1099-DIV (dividends, including those from stocks or mutual funds). • Form 1099-MISC (various types of income, prizes, awards, or gross proceeds). • Form 1099-NEC (nonemployee compensation). • Form 1099-B (stock or mutual fund sales and certain other transactions by brokers). • Form 1099-S (proceeds from real estate transactions). • Form 1099-K (merchant card and third-party network transactions). • Form 1098 (home mortgage interest), 1098-E (student loan interest), and 1098-T (tuition). • Form 1099-C (canceled debt). • Form 1099-A (acquisition or abandonment of secured property). Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN. Caution: If you don’t return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding, later. By signing the filled-out form, you: 1. Certify that the TIN you are giving is correct (or you are waiting for a number to be issued); 2. Certify that you are not subject to backup withholding; or 3. Claim exemption from backup withholding if you are a U.S. exempt payee; and 4. Certify to your non-foreign status for purposes of withholding under chapter 3 or 4 of the Code (if applicable); and 5. Certify that FATCA code(s) entered on this form (if any) indicating that you are exempt from the FATCA reporting is correct. See What Is FATCA Reporting, later, for further information. Note: If you are a U.S. person and a requester gives you a form other than Form W-9 to request your TIN, you must use the requester’s form if it is substantially similar to this Form W-9. Definition of a U.S. person. For federal tax purposes, you are considered a U.S. person if you are: • An individual who is a U.S. citizen or U.S. resident alien; • A partnership, corporation, company, or association created or organized in the United States or under the laws of the United States; • An estate (other than a foreign estate); or • A domestic trust (as defined in Regulations section 301.7701-7). Establishing U.S. status for purposes of chapter 3 and chapter 4 withholding. Payments made to foreign persons, including certain distributions, allocations of income, or transfers of sales proceeds, may be subject to withholding under chapter 3 or chapter 4 of the Code (sections 1441–1474). Under those rules, if a Form W-9 or other certification of non-foreign status has not been received, a withholding agent, transferee, or partnership (payor) generally applies presumption rules that may require the payor to withhold applicable tax from the recipient, owner, transferor, or partner (payee). See Pub. 515, Withholding of Tax on Nonresident Aliens and Foreign Entities. The following persons must provide Form W-9 to the payor for purposes of establishing its non-foreign status. • In the case of a disregarded entity with a U.S. owner, the U.S. owner of the disregarded entity and not the disregarded entity. • In the case of a grantor trust with a U.S. grantor or other U.S. owner, generally, the U.S. grantor or other U.S. owner of the grantor trust and not the grantor trust. • In the case of a U.S. trust (other than a grantor trust), the U.S. trust and not the beneficiaries of the trust. See Pub. 515 for more information on providing a Form W-9 or a certification of non-foreign status to avoid withholding. Foreign person. If you are a foreign person or the U.S. branch of a foreign bank that has elected to be treated as a U.S. person (under Regulations section 1.1441-1(b)(2)(iv) or other applicable section for chapter 3 or 4 purposes), do not use Form W-9. Instead, use the appropriate Form W-8 or Form 8233 (see Pub. 515). If you are a qualified foreign pension fund under Regulations section 1.897(l)-1(d), or a partnership that is wholly owned by qualified foreign pension funds, that is treated as a non-foreign person for purposes of section 1445 withholding, do not use Form W-9. Instead, use Form W-8EXP (or other certification of non-foreign status). Nonresident alien who becomes a resident alien. Generally, only a nonresident alien individual may use the terms of a tax treaty to reduce or eliminate U.S. tax on certain types of income. However, most tax treaties contain a provision known as a saving clause. Exceptions specified in the saving clause may permit an exemption from tax to continue for certain types of income even after the payee has otherwise become a U.S. resident alien for tax purposes. If you are a U.S. resident alien who is relying on an exception contained in the saving clause of a tax treaty to claim an exemption from U.S. tax on certain types of income, you must attach a statement to Form W-9 that specifies the following five items. 1. The treaty country. Generally, this must be the same treaty under which you claimed exemption from tax as a nonresident alien. 2. The treaty article addressing the income. 3. The article number (or location) in the tax treaty that contains the saving clause and its exceptions. 4. The type and amount of income that qualifies for the exemption from tax. 5. Sufficient facts to justify the exemption from tax under the terms of the treaty article. Example. Article 20 of the U.S.-China income tax treaty allows an exemption from tax for scholarship income received by a Chinese student temporarily present in the United States. Under U.S. law, this student will become a resident alien for tax purposes if their stay in the United States exceeds 5 calendar years. However, paragraph 2 of the first Protocol to the U.S.-China treaty (dated April 30, 1984) allows the provisions of Article 20 to continue to apply even after the Chinese student becomes a resident alien of the United States. A Chinese student who qualifies for this exception (under paragraph 2 of the first Protocol) and is relying on this exception to claim an exemption from tax on their scholarship or fellowship income would attach to Form W-9 a statement that includes the information described above to support that exemption. If you are a nonresident alien or a foreign entity, give the requester the appropriate completed Form W-8 or Form 8233. Backup Withholding What is backup withholding? Persons making certain payments to you must under certain conditions withhold and pay to the IRS 24% of such payments. This is called “backup withholding.” Payments that may be subject to backup withholding include, but are not limited to, interest, tax-exempt interest, dividends, broker and barter exchange transactions, rents, royalties, nonemployee pay, payments made in settlement of payment card and third-party network transactions, and certain payments from fishing boat operators. Real estate transactions are not subject to backup withholding. You will not be subject to backup withholding on payments you receive if you give the requester your correct TIN, make the proper certifications, and report all your taxable interest and dividends on your tax return. Payments you receive will be subject to backup withholding if: 1. You do not furnish your TIN to the requester; 2. You do not certify your TIN when required (see the instructions for Part II for details); 3. The IRS tells the requester that you furnished an incorrect TIN; 4. The IRS tells you that you are subject to backup withholding because you did not report all your interest and dividends on your tax return (for reportable interest and dividends only); or 5. You do not certify to the requester that you are not subject to backup withholding, as described in item 4 under “By signing the filled- out form” above (for reportable interest and dividend accounts opened after 1983 only). Page 2958 of 6525 Form W-9 (Rev. 3-2024)Page 3 Certain payees and payments are exempt from backup withholding. See Exempt payee code, later, and the separate Instructions for the Requester of Form W-9 for more information. See also Establishing U.S. status for purposes of chapter 3 and chapter 4 withholding, earlier. What Is FATCA Reporting? The Foreign Account Tax Compliance Act (FATCA) requires a participating foreign financial institution to report all U.S. account holders that are specified U.S. persons. Certain payees are exempt from FATCA reporting. See Exemption from FATCA reporting code, later, and the Instructions for the Requester of Form W-9 for more information. Updating Your Information You must provide updated information to any person to whom you claimed to be an exempt payee if you are no longer an exempt payee and anticipate receiving reportable payments in the future from this person. For example, you may need to provide updated information if you are a C corporation that elects to be an S corporation, or if you are no longer tax exempt. In addition, you must furnish a new Form W-9 if the name or TIN changes for the account, for example, if the grantor of a grantor trust dies. Penalties Failure to furnish TIN. If you fail to furnish your correct TIN to a requester, you are subject to a penalty of $50 for each such failure unless your failure is due to reasonable cause and not to willful neglect. Civil penalty for false information with respect to withholding. If you make a false statement with no reasonable basis that results in no backup withholding, you are subject to a $500 penalty. Criminal penalty for falsifying information. Willfully falsifying certifications or affirmations may subject you to criminal penalties including fines and/or imprisonment. Misuse of TINs. If the requester discloses or uses TINs in violation of federal law, the requester may be subject to civil and criminal penalties. Specific Instructions Line 1 You must enter one of the following on this line; do not leave this line blank. The name should match the name on your tax return. If this Form W-9 is for a joint account (other than an account maintained by a foreign financial institution (FFI)), list first, and then circle, the name of the person or entity whose number you entered in Part I of Form W-9. If you are providing Form W-9 to an FFI to document a joint account, each holder of the account that is a U.S. person must provide a Form W-9. • Individual. Generally, enter the name shown on your tax return. If you have changed your last name without informing the Social Security Administration (SSA) of the name change, enter your first name, the last name as shown on your social security card, and your new last name. Note for ITIN applicant: Enter your individual name as it was entered on your Form W-7 application, line 1a. This should also be the same as the name you entered on the Form 1040 you filed with your application. • Sole proprietor. Enter your individual name as shown on your Form 1040 on line 1. Enter your business, trade, or “doing business as” (DBA) name on line 2. • Partnership, C corporation, S corporation, or LLC, other than a disregarded entity. Enter the entity’s name as shown on the entity’s tax return on line 1 and any business, trade, or DBA name on line 2. • Other entities. Enter your name as shown on required U.S. federal tax documents on line 1. This name should match the name shown on the charter or other legal document creating the entity. Enter any business, trade, or DBA name on line 2. • Disregarded entity. In general, a business entity that has a single owner, including an LLC, and is not a corporation, is disregarded as an entity separate from its owner (a disregarded entity). See Regulations section 301.7701-2(c)(2). A disregarded entity should check the appropriate box for the tax classification of its owner. Enter the owner’s name on line 1. The name of the owner entered on line 1 should never be a disregarded entity. The name on line 1 should be the name shown on the income tax return on which the income should be reported. For example, if a foreign LLC that is treated as a disregarded entity for U.S. federal tax purposes has a single owner that is a U.S. person, the U.S. owner’s name is required to be provided on line 1. If the direct owner of the entity is also a disregarded entity, enter the first owner that is not disregarded for federal tax purposes. Enter the disregarded entity’s name on line 2. If the owner of the disregarded entity is a foreign person, the owner must complete an appropriate Form W-8 instead of a Form W-9. This is the case even if the foreign person has a U.S. TIN. Line 2 If you have a business name, trade name, DBA name, or disregarded entity name, enter it on line 2. Line 3a Check the appropriate box on line 3a for the U.S. federal tax classification of the person whose name is entered on line 1. Check only one box on line 3a. IF the entity/individual on line 1 is a(n) . . . THEN check the box for . . . • Corporation Corporation. • Individual or • Sole proprietorship Individual/sole proprietor. • LLC classified as a partnership for U.S. federal tax purposes or • LLC that has filed Form 8832 or 2553 electing to be taxed as a corporation Limited liability company and enter the appropriate tax classification: P = Partnership, C = C corporation, or S = S corporation. • Partnership Partnership. • Trust/estate Trust/estate. Line 3b Check this box if you are a partnership (including an LLC classified as a partnership for U.S. federal tax purposes), trust, or estate that has any foreign partners, owners, or beneficiaries, and you are providing this form to a partnership, trust, or estate, in which you have an ownership interest. You must check the box on line 3b if you receive a Form W-8 (or documentary evidence) from any partner, owner, or beneficiary establishing foreign status or if you receive a Form W-9 from any partner, owner, or beneficiary that has checked the box on line 3b. Note: A partnership that provides a Form W-9 and checks box 3b may be required to complete Schedules K-2 and K-3 (Form 1065). For more information, see the Partnership Instructions for Schedules K-2 and K-3 (Form 1065). If you are required to complete line 3b but fail to do so, you may not receive the information necessary to file a correct information return with the IRS or furnish a correct payee statement to your partners or beneficiaries. See, for example, sections 6698, 6722, and 6724 for penalties that may apply. Line 4 Exemptions If you are exempt from backup withholding and/or FATCA reporting, enter in the appropriate space on line 4 any code(s) that may apply to you. Exempt payee code. • Generally, individuals (including sole proprietors) are not exempt from backup withholding. • Except as provided below, corporations are exempt from backup withholding for certain payments, including interest and dividends. • Corporations are not exempt from backup withholding for payments made in settlement of payment card or third-party network transactions. • Corporations are not exempt from backup withholding with respect to attorneys’ fees or gross proceeds paid to attorneys, and corporations that provide medical or health care services are not exempt with respect to payments reportable on Form 1099-MISC. The following codes identify payees that are exempt from backup withholding. Enter the appropriate code in the space on line 4. 1—An organization exempt from tax under section 501(a), any IRA, or a custodial account under section 403(b)(7) if the account satisfies the requirements of section 401(f)(2). Page 2959 of 6525 Form W-9 (Rev. 3-2024)Page 4 2—The United States or any of its agencies or instrumentalities. 3—A state, the District of Columbia, a U.S. commonwealth or territory, or any of their political subdivisions or instrumentalities. 4—A foreign government or any of its political subdivisions, agencies, or instrumentalities. 5—A corporation. 6—A dealer in securities or commodities required to register in the United States, the District of Columbia, or a U.S. commonwealth or territory. 7—A futures commission merchant registered with the Commodity Futures Trading Commission. 8—A real estate investment trust. 9—An entity registered at all times during the tax year under the Investment Company Act of 1940. 10—A common trust fund operated by a bank under section 584(a). 11—A financial institution as defined under section 581. 12—A middleman known in the investment community as a nominee or custodian. 13—A trust exempt from tax under section 664 or described in section 4947. The following chart shows types of payments that may be exempt from backup withholding. The chart applies to the exempt payees listed above, 1 through 13. IF the payment is for . . .THEN the payment is exempt for . . . • Interest and dividend payments All exempt payees except for 7. • Broker transactions Exempt payees 1 through 4 and 6 through 11 and all C corporations. S corporations must not enter an exempt payee code because they are exempt only for sales of noncovered securities acquired prior to 2012. • Barter exchange transactions and patronage dividends Exempt payees 1 through 4. • Payments over $600 required to be reported and direct sales over $5,0001 Generally, exempt payees 1 through 5.2 • Payments made in settlement of payment card or third-party network transactions Exempt payees 1 through 4. 1 See Form 1099-MISC, Miscellaneous Information, and its instructions. 2 However, the following payments made to a corporation and reportable on Form 1099-MISC are not exempt from backup withholding: medical and health care payments, attorneys’ fees, gross proceeds paid to an attorney reportable under section 6045(f), and payments for services paid by a federal executive agency. Exemption from FATCA reporting code. The following codes identify payees that are exempt from reporting under FATCA. These codes apply to persons submitting this form for accounts maintained outside of the United States by certain foreign financial institutions. Therefore, if you are only submitting this form for an account you hold in the United States, you may leave this field blank. Consult with the person requesting this form if you are uncertain if the financial institution is subject to these requirements. A requester may indicate that a code is not required by providing you with a Form W-9 with “Not Applicable” (or any similar indication) entered on the line for a FATCA exemption code. A—An organization exempt from tax under section 501(a) or any individual retirement plan as defined in section 7701(a)(37). B—The United States or any of its agencies or instrumentalities. C—A state, the District of Columbia, a U.S. commonwealth or territory, or any of their political subdivisions or instrumentalities. D—A corporation the stock of which is regularly traded on one or more established securities markets, as described in Regulations section 1.1472-1(c)(1)(i). E—A corporation that is a member of the same expanded affiliated group as a corporation described in Regulations section 1.1472-1(c)(1)(i). F—A dealer in securities, commodities, or derivative financial instruments (including notional principal contracts, futures, forwards, and options) that is registered as such under the laws of the United States or any state. G—A real estate investment trust. H—A regulated investment company as defined in section 851 or an entity registered at all times during the tax year under the Investment Company Act of 1940. I—A common trust fund as defined in section 584(a). J—A bank as defined in section 581. K—A broker. L—A trust exempt from tax under section 664 or described in section 4947(a)(1). M—A tax-exempt trust under a section 403(b) plan or section 457(g) plan. Note: You may wish to consult with the financial institution requesting this form to determine whether the FATCA code and/or exempt payee code should be completed. Line 5 Enter your address (number, street, and apartment or suite number). This is where the requester of this Form W-9 will mail your information returns. If this address differs from the one the requester already has on file, enter “NEW” at the top. If a new address is provided, there is still a chance the old address will be used until the payor changes your address in their records. Line 6 Enter your city, state, and ZIP code. Part I. Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. If you are a resident alien and you do not have, and are not eligible to get, an SSN, your TIN is your IRS ITIN. Enter it in the entry space for the Social security number. If you do not have an ITIN, see How to get a TIN below. If you are a sole proprietor and you have an EIN, you may enter either your SSN or EIN. If you are a single-member LLC that is disregarded as an entity separate from its owner, enter the owner’s SSN (or EIN, if the owner has one). If the LLC is classified as a corporation or partnership, enter the entity’s EIN. Note: See What Name and Number To Give the Requester, later, for further clarification of name and TIN combinations. How to get a TIN. If you do not have a TIN, apply for one immediately. To apply for an SSN, get Form SS-5, Application for a Social Security Card, from your local SSA office or get this form online at www.SSA.gov. You may also get this form by calling 800-772-1213. Use Form W-7, Application for IRS Individual Taxpayer Identification Number, to apply for an ITIN, or Form SS-4, Application for Employer Identification Number, to apply for an EIN. You can apply for an EIN online by accessing the IRS website at www.irs.gov/EIN. Go to www.irs.gov/Forms to view, download, or print Form W-7 and/or Form SS-4. Or, you can go to www.irs.gov/OrderForms to place an order and have Form W-7 and/or Form SS-4 mailed to you within 15 business days. If you are asked to complete Form W-9 but do not have a TIN, apply for a TIN and enter “Applied For” in the space for the TIN, sign and date the form, and give it to the requester. For interest and dividend payments, and certain payments made with respect to readily tradable instruments, you will generally have 60 days to get a TIN and give it to the requester before you are subject to backup withholding on payments. The 60-day rule does not apply to other types of payments. You will be subject to backup withholding on all such payments until you provide your TIN to the requester. Note: Entering “Applied For” means that you have already applied for a TIN or that you intend to apply for one soon. See also Establishing U.S. status for purposes of chapter 3 and chapter 4 withholding, earlier, for when you may instead be subject to withholding under chapter 3 or 4 of the Code. Caution: A disregarded U.S. entity that has a foreign owner must use the appropriate Form W-8. Page 2960 of 6525 Form W-9 (Rev. 3-2024)Page 5 Part II. Certification To establish to the withholding agent that you are a U.S. person, or resident alien, sign Form W-9. You may be requested to sign by the withholding agent even if item 1, 4, or 5 below indicates otherwise. For a joint account, only the person whose TIN is shown in Part I should sign (when required). In the case of a disregarded entity, the person identified on line 1 must sign. Exempt payees, see Exempt payee code, earlier. Signature requirements. Complete the certification as indicated in items 1 through 5 below. 1. Interest, dividend, and barter exchange accounts opened before 1984 and broker accounts considered active during 1983. You must give your correct TIN, but you do not have to sign the certification. 2. Interest, dividend, broker, and barter exchange accounts opened after 1983 and broker accounts considered inactive during 1983. You must sign the certification or backup withholding will apply. If you are subject to backup withholding and you are merely providing your correct TIN to the requester, you must cross out item 2 in the certification before signing the form. 3. Real estate transactions. You must sign the certification. You may cross out item 2 of the certification. 4. Other payments. You must give your correct TIN, but you do not have to sign the certification unless you have been notified that you have previously given an incorrect TIN. “Other payments” include payments made in the course of the requester’s trade or business for rents, royalties, goods (other than bills for merchandise), medical and health care services (including payments to corporations), payments to a nonemployee for services, payments made in settlement of payment card and third-party network transactions, payments to certain fishing boat crew members and fishermen, and gross proceeds paid to attorneys (including payments to corporations). 5. Mortgage interest paid by you, acquisition or abandonment of secured property, cancellation of debt, qualified tuition program payments (under section 529), ABLE accounts (under section 529A), IRA, Coverdell ESA, Archer MSA or HSA contributions or distributions, and pension distributions. You must give your correct TIN, but you do not have to sign the certification. What Name and Number To Give the Requester For this type of account:Give name and SSN of: 1. Individual The individual 2. Two or more individuals (joint account) other than an account maintained by an FFI The actual owner of the account or, if combined funds, the first individual on the account1 3. Two or more U.S. persons (joint account maintained by an FFI) Each holder of the account 4. Custodial account of a minor (Uniform Gift to Minors Act) The minor2 5. a. The usual revocable savings trust (grantor is also trustee) The grantor-trustee1 b. So-called trust account that is not a legal or valid trust under state law The actual owner1 6. Sole proprietorship or disregarded entity owned by an individual The owner3 7. Grantor trust filing under Optional Filing Method 1 (see Regulations section 1.671-4(b)(2)(i)(A))** The grantor* For this type of account:Give name and EIN of: 8. Disregarded entity not owned by an individual The owner 9. A valid trust, estate, or pension trust Legal entity4 10. Corporation or LLC electing corporate status on Form 8832 or Form 2553 The corporation 11. Association, club, religious, charitable, educational, or other tax-exempt organization The organization 12. Partnership or multi-member LLC The partnership 13. A broker or registered nominee The broker or nominee 14. Account with the Department of Agriculture in the name of a public entity (such as a state or local government, school district, or prison) that receives agricultural program payments The public entity 15. Grantor trust filing Form 1041 or under the Optional Filing Method 2, requiring Form 1099 (see Regulations section 1.671-4(b)(2)(i)(B))** The trust 1 List first and circle the name of the person whose number you furnish. If only one person on a joint account has an SSN, that person’s number must be furnished. 2 Circle the minor’s name and furnish the minor’s SSN. 3 You must show your individual name on line 1, and enter your business or DBA name, if any, on line 2. You may use either your SSN or EIN (if you have one), but the IRS encourages you to use your SSN. 4 List first and circle the name of the trust, estate, or pension trust. (Do not furnish the TIN of the personal representative or trustee unless the legal entity itself is not designated in the account title.) * Note: The grantor must also provide a Form W-9 to the trustee of the trust. ** For more information on optional filing methods for grantor trusts, see the Instructions for Form 1041. Note: If no name is circled when more than one name is listed, the number will be considered to be that of the first name listed. Secure Your Tax Records From Identity Theft Identity theft occurs when someone uses your personal information, such as your name, SSN, or other identifying information, without your permission to commit fraud or other crimes. An identity thief may use your SSN to get a job or may file a tax return using your SSN to receive a refund. To reduce your risk: • Protect your SSN, • Ensure your employer is protecting your SSN, and • Be careful when choosing a tax return preparer. If your tax records are affected by identity theft and you receive a notice from the IRS, respond right away to the name and phone number printed on the IRS notice or letter. If your tax records are not currently affected by identity theft but you think you are at risk due to a lost or stolen purse or wallet, questionable credit card activity, or a questionable credit report, contact the IRS Identity Theft Hotline at 800-908-4490 or submit Form 14039. For more information, see Pub. 5027, Identity Theft Information for Taxpayers. Page 2961 of 6525 Form W-9 (Rev. 3-2024)Page 6 Victims of identity theft who are experiencing economic harm or a systemic problem, or are seeking help in resolving tax problems that have not been resolved through normal channels, may be eligible for Taxpayer Advocate Service (TAS) assistance. You can reach TAS by calling the TAS toll-free case intake line at 877-777-4778 or TTY/TDD 800-829-4059. Protect yourself from suspicious emails or phishing schemes. Phishing is the creation and use of email and websites designed to mimic legitimate business emails and websites. The most common act is sending an email to a user falsely claiming to be an established legitimate enterprise in an attempt to scam the user into surrendering private information that will be used for identity theft. The IRS does not initiate contacts with taxpayers via emails. Also, the IRS does not request personal detailed information through email or ask taxpayers for the PIN numbers, passwords, or similar secret access information for their credit card, bank, or other financial accounts. If you receive an unsolicited email claiming to be from the IRS, forward this message to phishing@irs.gov. You may also report misuse of the IRS name, logo, or other IRS property to the Treasury Inspector General for Tax Administration (TIGTA) at 800-366-4484. You can forward suspicious emails to the Federal Trade Commission at spam@uce.gov or report them at www.ftc.gov/complaint. You can contact the FTC at www.ftc.gov/idtheft or 877-IDTHEFT (877-438-4338). If you have been the victim of identity theft, see www.IdentityTheft.gov and Pub. 5027. Go to www.irs.gov/IdentityTheft to learn more about identity theft and how to reduce your risk. Privacy Act Notice Section 6109 of the Internal Revenue Code requires you to provide your correct TIN to persons (including federal agencies) who are required to file information returns with the IRS to report interest, dividends, or certain other income paid to you; mortgage interest you paid; the acquisition or abandonment of secured property; the cancellation of debt; or contributions you made to an IRA, Archer MSA, or HSA. The person collecting this form uses the information on the form to file information returns with the IRS, reporting the above information. Routine uses of this information include giving it to the Department of Justice for civil and criminal litigation and to cities, states, the District of Columbia, and U.S. commonwealths and territories for use in administering their laws. The information may also be disclosed to other countries under a treaty, to federal and state agencies to enforce civil and criminal laws, or to federal law enforcement and intelligence agencies to combat terrorism. You must provide your TIN whether or not you are required to file a tax return. Under section 3406, payors must generally withhold a percentage of taxable interest, dividends, and certain other payments to a payee who does not give a TIN to the payor. Certain penalties may also apply for providing false or fraudulent information. Page 2962 of 6525 Addendum #1 Date: May 21, 2025 From: Lisa Oien, Procurement Strategist To: Interested Bidders Subject: Addendum #1 Solicitation 25-8345 Landscape Maintenance Contractors The following clarifications are issued as an addendum: The following has been Removed and Added: Removed: Invitation for Qualification (IFQ) Instructions Form Added: Invitation for Qualification (IFQ) Instructions_2025 Rev.2.pdf The Invitation for Qualifications has one change: The following language has been added and incorporated into the added Invitation for Qualification (IFQ) Instructions_2025 Rev.2.pdf 39. PROHIBITION OF COLLUSION 39.1 Vendors are hereby notified that collusion or anti-competitive practices among vendors/proposers are strictly prohibited and will not be tolerated. Any agreement or cooperation between vendors to manipulate pricing, restrict competition, or otherwise undermine the integrity of the procurement process may result in: 39.1.1. Disqualification of all involved vendors. 39.1.2. Rejection of submitted proposals. 39.1.3. Referral to appropriate legal authorities for investigation and prosecution under applicable state and federal laws. 39.2 Each vendor/proposer must independently prepare and submit its proposer without any consultation, communication, or agreement with any other vendor/proposer or vendor/proposer regarding prices, terms, or conditions of the offer, or with the intention of restricting competition. 39.3 All vendor/proposer and have an affirmative duty to reveal if it/they have any professional or personal relationship with any other vendors that provide a bid on a solicitation and that the duty to reveal such a relationship continues to run throughout the period of solicitation all the way up through the recommended award and ultimate award of the solicitation. 39.4 By submitting a proposal the vendor certifies that the proposal is made without collusion, fraud, or any connection with any other vendor submitting a proposal for the same work, and that the bidder has not offered or received any inducement or advantage in connection with their bid. The Vendor, does declare that the only person or persons interested in this Proposal as principal or principals is/are named therein and that no person other than therein mentioned has any interest in this Proposal or in the contract Email: Lisa.Oien@colliercountyfl.gov Telephone: (239) 252-8935 Page 2963 of 6525 to be entered into; that this Proposal is made without connection with any person, company or parties making a Proposal, and that it is in all respects fair and in good faith without collusion or fraud. Failure to comply with this provision may result in disbarment from future contracting opportunities with Collier County. If you require additional information, please post a question on our Opengov bidding platform (https://procurement.opengov.com/portal/collier-county-fl) under the solicitation for this project. Please sign below and return a copy of this Addendum with your submittal for the above referenced solicitation. (Signature) Date (Name of Firm) 5-21-2025 John Fideli Landscapes, LLC Page 2964 of 6525 County of Collier, FL Procurement Kenneth Kovensky, Executive Director 3299 Tamiami Trail, East Naples, FL 34112 [MAINSCAPE] RESPONSE DOCUMENT REPORT GEN No. 25-8345 Landscape Maintenance Contractors RESPONSE DEADLINE: May 23, 2025 at 3:00 pm Report Generated: Friday, May 23, 2025 Mainscape Response CONTACT INFORMATION Company: Mainscape Email: lgarner@mainscape.com Contact: Loren Garner Address: 3451 Bonita Bay Blvd Suite 101 Bonita Springs, FL 34134 Phone: (239) 229-9940 Website: N/A Submission Date: May 23, 2025 10:48 AM (Eastern Time) Page 2965 of 6525 [MAINSCAPE] RESPONSE DOCUMENT REPORT GEN No. 25-8345 Landscape Maintenance Contractors [MAINSCAPE] RESPONSE DOCUMENT REPORT undefined - Landscape Maintenance Contractors Page 2 ADDENDA CONFIRMATION Addendum #1 Confirmed May 21, 2025 7:06 PM by Loren Garner QUESTIONNAIRE 1. I certify that I have read, understood and agree to the terms in this solicitation, and that I am authorized to submit this r esponse on behalf of my company.* Confirmed 2. ALL DOCUMENTS REQUIRING EXECUTION SHOULD BE EITHER BY WET SIGNATURES OR VERIFIABLE ELEC TRONIC SIGNATURES. FAILURE TO PROVIDE THE APPLICABLE DOCUMENTS MAY DEEM YOU NON-RESPONSIVE/NON-RESPONSIBLE. Confirmed 3. Invitation for Qualification (IFQ) Instructions Form* Invitation for Qualification (IFQ) Instructions have been acknowledged and accepted. Confirmed 4. Collier County Purchase Order Terms and Conditions.* Collier County Purchase Order Terms and Conditions have been acknowledged and accepted. Confirmed 5. Insurance Requirements* Vendor Acknowledges Insurance Requirement and is prepared to produce the required insurance certificate(s) within five (5) days of the County's issuance of a Notice of Recommended Award. Page 2966 of 6525 [MAINSCAPE] RESPONSE DOCUMENT REPORT GEN No. 25-8345 Landscape Maintenance Contractors [MAINSCAPE] RESPONSE DOCUMENT REPORT undefined - Landscape Maintenance Contractors Page 3 Confirmed 6. Proposal Submittal* Please submit a proposal per Evaluation Criteria outlined in Solicitation. Collier_County_Proposal_Submittal_Evaluation_Criteria.pdf 7. County Required Forms VENDOR DECLARATION STATEMENT (FORM 1)* Form_1_Vendor_Declaration_Statement.pdf CONFLICT OF INTEREST AFFIDAVIT (FORM 2)* Form_2_Conflict_of_Interest.pdf IMMIGRATION AFFIDAVIT CERTIFICATION (FORM 3)* Form_3_Immigration_Affidavit.pdf LOCAL VENDOR PREFERENCE (IF APPLICABLE FORM 4) Include a copy of the business tax receipt. Form_4_Vendor_Submittal-Local_Vendor_Preference_Certification.pdf Business_Tax_Receipts.pdf REFERENCE QUESTIONNAIRE (IF APPLICABLE FORM 5) Form_5_Reference_Questionaire.pdf GRANT PROVISIONS (IF APPLICABLE FORM 6) All forms must be completed Form_6_grant_Provisions.pdf Page 2967 of 6525 [MAINSCAPE] RESPONSE DOCUMENT REPORT GEN No. 25-8345 Landscape Maintenance Contractors [MAINSCAPE] RESPONSE DOCUMENT REPORT undefined - Landscape Maintenance Contractors Page 4 PROOF OF STATUS FROM DIVISION OF CORPORATIONS - FLORIDA DEPARTMENT OF STATE (SUNBIZ)** http://dos.myflorida.com/sunbiz/ should be attached with your submittal. Divisions_of_Corporations.pdf E-VERIFY - MEMORANDUM OF UNDERSTANDING* Vendor MUST be enrolled in the E-Verify - https://www.e-verify.gov/ at the time of submission of the proposal/bid. E-Verify Memorandum of Understanding or Company Profile page should be attached with your submittal. E-Verify_Memorandum_of_Understanding.pdf W-9 FORM* W-9.pdf SIGNED ADDENDUMS (IF APPLICABLE) Addendum_#1_signed.pdf MISCELLANEOUS DOCUMENTS Other_Documents.pdf Page 2968 of 6525 While our business is creating great landscape experiences, the most important things we grow, nurture and maintain are partnerships—with both customers and employees. Collier County Evaluation Criteria INVITATION FOR QUALIFICATION (IFQ) Page 2969 of 6525 EVALUATION CRITERIA NO. 1 COVER LETTER/MANAGEMENT SUMMARY Page 2970 of 6525 Page 2971 of 6525 EVALUATION CRITERIA NO. 2 CERTIFIED WOMAN AND/OR MINORITY BUSINESS ENTERPRISE NOT APPLICABLE Page 2972 of 6525 EVALUATION CRITERIA NO. 3 INDUSTRY LICENSES AND CERTIFICATIONS Page 2973 of 6525 Page 2974 of 6525 Page 2975 of 6525 Page 2976 of 6525 Page 2977 of 6525 Page 2978 of 6525 Page 2979 of 6525 Page 2980 of 6525 Page 2981 of 6525 Page 2982 of 6525 Page 2983 of 6525 Page 2984 of 6525 Page 2985 of 6525 Page 2986 of 6525 Page 2987 of 6525 Page 2988 of 6525 EVALUATION CRITERIA NO. 4 EXPERIENCE Page 2989 of 6525 EXPERIENCE - Below are 8 examples and references of customers that we do full-service landscape maintenance (mowing, edging, pruning, weeding, fertilization and pest control), irrigation and enhancements. - Many of these customers are Governmental projects and include multiple site locations where we must provide routes to service the sites on a weekly basis - Each of these are required to have monthly schedules provided and weekly quality assurance reports or visits with the customer site managers - Many of the projects require us to follow MOT guidelines for the roadways we service -We will also provide verification of fill records and safety data sheets for all products used - Please feel free to contact all of the references for questions or site visits Page 2990 of 6525 Evaluation Criteria No.4 Experience CONTRACT NAME:Collier County Facilities CONTRACT LOCATION:Various locations throughout Collier County ACREAGE AMOUNT:Approximate 15acres LANDSCAPE MAINTENANCE ACTIVITIES: mowing, trimming, edging, blowing, turf fertilization applications, shrub and palm fertilization applications, tree and shrub pest control, pruning, weeding, and irrigation CONTRACT CONTACT INFORMATION:NAME/Title:Carrah Fogle Facilities compliance Officer ADDRESS:3335 Tamiami Trail East, Suite 101, Naples, FL 34112 PHONE:239-253-8394 EMAIL: carrah.fogle@colliercountyfl.gov CONTRACT DURATION:START DATE:2022 END DATE:current CONTRACT ANNUAL AMOUNT:$687,000 + Page 2991 of 6525 Evaluation Criteria No.4 Experience CONTRACT NAME:Collier County Right of Way CONTRACT LOCATION:Various locations throughout Collier County ACREAGE AMOUNT:Approximate 42 acres LANDSCAPE MAINTENANCE ACTIVITIES: mowing, trimming, edging, blowing, turf fertilization applications, shrub and palm fertilization applications, tree and shrub pest control, pruning, weeding, and irrigation CONTRACT CONTACT INFORMATION:NAME/Title:Pamela Lulich - Manager of Landscape Operations ADDRESS:4800 Davis Blvd, Naples, FL 34104 PHONE:239-252-8924 EMAIL: pamela.lulich@colliercountyfl.gov CONTRACT DURATION:START DATE:Jun-25 END DATE:current CONTRACT ANNUAL AMOUNT:$1,000,000 + Page 2992 of 6525 Evaluation Criteria No.4 Experience CONTRACT NAME:Gateway Services CDD CONTRACT LOCATION:Gateway Blvd, Griffin Dr, Fort Myers ACREAGE AMOUNT:Approximate 50 +acres LANDSCAPE MAINTENANCE ACTIVITIES: mowing, trimming, edging, blowing, turf fertilization applications, shrub and palm fertilization applications, tree and shrub pest control, pruning, weeding, and irrigation CONTRACT CONTACT INFORMATION:NAME/Title:Chelsea O'Riley - District Manager ADDRESS:11922 Fairway Lakes Dr Suite 1, Fort Myers, FL 33913 PHONE:239-561-1313 ex 212 EMAIL: chelsea.oriley@gatewaydistrict.org CONTRACT DURATION:START DATE:2010 END DATE:current CONTRACT ANNUAL AMOUNT:$1,000,000 + Page 2993 of 6525 Evaluation Criteria No.4 Experience CONTRACT NAME:Vanderbilt Country Club HOA CONTRACT LOCATION:Vanderbilt Beach Rd and Collier Blvd ACREAGE AMOUNT:Approximate 60 +acres LANDSCAPE MAINTENANCE ACTIVITIES: mowing, trimming, edging, blowing, turf fertilization applications, shrub and palm fertilization applications, tree and shrub pest control, pruning, weeding, and irrigation CONTRACT CONTACT INFORMATION:NAME/Title:Joey Cope HOA Manager ADDRESS:8250 Danbury Blvd, Naples, FL 34120 PHONE:239-348-0504 EMAIL: joeyc@vccnaples.com CONTRACT DURATION:START DATE:2008 END DATE:current CONTRACT ANNUAL AMOUNT:$1,000,000 + Page 2994 of 6525 Evaluation Criteria No.4 Experience CONTRACT NAME:The Groves at Orange Blossom HOA CONTRACT LOCATION:Oil Well Rd ACREAGE AMOUNT:Approximate 25 +acres LANDSCAPE MAINTENANCE ACTIVITIES: mowing, trimming, edging, blowing, turf fertilization applications, shrub and palm fertilization applications, tree and shrub pest control, pruning, weeding, and irrigation CONTRACT CONTACT INFORMATION:NAME/Title:Greg Roughgarden HOA Manager ADDRESS:10481 Six Mile Cypress Pkwy, Fort Myers, FL 33966 PHONE:239-225-6962 EMAIL: gregory.roughgarden@lennar.com CONTRACT DURATION:START DATE:2022 END DATE:current CONTRACT ANNUAL AMOUNT:$500,000 + Page 2995 of 6525 Evaluation Criteria No.4 Experience CONTRACT NAME:Jones Lang LaSalle JLL CONTRACT LOCATION:Tampa market various locations ACREAGE AMOUNT:Approximate 40 +acres LANDSCAPE MAINTENANCE ACTIVITIES: mowing, trimming, edging, blowing, turf fertilization applications, shrub and palm fertilization applications, tree and shrub pest control, pruning, weeding, and irrigation CONTRACT CONTACT INFORMATION:NAME/Title:Jonathan Harrell - Vice President Industrial Property Management ADDRESS:401 E Jackson St Ste 1100, Tampa, FL 33602 PHONE:813-774-6357 EMAIL: jonathan.harrell@am.jll.com CONTRACT DURATION:START DATE:2015 END DATE:current CONTRACT ANNUAL AMOUNT:$800,000+Page 2996 of 6525 Evaluation Criteria No.4 Experience CONTRACT NAME:Workspace Property Trust CONTRACT LOCATION:Tampa- various locations ACREAGE AMOUNT:Approximate 40 +acres LANDSCAPE MAINTENANCE ACTIVITIES: mowing, trimming, edging, blowing, turf fertilization applications, shrub and palm fertilization applications, tree and shrub pest control, pruning, weeding, and irrigation CONTRACT CONTACT INFORMATION:NAME/Title:Lori Shelquist-Hardin - Senior Property Manager ADDRESS:4631 Woodland Corporate Blvd #209, Tampa, FL 33614 PHONE:813-889-3713 EMAIL: lshelquisthardin@workspaceproperty.com CONTRACT DURATION:START DATE:2013 END DATE:current CONTRACT ANNUAL AMOUNT:$900,000 +Page 2997 of 6525 Evaluation Criteria No.4 Experience CONTRACT NAME:Echo Realty CONTRACT LOCATION:Tampa- various locations ACREAGE AMOUNT:Approximate 25 +acres LANDSCAPE MAINTENANCE ACTIVITIES: mowing, trimming, edging, blowing, turf fertilization applications, shrub and palm fertilization applications, tree and shrub pest control, pruning, weeding, and irrigation CONTRACT CONTACT INFORMATION:NAME/Title:Lori Ackerman - Senior Property Manager-Asset Management ADDRESS:4315 W Gandy Blvd, Tampa, FL 33611 PHONE:813-539-3727 EMAIL: lackerman@echorealty.com CONTRACT DURATION:START DATE:2022 END DATE:current CONTRACT ANNUAL AMOUNT:$500,000 +Page 2998 of 6525 EVALUATION CRITERIA NO. 5 QUALITY AND ASSURANCE STANDARDS Page 2999 of 6525 INTEGRATING SUSTAINABILITY AND SCIENCE •Stay abreast of the latest advancements •Leverage cutting-edge technologies •Reduce carbon output with alternative fuels and energy sources •Optimize irrigation efficiency and minimize consumption •Rely on organic nitrogen sources over petroleum- based products •Focus on preventive pest management Page 3000 of 6525 Location:NAPLES Address:3451 Bonita Bay Blvd, Suite 101,Bonita Springs,FL,34134 Property Name: Golden Gate Library Completed By:JAY ARTHURS Completed On:5/22/2025 10:53:14 AM Quality Assurance Assessment Overall Grade: Outstanding Turf Topic Score: N/A Mowing lines are straight, present, varied.Outstanding Appendix : 2 5/22/2025 10:54:00 AM Grass is cut at the appropriate height.Outstanding Grass clippings are removed from entry ways, hard surfaces and landscape beds. Outstanding Hard & soft edging completed properly.Outstanding Appendix : 1 5/22/2025 10:54:00 AM Grass exemplifies healthy and uniformed color.Outstanding Overall grass is dense with limited bare areas.Excellent Insects or diseases are below damaging thresholds.Outstanding Grass is relatively weed free.Excellent Grass is uniformly one species – Yes or No Excellent All assessments are per contract specifications. Each question is scored using the following results options unless otherwise noted - Outstanding, Excellent, Good, Fair, Poor. 6 Page 3001 of 6525 Pond banks are properly maintained.N/A Irrigation appears to be functioning properly.Outstanding Palms Topic Score: Outstanding Palms pruned properly (no fronds removed higher than 9 to 3 o'clock).Excellent Appendix : 7 5/22/2025 10:54:00 AM Insects or diseases are below damaging thresholds.Outstanding Palms are healthy with good color.Excellent Staking materials are maintained.N/A Trees Topic Score: Outstanding Grass clippings are removed from tree rings.Excellent Suckers are removed from base or trunk of trees.Good Comments: Seed pod needs removed Appendix : 5 5/22/2025 10:54:00 AM Tree rings are even, edged properly and clean.Outstanding Overall mulch is not piled up around base of trees.Excellent Proper clearance is maintained over sidewalks & roadways.Excellent Appendix : 3 5/22/2025 10:54:00 AM Proper clearance between canopy & surrounding buildings.Excellent Trees are properly pruned.Excellent Insects or diseases are below damaging thresholds.Outstanding Comments: No insect or disease activity observed during inspection 6 Page 3002 of 6525 Staking materials are maintained.N/A Landscape Beds Topic Score: Outstanding Beds are relatively weed free.Excellent Appendix : 4 5/22/2025 10:54:00 AM Trimmings removed from landscape beds.Outstanding Overall mulch is not piled up around base of plants.Outstanding Dead plants are removed.Outstanding Comments: No dead plant material observed during inspection Shrubs are neatly trimmed and maintained at the appropriate height and form for function. Outstanding Comments: Next pruning serviced in June. Appendix : 8 5/22/2025 10:54:00 AM Rejuvenation pruning has been completed for applicable plants.N/A Plants look vigorous and healthy.Outstanding Insects or diseases below damaging thresholds.Outstanding Rejuvenation pruning has been completed for applicable perennial plants N/A Irrigation appears to be functioning properly.Outstanding Annual Flower Beds Topic Score: N/A Indicate when soil was last changed.N/A Beds are relatively weed free.N/A Faded or dead flowers are removed.N/A Flowers look vigorous and healthy throughout the planting bed.N/A Insects or diseases are below damaging thresholds N/A Irrigation appears to be functioning properly N/A Hardscape Areas / Debris Removal Topic Score: Outstanding Excess debris is removed from the site.Outstanding Sidewalks, curbs and pavers are relatively weed free.Outstanding 6 Page 3003 of 6525 Appendix : 6 5/22/2025 10:54:00 AM Parking lots and loading docks are relatively weed & debris free.Outstanding Rip rap and gravel areas are relatively weed & debris free.N/A Docks are weed & trash free.N/A Parking lots are weed & trash free.Outstanding Notes to Client Next inspection scheduled for June 23, 2025 6 Page 3004 of 6525 Appendix Appendix : 1 5/22/2025 10:54:00 AM Appendix : 3 5/22/2025 10:54:00 AM Appendix : 2 5/22/2025 10:54:00 AM Appendix : 4 5/22/2025 10:54:00 AM 6 Page 3005 of 6525 Appendix : 5 5/22/2025 10:54:00 AM Appendix : 7 5/22/2025 10:54:00 AM Appendix : 6 5/22/2025 10:54:00 AM Appendix : 8 5/22/2025 10:54:00 AM 6 Page 3006 of 6525 JOB HAZARD ANALYSIS Task Hazards Actions to Eliminate or Control the Hazard Vehicle & Equipment Inspection Sharp Edges, loose or missing bolts, faulty or inoperable equipment. 1. Parked vehicle will be identified with cones. 2. Do a 360 walk around vehicle (trucks and trailers). 3. Complete a Daily vehicle inspection Report (DVIR) 4. Perform equipment checks before using power equipment 5. Maintain equipment, to manufactures standards 6. Do not use any equipment that is broken, inoperable, or unsafe. Equipment will be tagged “do not use” and removed from service. Tires are flat or have low air pressure, tires have less than optimal tread. Driving Collision -Trauma, projectiles, impact 1. Situational awareness - know your surroundings at all times. 2. Seat Belts must be warn at all times by driver and all passengers. 3. All drivers must be approved by Mainscape standards before operating a registered vehicle. 4. Keep objects off dashboard and off seatbacks and headrests. 5. Objects, debris, equipment in the bed of truck must be secured. 6. An employee who uses a Mainscape-supplied device or a Mainscape-supplied vehicle is prohibited from using a cell phone or similar device while driving, whether the phone call is personal or Company-related. Objects within vehicle become projectiles Lifting / Handling plant materials Back injuries 1. Use proper lifting techniques by bending at the knees and keeping your back straight. 2. If lifting light materials for long periods of time (ex. shoveling dirt, moving debris, holding equipment) make sure to stretch and warm up your muscles. 3. Over 50lbs., use buddy system. Refueling Equipment Explosions - Fire 1. DO NOT SMOKE while refueling or around fuel or vapors. 2. Ensure proper precautions are taken to reduce static. electricity, from building up creating a potential for explosion. 3. Turn off engine and let cool before refueling engine. 4. Ensure proper ventilation before refueling equipment or trucks. Only refuel in designated areas. 5. Gas shall be stored in approved metal safety cans only inside a flammable storage cabinet. Asphyxiation - light head Tarping or loading trucks or trailers Slip, fall, impalement while loading in trucks 1. Ensure proper footing and use 3 points of contact when climbing truck ladders or accessing the truck bed or trailer. 2. Ensure objects (branches, tools, etc.) are not pointing in a direction causing an impalement hazard if someone should fall. 3. Tarp your load or equipment at all times. 4. If materials fall out of the truck/trailer, stop in a safe location, when the surroundings are safe, remove from the road. 5. Ensure all loads and equipment are secured at all times. Losing material or objects from bed of truck onto the road. Pruning and Hedge Shears Eye Injury - projectiles 1. All PPE will be warn during the operation, transport or repair. (chaps, pants, work shoes, cut resistant gloves, hearing protection, safety glasses, hardhat when required) 2. Safety guards must be in place, situational awareness. Foot Injury - Drop object on foot Page 3007 of 6525 JOB HAZARD ANALYSIS Cutting Overhead Hand Injury - Point of operation, ingoing nip points, rotating parts, 3. Wear Hard hats when pruning limbs over head or working under trees. 4. Appropriately placed fire extinguisher, remove all combustibles and fire hazards from machine area. 5. Know your surroundings and keep your balance when using sharp tools. flying chips and sparks Head Protection - Falling limbs Fire-Sparks Noise - damage to hearing Chain Saw Eye Injury - Projectiles, saw dust 1. All PPE will be warn during the operation, transport or repair. (chaps, pants, work shoes, cut resistant gloves, hearing protection, safety glasses, hardhat) 2. Follow Manufacturer's Instructions and safe felling practices. 3. Ensure safety guards and brakes are working properly 4. Situational Awareness - know what's all around you before you start cutting, have an escape route. 5. Appropriately placed fire extinguisher, remove all combustibles and fire hazards. 6. Only trained operators should operate chainsaws Head Protection - overhead or machine kickback Lacerations Trauma - Projectiles, point of operation, flying chips and sparks, falling objects, improper use and operation of engine Noise Foot Injury - cutting by equipment or crushing by wood Hand Injury - Point of operation, ingoing nip points, rotating parts, flying chips and sparks Fire Skid Steer Body Injury - Confined work areas, sharp edges/objects, rotating parts. 1. Situational awareness, know what’s around you at all times. 2. Wear all necessary PPE during operation - Safety glasses, ear protection, work shoes, long pants, and hi-visibility shirt. 3. Operate within manufacturers specifications regarding slopes. 4. Do not lift more than the manufacturer suggests for the machine. 5. Only use attachments as they are designed 6. Yield and idle down when pedestrians are near. Pinch Points, crushing Foot Injury - Equipment drives over foot, drop object on foot. Trauma/ contusions Eye Injury - Flying projectiles. Noise Rollover Chemicals (pouring, handling, spraying) Eye Injury - Splash, vapors 1. FOLLOW MANUFACTURER LABEL 2. Do not use chemical for any reason not listed on label. 3. Always wear PPE listed on label for the product. 4. Know the plant or insect you are treating. 5. Only trained and approved personnel shall apply chemicals. 6. Be sure to track all applications 7. Ensure application equipment and containers are labeled appropriately. 8. Maintains SDS’s and ensure they are readily available. Contact irritation, burn or absorption- Splash, skin contact Ingestion - breathing vapors Face - Splash Hand Tools (Shovels, Rakes, hoe, broom) Back Injury - lifting heavy material 1. Lift with your legs or with two people if possible. 2. Always wear proper PPE for the application. 3. Inspect equipment before use, and remove damaged tools from service. 4. Do not use broken handled tools. Remove from service. Hand Injury - splinters Power Tools Eye Injury - flying objects Page 3008 of 6525 JOB HAZARD ANALYSIS General Rules of Work Various Hazards to employees, equipment, environment. 1. Workers shall maintain situational awareness for their safety and those around them. 2. Horseplay, Drugs or alcohol are prohibited at all times. 3. Safety tailgate meetings held weekly and daily supervisors meetings. 4. Report all injuries, incidents, and near misses. General Cutting/ Cutting Irrigation Pipe Laceration 1. Use cut resistant level 4 gloves. 2. Cut material away from body. 3. Utilize the “safety” self-retractable knives. Parking, Hitching and Unhitching of Trailers Choosing where to park 1. Park on a flat open area if possible, place transmission in PARK or set E-BRAKE and exit the vehicle cautiously. 2. Place safety cones along truck and trailer (3 cones for truck, 4 with trailer) 3. Chock wheels BEFORE unhitching trailer 4. Use a spotter, and always maintain eye contact when backing truck and trailer or while connecting the truck to the trailer. 5. Ensure break away kit is installed and functional. Collision of parked vehicle Rolling trailer Crushing and pinch points when connecting trailer Collision or accidental contact when exiting the parking location Working on slopes and hillsides, and roadways Slip and fall, sliding 1. Avoid slopes when wet, move slowly and ensure footing is stable. 2. Do not exceed equipment slope rating. 3. Ensure vehicle stability, only utilize handheld equipment on steep slopes. 4. Wear high visibility clothing when working along roadways. 5. Ensure ROPS are in place before equipment operation. Utilize seat belt when ROPS up. Rollover of equipment Collision by vehicle traffic Disabled or Malfunctioning Equipment Flying parts 1. Check all bolts frequently to maintain proper tightness, check for worn or deteriorating parts. DO NOT OPERATE IF BROKEN 2. If equipment breaks or becomes inoperable stop use immediately, contact your supervisor to plan the next step and move equipment to a safe location. 3. Contact supervisor prior to moving inoperable equipment. 4. Remove key to prevent accidental starting when not in use. Equipment can become unresponsive to controls Moving disabled equipment or machines Strained or pulled muscles and tendons, cuts and lacerations. Circle check prior to operation Objects on engine or in engine compartment, under or leaning against equipment, tools, or vehicles may be obstructions or cause failure. 1. Keep objects clear of the equipment, tools, or vehicle during start up and operation. 2. Ensure all safe guards and switches are present and work properly. 3. Don’t operate equipment that appears damaged until inspected. 4. Damaged equipment shall be removed from site. Missing or broken safety guards Starting broken equipment, mishandled, or damaged equipment Page 3009 of 6525 Safety Program Manual 13148 Britton Park Road Fishers, IN 46038 1-800-491-5000 This document is proprietary and confidential. No part of this document may be disclosed in any manner to a third party without the prior written consent of Mainscape, Inc. Page 3010 of 6525 1 Company Safety Commitment The management of Mainscape, Inc. is committed to providing employees with a safe and healthy workplace. Incidents that injure people or damage property must be identified and eliminated. Continually improving our systems, procedures, tools, equipment, and facilities will benefit everyone’s safety and allow Mainscape to achieve its mission. It is our policy to constantly strive to improve our management skills, work practices, tools, and equipment to prevent injury or damage. To accomplish this, we need to work together to identify those practices that might lead to a loss. Our new hire for Mainscape will know we have a commitment to their health and safety. We welcome every employee’s cooperation and constructive suggestions in achieving these improvements . ay ______________________________ ________________ President/CEO Date Page 3011 of 6525 Safety Program S1 – Safety Policy Statement Introduced: 01/01/2000 Documents: N/A Revised: 5/18/2022 2 Purpose Outline Mainscape’s commitment to the safety of our employees, our customers and those who come in contact with our services. The goal of the safety program is to maximize profitability by keeping Mainscape, Inc. employees from being injured and by keeping our materials and facilities from being damaged and wasted. To accomplish this goal, we will:  Identify and report all hazards which could cause an injury or property damage immediately to your direct supervisor.  Prioritize the hazards, starting with the worst hazards first.  Evaluate the solutions which are available to eliminate or reduce the hazards.  Implement the best solution. Scope All Mainscape employees and subcontractors Responsibilities  All levels of management recognize that safety is a serious responsibility.  All persons who supervise, direct or control the work of others are responsible for those employees under their supervision and should make certain that they have a safe environment in which to work.  Managers and supervisors are responsible for identifying hazards and eliminating them. This includes enforcing safety rules and procedures designed to minimize safety.  Each employee is responsible for his/her own safety & well-being in the workplace. Employees are responsible for working safely; following safe procedures and helping their supervisors identify hazards. Procedures All employees and customers are essential ingredients to the success and growth of our business. Mainscape is proud of all of its employees and the efforts they make to ensure our success. The patronage and loyalty of our customers is critical to the well-being of the company and all its employees. Therefore, the company is deeply concerned for the safety and well-being of its employees and customers. We all must be committed to providing a safe working and business environment. Incident prevention is a matter of prime concern. The following policy has been established in an attempt to prevent needless employee and customer injuries.  Safe working conditions are to be maintained at all times.  All employees are to be thoroughly and properly trained in safe work practices. Each must understand the importance of following safe work methods and adhering to those methods daily. Employees must take an active role in notifying their supervisor of any unsafe situations, which are beyond their ability or authority to correct. Employees shall not perform any work or operate any equipment that are not trained or authorized to complete. Page 3012 of 6525 Safety Program S1 – Safety Policy Statement Introduced: 01/01/2000 Documents: N/A Revised: 5/18/2022 3  Employee and customer injuries are preventable when proper measures are taken and enforced. Failure to prevent injuries results in needless pain and suffering to the company’s two most valuable assets: Its employees and customers.  Safety is good business. Good for our employees, good for our customers, and good for the company – a triple win. The prevention of employee and customer injuries is of the utmost importance and a key ingredient to the continued success and growth of the Company. I urge each of you to join me in committing to make our company a safe place to work. Without your support we will not be able to achieve this most worthwhile and beneficial goal. PRINCIPLES AND GOALS It is the philosophy of this company that all incidents and occupational illnesses are preventable. The fundamental principle of a good safety program is to protect the assets of the corporation by reducing the chances for all forms of incidental loss (e.g. -~ employee injuries, property damages, liability claims, business interruption losses). This can best be accomplished by devising an organized safety process that identifies and controls the key exposures facing a business in the most cost-effective manner. Through this process, both the company and its employees will be able to achieve the highest level of production and personal safety. The goals established to meet the safety needs of the company are as follows:  Every reasonable effort will be made to provide a safe work environment.  Written safety guidelines will be established and enforced throughout the organization.  Clear channels of communication will be maintained to ensure all personnel are aware of important safety issues.  A Safety Director will report directly into the Senior Leadership Team.  A safety director and safety committee will be designated and supported by top management, to continue to refine the safety program.  Incentives will be provided to encourage all employees to approach their jobs in the most efficient and safe manner.  All near misses, safety complaints, and job related incidents will be investigated by management to uncover the cause(s) and implement solutions.  Each year Mainscape will establish Key Performance Indicators (KPI’s) that focus on A combination of Leading and Lagging indicators. Our KPI’s include: o Accidents/Incidents Rates o Thefts o Safety Inspections o Employee Training o Injuries reported on time o Safety Committee Attendance Training Requirements As outlined in the remainder of the Safety Program and Training Guides. Page 3013 of 6525 Safety Program S5 – Safety Compliance Introduced: 01/01/2000 Documents: Employee Warning Notice Revised: 11/1/2009 13 Purpose Defines action to be taken for non-compliance of Mainscape’s safety standards. Defines the discipline associated with each offense. Scope All Mainscape employees and subcontractors Responsibilities The Mainscape management team is responsible for monitoring and determining appropriate discipline for safety violations within their area. Procedures The best of safety programs can be made ineffective if all parties do not adhere to the guidelines established in the program. • Employee shall be afforded instructive counseling and/or training to assure a clear understanding of the infraction and the proper conduct under company guidelines. However, nothing in this policy or this Safety Manual will preclude management from terminating an employee for a safety violation. This is not a progressive discipline system and any safety violation may lead to an employee’s termination without prior instruction or warning. Management reserves the right to impose whatever disciplinary action it deems appropriate. • Employees will be subject to disciplinary action for violations of safety rules. Managers and Supervisors who have been assigned leadership roles have the authority to implement disciplinary action. Such action may include any one or more of the following depending on the severity of the violation. o Verbal warning with documentation in personnel file. o Written warning outlining nature of offense and necessary corrective action with documentation in personnel file. o Disciplinary suspension with documentation in personnel files. o Termination. • Managers and supervisors shall be subject to disciplinary action for the following reasons: Page 3014 of 6525 Safety Program S5 – Safety Compliance Introduced: 01/01/2000 Documents: Employee Warning Notice Revised: 11/1/2009 14 o Repeated safety rule violations by their department employees. o Failure to provide adequate training prior to job assignment. o Failure to report incidents and provide medical attention to employees injured at work o Failure to control unsafe conditions or work practices. o Failure to maintain good housekeeping standards and cleanliness in their departments.  Signage is written in languages understood by all employees.  Policies and tailgate meetings are translated into the languages of our workforce. Training All Mainscape employees are to be trained during new hire orientation on proper equipment operation and the disciplinary approach outlined in this procedure. Training will include disciplinary procedures, hazard identification, incident reporting procedures, substance abuse, emergency action plan, and blood borne pathogen awareness, fall protection, equipment operations, and all other tasks the employee will need to know to perform their work in a safe and competent manner. All training records are maintained with our Corporate HR in out Navigator LMS Page 3015 of 6525 Safety Program S6 – Weekly Safety Meeting (Tailgate Meeting) Introduced: 01/01/2000 Documents: N/A Revised: 11/01/2009 15 Purpose Keep employees up to date on all safety and training requirements, and to discuss all safety practices and incidents. Scope All employees must participate in weekly safety meeting. Responsibilities Director of Safety – Ensure meetings are being conducted though weekly monitoring. Operations Managers- carries out the weekly meeting, documents the employees in attendance and sends sign off sheet to Safety Coordinator weekly. Procedures Operations Manager or Safety Rep will conduct these meetings weekly with their crews. They will be held in the morning in a quiet, cool place where everybody will be able to listen and be comfortable. Employees are required to sign in. The sign in sheet will also be uploaded to our server for recordkeeping. Discussion topics for the week will be reviewed in the operations manager meetings for applicability. New ideas will also be generated based on current field issues and written company policies. Various topics for the meetings will also be available on Company Intranet, Monday’s Weekly Safety News or the Weekly Safety Bulletin (safety concerns from incidents from previous week). Training Requirements Tailgate Meetings, Safety News and Safety Bulletin will be carried out weekly. Page 3016 of 6525 Safety Program S7 – OSHA Training Introduced: 01/01/2000 Documents: N/A Revised: 01/01/2014 16 Purpose The purpose of having OSHA training is to stay compliant of the laws and regulations regarding safety. Scope All Mainscape, Inc. Operations Managers, Branch Managers, Fleet Managers, and Safety Representatives Responsibilities The Safety Compliance Coordinator, along with the HR Manager, will coordinate all training and be responsible for verifying that all required training is complete and current. Procedures The Safety Compliance Coordinator, along with the HR Manager, will assign and/or schedule training courses with a certified company. Training Requirements All Operations Managers, Operations Field Managers, Fleet Managers, Crew Leaders, and Safety Representatives are required to attend the OSHA 10 hour training every 5 years. Safety Director and Branch Managers are required to attend the OSHA 30 hour training. Page 3017 of 6525 Safety Program S10– Job Hazard Analysis Introduced: 04/07/2003 Documents: Job Hazard Analysis for various services Revised 11/01/2009 25 Purpose To identify hazards before they occur. A job hazard analysis focuses on the relationship of the employee, the task, the tools, equipment and the work environment. Scope Job Hazard Analysis will be completed by all The local branch management team and/or Crew Leaders prior to starting the job. Definitions Not Applicable Responsibilities Identify uncontrolled hazards and take corrective steps to eliminate and prevent the hazards at the worksite. Keep job sites clean and free of hazardous debris and analyze the JHA after an incident to ensure all steps are in place and effective to eliminate hazards. All newly developed JHA’s must be approved by the Safety Director and all managers are properly trained on completing a JHA, Procedures The local branch management team and/or Crew Leaders will complete a Job Hazard Analysis for the job task using the Mainscape JHA form. The goal is to discover:  What can go wrong?  What are the consequences?  How could it arise?  What are other contributing factors?  How likely is it that the hazard will occur?  Who could be at risk?  What areas of job site are hazardous? After reviewing the list of hazards, consider what control methods will eliminate or reduce them. Take the necessary steps to eliminate or reduce hazards. Subcontractors are required to assign a safety contact person for all jobs being performed for Mainscape. This person will ensure all safety procedures are being followed and identify potential hazards. Training Requirements All Operations Managers, The local branch management team and Crew Leaders need to be educated on the Job Hazard Analysis process. Page 3018 of 6525 Safety Program S28- Heat and Cold Stress Introduced: 12/2/16 Documents: Revised: 4/13/23 82 Heat Stress Plan It is the purpose of Mainscape, Inc. to provide a safe workplace even when outdoor temperatures provide challenges. We provide the following measures to further the safety of our workers:  Provisions of Water  Access to Shade  High Heat Procedures  Emergency Response Procedures  Acclimatization  Training Provisions of Water Ample, fresh, pure drinking water is available at no charge. The water shall be located as close as practicable to the work area. It is important that all employees encourage one another to continue drinking water throughout the day in order to stay hydrated. Access to Shade We are fortunate to work in areas that have natural shade from landscaping; however, in the unlikely event that there is no shade near the work area, our vehicle and/or trailer are another option to provide shade. Mainscape vehicles have air conditioning, so this is also a good option to receive shade and cool air from the heat. Employees are encouraged to take preventative cool-down rest in the shade when they feel the need to do so to protect themselves from overheating. Any employee who takes a preventative cool-down rest should notify his/her supervisor immediately. The supervisor or designee shall monitor and ask employee if he/she is experiencing symptoms of heat illness. Employee should remain in the shade and not return to work until any signs or symptoms of heat illness have abated. If employee exhibits any signs or symptoms of heat illness, first aid and emergency response procedures will be activated. Page 3019 of 6525 Safety Program S28- Heat and Cold Stress Introduced: 12/2/16 Documents: Revised: 4/13/23 83 High Heat Procedure All employees shall be closely observed by a supervisor or designee during a heat wave. For purposes of this section, “heat wave” means any day in which the predicted heat index high temperature for the day will equal or exceed 90 degrees Fahrenheit. When the heat index temperature equals or exceeds 90 degrees Fahrenheit, high heat procedures will be enacted. These shall include regular communication with employees by radio or phone if reliable reception. If communication can’t be monitored effectively, a “buddy system” shall be deployed so employees can always have an active set of eyes upon them. The sole intent of the “buddy” is to protect their co-worker by monitoring for heat illness, remind him/her to drink plenty of water, take a preventative cool-down, and immediately call for help if onset of heat illness occurs. When possible, start times will be adjusted to accommodate work during cooler temperatures, but regardless of start time, activities will cease at a heat index equal to or exceeding 105 degrees Fahrenheit. Emergency Response Procedures Whenever an employee exhibits any signs or symptoms of heat illness, first aid and emergency response procedures will be activated. Supervisors shall take immediate action dependent upon the severity of the heat illness. If the signs or symptoms are indicators of severe heat illness (such as, but not limited to, decreased level of consciousness, staggering, vomiting, disorientation, irrational behavior or convulsions), emergency medical services must be summoned. An employee exhibiting signs or symptoms of heat illness shall be monitored and shall not be left alone or sent home without being offered onsite first aid and/or being provided with emergency medical services. Supervisors should be prepared to provide clear and precise directions to the work area to emergency responders. Page 3020 of 6525 Safety Program S28- Heat and Cold Stress Introduced: 12/2/16 Documents: Revised: 4/13/23 84 Acclimatization An employee who has been newly assigned to a high heat area shall be closely observed by a supervisor or designee for the first week of the employee’s employment. Unless other technology is utilized to actively monitor individuals, a work/rest schedule will be utilized as follows.  1st day – Up to 2 hours work in field with rest/training/climate-controlled activities for balance of day.  2nd day - Up to 4 hours work in field with rest/training/climate-controlled activities for balance of day.  3rd day - Up to 6 hours work in field with rest/training/climate-controlled activities for balance of day.  4th day - Up to 8 hours work in field with rest/training/climate-controlled activities for balance of day.  5th day - Up to 10 hours work in field. Training Training provided by way of this policy and additional means at each branch includes:  Review of how to monitor weather reports and respond to hot weather advisories.  Environmental and personal risk factor discussions for heat illness and the added burden of heat load on the body due to exertion, clothing, and personal protective equipment.  Reminders of water provisions, shade, cool-down rests, first aid, and emergency response.  Review importance of frequent water consumption for all as hot environments likely cause more sweating.  Acclimatization and “buddy system” procedures for high heat times. Mainscape asks employees to assist in the acclimatization process by also keeping track of time since air- conditioned vehicles are available for use at any time, so please keep in regular communication with crew leaders.  Signs of heat illness and how quickly mild symptoms can progress to serious and life- threatening illness.  Importance of immediate reporting of signs or symptoms of heat illness Page 3021 of 6525 Safety Program S28- Heat and Cold Stress Introduced: 12/2/16 Documents: Revised: 4/13/23 85 Cold Stress Cold weather can also be dangerous. Allow extra time in the mornings. Warm up your vehicle engines, scrape frost from windows, check fluid levels, allow yourself more time to get where you are going and leave larger spacing between you and the vehicle in front of you during slippery conditions. Slippery footing is a big safety concern. Slow down and pay extra attention to what you are doing when walking on snow or ice. If you can avoid walking on the snow and ice do yourself a favor and go the other way. Ensure that the rungs or steps on ladders have snow and ice removed from them, so that you will have a safe footing. The same would apply to stairs. In extreme weather conditions of any kind, if at all possible, avoid roof work. Try to delay it until those conditions lessen. Cold temperatures, wet weather and wind can combine to produce hypothermia, i.e., below normal body temperature. Symptoms include intense shivering, fatigue, and areas of numbness. Should these signs appear, find a way to get inside a heated area, such as a vehicle and stay there until these symptoms have lessened. Frostbite is another concern, especially to the nose, ears, fingers, and toes. Wear layers of warm clothes, gloves, heavy socks, water resistant boots, and a warm hood under your hard hat. When dressing for cold weather, remember that wearing layers of clothing is best. The small air spaces between these layers of clothing are excellent insulators. In extreme cold, three, four, even five layers of clothes may be needed. Training The training applies to all supervision, employees, and management of Mainscape, Inc., and as such all supervisors’, crew leaders, and management personnel will be trained in the elements of heat stress / cold stress awareness prior to supervising employees. Team members are required to watch new hire video’s and attend safety rodeo orientation annually. This training will be documented in the training file. Page 3022 of 6525 Safety Program S29- Motor Vehicles Introduced: 7/10/19 Documents: Mainscape Company Vehicle Agreement Revised: 86 Purpose To establish policies and procedures for all Mainscape, Inc. employees who operate Mainscape vehicles. Scope This policy applies to all Mainscape, Inc. employees who operate or will operate Mainscape vehicles. Procedures General Driving  All state and local traffic laws will be obeyed. Driving too fast for conditions such as poor highway, poor visibility, icy roads, and highway congestion are the cause of the majority of accidents. Drivers should use good judgment and adjust driving according to road conditions.  Reckless driving will not be tolerated. Defensive driving and the use of seat belts are required. Employees should take pride in the appearance of the Mainscape vehicles they drive.  Cell phone use is prohibited while driving unless utilizing hands free options, do not manipulate radios or other equipment which may cause distraction, do not exceed the posted speed limit and maintain a safe distance between other vehicles.  Prior to driving the vehicle, the driver is required to check tires, lights, wipers, horn, turn signals, rear view mirrors, and brakes to be sure they appear to be in safe operating condition. Also make sure all tools, equipment, materials, and/or debris are properly secured to prevent from exiting any company vehicle while driving. If defects are noted, promptly report and/or have them repaired as appropriate.  Driving while under the influence of alcohol or any drugs is prohibited.  No alcoholic beverages or liquors will be transported in a company vehicle.  Keys will always be removed and vehicle will be locked when not in use. An extra set of keys will be kept at the office.  Employees are recommended to keep their vehicles locked while in the parking lot. The Company assumes no responsibility for any damage to, or theft of, any vehicle or personal property on Company property.  No employee will be required to operate a vehicle that is mechanically unsafe.  Employees will report all unsafe vehicles to Site Supervisor.  All loads should be inspected before driving. Loads will be evenly distributed and tied down when necessary.  Compressed cylinders must be capped, standing upright and secured in place.  All containers of flammables must be covered and secured.  The driver should make sure area is clear to the rear before backing up. The driver will use a signal person if another passenger or employee is in the area.  When towing equipment, the driver will make sure the hitch is in good shape and securely closed. Safety chains will also be attached.  The driver will always shut off the engine when filling the fuel tank.  All traffic violations are to be reported to your supervisor. Operation of Mainscape Vehicles  Only authorized employees that are on the Mainscape Approved Driving List and maintain a valid driver’s license at all times will be allowed to operate company vehicles. Page 3023 of 6525 Safety Program S29- Motor Vehicles Introduced: 7/10/19 Documents: Mainscape Company Vehicle Agreement Revised: 87  Mainscape vehicles will only be used for its intended purpose of Company business and never for personal use unless specifically authorized, in writing, by a supervisor or another Company person having authority to authorize such use. If personal use of the vehicle is specifically authorized, only the approved driver will drive the vehicle.  When used for company business, only company employees or other persons being transported for business purposes will be allowed to ride in or enter the Company vehicle, and only other authorized company. Condition of Mainscape Vehicles  The Company and drivers share the responsibility for the maintenance of the Company vehicles. The vehicle will be fit for the purpose and maintained in safe working order. The cleanliness of the interior of each vehicle is the responsibility of its driver.  Employees are responsible for any Company vehicle they use. The employee will be liable for repairs or replacement of any damage caused by abuse, including ruining tires by running flat, side wall damage by hitting curbs, running low on oil, etc. Vehicle Incidents (Non-Injury related) The driver or supervisor must contact the Director of Human Resources or Safety Director immediately upon notification of any auto incident. The driver must:  Stop at once  Take steps to prevent further accidents – park safely, set out warning devices  Call the Police to file report  Obtain witness statements (if available)  Give other driver(s) your name, address, Mainscape’s name and address, the VIN# and your driver’s license number. Do not discuss who is at fault.  Discuss the specifics of the accident only with the police and/or your employer  Call your manager as soon as possible  Visit assigned lab for a post-incident drug screen (supervisor will provide Chain of Custody form) The supervisor or designee must complete the following within 24-hours of the auto incident: Complete via Navigator:  Hortica’s Automobile Accident Report including locations, actions, witnesses, contacts, damage, police report #, etc. Upload to Navigator:  Copy of Police Report (when obtained)  Pictures of damaged vehicles  VIN #s for all automobiles/trailers involved in the incident  Estimate of repair for a Mainscape vehicles and/or trailers damaged  Any statements or additional information, including estimates for repair to damaged vehicle(s) received from person reporting the claim  Ongoing information received from the other driver, etc.  The HR Department will forward all information relating to the claim to insurance company for review and investigation. Page 3024 of 6525 Safety Program S29- Motor Vehicles Introduced: 7/10/19 Documents: Mainscape Company Vehicle Agreement Revised: 88  Insurance Company will assign Claims Representative to handle claims process. This may include investigation, statements, third party adjusters, etc. Each claim is unique and as such will require varied steps based on type of claim, circumstance, parties involved, and assumed fault.  HR will provide all ongoing information received and any additional information requested from insurance company. HR will cooperate fully with insurance company to assist in any way possible with the claims process.  Insurance company will notify both Mainscape and claimant of final decision regarding claim. *Please note if an injury is involved, please refer to the Injury Procedures **ANY EMPLOYEE NVOLVED IN AN AUTO INCIDENT MUST VISIT ASSIGNED LAB FOR POST- INCIDENT DRUG SCREEN IMMEDIATELY FOLLOWING THE INCIDENT, OR NO LATER THAN 24- HOURS FROM TIME OF INCIDENT. SUPERVISOR MUST ESCORT THE EMPLOYEE TO THE LAB FOR TESTING. (Contact HR for Chain of Custody form) ** Insurance  Mainscape’s automobile insurance DOES NOT cover any drivers when they are driving a non-company car for personal use, as only Mainscape vehicles are insured. Training All drivers are required to attend defensive driving training within 60 days of new hire and every 2 years after initial training. Page 3025 of 6525 EVALUATION CRITERIA NO. 6 SPECIALIZED EXPERTISE OF TEAM MEMBERS Page 3026 of 6525 ORGANIZATION: STAFF AGRONOMY OPERATIONS MANAGER Gregory Goddard FERTILIZATION TEAM MEMBERS PEST MANAGEMENT Pedro Mata IRRIGATION OPERATIONS MANAGER Gregory Goddard IRRIGATION TECHNICIAN TEAM VICE PRESIDENT OPERATIONS Josh Slocum BRANCH MANAGER Jay Arthurs OPERATIONS MANAGERS Daniel Romo MOW TEAM CREW LEADER PRUE TEAM CREW LEADER WEEDING TEAM CREW LEADER MOW TEAM MEMBERS PRUNE TEAM 5 TEAM MEMBER WEEDING TEAM MEMBERS COMMUNICATION: The Operations Manager will be the single point of contact for all services. Weekly meetings between service departments are held using the EOS platform to insure cohesiveness and delivery. SAFETY MANAGER Victor Illescas Page 3027 of 6525 KEY PERSONNEL Loren Garner Account Executive,Florida Experience:36 years,all with Mainscape.Loren started as a fertilization tech,later earning a Certified Pest Control Operator license.Currently,he oversees all aspects of the delivery team from safety, staffing,execution of work,quality control and profitability.Skills:Over the years,Loren has been instrumental in opening new offices in new markets,giving him insight into a client’s daily and long- term operational needs.Motivation:Helping employees craft a career path to reach their goals and along the way provide our clients exceptional service that reflects our core values.Interests:“I’ve been married for over 33 years and have three wonderful children.I enjoy being involved in their new careers and extracurricular activities.” Jay Arthurs Branch Manager Experience:18 years of industry experience with 16 of those at Mainscape.Jay is responsible for training and holding personnel accountable for safe handling of equipment and application of fertilizers and pesticides.Certifications:Certified Pest Control Operator,FNGLA Certified Horticultural Professional,FNGLA Certified Landscape Maintenance Technician,NALP Landscape Industry Certified Lawn Care Manager,Florida Water Star Accredited Professional,BMP Certified Motivation:Creating opportunities for team members to grow and further their education.Skills:Jay’s ability to effectively lead,problem solve and focus on the details helps his teams improve and maintain the health and performance of the landscape throughout the State of Florida.Interests:“In my spare time I enjoy playing golf and fishing as well as spending quality time with my wife and three daughters.” Page 3028 of 6525 KEY PERSONNEL Josh Slocum Vice President Operations Experience: Josh came to Mainscape in 2011 with ten years of previous experience in landscaping and snow removal. After starting as an OFM, he was quickly promoted to Branch Manager in Fort Drum. In addition to maintaining the landscape during the growing season, Josh faces the additional task of snow removal in an area that averages over 120 inches of snow per year. Under his leadership, Fort Drum has repeatedly been in the top producing Mainscape branches. In 2015, he took on the role of Regional Manager and is responsible for safety, delivery of profitable services, quality of work, and overall team development for the northeast region. Certifications: ASCA certified, Certified Pesticide Technician Motivation: “I am always looking to exceed expectations on productivity, profitability, and the level of service we provide the customer.” Interests: Josh is married to his high school sweetheart, Rosey, and they have three sons. In his free time, Josh enjoys outdoor activities, such as fishing, hunting, and ATV riding. Victor Illescas Florida Regional Safety Manager Experience: After retiring from a career of serving in the Army, Victor began working in the field of Safety. He joined the Mainscape family in 2020 with 8 years of safety management experience. Skills: Victor is well known for his expertise in communication, attention to detail and people skills. Motivation: To keep everyone as safe as possible and to do my best to get everyone home the same way they got to work, as well as ensuring Mainscape standards are understood and followed. Interests: In his spare time, Victor enjoys going to the gym, exploring new restaurants, spending time with his children and attending local events in the community. Daniel Romo Operations Manager Experience: With twenty years in the landscaping industry, Daniel has spent eight of those at Mainscape managing and supporting his teams in creating great landscape experiences for our customers. Skills: Daniel is great at training, quality assurance, and schedule adherence. Certifications: FNGLA certified horticultural professional. Motivation: Sharing knowledge and helping others succeed. Interests: In his spare time, Daniel enjoys fishing, cooking and smoking meats, and spending time outdoors. Page 3029 of 6525 BID PROPOSAL THE MAINSCAPE STORY1 Executive Team Mark Forsythe – CEO Experience: Mark has 28 years of executive experience across a broad range of industries, including 13 at Accenture providing large-scale SAP projects and developing rapid implementation approaches.Skills:Drawing on his deep experience and Mechanical Engineering degree from Rose Hulman Institute of Technology, Mark is responsible for ensuring that the appropriate people, processes and tools are in place to enable delivery of superior service and for building a culture of continuous improvement.Motivation:Encouraging leadership companywide to develop creative solutions using a “think outside the box” mentality.Interests:“In my spare time, I enjoy triathlons, mountain biking and snowboarding.” Experience: Joined Mainscape in 2013. Nate’s far-reaching experience goes back to 2001 when he started on a landscape construction crew focusing primarily on landscape construction projects. While getting his Bachelor’s degree in Business Administration, Nate continued to work on the green industry, maintaining the grounds at Marist College. After graduation, he worked his way up through the ranks at another company before we snatched him away. At Mainscape, he has overseen the startup of 9 new branches in 9 different states and continues to focus on company growth through long-term partnerships. Skills: Because of Nate’s in-depth knowledge of the industry, literally from the ground up, he’s able to work with and relate to employees and guide them to safely achieving clients’ goals. Interests: “I am a competitive triathlete. In my spare time, I can often be found swimming, biking, and running.” Nate Hyde President Page 3030 of 6525 BID PROPOSAL THE MAINSCAPE STORY2 Nick Starnes Director of Technology Experience: Nick began working with Mainscape in 2004. He earned his Bachelor’s degree in Business with a minor in Economics from Indiana University. Skills: His first- hand experience with the ever-changing world of technology and the consequent challenges for a growing business are evident in the ease with which he recognizes needs, addresses concerns and develops the necessary solutions to promote the success of his customers. Motivation: Throughout his entire 18 years in IT, Nick has dedicated himself to developing easy-to-use systems that address the needs of customers. From basic project consulting to the development of a complex systems infrastructure for a national service company, Nick is committed to providing technology services that are detailed and relatable. Interests: When Nick is not immersed in the world of technology, he is typically enjoying time with his wife, coaching his son’s travel baseball team, or taking on the challenges of the golf course. Executive Team Jill Dougherty CFO Experience: B.S. Accounting (Cum Laude), Ball State University and Masters of Accountancy, Ball State. Prior to joining Mainscape in 2006, Jill spent time in public accounting providing audit, review and attestation services to a diverse clientele in numerous industries. Skills: Jill’s attention to detail and love for numbers position her perfectly for strategic budgeting, cash flow management and securing financing. As the Controller,she is also responsible for managing the day-to-day operations of accounts payable and receivable, payroll and account support. She strives to streamline daily accounting functions, implement policies and procedures that provide efficiency, and supply data to team members to foster good decision making. Interests: “I like spending time with family and friends, snow skiing, exercising, attending sporting events, and beach vacations!” Tina Miller Director of Human Resources Experience: Over 29 years of human resource experience, and has been in a leadership role at Mainscape since 2007. Tina is an accomplished human resources professional and is committed to building strong relationships and empowering people.She has extensive knowledge in recruitment, relations, development, training, compensation, diversity, ethics, HR compliance, benefits and claims.Tina is also Mainscape’s Chief Ethics & Compliance Officer, and she has successfully managed a 60% growth in employee count over the past 8 years. Motivation: Working with new and tenured employees and coaching them towards success. Simply stated, “People.” Interests: “I love spending time with family and friends, traveling to tropical places, and hiking in the mountains.” Page 3031 of 6525 EVALUATION CRITERIA NO. 7 EQUIPMENT LIST Page 3032 of 6525 EQUIPMENT LIST Year Make Model Description 2024 Isuzu NPR dump body Used for pruning services 2024 GMC Sierra 3500 dump body Used for mowing services 2024 Chevy Colorado Used for irrigation services 2024 Chevy Silverdao 4500 Used for fertilization services 2024 GMC Sierra 3500 Used for pest control services 2025 Wright Mower 36" mowing deck Used for mowing services 2025 Wright Mower 52" mowing deck Used for mowing services 2025 Wright Mower 52" mowing deck Used for mowing services 2025 Wright Mower 61" mowing deck Used for mowing services 2025 Wright Mower 72" mowing deck Used for mowing services 2025 John Deere Gator UTV Used for pest control services 2025 Zspray Z Max Used for fertilization services Stihl Stick edger will purchase new units if awarded contract Stihl String trimmer will purchase new units if awarded contract Stihl Backpack blower will purchase new units if awarded contract Stihl Hedge trimmer will purchase new units if awarded contract Lesco Backpack sprayer for weed control will purchase new units if awarded contract Equipment List Page 3033 of 6525 EVALUATION CRITERIA NO. 8 LOCAL VENDOR PREFERENCE Page 3034 of 6525 Page 3035 of 6525 Page 3036 of 6525 NEXT STEPS PROPOSED MEETING DATE: Action items to complete ✓Set meeting to review proposal ✓Negotiate services and pricing ✓Launch our “Start it Right” process ✓Begin our new partnership Loren Garner, Account Executive Mobile: 239-229-9940 Office: 800-481-0096 Email: lgarner@mainscape.com For more information visit www.mainscape.com It would be a privilege to begin a partnership with your property and team. Page 3037 of 6525 Page 3038 of 6525 Page 3039 of 6525 Page 3040 of 6525 Page 3041 of 6525 Page 3042 of 6525 Page 3043 of 6525 Page 3044 of 6525 Page 3045 of 6525 Page 3046 of 6525 Page 3047 of 6525 Page 3048 of 6525 Page 3049 of 6525 Page 3050 of 6525 Page 3051 of 6525 Page 3052 of 6525 Page 3053 of 6525 Page 3054 of 6525 Page 3055 of 6525 Page 3056 of 6525 Page 3057 of 6525 Page 3058 of 6525 Page 3059 of 6525 Page 3060 of 6525 Page 3061 of 6525 Page 3062 of 6525 Page 3063 of 6525 Page 3064 of 6525 Page 3065 of 6525 Page 3066 of 6525 Page 3067 of 6525 Page 3068 of 6525 Page 3069 of 6525 Page 3070 of 6525 Page 3071 of 6525 Page 3072 of 6525 Page 3073 of 6525 Page 3074 of 6525 Page 3075 of 6525 Page 3076 of 6525 Page 3077 of 6525 Page 3078 of 6525 Page 3079 of 6525 Page 3080 of 6525 Page 3081 of 6525 Page 3082 of 6525 Page 3083 of 6525 Page 3084 of 6525 Page 3085 of 6525 Page 3086 of 6525 Page 3087 of 6525 Page 3088 of 6525 Page 3089 of 6525 Page 3090 of 6525 Page 3091 of 6525 Page 3092 of 6525 Page 3093 of 6525 Page 3094 of 6525 Page 3095 of 6525 Page 3096 of 6525 County of Collier, FL Procurement Kenneth Kovensky, Executive Director 3299 Tamiami Trail, East Naples, FL 34112 [A&M PROPERTY MAINTENANCE, LLC] RESPONSE DOCUMENT REPORT GEN No. 25-8345 Landscape Maintenance Contractors RESPONSE DEADLINE: May 23, 2025 at 3:00 pm Report Generated: Friday, May 23, 2025 A&M PROPERTY MAINTENANCE, LLC Response CONTACT INFORMATION Company: A&M PROPERTY MAINTENANCE, LLC Email: aandmtotal@yahoo.com Contact: ARMANDO YZAGUIRRE Address: 4396 Owens 4396 Owens Way Ave Maria, FL 34142 Phone: (239) 503-0303 Website: N/A Submission Date: May 22, 2025 2:05 PM (Eastern Time) Page 3097 of 6525 [A&M PROPERTY MAINTENANCE, LLC] RESPONSE DOCUMENT REPORT GEN No. 25-8345 Landscape Maintenance Contractors [A&M PROPERTY MAINTENANCE, LLC] RESPONSE DOCUMENT REPORT undefined - Landscape Maintenance Contractors Page 2 ADDENDA CONFIRMATION Addendum #1 Confirmed May 22, 2025 5:48 PM by ARMANDO YZAGUIRRE QUESTIONNAIRE 1. I certify that I have read, understood and agree to the terms in this solicitation, and that I am authorized to submit this r esponse on behalf of my company.* Confirmed 2. ALL DOCUMENTS REQUIRING EXECUTION SHOULD BE EITHER BY WET SIGNATURES OR VERIFIABLE ELEC TRONIC SIGNATURES. FAILURE TO PROVIDE THE APPLICABLE DOCUMENTS MAY DEEM YOU NON-RESPONSIVE/NON-RESPONSIBLE. Confirmed 3. Invitation for Qualification (IFQ) Instructions Form* Invitation for Qualification (IFQ) Instructions have been acknowledged and accepted. Confirmed 4. Collier County Purchase Order Terms and Conditions.* Collier County Purchase Order Terms and Conditions have been acknowledged and accepted. Confirmed 5. Insurance Requirements* Vendor Acknowledges Insurance Requirement and is prepared to produce the required insurance certificate(s) within five (5) days of the County's issuance of a Notice of Recommended Award. Page 3098 of 6525 [A&M PROPERTY MAINTENANCE, LLC] RESPONSE DOCUMENT REPORT GEN No. 25-8345 Landscape Maintenance Contractors [A&M PROPERTY MAINTENANCE, LLC] RESPONSE DOCUMENT REPORT undefined - Landscape Maintenance Contractors Page 3 Confirmed 6. Proposal Submittal* Please submit a proposal per Evaluation Criteria outlined in Solicitation. 1_Cover_Letter_|_Management_Summary.pdf 3_Industry_Licenses_and_Certifications.pdf 4_Experience.pdf 5_Samples_Maintenance_Reports.pdf 6_ABY_Resume.pdf 6_Sylvia_B._Yzaguirre_Resume.pdf 6_Organizational_Charts.pdf 7_Equipment_List.pdf 8_2024-2025_Business_Tax_Receipts.pdf 7. County Required Forms VENDOR DECLARATION STATEMENT (FORM 1)* Form_1_Vendor_Declaration_Statement.pdf CONFLICT OF INTEREST AFFIDAVIT (FORM 2)* Form_2_Conflict_of_Interest_Certificaiton_Affidavit.pdf IMMIGRATION AFFIDAVIT CERTIFICATION (FORM 3)* Form_3_Immigration_Affidavit_Certification.pdf LOCAL VENDOR PREFERENCE (IF APPLICABLE FORM 4) Include a copy of the business tax receipt. Form_4_Vendor_Submittal_-_Local_Vendor_Preference_Certification.pdf Page 3099 of 6525 [A&M PROPERTY MAINTENANCE, LLC] RESPONSE DOCUMENT REPORT GEN No. 25-8345 Landscape Maintenance Contractors [A&M PROPERTY MAINTENANCE, LLC] RESPONSE DOCUMENT REPORT undefined - Landscape Maintenance Contractors Page 4 REFERENCE QUESTIONNAIRE (IF APPLICABLE FORM 5) 2025_BAYSHORE_REFERENCE.pdf 2025_CCPS_REFERENCE.pdf 2025_IMMOKALEE_MSTU_REFERENCE.pdf 2025_PEPPER_RANCH_REFERENCE.pdf GRANT PROVISIONS (IF APPLICABLE FORM 6) All forms must be completed No response submitted PROOF OF STATUS FROM DIVISION OF CORPORATIONS - FLORIDA DEPARTMENT OF STATE (SUNBIZ)** http://dos.myflorida.com/sunbiz/ should be attached with your submittal. 2025_Sunbiz.pdf E-VERIFY - MEMORANDUM OF UNDERSTANDING* Vendor MUST be enrolled in the E-Verify - https://www.e-verify.gov/ at the time of submission of the proposal/bid. E-Verify Memorandum of Understanding or Company Profile page should be attached with your submittal. E-Verify.pdf W-9 FORM* 2025_W-9_A&M.pdf SIGNED ADDENDUMS (IF APPLICABLE) Addendum_1.pdf MISCELLANEOUS DOCUMENTS 2024-2026_Mando's_WC_Exemption_Certificate.pdf Form_Vendor_Check_List.pdf Page 3100 of 6525 A&M Property Maintenance, LLC Executive Summary Our Mission A&M o&ers commercial landscaping services throughout Southwest Florida. We aim to capture the market within our communities by providing exceptional services as well sustainable jobs, thereby boosting the economy. The Company and Management A&M Property Maintenance, LLC, is a minority-owned company that began operations in July 2007. Based out of Ave Maria & Immokalee, FL, services are directed by owner and manager, Armando B. Yzaguirre and his wife, Sylvia B. Yzaguirre. The company is classified as a Landscape Restricted and Irrigation Sprinkler contractor with Collier County and licensed as a Commercial Landscape Maintenance Holder, a Commercial Fertilizer Applicator Holder, an approved FDOT Temporary Tra&ic Control (Intermediate), and has completed Best Management Practices through Florida Green Industries. Armando manages all logistics, crew management, and client management. Sylvia oversees all finances and administrative responsibilities. Our Services We o&er comprehensive landscape services to our clients, including mowing, edging, weeding and weed control, general site trimming, debris/trash removal, street cleaning, bush hog services, tree trimming, mulch installation, and pressure washing services. Our Competitive Advantage While there are many up-and-coming landscape companies in Southwest Florida, we take pride in running our family-owned company for over 15 years for clients with whom we have maintained long-standing relationships by providing consistent, exceptional services, especially with the local public school system and county. Page 3101 of 6525 Management Armando B. Yzaguirre is co-owner and manager of A&M Property Maintenance, LLC. Armando has over 15 years of experience in the landscaping business. He is a strong leader who manages all on-site supervisors, overseeing day-to-day operations. Armando handles all new and existing business relationships, including new contracts and ongoing client meetings. Armando can be contacted on his cell phone at 239-503-0303 or armando@aandmproperty.com Sylvia B. Yzaguirre is co-owner of A&M Property Maintenance, LLC, and holds a bachelor’s in business administration in Finance. Sylvia maintains all company financial and administrative duties. Sylvia can be contacted on her cell phone at 239-503-1897 or sylvia.yzaguirre@aandmproperty.com Personnel All A&M’s sta& are fully trained to perform landscaping functions. Armando sets all company policies and trains all new employees. He solicits, interviews, and hires all new sta&. He assigns accounts to the supervisors and determines work schedules. He handles all negotiations on new and existing contracts, projects, and customer service issues. All supervisors are responsible for supplemental training to employees whenever necessary. They manage assigned accounts and determine the supplies needed for each account. They handle all on-site problems and issues reported to the owner by the client. The O&ice Manager reports directly to the owner and manages all bookkeeping functions, including payroll, accounts payable, and accounts receivable. Field employees report directly to a supervisor and are assigned to perform landscaping functions. They manage the inventory of supplies. Page 3102 of 6525 4396 OWENS WAY AVE MARIA, FL 34142 Current Principal Place of Business: Current Mailing Address: 4396 OWENS WAY AVE MARIA, FL 34142 US Entity Name: A&M PROPERTY MAINTENANCE LLC DOCUMENT# L08000046795 FEI Number: 26-2564413 Certificate of Status Desired: Name and Address of Current Registered Agent: YZAGUIRRE, SYLVIA B 4396 OWENS WAY AVE MARIA, FL 34142 US The above named entity submits this statement for the purpose of changing its registered office or registered agent, or both, in the State of Florida. SIGNATURE: Electronic Signature of Registered Agent Date Authorized Person(s) Detail : I hereby certify that the information indicated on this report or supplemental report is true and accurate and that my electronic signature shall have the same legal effect as if made under oath; that I am a managing member or manager of the limited liability company or the receiver or trustee empowered to execute this report as required by Chapter 605, Florida Statutes; and that my name appears above, or on an attachment with all other like empowered. SIGNATURE: Electronic Signature of Signing Authorized Person(s) Detail Date FILED Feb 14, 2025 Secretary of State 6448129506CC SYLVIA B YZAGUIRRE MANAGER 02/14/2025 2025 FLORIDA LIMITED LIABILITY COMPANY ANNUAL REPORT No Title MANAGER, AUTHORIZED MEMBER Name YZAGUIRRE, SYLVIA BETANCOURT Address 4396 OWENS WAY City-State-Zip:AVE MARIA FL 34142 Title AMBR Name JAMES MICHAEL SANDERS Address 4396 OWENS WAY City-State-Zip:AVE MARIA FL 34142 Title MANAGER, AUTHORIZED MEMBER Name YZAGUIRRE, ARMANDO BENITO Address 4396 OWENS WAY City-State-Zip:AVE MARIA FL 34142 Page 3103 of 6525 Collier County Board of County Commissioners Certificate of Competency Collier County * City of Marco * City of Naples * City of Everglades Issued Date: 11/06/2024 Company:A&M PROPERTY MAINTENANCE LLC Address:4396 OWENS AVE AVE MARIA, FL 34142 Telephone:(239) 503-0303 Qualifier:YZAGUIRRE, ARMANDO B. License #:C33963 Issuance #:201400001753 Classification:IRRIGATION SPRINKLER Valid Thru: State License #: State Valid Thru: 09/30/2025 It is the Qualifier’s responsibility to keep current all records with Collier County. This shall include insurance certificates and/or contact information. Always verify licenses online at https://cvportal.colliercountyfl.gov/CityViewWeb/ Do not alter this document in any form. This is your license. It is unlawful for anyone other than the licensee to use this document. This Collier County Certificate of Competency’s status and expiration date may change on July 1, 2025, due to the State of Florida Senate Bill No. 1142. Please visit our website at www.colliercountyfl.gov/government/growth-management/divisions/operations- regulatory-management/contractor-licensing for more information as it becomes available. Page 3104 of 6525 Collier County Board of County Commissioners Certificate of Competency Collier County * City of Marco * City of Naples * City of Everglades Issued Date: 11/06/2024 Company:A&M PROPERTY MAINTENANCE LLC Address:4396 OWENS AVE AVE MARIA, FL 34142 Telephone:(239) 503-0303 Qualifier:YZAGUIRRE, ARMANDO B. License #:C33963 Issuance #:33963 Classification:LANDSCAPING RESTRICTED Valid Thru: State License #: State Valid Thru: 09/30/2025 It is the Qualifier’s responsibility to keep current all records with Collier County. This shall include insurance certificates and/or contact information. Always verify licenses online at https://cvportal.colliercountyfl.gov/CityViewWeb/ Do not alter this document in any form. This is your license. It is unlawful for anyone other than the licensee to use this document. This Collier County Certificate of Competency’s status and expiration date may change on July 1, 2025, due to the State of Florida Senate Bill No. 1142. Please visit our website at www.colliercountyfl.gov/government/growth-management/divisions/operations- regulatory-management/contractor-licensing for more information as it becomes available. Page 3105 of 6525 Page 3106 of 6525 Page 3107 of 6525 Page 3108 of 6525 Page 3109 of 6525 Page 3110 of 6525 ARMANDO BENITO YZAGUIRRE JR March 18, 2025 March 31, 2026 BUREAU OF LICENSING & ENFORCEMENT 3125 CONNER BLVD, BLDG. 8 TALLAHASSEE, FLORIDA 32399-1650 LC257092 4396 OWENS WAY AVE MARIA, FL 34142 COMMERCIAL LANDSCAPE MAINT. HOLDER STATE OF FLORIDADepartment of Agriculture and Consumer Services BUREAU OF LICENSING AND ENFORCEMENT STATE OF FLORIDA Date File No.Expires THE COMMERCIAL LANDSCAPE MAINT. HOLDER NAMED BELOW HAS REGISTERED UNDER THE PROVISIONS OF CHAPTER 482 FOR THE PERIOD EXPIRING: March 31, 2026 Signature Department of Agriculture and Consumer Services HAS PAID THE FEE REQUIRED BY CHAPTER 482 FOR THE PERIOD EXPIRING March 31, 2026 ARMANDO BENITO YZAGUIRRE JR BUREAU OF LICENSING AND ENFORCEMENT LC257092 Wallet Card - Fold Here WILTON SIMPSON, COMMISSIONER WILTON SIMPSON COMMISSIONER Page 3111 of 6525 A&M PROPERTY MAINTENANCE, LLC EXPERIENCE IMMOKALEE WATER & SEWER DISTRICT Location: Immokalee, FL Acreage Amount: est. 40 acres Landscape Activities: Mowing, edging, weeding, general site trimming, debris & trash removal, miscellaneous project as requested. Contract Contact Information: Sarah Catala, CPM Executive Director 1020 Sanitation Road, Immokalee, FL (239) 658-3630 or (239) 651-9990 sarahcatala@immokaleewatersewer.com Contract Duration: 2014- Present Contract Annual Amount: $33K GUADALUPE SOCIAL SERVICES Location: Immokalee, FL Acreage Amount: est. 5 acres Landscape Activities: Mowing, edging, weeding, general site trimming, debris & trash removal. Contract Contact Information: Peggy Rodriguez | Regional Director Catholic Charities Diocese of Venice, Inc. (239) 657-6242 or (239) 295-8544 Peggy.rodriguez@catholiccharitiesdov.org Contract Duration: 2022 – Present Contract Annual amount: $23K Page 3112 of 6525 COLLIER COUNTY PUBLIC SCHOOLS Location: Immokalee & Naples Acreage Amount: est. 40+ acres each (MLK Administrative Building, Aubrey Rogers High, Barron Collier High, Bethune, Corkscrew Elementary, Corkscrew Middle, Eden Park Elementary, Everglades, Golden Gate Elementary, Herbert Cambridge Elementary, Golden Gate Middle, Golden Terrace Elementary, Lavern Gaynor Elementary, Gulfview Middle, Highlands Elementary, Immokalee Technical Center, Immokalee High, Immokalee Middle, Lake TraFord Elementary, Maintenance Department, Naples High, Osceola Elementary, Palmetto Ridge High, Pinecrest Elementary, Seagate Elementary, Transportation Immokalee, Village Oaks Elementary, Lake Park Elementary) Landscape Activities: Mowing, edging, pruning, trimming, weeding & weed control, trash removal, herbicide chemical spray, post-storm clean-up as needed. Contract Contact Information: Sumeet Perez | Supervisor, Grounds Maintenance 5775 Osceola Trail, Naples, FL (239) 377-0634 Perezs7@collierschools.com Contract Duration: 2014 – Present Contract Annual amount: $507K COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS IMMOKALEE MSTU Location: Immokalee Acreage Amount: est. 20 acres Landscape Activities: Pre-Service cleaning, mowing, edging, weeding, general site trimming & pruning, post- service cleaning, street cleaning, spraying of trees, shrubs, plants, and turf, irrigation maintenance, fertilization of turf, groundcover, shrub, tree, and palm, ornamental & turf spraying, structural pruning, mulching, pressure cleaning, seasonal banners and holiday decorations, maintenance of historical cemetery, maintenance of Zocalo Plaza. Contract Contact Information: Christie Betancourt | Assistant Div Dir 705 South 5th Street. Immokalee, FL (239) 867-0025 christie.betancourt@colliercountyfl.gov Contract Duration: 2013 – Present Contract Annual amount: $300K Page 3113 of 6525 COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS BAYSHORE MSTU Location: Naples Acreage Amount: est. 20 acres Landscape Activities: Pre-Service cleaning, mowing, edging, weeding, ornamental & turf spraying, fertilizer application, mulch application, general trimming & pruning, post-service cleaning, irrigation maintenance, pressure cleaning, etc. Contract Contact Information: Tami Scott | Project Manager II 3299 Tamiami Trail E, Unit 103, Naples, FL (239) 252-8845 or (239) 778-6598 tami.scott@colliercountyfl.gov Contract Duration: 2021 – Present Contract Annual amount: $230K COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS LELY MSTU Location: Naples Acreage Amount: est. 20 acres Landscape Activities: Pre-Service cleaning, mowing, edging, general weeding- hand & chemical, general site trimming & pruning, post-service cleaning & inspection, pesticide application, irrigation services, lighting inspection. Contract Contact Information: Dan Schumacher | Project Manager II 8300 Radio Road, Naples, FL (239) 252-5840 or Dan.Schumacher@colliercountyfl.gov Contract Duration: 2024 – Present Contract Annual amount: $80K Page 3114 of 6525 Month of: April 2025 Work Area 1-North Bayshore Drive Week #1 Week #2 Week #3 Week #4 Week #5 Mowing, Weeding & Edging n/a 4/7/25 n/a 4/21/25 n/a Trimming & Pruning 4/1/25 n/a 4/14/25 n/a n/a Pre & Post Cleaning 4/1/25 4/7/25 4/14/25 4/21/25 4/28/25 Irrigation Maintenance 4/1/25 4/7/25 4/14/25 4/21/25 4/28/25 Work Area 2-South Bayshore Drive Week #1 Week #2 Week #3 Week #4 Week #5 Mowing, Weeding & Edging n/a 4/7/25 n/a 4/21/25 n/a Trimming & Pruning n/a n/a n/a n/a n/a Pre & Post Cleaning 4/1/25 4/7/25 4/14/25 4/21/25 4/28/25 Work Area 3-Thommason Drive Week #1 Week #2 Week #3 Week #4 Week #5 Mowing, Weeding & Edging n/a 4/7/25 n/a 4/21/25 n/a Trimming & Pruning 4/1/25 n/a 4/14/25 n/a n/a Pre & Post Cleaning 4/1/25 4/7/25 4/14/25 4/21/25 4/28/25 Irrigation Maintenance 4/1/25 n/a n/a n/a n/a Work Area 4- Lunar Street ROW Week #1 Week #2 Week #3 Week #4 Week #5 Mowing, Weeding & Edging 4/1/25 n/a n/a n/a n/a Trimming & Pruning n/a 4/7/25 n/a n/a n/a Pre & Post Cleaning 4/1/25 4/7/25 n/a n/a n/a Work Area 5- Bayview Drive Week #1 Week #2 Week #3 Week #4 Week #5 Mowing, Weeding & Edging 4/1/25 n/a n/a n/a n/a Trimming & Pruning n/a 4/7/25 n/a n/a n/a Pre & Post Cleaning 4/1/25 n/a 4/14/25 n/a n/a Work Area 6- Community Parking Lot Week #1 Week #2 Week #3 Week #4 Week #5 Mowing, Weeding & Edging 4/1/25 n/a 4/14/25 n/a n/a Trimming & Pruning 4/1/25 n/a 4/14/25 n/a n/a Pre & Post Cleaning 4/1/25 n/a 4/14/25 n/a n/a Irrigation Maintenance 4/1/25 n/a 4/14/25 n/a n/a Work Area 7- Hamilton to Bay ROW Week #1 Week #2 Week #3 Week #4 Week #5 Mowing, Weeding & Edging 4/1/25 n/a 4/14/25 n/a n/a Trimming & Pruning 4/1/25 n/a 4/14/25 n/a n/a Pre & Post Cleaning 4/1/25 n/a 4/14/25 n/a n/a Additional services all Work Areas Week #1 Week #2 Week #3 Week #4 Week #5 Ornamental Turf Spraying n/a n/a n/a n/a n/a Fertilizer n/a n/a n/a n/a n/a Mulch n/a n/a n/a n/a n/a OPEN ESTIMATES; PENDING APPROVAL A&M PROPERTY MAINTENANCE- GENERAL MAINTENANCE REPORT Bayshore Beautification MSTU Landscape & Irrigation Maintenance ADDITIONAL INFORMATION/COMMENTS (plant/pest problems, site issues, recent traffic accidents, etc.) WORK COMPLETED THIS MONTH WORK IN PROGRESS Page 3115 of 6525                         Ite m Description UOM 1/2/25 1/9/25 1/16/25 1/23/25 1/30/25 1 Pre-Service Cleaning - All Areas Week 2 Edging Only - Medians 4, 5, 6, 7, 8, 9, & 10 Bi-weekly 3 Mowing & Edging - ROW's M-1 & M-2 and Medians 1, 2, 3, & 13 Week 4 General Weeding - Shrubs, Plant beds, & Ground Covers for a continuously weed-free site Week 5 General Site Trimming & Pruning - All Areas, up to twice per month Bi-weekly 6 Post-Service Cleaning - All Areas Week Ite m Description UOM 1/2/25 1/9/25 1/16/25 1/23/25 1/30/25 7 Pre-Service Cleaning - All Areas Week 8 Edging Only - Medians 11, 12, & Treasure Point Bi-weekly 9 Mowing & Edging - ROW M-8 Week 10 General Weeding - Shrubs, Plant beds, & Ground Covers for a continuously weed-free site Week 11 General Site Trimming & Pruning - All Areas, up to twice per month Bi-weekly 12 Post-Service Cleaning & Inspection - All Areas Week Ite m Description UOM 1/2/25 1/9/25 1/16/25 1/23/25 1/30/25 13 Pre-Service Cleaning - All Areas Week 14 Edging Only - Medians 14, 15, 16, 17, 18, 19, 20, 21, & 22 Bi-weekly 15 Mowing & Edging - Side ROW's M-3, M-4, & M-7 Week 16 General Weeding - Shrubs, Plant beds, & Ground Covers for a continuously weed-free site Week 17 General Site Trimming & Pruning - All Areas, up to twice per month Bi-weekly 18 Post-Service Cleaning & Inspection - All Areas Week Ite m Description UOM 1/2/25 1/9/25 1/16/25 1/23/25 1/30/25 19 Pre-Service Cleaning - All Areas Week 20 Edging Only - Median 23 Bi-weekly 21 Mowing & Edging - ROW's M-5 & M-6 Week 22 General Weeding - Shrubs, Plant beds, & Ground Covers for a continuously weed-free site Week 23 General Site Trimming & Pruning - All Areas, up to twice per month Bi-weekly 24 Post-Service Cleaning & Inspection - All Areas Week 23-8126 - GROUNDS MAINTENANCE LELY GOLF ESTATES MSTU A. WORK AREA 1 : Saint Andrews Blvd & Valley Stream Cr/Ln (US-41 to Forest Hills Blvd) Attachment A, Sheet No’s. 1, 2, 3, & 4 - Saint Andrews ROW's M-1, M-2; Medians 1, 2, 3, 4, 5, 6, 7, 8, 8a, 9, & 10. Routine Maintenance - Area 1 (Attachment A) DATE: 01/2025 B. WORK AREA 2 : Forest Hills Blvd, Forest Hills Cartpath, & Treasure Point cul-de-sac (Saint Andrews Blvd to Treasure Point) Attachment A, Sheet No's. 5, 6, & 12 - Medians 11, 12, ROW M-8, & Treasure Point. Routine Maintenance - Area 2 (Attachment A) C. WORK AREA 3 : Pebble Beach Blvd, Heather Grove Ln, Briarcliff Ln, Thorncrest Ln, Baltusrol Cartpath & Pebble Beach Cartpath Routine Maintenance - Area 3 (Attachment A) D. WORK AREA 4 : Doral Cr & Rattlesnake Hammock Rd Attachment A, Sheet No. 10 - Median 23, ROW's M-5, & M-6. Routine Maintenance - Area 4 (Attachment A) Page 3116 of 6525           Ite Description UOM 1/2/25 1/9/25 1/16/25 1/23/25 1/30/25 25 Groundcover, Shrubs, Palms, & Trees: Insecticides - applied to all medians & areas as needed throughout the month Month 26 Groundcover, Shrubs, Palms, & Trees: Fungicides - applied to all medians & areas as needed throughout the month Month 27 Groundcover, Shrubs, Palms, & Trees: Herbicides - applied to all medians & areas as needed throughout the month Month 28 Turf: Insecticides & Fungicides - applied to all medians & areas as needed throughout the month Month 29 Turf: Herbicides - applied to all medians & areas as needed throughout the month Month Ite Description UOM 1/2/25 1/9/25 1/16/25 1/23/25 1/30/25 30 WeatherTRAK Controller: System-wide Cell Phone Checkout & Run Week 31 Hunter Controller: Checkout & Run - Median 13 Valley Stream Cr/Ln Month 32 Hunter Enclosure: Checkout & Run - Median 23 Doral Dircle Month 32 Hunter Node 100 Controller (Hockey Puck): Replace Battery(s) & Test w/ Adjustments - ROW M-8 (Qty 2)6-monthly 33 Hunter Node 100 Controller (Hockey Puck): Replace Battery(s) & Test w/ Adjustments - ROW M-5 (Qty 1)6-monthly E. PESTICIDES: Contractor supplies all Chemicals & Application Applied to all Service Areas (Attachment A) F. IRRIGATION SERVICES: Wet Checks and Standard Repairs. Wet Checks: Test, Unclog Nozzles, & Adjust Spray Patterns, Change Batteries Standard Irrigation Repairs: Price for completeion within two (2) work days or by Friday of the same reqular workweek Page 3117 of 6525 TUBE A B C D E Sign - Enter 1 x x x Sign - Exit 2 x x SPOT ›A B Flagpole - US 1 Flagpole - FL 2 Flagpole - BCC 3 LUMINAIRE ›A B Single 1 Single 2 Single 3 Single 4 Single 5 Single 6 Single 7 Single 8 x Single 9 Single 10 Single 11 LUMINAIRE ›A B Double 1 Double 2 Double 3 Double 4 Double 5 Double 6 Double 7 Double 8 Double 9 Double 10 Double 11 Double 12 Double 13 Double 14 Double 15 Double 16 Double 17 Double 18 Double 19 Double 20 Double 21 Single 22 Single 23 'LELY' SIGN ›A B Solar Light ¬¬ TUBES ›A B Sign - Enter 1 Sign - Exit 2 LUMINAIRE ›A B Double 1 Double 2 Single 3 Single 4 Single 5 Single 6 LELY MSTU LIGHTING INSPECTION Inspection Date:5/1/25 ST. ANDREWS ENTRANCE - FROM US-41 Notes ▪ Current outages are sequenced in RED. ▪ Outages repaired in the past month are sequenced in GRAY. ▪ Dim Metal Halide replacements in PURPLE. PEBBLE BEACH BLVD LELY MSTU LIGHTING INSPECTION 5/1/25 Notes FOREST HILLS @ AUGUSTA DORAL CIRCLE Attachment E Lighting Inspection Report Attachment E Lighting Inspection Report Page 3118 of 6525 Item Description Service #1 Service #2 Service #3 Service #4 Service #5 1 Pre-Service Cleaning 4/2/25 4/9/25 4/16/25 4/23/25 4/30/25 2 Mowing & Edging - Multiple Medians 4/2/25 n/a 4/16/25 n/a 4/30/25 3 Mowing & Edging - Side ROW's, (1) Commercial Mower Pass 4/2/25 n/a 4/16/25 n/a 4/30/25 4 Weeding - Medians - Hand & Chemical 4/2/25 4/9/25 4/16/25 4/23/25 4/30/25 5 General Site Trimming & Pruning - Medians 4/2/25 n/a n/a n/a n/a 6 Post-Service Cleaning - All Areas 4/3/25 4/10/25 4/17/25 4/24/25 n/a 7 Post-Service Cleaning - Bulbout Gutter Channel Drains Pressured Wash 4/2/25 n/a n/a n/a n/a 8 Groundcover, Shrubs, & Trees: Insecticides, applied to total roadway and areas as needed per Month n/a n/a n/a n/a n/a 9 Groundcover, Shrubs, & Trees: Fungicides, applied to total roadway and areas as needed per Month n/a n/a n/a n/a n/a 10 Groundcover, Shrubs, & Trees: Herbicides, applied to total roadway and areas as needed per Month n/a n/a 4/17/25 n/a n/a 11 Turf: Insecticides & Fungicides, applied to total roadway and areas as needed per Month n/a n/a n/a n/a n/a 12 Turf: Herbicides, applied to total roadway and areas as needed per Month n/a n/a n/a n/a n/a 13 Irrigation System Inspection & Wet-Check 4/2/25 4/9/25 4/16/25 4/23/25 4/30/25 Item Description Service #1 Service #2 Service #3 Service #4 Service #5 14 Pre-Service Cleaning 4/2/25 4/9/25 4/16/25 4/23/25 4/30/25 15 Mowing & Edging - Multiple Medians 4/2/25 n/a 4/16/25 n/a 4/30/25 16 Mowing & Edging - Side ROW's, (1) Commercial Mower Pass 4/2/25 n/a 4/16/25 n/a 4/30/25 17 Weeding - Medians - Hand & Chemical 4/2/25 4/9/25 4/16/25 4/23/25 4/30/25 18 General Site Trimming & Pruning 4/2/25 n/a n/a n/a n/a 19 Post-Service Cleaning - All Areas 4/3/25 4/10/25 4/16/25 4/23/25 4/30/25 20 Groundcover, Shrubs, & Trees: Insecticides, applied to total roadway and areas as needed per Month n/a n/a n/a n/a n/a 21 Groundcover, Shrubs, & Trees: Fungicides, applied to total roadway and areas as needed per Month n/a n/a n/a n/a n/a 22 Groundcover, Shrubs, & Trees: Herbicides, applied to total roadway and areas as needed per Month n/a n/a 4/17/25 n/a n/a 23 Turf: Insecticides & Fungicides, applied to total roadway and areas as needed per Month n/a n/a n/a n/a n/a 24 Turf: Herbicides, applied to total roadway and areas as needed per Month n/a n/a n/a n/a n/a 25 Irrigation System Inspection & Wet-Check 4/2/25 4/9/25 4/16/25 4/23/25 4/30/25 Item Description Service #1 Service #2 Service #3 Service #4 Service #5 26 Pre-Service Cleaning 4/2/25 4/9/25 4/16/25 4/23/25 4/30/25 27 Mowing & Edging - (No Medians)4/2/25 n/a 4/16/25 n/a 4/30/25 28 Mowing & Edging - North Side ROW, (1) Commercial Mower Pass (Biweekly)4/2/25 n/a 4/16/25 n/a 4/30/25 29 Weeding - Hand & Chemical 4/2/25 4/9/25 4/16/25 4/23/25 4/30/25 30 General Site Trimming & Pruning (Biweekly)4/2/25 n/a n/a n/a n/a 31 Post-Service Cleaning - All Areas 4/2/25 4/9/25 4/16/25 4/23/25 4/30/25 32 Groundcover, Shrubs, & Trees: Insecticides, applied to total area as needed per Month n/a n/a n/a n/a n/a 33 Groundcover, Shrubs, & Trees: Fungicides, applied to total area as needed per Month n/a n/a n/a n/a n/a 34 Groundcover, Shrubs, & Trees: Herbicides, applied to total area as needed per Month n/a n/a 4/17/25 n/a n/a 35 Turf: Insecticides & Fungicides, applied to total area as needed per Month n/a n/a n/a n/a n/a 36 Turf: Herbicides, applied to total area as needed per Month n/a n/a n/a n/a n/a 37 Irrigation System Inspection & Wet-Check 4/2/25 4/9/25 4/16/25 4/23/25 4/30/25 Item Description Service #1 Service #2 Service #3 Service #4 Service #5 38 Pre-Service Cleaning 4/2/25 4/9/25 4/16/25 4/23/25 4/30/25 39 Mowing & Edging - (No Medians)4/2/25 n/a 4/16/25 n/a 4/30/25 40 Weeding - Hand & Chemical 4/2/25 n/a 4/16/25 n/a 4/30/25 41 General Site Trimming & Pruning 4/2/25 n/a n/a n/a n/a 42 Post-Service Cleaning - All Areas 4/2/25 4/9/25 4/16/25 4/23/25 4/30/25 43 Groundcover, Shrubs, & Trees: Insecticides, applied to total area as needed per Month n/a n/a n/a n/a n/a 44 Groundcover, Shrubs, & Trees: Fungicides, applied to total area as needed per Month n/a n/a n/a n/a n/a 45 Groundcover, Shrubs, & Trees: Herbicides, applied to total area as needed per Month n/a n/a n/a n/a n/a 46 Turf: Insecticides & Fungicides, applied to total area as needed per Month n/a n/a n/a n/a n/a 47 Turf: Herbicides, applied to total area as needed per Month n/a n/a n/a n/a n/a 48 Irrigation System Inspection & Wet-Check n/a n/a n/a n/a n/a WORK AREA 3: One (1) proposed Welcome Sign on State Highway 29 at the Farm Worker’s Village containing approximately 384 square feet. A&M PROPERTY MAINTENANCE, LLC Immokalee MSTU- Landscape Mainteannce (#23-8084) Month of: April 2025 WORK AREA 1: State Highway 29 (Main Street) between Hancock Street and 13th Street. WORK AREA 2: County Road 846 (S 1st Street) between State Highway 29 and Carver Street, including the Welcome Sign area (S 1st Street/Eustis Avenue) and the “Triangle Area” (median and ROW sides at the intersection of State Highway 29, New Market Road and Westclox Road; including the Welcome Sign area). ESTIMATES PENDING APPROVAL WORK AREA 4: One historical cemetery on State Highway 29 at 815 West Main St. INCIDENTAL WORK COMPLETED & SUBMITTED FOR PAYMENT APPROVED ESTIMATES- IN PROGRESS Page 3119 of 6525 Armando B. Yzaguirre 4396 Owens Way Ave Maria, FL 34142 239-503-0303 armando@aandmproperty.com Professional Summary Dedicated and knowledgeable Landscape Business Owner with 18 years of extensive experience in the landscaping industry. Proven track record in managing diverse teams, enhancing operational eQiciency, and delivering high-quality landscaping services. Well- versed in project management, client relations, and strategic planning to achieve business growth and customer satisfaction. Core Competencies -Business Management -Team Leadership - Landscape Maintenance -Project Management - Client Relationship Management -Financial Planning & Budgeting -Quality Assurance Professional Experience Owner/Operator A&M Property Maintenance, LLC - Ave Maria, FL July 2007 – Present - Operating a successful landscaping business, overseeing all aspects of operations, including project management, customer relations, and financial planning. - Lead a team of 15-20 employees, providing training and development to enhance skills and increase productivity. - Managed a diverse portfolio of commercial projects, delivering 100% on-time completion and exceeding client expectations. Page 3120 of 6525 Operations Manager Yzaguirre Farms - Immokalee, FL January 2001-July 2007 - Oversaw daily farming operations, including crew management and scheduling, ensuring eQicient use of resources. - Coordinated with clients to determine project requirements and timelines. - Maintained quality control by conducting regular site inspections and providing feedback for continuous improvement. Operations Manager Iron Mountain - Dallas, Texas 1996-2001 -Managed client needs, ensuring adherence to project specifications and safety regulations. - Assisted in the design and execution of projects, collaborating with clients to achieve desired outcomes. - Trained new staQ on equipment usage, safety protocols, and best practices. Education Associates in Business Management Liberty University Certifications - Commercial Landscape Maintenance Holder (LC160680) - LTD Commercial Fertilizer Applicator Holder (LF352514) - Temporary TraQic Control (TTC) Intermediate (69241) Page 3121 of 6525 Sylvia Yzaguirre 4396 Owens Way Ave Maria, FL 34142 (239) 503-1897 Work Experience Controller The Immokalee Foundation, Inc. November 2017 to January 2023 Finances • Implement a system of controls over accounting transactions • Process accounts payables and receivable • Enter donor gifts • Process bi-weekly payroll • Prepare grant submittal documents • Submit 1099s and 1096 • Monthly bank reconciliations • Work with external auditors as needed by CFO • Prepare and update cash flow statement for subsidiary account • Prepare and deliver HOA statements to homeowners • Ensure compliance with local, state, and federal government requirements Human Resources • Conduct new hire orientations • Update employee handbook as required Benefit Administration • Design, recommend and implement benefits programs • Facilitate annual benefit enrollment meetings • Negotiate with vendors and administrators • Serve as primary contact for plan vendors and third-party administrators • Ensure compliance with applicable government regulations • Coordinate daily benefits processing: Handle enrollments, COBRA, terminations, changes, STD, etc. Risk Management • Gather and compile data related to risk from internal and external resources • Draft and deliver reports and presentations outlining findings, identifying and explaining potential risks, and recommending solutions • Develop and implement contingency plans to manage business interruptions, volatile market events, and other emergencies Other Responsibilities • Review business-to-business contracts • Confer with legal counsel as required • Ongoing IT relations and maintenance, including contracts, user management, and hardware & software purchases & integrations • Develop internal-use documents as required Page 3122 of 6525 Human Resource & Finance Coordinator Guadalupe Center, Inc - Immokalee, FL July 2015 to November 2017 Primary Responsibilities • Manage administrative human resource activities for staff of 75-200 employees, including frequent seasonal employees (onboarding, terminating, maintenance of personnel records, etc.) • Maintain regulatory/compliance documentation (unemployment, worker's compensation claims & audits) • Benefit administration Secondary Responsibilities (assisting as necessary) • Process daily deposits of all donor contributions and Early Childcare payments • Record financial transactions of all donations, payments, and Resale Shop sales by using standard accounting principles into accounting software • Monthly income reconciliation to separate billing system for donations and Early Childcare payments • Monthly bank reconciliations and journal entries • Process accounts payable and accounts receivable • Oversee the processing of bi-weekly payroll • Process monthly Sales Tax Returns Data Entry Clerk- Federal & State Grants Collier County Public Schools Collier County October 2014 to July 2015 • Review data regarding student eligibility for the Migrant Education Program • Keep student records updated and maintain student files • Access, input, and retrieve information and data from student database • Attend workshops to keep abreast regarding the Migrant Education Program Owner/Entrepreneur A&M Property Maintenance, LLC - Naples, FL July 2007 to Present • Maintain and manage finances of the company • Process payroll • Manage work to sub-contractors • Maintain records, including licenses and insurance documents • Respond to RFPs, RFQs Financial Secretary Friendship Baptist Church - Immokalee, FL April 2005 to March 2011 • Manage finances and financial documents, including accounts payable and yearly budget • Process federal and state reports • Manage payroll, including monthly, quarterly, and yearly reports • Manage insurance policies, church licenses, etc. • Present and deliver financial information to the committee and congregation via monthly meetings Banker (Various positions) Mercantile Bank, N.A - Brownsville, TX August 1993 to May 2002 Teller, Human Resources, BSA/Security/Risk Management/Marking/Commercial Banking Page 3123 of 6525 Education Bachelor's in Business Administration in Finance University of Texas & Texas Southmost College - Brownsville, TX 1999 Skills • Quickbooks (10+ years) • Microsoft Office (10+ years) • 10-Key calculator (10+ years) • Bank Reconciliation • Benefits Administration • General Ledger Accounting • Accounts Payable • General Ledger Reconciliation • Accounting Software • Bank Secrecy Act • Journal Entries Languages • Spanish - Intermediate Page 3124 of 6525 Armando B. Yzaguirre Business Ops Field Operation Managers Field Supervisors Field Technicians Sylvia B. Yzaguirre Admin Ops Administrative Assistant Admin Operations Finances Risk Management Licenses / Permits Business Operations Logistics Scheduling On-Site Client Communications A&M PROPERTY MAINTENANCE, LLC Page 3125 of 6525 A&M Property Maintenance, LLC Equipment List Year Make Model Type 2024 Ford F250 Truck 2024 Ford F150 Truck 2024 Ford Lightning Truck 2022 Ford Lightning Truck 2019 Chevy Crew Cab John Deere 960M Z Track Mower- 72” John Deere 960M Z-Track Mower-72” John Deere 960M Z-Track Mower-72” John Deere 960M Z-Track Mower-72” John Deere 955M Z-Track Mower-60” John Deere 955M Z-Track Mower-60” John Deere 955M Z-Track Mower-60” John Deere 955M Z-Track Mower-60” John Deere 661R Z-Track Mower-61” John Deere 661R Z-Track Mower-61” John Deere 950M Z-Track Mower-54” John Deere 950M Z-Track Mower-54” John Deere 4066M Compact Utility Tractor John Deere Q865R EFI Quik Trak R Series Tractor John Deere Q865R EFI Quik Trak R Series Tractor Push -Mower- 21” 2025 COVE Trailer 2012 HMDE Trailer 2021 HMDE Trailer 2012 LOAT Trailer 2018 HMDE Trailer 2020 HMDE Trailer 2018 COTC Pressure Washer Various small equipment: weed-eaters, sprayers, edgers Page 3126 of 6525 COLLIER COUNTY BUSINESS TAXCOLLIER COUNTY TAX COLLECTOR - 2800 N. HORSESHOE DRIVE - NAPLES FLORIDA 34104 - (239) 252-2477 BUSINESS TAX NUMBER: LOCATION: LEGAL FORM DISPLAY AT PLACE OF BUSINESS FOR PUBLIC INSPECTION. FAILURE TO DO SO IS CONTRARY TO LOCAL LAWS. CLASSIFICATION: CLASSIFICATION CODE:DATE AMOUNTRECEIPTThis document is a business tax only. This is not certification that licensee is qualified. It does not permit the licensee to violate any existing regulatory zoning laws of the state, county, or cities nor does it exempt the licensee from any other taxes or permits that may be required by law. VISIT OUR WEBSITE AT: www.colliertaxcollector.com THIS RECEIPT EXPIRES ZONED:BUSINESS PHONE: -THIS TAX IS NON-REFUNDABLE- STATE OR COUNTY LIC #:A & M PROPERTY MAINTENANCE, LLC MAINT. SERVICE/ NO CONTRACTOR WORK 22.00 2-5 EMPLOYEES NO FERTILIZING SEPTEMBER 30, 2025 HOME OCCUPATION YZAGUIRRE, ARMANDO 4396 OWENS WAY AVE MARIA, FL 34142 062877 370-0733 LLC WWW-25-00042299 03703301 07/03/2024 4396 OWENS WAY Page 3127 of 6525 Page 3128 of 6525 Page 3129 of 6525 Page 3130 of 6525 Page 3131 of 6525 Form 5 Reference Questionnaire (USE ONE FORM FOR EACH REQUIRED REFERENCE) (Name of Company Requesting Reference Information; A and M Property Maintenance (Name of Individuals Requesting Reference Information) Name: Tami Scott (Evaluator completing reference questionnaire) Company: Bayshore MSTU-Collier County (Evaluator’s Company completing reference) Email:Tami.scott@colliercountyfl.gov FAX: Telephone: 239-252-8845 Collier County has implemented a process that collects reference information on firms and their key personnel to be used in the selection of firms to perform this project. The Name of the Company listed in the Subject above has listed you as a client for which they have previously performed work. Please complete the survey. Please rate each criteria to the best of your knowledge on a scale of 1 to 10, with 10 representing that you were very satisifed (and would hire the firm/individual again) and 1 representing that you were very unsatisfied (and would never hire the firm/indivdiual again). If you do not have sufficient knowledge of past performance in a particular area, leave it blank and the item or form will be scored “0.” Project Description: Weekly Maintenance Completion Date: On Going Project Budget: $150,000.00___________________________ Project Number of Days:yearly contrat Item Criteria Score (must be completed) 1 Ability to manage the project costs (minimize change orders to scope). 2 Ability to maintain project schedule (complete on-time or early). 3 Quality of work. 4 Quality of consultative advice provided on the project. 5 Professionalism and ability to manage personnel. 6 Project administration (completed documents, final invoice, final product turnover; invoices; manuals or going forward documentation, etc.) 7 Ability to verbally communicate and document information clearly and succinctly. 8 Abiltity to manage risks and unexpected project circumstances. 9 Ability to follow contract documents, policies, procedures, rules, regulations, etc. 10 Overall comfort level with hiring the company in the future (customer satisfaction). TOTAL SCORE OF ALL ITEMS Solicitation Reference Questionnaire for: A&M Property Maintenance _________________________ _______________________________ 10 10 10 10 10 10 10 10 10 10 100 Page 3132 of 6525 Form 5 Reference Questionnaire (USE ONE FORM FOR EACH REQUIRED REFERENCE) Solicitation: Reference Questionnaire for: (Name of Company Requesting Reference Information) (Name of Individuals Requesting Reference Information) Name: (Evaluator completing reference questionnaire) Company: (Evaluator’s Company completing reference) Email: FAX: Telephone: Collier County has implemented a process that collects reference information on firms and their key personnel to be used in the selection of firms to perform this project. The Name of the Company listed in the Subject above has listed you as a client for which they have previously performed work. Please complete the survey. Please rate each criteria to the best of your knowledge on a scale of 1 to 10, with 10 representing that you were very satisifed (and would hire the firm/individual again) and 1 representing that you were very unsatisfied (and would never hire the firm/indivdiual again). If you do not have sufficient knowledge of past performance in a particular area, leave it blank and the item or form will be scored “0.” Project Description: ___________________________ Completion Date: ______ Project Budget: _______________________________ Project Number of Days: _______________________ Item Criteria Score (must be completed) 1 Ability to manage the project costs (minimize change orders to scope). 2 Ability to maintain project schedule (complete on-time or early). 3 Quality of work. 4 Quality of consultative advice provided on the project. 5 Professionalism and ability to manage personnel. 6 Project administration (completed documents, final invoice, final product turnover; invoices; manuals or going forward documentation, etc.) 7 Ability to verbally communicate and document information clearly and succinctly. 8 Abiltity to manage risks and unexpected project circumstances. 9 Ability to follow contract documents, policies, procedures, rules, regulations, etc. 10 Overall comfort level with hiring the company in the future (customer satisfaction). TOTAL SCORE OF ALL ITEMS 10 10 10 10 10 10 10 10 10 10 100 Lawn Maintenance Renews yearly Yearly 239-377-0634 COLLIER COUNTY SCHOOLS perezs7@collierschools.com A&M PROPERTY MAINTENANCE, LLC SUMEET PEREZ Page 3133 of 6525 Form 5 Reference Questionnaire (USE ONE FORM FOR EACH REQUIRED REFERENCE) Solicitation: Reference Questionnaire for: (Name of Company Requesting Reference Information) (Name of Individuals Requesting Reference Information) Name: Christie Betancourt (Evaluator completing reference questionnaire) Company: Immokalee CRA (Evaluator’s Company completing reference) Email: FAX: Telephone: Collier County has implemented a process that collects reference information on firms and their key personnel to be used in the selection of firms to perform this project. The Name of the Company listed in the Subject above has listed you as a client for which they have previously performed work. Please complete the survey. Please rate each criteria to the best of your knowledge on a scale of 1 to 10, with 10 representing that you were very satisifed (and would hire the firm/individual again) and 1 representing that you were very unsatisfied (and would never hire the firm/indivdiual again). If you do not have sufficient knowledge of past performance in a particular area, leave it blank and the item or form will be scored “0.” Project Description: Landscape Maintenance Project Budget: $291,160 Completion Date: 2 additional 1 year terms Project Number of Days: 3 year term Item Criteria Score (must be completed) 1 Ability to manage the project costs (minimize change orders to scope). 2 Ability to maintain project schedule (complete on-time or early). 3 Quality of work. 4 Quality of consultative advice provided on the project. 5 Professionalism and ability to manage personnel. 6 Project administration (completed documents, final invoice, final product turnover; invoices; manuals or going forward documentation, etc.) 7 Ability to verbally communicate and document information clearly and succinctly. 8 Abiltity to manage risks and unexpected project circumstances. 9 Ability to follow contract documents, policies, procedures, rules, regulations, etc. 10 Overall comfort level with hiring the company in the future (customer satisfaction). TOTAL SCORE OF ALL ITEMS A&M PROPERTY MAINTENANCE, LLC Armando B. Yzaguirre christie.betancourt@colliercountyfl.gov 239.867.0028 10 10 10 10 10 10 10 10 10 10 100 Page 3134 of 6525 Form 5 Reference Questionnaire (USE ONE FORM FOR EACH REQUIRED REFERENCE) Solicitation: Reference Questionnaire for: A & M Property Maintenance (Name of Company Requesting Reference Information) (Name of Individuals Requesting Reference Information) Name:Christal Segura (Evaluator completing reference questionnaire) Company: Collier County Conservation Collier (Evaluator’s Company completing reference) Email: christal.segur@colliercountyfl.gov FAX: Telephone: 229-252-2495 Collier County has implemented a process that collects reference information on firms and their key personnel to be used in the selection of firms to perform this project. The Name of the Company listed in the Subject above has listed you as a client for which they have previously performed work. Please complete the survey. Please rate each criteria to the best of your knowledge on a scale of 1 to 10, with 10 representing that you were very satisifed (and would hire the firm/individual again) and 1 representing that you were very unsatisfied (and would never hire the firm/indivdiual again). If you do not have sufficient knowledge of past performance in a particular area, leave it blank and the item or form will be scored “0.” Project Description: Pepper Ranch Preseve Campground Mowing Completion Date: Ongoing Project Budget: $12,000 per year Project Number of Days:Multple Years 36 cuts Item Criteria Score (must be completed) 1 Ability to manage the project costs (minimize change orders to scope). 10 2 Ability to maintain project schedule (complete on-time or early). 10 3 Quality of work. 10 4 Quality of consultative advice provided on the project. 10 5 Professionalism and ability to manage personnel. 10 6 Project administration (completed documents, final invoice, final product turnover; invoices; manuals or going forward documentation, etc.) 10 7 Ability to verbally communicate and document information clearly and succinctly. 10 8 Abiltity to manage risks and unexpected project circumstances. 10 9 Ability to follow contract documents, policies, procedures, rules, regulations, etc. 10 10 Overall comfort level with hiring the company in the future (customer satisfaction). 10 TOTAL SCORE OF ALL ITEMS 100 Page 3135 of 6525 4396 OWENS WAY AVE MARIA, FL 34142 Current Principal Place of Business: Current Mailing Address: 4396 OWENS WAY AVE MARIA, FL 34142 US Entity Name: A&M PROPERTY MAINTENANCE LLC DOCUMENT# L08000046795 FEI Number: 26-2564413 Certificate of Status Desired: Name and Address of Current Registered Agent: YZAGUIRRE, SYLVIA B 4396 OWENS WAY AVE MARIA, FL 34142 US The above named entity submits this statement for the purpose of changing its registered office or registered agent, or both, in the State of Florida. SIGNATURE: Electronic Signature of Registered Agent Date Authorized Person(s) Detail : I hereby certify that the information indicated on this report or supplemental report is true and accurate and that my electronic signature shall have the same legal effect as if made under oath; that I am a managing member or manager of the limited liability company or the receiver or trustee empowered to execute this report as required by Chapter 605, Florida Statutes; and that my name appears above, or on an attachment with all other like empowered. SIGNATURE: Electronic Signature of Signing Authorized Person(s) Detail Date FILED Feb 14, 2025 Secretary of State 6448129506CC SYLVIA B YZAGUIRRE MANAGER 02/14/2025 2025 FLORIDA LIMITED LIABILITY COMPANY ANNUAL REPORT No Title MANAGER, AUTHORIZED MEMBER Name YZAGUIRRE, SYLVIA BETANCOURT Address 4396 OWENS WAY City-State-Zip:AVE MARIA FL 34142 Title AMBR Name JAMES MICHAEL SANDERS Address 4396 OWENS WAY City-State-Zip:AVE MARIA FL 34142 Title MANAGER, AUTHORIZED MEMBER Name YZAGUIRRE, ARMANDO BENITO Address 4396 OWENS WAY City-State-Zip:AVE MARIA FL 34142 Page 3136 of 6525 Page 1 of 19 E-Verify MOU for E-Verify Employer Agents | Revision Date 06/01/13 Company ID Number: THE E-VERIFY MEMORANDUM OF UNDERSTANDING FOR E-VERIFY EMPLOYER AGENTS ARTICLE I PURPOSE AND AUTHORITY E-Verify is a program that electronically confirms an employee’s eligibility to work in the United States after completion of Form I-9, Employment Eligibility Verification (Form I-9). This Memorandum of Understanding (MOU) explains certain features of the E-Verify program and describes specific responsibilities of the E-Verify Employer Agent, the Employer, DHS, and the Social Security Administration (SSA). The Employer is not a party to this MOU; however, this MOU contains a section titled Responsibilities of the Employer. This section is provided to inform E-Verify Employer Agents acting on behalf of the Employer of the responsibilities and obligations their clients are required to meet. The Employer is bound by these responsibilities through signing a separate MOU during their enrollment as a client of the E-Verify Employer Agent. The E-Verify program requires an initial agreement between DHS and the E-Verify Employer Agent as part of the enrollment process. After agreeing to the MOU as set forth herein, completing the tutorial, and obtaining access to E-Verify as an E-Verify Employer Agent, the E-Verify Employer Agent will be given an opportunity to add a client once logged into E-Verify. All parties, including the Employer, will then be required to sign and submit a separate MOU to E-Verify. The responsibilities of the parties remain the same in each MOU. Authority for the E-Verify program is found in Title IV, Subtitle A, of the Illegal Immigration Reform and Immigrant Responsibility Act of 1996 (IIRIRA), Pub. L. 104-208, 110 Stat. 3009, as amended (8 U.S.C. § 1324a note). The Federal Acquisition Regulation (FAR) Subpart 22.18, “Employment Eligibility Verification” and Executive Order 12989, as amended, provide authority for Federal contractors and subcontractors (Federal contractor) to use E-Verify to verify the employment eligibility of certain employees working on Federal contracts. ARTICLE II RESPONSIBILITIES A. RESPONSIBILITIES OF E-VERIFY EMPLOYER AGENT 1.The E-Verify Employer Agent agrees to provide to the SSA and DHS the names, titles, addresses, and telephone numbers of the E-Verify Employer Agent representatives who will be accessing The parties to this agreement are the Department of Homeland Security (DHS) and A&M Property Maintenance, LLC (E-Verify Employer Agent). The purpose of this agreement is to set forth terms and conditions which the E-Verify Employer Agent will follow while participating in E-Verify. 1641454 Page 3137 of 6525 Page 2 of 19 E-Verify MOU for E-Verify Employer Agents | Revision Date 06/01/13 Company ID Number: information under E-Verify and shall update them as needed to keep them current. 2. The E-Verify Employer Agent agrees to become familiar with and comply with the E-Verify User Manual and provide a copy of the most current version of the E-Verify User Manual to the Employer so that the Employer can become familiar with and comply with E-Verify policy and procedures. The E-Verify Employer Agent agrees to obtain a revised E-Verify User Manual as it becomes available and to provide a copy of the revised version to the Employer no later than 30 days after the manual becomes available. 3. The E-Verify Employer Agent agrees that any person accessing E-Verify on its behalf is trained on the most recent E-Verify policy and procedures. 4. The E-Verify Employer Agent agrees that any E-Verify Employer Agent Representative who will perform employment verification cases will complete the E-Verify Tutorial before that individual initiates any cases. a. The E-Verify Employer Agent agrees that all E-Verify Employer Agent representatives will take the refresher tutorials initiated by the E-Verify program as a condition of continued use of E-Verify, including any tutorials for Federal contractors, if any of the Employers represented by the E-Verify Employer Agent is a Federal contractor. b. Failure to complete a refresher tutorial will prevent the E-Verify Employer Agent and Employer from continued use of E-Verify. 5. The E-Verify Employer Agent agrees to grant E-Verify access only to current employees who need E-Verify access. The E-Verify Employer Agent must promptly terminate an employee’s E-Verify access if the employee is separated from the company or no longer needs access to E-Verify. 6. The E-Verify Employer Agent agrees to obtain the necessary equipment to use E- Verify as required by the E-Verify rules and regulations as modified from time to time. 7. The E-Verify Employer Agent agrees to, consistent with applicable laws, regulations, and policies, commit sufficient personnel and resources to meet the requirements of this MOU. 8. The E-Verify Employer Agent agrees to provide its clients with training on E-Verify processes, policies, and procedures. The E-Verify Employer Agent also agrees to provide its clients with ongoing E-Verify training as needed. E-Verify is not responsible for providing training to clients of E-Verify Employer Agents. 9. The E-Verify Employer Agent agrees to provide the Employer with the notices described in Article II.B.1 below. 10. The E-Verify Employer Agent agrees to create E-Verify cases for the Employer it represents in accordance with the E-Verify Manual, the E-Verify Web-Based Tutorial and all other published E-Verify rules and procedures. The E-Verify Employer Agent will create E-Verify cases using information provided by the Employer and will immediately communicate the response back to the Employer. If E-Verify is temporarily unavailable, the three-day time period will be extended until it is again operational in order to accommodate the E-Verify Employer Agent’s attempting, in good faith, to 1641454 Page 3138 of 6525 Page 3 of 19 E-Verify MOU for E-Verify Employer Agents | Revision Date 06/01/13 Company ID Number: make inquiries on behalf of the Employer during the period of unavailability. 11.When the E-Verify Employer Agent receives notice from a client company that it has received a contract with the FAR clause, then the E-Verify Employer Agent must update the company’s E-Verify profile within 30 days of the contract award date. 12. If data is transmitted between the E-Verify Employer Agent and its client, then the E-Verify Employer Agent agrees to protect personally identifiable information during transmission to and from the E-Verify Employer Agent. 13. The E-Verify Employer Agent agrees to notify DHS immediately in the event of a breach of personal information. Breaches are defined as loss of control or unauthorized access to E-Verify personal data. All suspected or confirmed breaches should be reported by calling 1-888-464-4218 or via email at E-Verify@dhs.gov. Please use “Privacy Incident – Password” in the subject line of your email when sending a breach report to E-Verify. 14. The E-Verify Employer Agent agrees to fully cooperate with DHS and SSA in their compliance monitoring and evaluation of E-Verify, including permitting DHS, SSA, their contractors and other agents, upon reasonable notice, to review Forms I-9, employment records, and all records pertaining to the E-Verify Employer Agent’s use of E-Verify, and to interview it and its employees regarding the use of E-Verify, and to respond in a timely and accurate manner to DHS requests for information relating to their participation in E-Verify. 15. The E-Verify Employer Agent shall not make any false or unauthorized claims or references about its participation in E-Verify on its website, in advertising materials, or other media. The E-Verify Employer Agent shall not describe its services as federally-approved, federally-certified, or federally- recognized, or use language with a similar intent on its website or other materials provided to the public. Entering into this MOU does not mean that E-Verify endorses or authorizes your E-Verify Employer Agent services and any claim to that effect is false. 16. The E-Verify Employer Agent shall not state in its website or other public documents that any language used therein has been provided or approved by DHS, USCIS or the Verification Division, without first obtaining the prior written consent of DHS. 17. The E-Verify Employer Agent agrees that E-Verify trademarks and logos may be used only under license by DHS/USCIS (see M-795 (Web)) and, other than pursuant to the specific terms of such license, may not be used in any manner that might imply that the E-Verify Employer Agent’s services, products, websites, or publications are sponsored by, endorsed by, licensed by, or affiliated with DHS, USCIS, or E-Verify. 18. The E-Verify Employer Agent understands that if it uses E-Verify procedures for any purpose other than as authorized by this MOU, the E-Verify Employer Agent may be subject to appropriate legal action and termination of its participation in E-Verify according to this MOU. B. RESPONSIBILITIES OF THE EMPLOYER The E-Verify Employer Agent shall ensure that the E-Verify Employer Agent and the Employers represented by the E-Verify Employer Agent carry out the following responsibilities. It is the E-Verify 1641454 Page 3139 of 6525 Page 4 of 19 E-Verify MOU for E-Verify Employer Agents | Revision Date 06/01/13 Company ID Number: Employer Agent’s responsibility to ensure that its clients are in compliance with all E-Verify policies and procedures. 1. The Employer agrees to display the following notices supplied by DHS in a prominent place that is clearly visible to prospective employees and all employees who are to be verified through the system: a. Notice of E-Verify Participation b. Notice of Right to Work 2. The Employer agrees to provide to the SSA and DHS the names, titles, addresses, and telephone numbers of the Employer representatives to be contacted about E-Verify. The Employer also agrees to keep such information current by providing updated information to SSA and DHS whenever the representatives’ contact information changes. 3. The Employer shall become familiar with and comply with the most recent version of the E-Verify User Manual. The Employer will obtain the E-Verify User Manual from the E-Verify Employer Agent. 4. The Employer agrees to comply with current Form I-9 procedures, with two exceptions: a. If an employee presents a "List B" identity document, the Employer agrees to only accept "List B" documents that contain a photo. (List B documents identified in 8 C.F.R. § 274a.2(b)(1)(B)) can be presented during the Form I-9 process to establish identity.) If an employee objects to the photo requirement for religious reasons, the Employer should contact E-Verify at 1-888-464-4218. b. If an employee presents a DHS Form I-551 (Permanent Resident Card), Form I-766 (Employment Authorization Document), or U.S. Passport or Passport Card to complete Form I-9, the Employer agrees to make a photocopy of the document and to retain the photocopy with the employee’s Form I-9. The Employer will use the photocopy to verify the photo and to assist DHS with its review of photo mismatches that employees contest. DHS may in the future designate other documents that activate the photo screening tool. Note: Subject only to the exceptions noted previously in this paragraph, employees still retain the right to present any List A, or List B and List C, document(s) to complete the Form I-9. 5. The Employer agrees to record the case verification number on the employee's Form I-9 or to print the screen containing the case verification number and attach it to the employee's Form I-9. 6. The Employer agrees that, although it participates in E-Verify, the Employer has a responsibility to complete, retain, and make available for inspection Forms I-9 that relate to its employees, or from other requirements of applicable regulations or laws, including the obligation to comply with the antidiscrimination requirements of section 274B of the INA with respect to Form I-9 procedures. a. The following modified requirements are the only exceptions to an Employer’s obligation to not employ unauthorized workers and comply with the anti-discrimination provision of the INA: (1) List B identity documents must have photos, as described in paragraph 4 above; (2) When an Employer confirms the identity and employment eligibility of newly hired employee using E-Verify procedures, the Employer establishes a rebuttable presumption that it has not violated section 274A(a)(1)(A) of the Immigration and Nationality Act (INA) with respect to the hiring of that employee; (3) If the Employer receives a final nonconfirmation for an employee, but continues to employ that person, 1641454 Page 3140 of 6525 Page 5 of 19 E-Verify MOU for E-Verify Employer Agents | Revision Date 06/01/13 Company ID Number: the Employer must notify DHS and the Employer is subject to a civil money penalty between $550 and $1,100 for each failure to notify DHS of continued employment following a final nonconfirmation; (4) If the Employer continues to employ an employee after receiving a final nonconfirmation, then the Employer is subject to a rebuttable presumption that it has knowingly employed an unauthorized alien in violation of section 274A(a)(1)(A); and (5) no E-Verify participant is civilly or criminally liable under any law for any action taken in good faith based on information provided through the E-Verify. b. DHS reserves the right to conduct Form I-9 compliance inspections, as well as any other enforcement or compliance activity authorized by law, including site visits, to ensure proper use of E-Verify. 7. The Employer is strictly prohibited from creating an E-Verify case before the employee has been hired, meaning that a firm offer of employment was extended and accepted and Form I-9 was completed. The Employer agrees to create an E-Verify case for new employees within three Employer business days after each employee has been hired (after both Sections 1 and 2 of Form I-9 have been completed), and to complete as many steps of the E-Verify process as are necessary according to the E-Verify User Manual. If E-Verify is temporarily unavailable, the three-day time period will be extended until it is again operational in order to accommodate the Employer's attempting, in good faith, to make inquiries during the period of unavailability. 8. The Employer agrees not to use E-Verify for pre-employment screening of job applicants, in support of any unlawful employment practice, or for any other use that this MOU or the E-Verify User Manual does not authorize. 9. The Employer must use E-Verify (through its E-Verify Employer Agent) for all new employees. The Employer will not verify selectively and will not verify employees hired before the effective date of this MOU. Employers who are Federal contractors may qualify for exceptions to this requirement as described in Article II.B of this MOU. 10. The Employer agrees to follow appropriate procedures (see Article III below) regarding tentative nonconfirmations. The Employer must promptly notify employees in private of the finding and provide them with the notice and letter containing information specific to the employee’s E-Verify case. The Employer agrees to provide both the English and the translated notice and letter for employees with limited English proficiency to employees. The Employer agrees to provide written referral instructions to employees and instruct affected employees to bring the English copy of the letter to the SSA. The Employer must allow employees to contest the finding, and not take adverse action against employees if they choose to contest the finding, while their case is still pending. Further, when employees contest a tentative nonconfirmation based upon a photo mismatch, the Employer must take additional steps (see Article III.B below) to contact DHS with information necessary to resolve the challenge. 11. The Employer agrees not to take any adverse action against an employee based upon the employee's perceived employment eligibility status while SSA or DHS is processing the verification request unless the Employer obtains knowledge (as defined in 8 C.F.R. § 274a.1(l)) that the employee is not work authorized. The Employer understands that an initial inability of the SSA or DHS automated verification system to verify work authorization, a tentative nonconfirmation, a case in continuance (indicating the need for additional time for the government to resolve a case), or the finding of a photo 1641454 Page 3141 of 6525 Page 6 of 19 E-Verify MOU for E-Verify Employer Agents | Revision Date 06/01/13 Company ID Number: mismatch, does not establish, and should not be interpreted as, evidence that the employee is not work authorized. In any of such cases, the employee must be provided a full and fair opportunity to contest the finding, and if he or she does so, the employee may not be terminated or suffer any adverse employment consequences based upon the employee’s perceived employment eligibility status (including denying, reducing, or extending work hours, delaying or preventing training, requiring an employee to work in poorer conditions, withholding pay, refusing to assign the employee to a Federal contract or other assignment, or otherwise assuming that he or she is unauthorized to work) until and unless secondary verification by SSA or DHS has been completed and a final nonconfirmation has been issued. If the employee does not choose to contest a tentative nonconfirmation or a photo mismatch or if a secondary verification is completed and a final nonconfirmation is issued, then the Employer can find the employee is not work authorized and terminate the employee’s employment. Employers or employees with questions about a final nonconfirmation may call E-Verify at 1-888-464- 4218 (customer service) or 1-888-897-7781 (worker hotline). 12. The Employer agrees to comply with Title VII of the Civil Rights Act of 1964 and section 274B of the INA as applicable by not discriminating unlawfully against any individual in hiring, firing, employment eligibility verification, or recruitment or referral practices because of his or her national origin or citizenship status, or by committing discriminatory documentary practices. The Employer understands that such illegal practices can include selective verification or use of E-Verify except as provided in part D below, or discharging or refusing to hire employees because they appear or sound “foreign” or have received tentative nonconfirmations. The Employer further understands that any violation of the immigration-related unfair employment practices provisions in section 274B of the INA could subject the Employer to civil penalties, back pay awards, and other sanctions, and violations of Title VII could subject the Employer to back pay awards, compensatory and punitive damages. Violations of either section 274B of the INA or Title VII may also lead to the termination of its participation in E-Verify. If the Employer has any questions relating to the anti-discrimination provision, it should contact OSC at 1-800-255-8155 or 1-800-237-2515 (TDD). 13. The Employer agrees that it will use the information it receives from E-Verify (through its E-Verify Employer Agent) only to confirm the employment eligibility of employees as authorized by this MOU. The Employer agrees that it will safeguard this information, and means of access to it (such as PINS and passwords), to ensure that it is not used for any other purpose and as necessary to protect its confidentiality, including ensuring that it is not disseminated to any person other than employees of the Employer who are authorized to perform the Employer's responsibilities under this MOU, except for such dissemination as may be authorized in advance by SSA or DHS for legitimate purposes. 14. The Employer agrees to notify DHS immediately in the event of a breach of personal information. Breaches are defined as loss of control or unauthorized access to E-Verify personal data. All suspected or confirmed breaches should be reported by calling 1-888-464-4218 or via email at E-Verify@dhs.gov. Please use “Privacy Incident – Password” in the subject line of your email when sending a breach report to E-Verify. 15. The Employer acknowledges that the information it receives through the E-Verify Employer Agent from SSA is governed by the Privacy Act (5 U.S.C. § 552a(i)(1) and (3)) and the Social Security Act (42 U.S.C. 1306(a)). Any person who obtains this information under false pretenses or uses it for any purpose other than as provided for in this MOU may be subject to criminal penalties. 1641454 Page 3142 of 6525 Page 7 of 19 E-Verify MOU for E-Verify Employer Agents | Revision Date 06/01/13 Company ID Number: 16. The Employer agrees to cooperate with DHS and SSA in their compliance monitoring and evaluation of E-Verify (whether directly or through their E-Verify Employer Agent), which includes permitting DHS, SSA, their contractors and other agents, upon reasonable notice, to review Forms I-9 and other employment records and to interview it and its employees regarding the Employer’s use of E-Verify, and to respond in a prompt and accurate manner to DHS requests for information relating to their participation in E-Verify. 17. The Employer shall not make any false or unauthorized claims or references about its participation in E-Verify on its website, in advertising materials, or other media. The Employer shall not describe its services as federally-approved, federally-certified, or federally-recognized, or use language with a similar intent on its website or other materials provided to the public. Entering into this MOU does not mean that E-Verify endorses or authorizes your E-Verify services and any claim to that effect is false. 18. The Employer shall not state in its website or other public documents that any language used therein has been provided or approved by DHS, USCIS or the Verification Division, without first obtaining the prior written consent of DHS. 19. The Employer agrees that E-Verify trademarks and logos may be used only under license by DHS/USCIS (see M-795 (Web)) and, other than pursuant to the specific terms of such license, may not be used in any manner that might imply that the Employer’s services, products, websites, or publications are sponsored by, endorsed by, licensed by, or affiliated with DHS, USCIS, or E-Verify. 20. The Employer understands that if it uses E-Verify procedures for any purpose other than as authorized by this MOU, the Employer may be subject to appropriate legal action and termination of its participation in E-Verify according to this MOU. C. RESPONSIBILITIES OF FEDERAL CONTRACTORS The E-Verify Employer Agent shall ensure that the E-Verify Employer Agent and the Employers represented by the E-Verify Employer Agent carry out the following responsibilities if the Employer is a federal contractor or becomes a Federal contractor. The E-Verify Employer Agent should instruct the client to keep the E-Verify Employer Agent informed about any changes or updates related to federal contracts. It is the E-Verify Employer Agent’s responsibility to ensure that its clients are in compliance with all E-Verify policies and procedures. 1. If the Employer is a Federal contractor with the FAR E-Verify clause subject to the employment verification terms in Subpart 22.18 of the FAR, it will become familiar with and comply with the most current version of the E-Verify User Manual for Federal Contractors as well as the E-Verify Supplemental Guide for Federal Contractors. 2. In addition to the responsibilities of every employer outlined in this MOU, the Employer understands that if it is a Federal contractor subject to the employment verification terms in Subpart 22.18 of the FAR it must verify the employment eligibility of any “employee assigned to the contract” (as defined in FAR 22.1801). Once an employee has been verified through E-Verify by the Employer, the Employer may not reverify the employee through E-Verify. a. An Employer that is not enrolled in E-Verify as a Federal contractor at the time of a contract award must enroll as a Federal contractor in the E-Verify program within 30 calendar days of 1641454 Page 3143 of 6525 Page 8 of 19 E-Verify MOU for E-Verify Employer Agents | Revision Date 06/01/13 Company ID Number: contract award and, within 90 days of enrollment, begin to verify employment eligibility of new hires using E-Verify. The Employer must verify those employees who are working in the United States, whether or not they are assigned to the contract. Once the Employer begins verifying new hires, such verification of new hires must be initiated within three business days after the hire date. Once enrolled in E-Verify as a Federal contractor, the Employer must begin verification of employees assigned to the contract within 90 calendar days after the date of enrollment or within 30 days of an employee’s assignment to the contract, whichever date is later. b. Employers enrolled in E-Verify as a Federal contractor for 90 days or more at the time of a contract award must use E-Verify to begin verification of employment eligibility for new hires of the Employer who are working in the United States, whether or not assigned to the contract, within three business days after the date of hire. If the Employer is enrolled in E-Verify as a Federal contractor for 90 calendar days or less at the time of contract award, the Employer must, within 90 days of enrollment, begin to use E-Verify to initiate verification of new hires of the contractor who are working in the United States, whether or not assigned to the contract. Such verification of new hires must be initiated within three business days after the date of hire. An Employer enrolled as a Federal contractor in E-Verify must begin verification of each employee assigned to the contract within 90 calendar days after date of contract award or within 30 days after assignment to the contract, whichever is later. c. Federal contractors that are institutions of higher education (as defined at 20 U.S.C. 1001(a)), state or local governments, governments of Federally recognized Indian tribes, or sureties performing under a takeover agreement entered into with a Federal agency under a performance bond may choose to only verify new and existing employees assigned to the Federal contract. Such Federal contractors may, however, elect to verify all new hires, and/or all existing employees hired after November 6, 1986. Employers in this category must begin verification of employees assigned to the contract within 90 calendar days after the date of enrollment or within 30 days of an employee’s assignment to the contract, whichever date is later. d. Upon enrollment, Employers who are Federal contractors may elect to verify employment eligibility of all existing employees working in the United States who were hired after November 6, 1986, instead of verifying only those employees assigned to a covered Federal contract. After enrollment, Employers must elect to verify existing staff following DHS procedures and begin E-Verify verification of all existing employees within 180 days after the election. e. The Employer may use a previously completed Form I-9 as the basis for creating an E-Verify case for an employee assigned to a contract as long as: i. That Form I-9 is complete (including the SSN) and complies with Article II.B.6, ii. The employee’s work authorization has not expired, and iii. The Employer has reviewed the Form I-9 information either in person or in communications with the employee to ensure that the employee’s Section 1, Form I-9 attestation has not changed (including, but not limited to, a lawful permanent resident alien having become a naturalized U.S. citizen). f. The Employer shall complete a new Form I-9 consistent with Article II.A.6 or update the previous Form I-9 to provide the necessary information if: i. The Employer cannot determine that Form I-9 complies with Article II.A.6, 1641454 Page 3144 of 6525 Page 9 of 19 E-Verify MOU for E-Verify Employer Agents | Revision Date 06/01/13 Company ID Number: ii. The employee’s basis for work authorization as attested in Section 1 has expired or changed, or iii. The Form I-9 contains no SSN or is otherwise incomplete. Note: If Section 1 of the Form I-9 is otherwise valid and up-to-date and the form otherwise complies with Article II.C.5, but reflects documentation (such as a U.S. passport or Form I-551) that expired after completing Form I-9, the Employer shall not require the production of additional documentation, or use the photo screening tool described in Article II.A.5, subject to any additional or superseding instructions that may be provided on this subject in the E-Verify User Manual. g. The Employer agrees not to require a second verification using E-Verify of any assigned employee who has previously been verified as a newly hired employee under this MOU or to authorize verification of any existing employee by any Employer that is not a Federal contractor based on this Article. 3. The Employer understands that if it is a Federal contractor, its compliance with this MOU is a performance requirement under the terms of the Federal contract or subcontract, and the Employer consents to the release of information relating to compliance with its verification responsibilities under this MOU to contracting officers or other officials authorized to review the Employer’s compliance with Federal contracting requirements. D. RESPONSIBILITIES OF SSA 1. SSA agrees to allow DHS to compare data provided by the Employer (through the E-Verify Employer Agent) against SSA’s database. SSA sends DHS confirmation that the data sent either matches or does not match the information in SSA’s database. 2. SSA agrees to safeguard the information the Employer provides (through the E-Verify Employer Agent) through E-Verify procedures. SSA also agrees to limit access to such information, as is appropriate by law, to individuals responsible for the verification of Social Security numbers or responsible for evaluation of E-Verify or such other persons or entities who may be authorized by SSA as governed by the Privacy Act (5 U.S.C. § 552a), the Social Security Act (42 U.S.C. 1306(a)), and SSA regulations (20 CFR Part 401). 3. SSA agrees to provide case results from its database within three Federal Government work days of the initial inquiry. E-Verify provides the information to the E-Verify Employer Agent. 4. SSA agrees to update SSA records as necessary if the employee who contests the SSA tentative nonconfirmation visits an SSA field office and provides the required evidence. If the employee visits an SSA field office within the eight Federal Government work days from the date of referral to SSA, SSA agrees to update SSA records, if appropriate, within the eight-day period unless SSA determines that more than eight days may be necessary. In such cases, SSA will provide additional instructions to the employee. If the employee does not visit SSA in the time allowed, E-Verify may provide a final nonconfirmation to the E-Verify Employer Agent. Note: If an Employer experiences technical problems, or has a policy question, the employer should contact E-Verify at 1-888-464-4218. 1641454 Page 3145 of 6525 Page 10 of 19 E-Verify MOU for E-Verify Employer Agents | Revision Date 06/01/13 Company ID Number: E. RESPONSIBILITIES OF DHS 1. DHS agrees to provide the Employer with selected data from DHS databases to enable the Employer (through the E-Verify Employer Agent) to conduct, to the extent authorized by this MOU a. Automated verification checks on alien employees by electronic means, and b. Photo verification checks (when available) on employees. 2. DHS agrees to assist the E-Verify Employer Agent with operational problems associated with its participation in E-Verify. DHS agrees to provide the E-Verify Employer Agent names, titles, addresses, and telephone numbers of DHS representatives to be contacted during the E-Verify process. 3. DHS agrees to provide to the E-Verify Employer Agent with access to E-Verify training materials as well as an E-Verify User Manual that contain instructions on E-Verify policies, procedures, and requirements for both SSA and DHS, including restrictions on the use of E-Verify. 4. DHS agrees to train E-Verify Employer Agents on all important changes made to E-Verify through the use of mandatory refresher tutorials and updates to the E-Verify User Manual. Even without changes to E-Verify, DHS reserves the right to require E-Verify Employer Agents to take mandatory refresher tutorials. 5. DHS agrees to provide to the Employer (through the E-Verify Employer Agent) a notice, which indicates the Employer's participation in E-Verify. DHS also agrees to provide to the Employer anti- discrimination notices issued by the Office of Special Counsel for Immigration-Related Unfair Employment Practices (OSC), Civil Rights Division, U.S. Department of Justice. 6. DHS agrees to issue each of the E-Verify Employer Agent’s E-Verify users a unique user identification number and password that permits them to log in to E-Verify. 7. DHS agrees to safeguard the information the Employer provides (through the E-Verify Employer Agent), and to limit access to such information to individuals responsible for the verification process, for evaluation of E-Verify, or to such other persons or entities as may be authorized by applicable law. Information will be used only to verify the accuracy of Social Security numbers and employment eligibility, to enforce the INA and Federal criminal laws, and to administer Federal contracting requirements. 8. DHS agrees to provide a means of automated verification that provides (in conjunction with SSA verification procedures) confirmation or tentative nonconfirmation of employees' employment eligibility within three Federal Government work days of the initial inquiry. 9. DHS agrees to provide a means of secondary verification (including updating DHS records) for employees who contest DHS tentative nonconfirmations and photo mismatch tentative nonconfirmations. This provides final confirmation or nonconfirmation of the employees' employment eligibility within 10 Federal Government work days of the date of referral to DHS, unless DHS determines that more than 10 days may be necessary. In such cases, DHS will provide additional verification instructions. 1641454 Page 3146 of 6525 Page 11 of 19 E-Verify MOU for E-Verify Employer Agents | Revision Date 06/01/13 Company ID Number: ARTICLE III REFERRAL OF INDIVIDUALS TO SSA AND DHS The E-Verify Employer Agent shall ensure that the E-Verify Employer Agent and the Employers represented by the E-Verify Employer Agent carry out the following responsibilities. It is the E-Verify Employer Agent’s responsibility to ensure that its clients are in compliance with all E-Verify policies and procedures. A. REFERRAL TO SSA 1. If the Employer receives a tentative nonconfirmation issued by SSA, the Employer must print the tentative nonconfirmation notice as directed by E-Verify. The Employer must promptly notify employees in private of the finding and provide them with the notice and letter containing information specific to the employee’s E-Verify case. The Employer also agrees to provide both the English and the translated notice and letter for employees with limited English proficiency to employees. The Employer agrees to provide written referral instructions to employees and instruct affected employees to bring the English copy of the letter to the SSA. The Employer must allow employees to contest the finding, and not take adverse action against employees if they choose to contest the finding, while their case is still pending. 2. The Employer agrees to obtain the employee’s response about whether he or she will contest the tentative nonconfirmation as soon as possible after the Employer receives the tentative nonconfirmation. Only the employee may determine whether he or she will contest the tentative nonconfirmation. 3. After a tentative nonconfirmation, the Employer will refer employees to SSA field offices only as directed by E-Verify. The Employer must record the case verification number, review the employee information submitted to E-Verify to identify any errors, and find out whether the employee contests the tentative nonconfirmation. The Employer will transmit the Social Security number, or any other corrected employee information that SSA requests, to SSA for verification again if this review indicates a need to do so. 4. The Employer will instruct the employee to visit an SSA office within eight Federal Government work days. SSA will electronically transmit the result of the referral to the Employer (through the E-Verify Employer Agent) within 10 Federal Government work days of the referral unless it determines that more than 10 days is necessary. 5. While waiting for case results, the Employer agrees to check the E-Verify system regularly for case updates. 6. The Employer agrees not to ask the employee to obtain a printout from the Social Security Administration number database (the Numident) or other written verification of the SSN from the SSA. B. REFERRAL TO DHS 1. If the Employer receives a tentative nonconfirmation issued by DHS, the Employer must promptly notify employees in private of the finding and provide them with the notice and letter containing information specific to the employee’s E-Verify case. The Employer also agrees to provide both the English and the translated notice and letter for employees with limited English proficiency to employees. The Employer must allow employees to contest the finding, and not take adverse action 1641454 Page 3147 of 6525 Page 12 of 19 E-Verify MOU for E-Verify Employer Agents | Revision Date 06/01/13 Company ID Number: against employees if they choose to contest the finding, while their case is still pending. 2. The Employer agrees to obtain the employee’s response about whether he or she will contest the tentative nonconfirmation as soon as possible after the Employer receives the tentative nonconfirmation. Only the employee may determine whether he or she will contest the tentative nonconfirmation. 3. The Employer agrees to refer individuals to DHS only when the employee chooses to contest a tentative nonconfirmation. 4. If the employee contests a tentative nonconfirmation issued by DHS, the Employer will instruct the employee to contact DHS through its toll-free hotline (as found on the referral letter) within eight Federal Government work days. 5. If the Employer finds a photo mismatch, the Employer must provide the photo mismatch tentative nonconfirmation notice and follow the instructions outlined in paragraph 1 of this section for tentative nonconfirmations, generally. 6. The Employer agrees that if an employee contests a tentative nonconfirmation based upon a photo mismatch, the Employer will send a copy of the employee’s Form I-551, Form I-766, U.S. Passport, or passport card to DHS for review by: a. Scanning and uploading the document, or b. Sending a photocopy of the document by express mail (furnished and paid for by the employer). 7. The Employer understands that if it cannot determine whether there is a photo match/mismatch, the Employer must forward the employee’s documentation to DHS as described in the preceding paragraph. The Employer agrees to resolve the case as specified by the DHS representative who will determine the photo match or mismatch. 8. DHS will electronically transmit the result of the referral to the Employer (though the E-Verify Employer Agent) within 10 Federal Government work days of the referral unless it determines that more than 10 days is necessary. 9. While waiting for case results, the Employer agrees to check the E-Verify system regularly for case updates. ARTICLE IV SERVICE PROVISIONS A. NO SERVICE FEES 1. SSA and DHS will not charge the Employer or the E-Verify Employer Agent for verification services performed under this MOU. The E-Verify Employer Agent is responsible for providing equipment needed to make inquiries. To access E-Verify, an E-Verify Employer Agent will need a personal computer with Internet access. 1641454 Page 3148 of 6525 Page 13 of 19 E-Verify MOU for E-Verify Employer Agents | Revision Date 06/01/13 Company ID Number: ARTICLE V MODIFICATION AND TERMINATION A. MODIFICATION 1. This MOU is effective upon the signature of all parties and shall continue in effect for as long as the SSA and DHS operates the E-Verify program unless modified in writing by the mutual consent of all parties. 2. Any and all E-Verify system enhancements by DHS or SSA, including but not limited to E-Verify checking against additional data sources and instituting new verification policies or procedures, will be covered under this MOU and will not cause the need for a supplemental MOU that outlines these changes. B. TERMINATION 1. The E-Verify Employer Agent may terminate this MOU and its participation in E-Verify at any time upon 30 days prior written notice to the other parties. In addition, any Employer represented by the E-Verify Employer Agent may voluntarily terminate its MOU upon giving DHS 30 days’ written notice. 2. Notwithstanding Article V, part A of this MOU, DHS may terminate this MOU, and thereby the E-Verify Employer Agent’s participation in E-Verify, with or without notice, at any time if deemed necessary because of the requirements of law or policy, or upon a determination by SSA or DHS that there has been a breach of system integrity or security by the E-Verify Employer Agent or the Employer, or a failure on the part of either party to comply with established E-Verify procedures and/or legal requirements. The Employer understands that if it is a Federal contractor, termination of this MOU by any party for any reason may negatively affect the performance of its contractual responsibilities. Similarly, the Employer understands that if it is in a state where E-Verify is mandatory, termination of this by any party MOU may negatively affect the Employer’s business. 3. An E-Verify Employer Agent for an Employer that is a Federal contractor may terminate this MOU for that Employer when the Federal contract that requires its participation in E-Verify is terminated or completed. In such cases, the E-Verify Employer Agent must provide written notice to DHS. If the E-Verify Employer Agent fails to provide such notice, then that Employer will remain an E-Verify participant, will remain bound by the terms of this MOU that apply to non-Federal contractor participants, and will be required to use the E-Verify procedures to verify the employment eligibility of all newly hired employees. 4. The E-Verify Employer Agent agrees that E-Verify is not liable for any losses, financial or otherwise, if the E-Verify Employer Agent or the Employer is terminated from E-Verify. 1641454 Page 3149 of 6525 Page 14 of 19 E-Verify MOU for E-Verify Employer Agents | Revision Date 06/01/13 Company ID Number: ARTICLE VI PARTIES A. Some or all SSA and DHS responsibilities under this MOU may be performed by contractor(s), and SSA and DHS may adjust verification responsibilities between each other as necessary. By separate agreement with DHS, SSA has agreed to perform its responsibilities as described in this MOU. B. Nothing in this MOU is intended, or should be construed, to create any right or benefit, substantive or procedural, enforceable at law by any third party against the United States, its agencies, officers, or employees, or against the E-Verify Employer Agent, its agents, officers, or employees. C. The E-Verify Employer Agent may not assign, directly or indirectly, whether by operation of law, change of control or merger, all or any part of its rights or obligations under this MOU without the prior written consent of DHS, which consent shall not be unreasonably withheld or delayed. Any attempt to sublicense, assign, or transfer any of the rights, duties, or obligations herein is void. D. Each party shall be solely responsible for defending any claim or action against it arising out of or related to E-Verify or this MOU, whether civil or criminal, and for any liability wherefrom, including (but not limited to) any dispute between the Employer and any other person or entity regarding the applicability of Section 403(d) of IIRIRA to any action taken or allegedly taken by the Employer. E. The E-Verify Employer Agent understands that its participation in E-Verify is not confidential information and may be disclosed as authorized or required by law and DHS or SSA policy, including but not limited to, Congressional oversight, E-Verify publicity and media inquiries, determinations of compliance with Federal contractual requirements, and responses to inquiries under the Freedom of Information Act (FOIA). F. The individuals whose signatures appear below represent that they are authorized to enter into this MOU on behalf of the E-Verify Employer Agent and DHS respectively. The E-Verify Employer Agent understands that any inaccurate statement, representation, data or other information provided to DHS may subject the Employer or the E-Verify Employer Agent, as the case may be, its subcontractors, its employees, or its representatives to: (1) prosecution for false statements pursuant to 18 U.S.C. 1001 and/or; (2) immediate termination of its MOU and/or; (3) possible debarment or suspension. G. The foregoing constitutes the full agreement on this subject between DHS and the E-Verify Employer Agent. If you have any questions, contact E-Verify at 1-888-464-4218. 1641454 Page 3150 of 6525 Page 15 of 19 E-Verify MOU for E-Verify Employer Agents | Revision Date 06/01/13 Company ID Number: Approved by: E-Verify Employer Agent Employer Name (Please Type or Print) Title Signature Date Department of Homeland Security – Verification Division Name (Please Type or Print) Title Signature Date 1641454 A&M Property Maintenance, LLC Sylvia Yzaguirre Electronically Signed 02/11/2021 Electronically Signed Page 3151 of 6525 Page 16 of 19 E-Verify MOU for E-Verify Employer Agents | Revision Date 06/01/13 Company ID Number: Information Required for the E-Verify Program Information relating to your Company: Company Name Company Facility Address Company Alternate Address County or Parish Employer Identification Number North American Industry Classification Systems Code Parent Company Number of Employees Number of Sites Verified for 1641454 A&M Property Maintenance, LLC 4396 Owens Way Ave Maria, FL 34142 COLLIER 262564413 811 10 to 19 1 Page 3152 of 6525 Page 17 of 19 E-Verify MOU for E-Verify Employer Agents | Revision Date 06/01/13 Company ID Number: Are you verifying for more than 1 site? If yes, please provide the number of sites verified for in each State: 1641454 FLORIDA 1 site(s) Page 3153 of 6525 Page 18 of 19 E-Verify MOU for E-Verify Employer Agents | Revision Date 06/01/13 Company ID Number: Information relating to the Program Administrator(s) for your Company on policy questions or operational problems: 1641454 Name Sylvia B Yzaguirre Phone Number (239) 503 - 1897 Fax Number Email Address Sylvia.yzaguirre@aandmproperty.com Page 3154 of 6525 Page 19 of 19 E-Verify MOU for E-Verify Employer Agents | Revision Date 06/01/13 Company ID Number: 1641454 Page intentionally left blank Page 3155 of 6525 Page 3156 of 6525 Page 3157 of 6525 Page 3158 of 6525 EFFECTIVE DATE: PERSON: BUSINESS NAME AND ADDRESS: ARMANDO B YZAGUIRRE A&M PROPERTY MAINTENANCE LLC 4396 OWENS WAY IMMOKALEE, FL 34142 FEIN: 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 * * 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 QUESTIONS? (850) 413-1609E01976510 NON-CONSTRUCTION INDUSTRY EXEMPTION 8/8/2024 EXPIRATION DATE:8/8/2026 262564413 EMAIL:SYLVIA.YZAGUIRRE@AANDMPROPERTY.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. This certifies that the individual listed below has elected to be exempt from Florida Workers' Compensation law. Page 3159 of 6525 Page 3160 of 6525 e Collier County Procurement Services Division Form 2: Conflict of Interest Certification Affidavit I he Vendor certifies that, to the best of its knowledge and belief, the past and current work on an y Collier County project affiliated \\ ith this solicitation does not pose an organizational conflict as described by one of the three categories below: Biased ground rules -The firm has not set the "ground rules" for affiliated past or current Collier County project identified above (e.g .. writing a procurement's statement of work, specifications, or performing systems engineering and technical direction for the procurement) which appears to skew the competition in favor ofmy firm. Impaired objectivity -The firm has not performed work on an affiliated past or curren t Collier County project identified above to evaluate proposals/ past performance of itself or a competitor, which calls into question the contractor's ability to render impartial advice to the government. Unequal access to information -The finn has not had access to nonpublic i n formation as part of its performance of a Collier County project identified above which may have provided the contractor (or an affiliate) with an un fair competitive advantage in current or future solicitation s and contracts. In addition to this signed affidavit, the contractor/ vendor must provide the following: I.All documents produced as a result of the work completed in the past or currently being worked on for the above-mentionedproject: and,7 Indicate if the information produced was obtained as a matter of public record (in the "sunshine") or through n on-public (not inthe .. sunshine'') conversatio n (s), meeting(s), document(s) and/or other means. I ailurc to disclose all material or having an organ izatio nal con flict in one or more of the three categories above be identified, may rc�ult in the disqualification for future solicitations affiliated with the above referenced project(s). B� the signature below, the firm (employees, officers and/or agents) certifies, and hereby discloses, that, to the best of their knowledge and belie[ all relevant facts concerning past, prese n t, or currently planned interest or activity (financial, contractual, organizational, (>r •ltherwise) which relates to the project identified above has been fully disclosed and does not pose an organizational conflict. .... ,_:;;i-iPii�.. CHRISTINA BODE . if�r:\ Notary Public -State of Florida J \��-; Comm1ss1on # HH 403225 ·� ·.'>f..o,�,r-:-:,"!.·' My Comm. Expires May 25, 2027 Bonded through National Notary Assn. \talc or f_l O tid ___ a_ County of CD m er f-)qnl PeoP[RTL{ MAit\llEtJ4i\JCE/1C.�ompany Name Signature SJjlfia /3,Yzas'1,wtt,L� IIH.: �.llAego,f instrument was n�<E'ledged befor physical presence or D on line notarization, this -2.L dayu r JV 1 C\ ., (month), 1.11. t,,;; (year), by ..__"'-'-l�-"'-'----+--¥---+ .......... ""-'-'"-i-....,U<....J....,1-+-""---'--_-_-__ ------"'n.ame of �lllknowl,dging) (Signature of Notary Public) _Ch ri&ttm_fude_ _____________ _ (Print, Type, or Stamp Commissioned Name of Notary Public) OR Produced Identification T: pc or ldenti fication Produced Page 3161 of 6525 CHRI_STINA BODE . ;:"�e:·: Notary Public· State of Florida \100tf Commission# HH 403225 ··/f_orf\.°rf.'. My Comm. Expires May 25, 2027 Bonded through National Notary Assn. Page 3162 of 6525 e Collier County Procurement Services Division Form 4: Vendor Submittal -Local Vendor Preference Certification (( 'heck Appropriate Boxes Below) State,q[ �orida (Select County if Vendor is described as a Local Business) 'bl_] Collier County 0 Lee County Vendor anirrns that it is a local business as defined by the Procurement Ordinance of the Collier County Board of County Commissioners and the Regulations Thereto, As defined in Section Fifteen of the Collier County Procurement Ordinance: I .ocal business means the vendor has a current Business Tax Receipt issued by the Collier County Tax Collector prior to bid or proposal submission to do business within Collier County, and that identifies the business with a permanent physical business address located within the limits of Collier County from which the vendor's staff operates and performs business in an area zoned for the conduct of such business. A Post Office Box or a facility that receives mail, or a non-permanent structure such as a construction trailer, storage shed, or other non-permanent structure shall not be used for the purpose of establishing said physical address. In addition to the foregoing, a vendor shall not be considered a "local business" unless it contributes to the economic development and well-being of Collier County in a verifiable and measurable way. This may include, but not be Jim ited to, the retention and expansion of employment opportunities, support and increase to the County's tax base, and residency of employees and principals of the business within Collier County. Vendors shall affirm in writing their compliance with the foregoing at the time of submitting their bid or proposal to be eligible for consideration as a "local business" under 1his section. A vendor who misrepresents the Local Preference status of its firm in a proposal or bid submitted to the County will lose the privilege to claim Local Preference status for a period of up to one year under this section. Vendor must complete the following information: Y,:ar Business Established �Collier County or D Lee County: j =j­ :-lurnbcr of Employees (Including Owner(s) or Corporate Officers): 14 Number of Employees Livin� Collier County or O Lee (Including Owner(s) or Cor�or;te,Officers)J =J. Ir requested by the County. Vendor will be required to provide documentation substantiating the information given in this ccrtif1catio11. Failure to do so will result in vendor's submission being deemed not applicable. Si!.'.n and Date Certification: I nder cemi/ties o(periury, I certify that the information shown on this form is correct to my knowledge. (\,mpany Narne:A<sm PRoP£PJLt HAI/J�ANC�j__J�te: 05 la 1 / aoa5 i\ddrcss in Collie�·. County !139j[LOW21SWay;AJJQ /idanO; Fi.,34/C/qS1!:'11,1ture ) Title: 0'U.tn..eh__, I Page 3163 of 6525 Page 3164 of 6525 Page 3165 of 6525 Page 3166 of 6525 Page 3167 of 6525 Page 3168 of 6525 Page 3169 of 6525 Page 3170 of 6525 Page 3171 of 6525 Page 3172 of 6525 Page 3173 of 6525 Page 3174 of 6525 Page 3175 of 6525 Page 3176 of 6525 Page 3177 of 6525 Page 3178 of 6525 Page 3179 of 6525 Page 3180 of 6525 Page 3181 of 6525 Page 3182 of 6525 Page 3183 of 6525 Page 3184 of 6525 Page 3185 of 6525 Page 3186 of 6525 Page 3187 of 6525 Page 3188 of 6525 Page 3189 of 6525 Page 3190 of 6525 Page 3191 of 6525 Page 3192 of 6525 Page 3193 of 6525 Page 3194 of 6525 Page 3195 of 6525 Page 3196 of 6525 Page 3197 of 6525 Page 3198 of 6525 Page 3199 of 6525 Page 3200 of 6525 Page 3201 of 6525 Page 3202 of 6525 Page 3203 of 6525 Page 3204 of 6525 Page 3205 of 6525 Page 3206 of 6525 Page 3207 of 6525 Page 3208 of 6525 Page 3209 of 6525 Page 3210 of 6525 Page 3211 of 6525 Page 3212 of 6525 Page 3213 of 6525 Page 3214 of 6525 Page 3215 of 6525 Page 3216 of 6525 Page 3217 of 6525 Page 3218 of 6525 Page 3219 of 6525 Page 3220 of 6525 Page 3221 of 6525 Page 3222 of 6525 Page 3223 of 6525 Page 3224 of 6525 Page 3225 of 6525 Page 3226 of 6525 Page 3227 of 6525 Page 3228 of 6525 Page 3229 of 6525 Page 3230 of 6525 Page 3231 of 6525 Page 3232 of 6525 Page 3233 of 6525 Page 3234 of 6525 Page 3235 of 6525 Page 3236 of 6525 Procurement Services Division Notice of Recommended Award Solicitation: 25-8345 Title: LANDSCAPE MAINTENANCE CONTRACTORS Due Date and Time: May 23, 2025 @ 3:00 pm Vendors: Company Name City County State Final Ranking Responsive/Responsible Mainscape Inc. Bonita Springs Lee FL 1 Yes/Yes Superior Landscaping & Lawn Service Inc. Bonita Springs Lee FL 2 Yes/Yes A&M Property Maintenance LLC Ave Maria Collier FL 3 Yes/Yes John Fideli Landscapes, LLC Cape Coral Lee FL 4 Yes/Yes R&N Lawn Maintenance Cape Coral Lee FL 5 Yes/Yes Utilized Local Vendor Preference: Yes No Recommended Vendor(s) For Award: On April 23, 2025, the Procurement Services Division issued Invitation for Qualifications (“IFQ”) No. 25-8345, “Landscape Maintenance Contractors,” to three thousand four hundred seventy-six (3,476) vendors. Nine hundred forty-seven (847) packages were viewed, and two (5) bids were received by May 23, 2025, the submission deadline. Staff reviewed the proposals received and four (4) bidders were found to be responsive and responsible, with minor irregularities, with R & N Lawn Maintenance, Inc. being deemed non-responsive for not having the required licenses. On August 8, 2025, the Selection Committee convened, as described in Step 1 of the solicitation documents, after review of the proposals and deliberation, the Committee scored and there was a tie for first (1st) place. The tie was between Mainscape Inc., and Superior Landscaping & Lawn Service Inc. Pursuant to the tie breaker procedure outlined in the solicitation document, the tie was resolved. On September 5, 2025, the Selection Committee was reconvened to evaluate the proposal from R & N Lawn Maintenance, Inc. as their proposal was incorrectly deemed non-responsive during the evaluation process. The Selection Committee elected to move forward with final ranking and the results were as follows: Ranked #1 Mainscape Inc. Ranked #2 Superior Landscaping & Lawn Service Inc. Ranked #3 A&M Property Maintenance LLC Ranked #4 John Fideli Landscapes, LLC Ranked #5 R & N Lawn Maintenance, Inc. Staff recommends awarding all five (5) vendors to establish a pool. Contract Driven Purchase Order Driven Docusign Envelope ID: 52121E3C-4299-4147-B70F-8B5CBD1E1271 Page 3237 of 6525 Required Signatures Project Manager: Procurement Strategist: Procurement Services Director: __________________________________ _________________ Sandra Srnka Date Docusign Envelope ID: 52121E3C-4299-4147-B70F-8B5CBD1E1271 Page 3238 of 6525 Page 3239 of 6525 Page 3240 of 6525 Page 3241 of 6525 Page 3242 of 6525 Page 3243 of 6525 County of Collier, FL Procurement Kenneth Kovensky, Executive Director 3299 Tamiami Trail, East Naples, FL 34112 [R&N LAWN MAINTENANCE INC.] RESPONSE DOCUMENT REPORT GEN No. 25-8345 Landscape Maintenance Contractors RESPONSE DEADLINE: May 23, 2025 at 3:00 pm Report Generated: Friday, May 23, 2025 R&N LAWN MAINTENANCE INC. Response CONTACT INFORMATION Company: R&N LAWN MAINTENANCE INC. Email: rnlawn@gmail.com Contact: Ricardo Rives Address: 340 6th ST SE Naples, FL 34117 Phone: N/A Website: www.rnlawn.com Submission Date: May 20, 2025 10:39 AM (Eastern Time) Page 3244 of 6525 [R&N LAWN MAINTENANCE INC.] RESPONSE DOCUMENT REPORT GEN No. 25-8345 Landscape Maintenance Contractors [R&N LAWN MAINTENANCE INC.] RESPONSE DOCUMENT REPORT undefined - Landscape Maintenance Contractors Page 2 ADDENDA CONFIRMATION Addendum #1 Confirmed May 22, 2025 2:32 PM by Ricardo Rives QUESTIONNAIRE 1. I certify that I have read, understood and agree to the terms in this solicitation, and that I am authorized to submit this response on behalf of my company.* Confirmed 2. ALL DOCUMENTS REQUIRING EXECUTION SHOULD BE EITHER BY WET SIGNATURES OR VERIFIABLE ELECTRONIC SIGNATURES. FAILURE TO PROVIDE THE APPLICABLE DOCUMENTS MAY DEEM YOU NON-RESPONSIVE/NON-RESPONSIBLE. Confirmed 3. Invitation for Qualification (IFQ) Instructions Form* Invitation for Qualification (IFQ) Instructions have been acknowledged and accepted. Confirmed 4. Collier County Purchase Order Terms and Conditions.* Collier County Purchase Order Terms and Conditions have been acknowledged and accepted. Confirmed 5. Insurance Requirements* Vendor Acknowledges Insurance Requirement and is prepared to produce the required insurance certificate(s) within five (5) da ys of the County's issuance of a Notice of Recommended Award. Page 3245 of 6525 [R&N LAWN MAINTENANCE INC.] RESPONSE DOCUMENT REPORT GEN No. 25-8345 Landscape Maintenance Contractors [R&N LAWN MAINTENANCE INC.] RESPONSE DOCUMENT REPORT undefined - Landscape Maintenance Contractors Page 3 Confirmed 6. Proposal Submittal* Please submit a proposal per Evaluation Criteria outlined in Solicitation. Cover_Letter_CCBCC_25_.pages collier_county_bid_^N4_RN_Landscape_Maintenance_Contracts_FINAL.pdf Quality_Assurance_and_Safety_Standards_FL.docx Tree_Landscape_Safety_Manual_FL_R^0N_LAWN_MAINTENANCE_INC^.docx COLLIER_COUNTY_^N6_RN_Organizational_Chart_and_Team_Expertise_Final.docx collier_county_^N7_RN_Equipment_List_final.docx Orginizational_Crew.png 7. County Required Forms VENDOR DECLARATION STATEMENT (FORM 1)* COLLIER_COUNTY_FORM_1.pdf CONFLICT OF INTEREST AFFIDAVIT (FORM 2)* Collier_County_FORM_2.pdf IMMIGRATION AFFIDAVIT CERTIFICATION (FORM 3)* Collier_County_FORM_3.pdf LOCAL VENDOR PREFERENCE (IF APPLICABLE FORM 4) Include a copy of the business tax receipt. COLLIER_COUNTY_BUSS_TAX_2025.pdf Collier_County_FORM_4_VENDOR.pdf Lee_County_Business_tax_TaxSys-FF_mFpVcFiVPn.pdf FDACS_LICENSE_2025_COMMERCIAL_LANDSCAPE_MAINTENANCE_.pdf Page 3246 of 6525 [R&N LAWN MAINTENANCE INC.] RESPONSE DOCUMENT REPORT GEN No. 25-8345 Landscape Maintenance Contractors [R&N LAWN MAINTENANCE INC.] RESPONSE DOCUMENT REPORT undefined - Landscape Maintenance Contractors Page 4 REFERENCE QUESTIONNAIRE (IF APPLICABLE FORM 5) Collier_County_REFERENCE_#1.pdf Collier_County_REFERENCE_#2.pdf Collier_County_REF_#3.pdf Collier_County_REF_#4.pdf Collier_County_Reference.pdf Collier_County-_Oasis.pdf GRANT PROVISIONS (IF APPLICABLE FORM 6) All forms must be completed No response submitted PROOF OF STATUS FROM DIVISION OF CORPORATIONS - FLORIDA DEPARTMENT OF STATE (SUNBIZ)** http://dos.myflorida.com/sunbiz/ should be attached with your submittal. division_of_corportations_2025.pdf https:search.sunbiz.org:Inquiry:CorporationSearch:GetDocument?aggregateId=domp-p96000025328-35805832-05f3-449f-aabd- 4a5a8de00ffb&transactionId=p96000025328-e2dec9e2-5b15-49ce-b9d4-f0242fdd807f&for.pdf E-VERIFY - MEMORANDUM OF UNDERSTANDING* Vendor MUST be enrolled in the E-Verify - https://www.e-verify.gov/ at the time of submission of the proposal/bid. E-Verify Memorandum of Understanding or Company Profile page should be attached with your submittal. MouSignedDocument.pdf W-9 FORM* R&N_W-9_2025.pdf SIGNED ADDENDUMS (IF APPLICABLE) No response submitted Page 3247 of 6525 [R&N LAWN MAINTENANCE INC.] RESPONSE DOCUMENT REPORT GEN No. 25-8345 Landscape Maintenance Contractors [R&N LAWN MAINTENANCE INC.] RESPONSE DOCUMENT REPORT undefined - Landscape Maintenance Contractors Page 5 MISCELLANEOUS DOCUMENTS COI_AUTO_2026_FOR_COLLIER_COUNTY_BCC_10.pdf WC_1938088_Collier_County_Board_CC.pdf COI_GL_2024-25_Collier_County_Board_of_Commissioners,_3295_Tamiami_Trail_East,_Naples,_FL,_34112.pdf Commercial_Landscape_Maint._LIC_2025.png COLLIER_COUNTY_BUSS_TAX_2025.pdf state_farm_CERT_FOR_INS_FOR_FL_DEPARTMENT_OF_AG.pdf collier_county_Prof._Service_Agg._2025.pdf Page 3248 of 6525 Contractor Landscape Maintenance Services – R&N Lawn Maintenance Inc. Contact: Ricardo Rives, CEO – (239) 253-3395 | rnlawn@gmail.com Business Location: 340 6th St SE, Naples, FL 34117 1. Contract Name: Coral Palms Location: 4539 Coral Palms Ln., Naples, FL 34116 Acreage: 20 acres- Multi Development Apartment Complex Maintenance Activities: • - Weekly mowing, edging, and blowing • - Shrub and tree trimming • - Fertilization and weed control • - Mulching and debris removal • - Irrigation system checks and reporting Contact: Danya – dgalvez@temillerdevelopment.com Contract Duration: Annual Annual Amount: $75,000.00 --- 2. Contract Name: Oasis Location: 2277 Arbour Walk Cir., Naples, FL 34109 Acreage: 15 acres- Multi Development Apartment Complex Maintenance Activities: • - Weekly lawn maintenance and landscape detail • - Pruning of shrubs and ornamental trees • - Monthly fertilization • - Seasonal mulch and cleanups • - Irrigation system checks and reporting Contact: A.L. Perez – alperez@temiller.com Contract Duration: Annual Annual Amount: $98,000.00 Page 3249 of 6525 3. Contract Name: Caneel Bay Location: 3070 Bridgewater Bay Blvd., Naples, FL 34109 Acreage: 10 acres (40 single-family homes) Maintenance Activities: • - Full lawn and landscape service for private homes and common areas • - Tree and shrub pruning • - Monthly fertilization and weed control • - Blowing, edging, and debris pickup • - Irrigation system checks and reporting Contact: Steve Began – begyn@aol.com Contract Duration: Annual Annual Amount: $45,000.00 --- 4. Contract Name: **Collier County Parks and Recreation Location: Various park and recreation facilities across Collier County, FL Acreage: Variable (Multiple Sites, 29 properties) Maintenance Activities: • - Turf mowing, trimming, and edging, blowing, • - Sports field maintenance • - Storm debris cleanup and seasonal projects Contact: Multiple Park Managers – Collier County Parks & Recreation Contract Duration: Annual Annual Amount: $800,000.00 Page 3250 of 6525 5. Contract Name: Boca Bay Location: 3070 Bridgewater Bay Blvd., Naples, FL 34109 Acreage: 20 acres (40 single-family homes) Maintenance Activities: • - Full lawn and landscape service for private homes and common areas • - Tree and shrub pruning • - Monthly fertilization and weed control • - Blowing, edging, and debris pickup • - Irrigation system checks and reporting Contact: Steve Began – begyn@aol.com Contract Duration: Annual Annual Amount: $65,000.00 --- 6. Contract Name: T. Haley Location: Bur Oak Dr. Naples Fl 34119 Acreage: 5 acer single family home Maintenance Activities: • - Full lawn and landscape service for private homes and common areas • - Tree and shrub pruning • - Monthly fertilization and weed control • - Blowing, edging, and debris pickup • - Irrigation system checks and reporting • Contact: Thaley@yahoo.com Contract Duration: annual continual October 2024 – September 2025 Annual Amount: $6,000 Page 3251 of 6525 7. Contract Name: Dan Jak Investment Group Location: Naples, FL Acreage: 10 acres Maintenance Activities: • - Lawn and landscape maintenance • - Mowing, edging, blowing • - General upkeep of turf and planting beds • - Irrigation system checks and reporting Contact: Barbara Riess – trishntc@gmail.com Contract Duration: Annual Annual Amount: $25,000.00 --- 8. Contract Name: 420 Palm Circle Investments LLC Location: 1915 Trade Center Way, Naples, FL 34109 Acreage: 5 Family Development Maintenance Activities: • - Lawn and landscape maintenance • - Mowing, edging, blowing • - General upkeep of turf and planting beds • - Irrigation system checks and reporting Contact: Barbara Riess – trishntc@gmail.com Contract Duration: Annual Annual Amount: $30,000.00 --- Page 3252 of 6525 9. Contract Name: Linda Livingston Properties Location: Naples, FL Acreage: Not specified Maintenance Activities: • - Lawn and landscape maintenance • - Mowing, edging, blowing • - Tree and shrub trimming • - Seasonal cleanups and mulching • - Irrigation system checks and reporting Contact: Linda Livingston – llcicloud@icloud.com Contract Duration: Annual Annual Amount: $80,000.00 --- 10. Contract Name: Elite Concrete – New Development & Maintenance Location: Naples, FL (Multiple Properties) Acreage: Varies by development Maintenance Activities: • - Lawn and landscape services for new construction developments • - Ongoing maintenance of model homes and common areas • - Tree and shrub care, debris removal • - Irrigation system monitoring and reporting Contact: Robert Emerson – (239) 370-0623 Contract Duration: Annual Annual Amount: $1,200,000.00 --- Page 3253 of 6525 Quality Assurance and Safety Standards 1. Worker and Site Safety Protocols & Commitment We are fully committed to ensuring the safety of our workers, clients, and the public through rigorous adherence to safety standards and best practices across all our service areas: Compliance with OSHA Standards - All operations are conducted in accordance with OSHA regulations specific to landscaping, tree trimming, and grounds maintenance. - Safety data sheets (SDS) are available for all chemicals and products used. Staff Safety Training - All staff undergo comprehensive safety orientation upon hiring. - Ongoing safety education includes: - Equipment handling and safety protocols - Fall protection for elevated tree work - First Aid and CPR certification - Tailored training is provided for high-risk services, including chainsaw operation and tree climbing. Proper Equipment Use - All equipment is inspected before each use and maintained per manufacturer standards. - Personnel use required PPE, including: - Hard hats, eye/ear protection, gloves, steel-toe boots, and reflective clothing - Lockout/tagout procedures are strictly enforced during maintenance and repair work. 2. Environmental Compliance & Sustainability Practices We integrate environmentally responsible practices into every aspect of our operations, aligning with both local regulations and industry standards for sustainability. Use of Eco-Friendly Products - Organic and low-toxicity fertilizers, herbicides, and pesticides are used wherever possible. - We utilize low-emission, fuel-efficient equipment to reduce our carbon footprint. Waste Management Practices - Grass clippings and yard debris are composted or mulched on-site when feasible. - Tree trimmings are processed into mulch or disposed of in accordance with local green waste guidelines. - All recyclable material (e.g., plastic pots, cardboard) is diverted from landfills. Page 3254 of 6525 Sustainable Landscaping Methods - Use of native, drought-resistant plants to reduce irrigation needs. - Installation of efficient irrigation systems, including drip irrigation where applicable. - Soil conservation and erosion control practices are incorporated into landscape designs. 3. Quality Assurance, Site Inspections & Maintenance Oversight We maintain a high standard of quality through regular inspections, documentation, and adherence to agreed-upon schedules: Site Inspections - Weekly inspections are conducted during lawn maintenance visits. - Landscaping and tree trimming projects undergo pre- and post-service inspections. - Any hazards or irregularities are documented and promptly addressed. Progress Reports - Service logs are maintained for all work completed, including: - Dates of service - Work performed - Site conditions - Issues observed and resolutions - Clients receive detailed progress reports for contract-based landscaping and tree trimming projects. Adherence to Maintenance Schedules - Lawn maintenance is performed weekly, as per client schedule and weather conditions. - Equipment maintenance and inspection logs are strictly followed to ensure reliability and safety. - Landscaping and tree trimming services are completed according to contractual timelines with periodic check-ins. Page 3255 of 6525 Employee Safety Manual: Tree Trimming and Landscape Maintenance Company Name: R&N LAWN MAINTENANCE INC. Effective Date: 20205 Location: Florida --- 1. Introduction This safety manual outlines the required procedures, responsibilities, and training standards for employees involved in tree trimming and landscape maintenance. The goal is to ensure a safe, compliant work environment and to minimize risk to employees, clients, the public, and company property. This document is designed to meet or exceed OSHA standards, Florida state regulations, and industry best practices. 2. General Safety Policy - Safety is a core value and is the responsibility of every employee, from entry-level workers to executive leadership. - All employees must adhere to company safety protocols, OSHA regulations (29 CFR 1910 and 1926), and any additional state or local requirements. - No task is so urgent that it cannot be performed safely. - Violations of safety policy may result in disciplinary action up to and including termination. - Regular audits and safety reviews will be conducted to ensure compliance and continuous improvement. - Job Hazard Analyses (JHA) must be conducted before the start of any major task. - Employees are empowered to stop work at any time if they perceive a risk to safety. 3. Personal Protective Equipment (PPE) - Supervisors are responsible for ensuring PPE is available and worn correctly. - Required PPE includes: - Hard hats (ANSI Z89.1) - Safety glasses or goggles (ANSI Z87.1) Page 3256 of 6525 - Hearing protection (ear plugs or muffs) - Cut-resistant gloves (when using sharp tools or machinery) - Chainsaw chaps (for tree trimming and felling operations) - Steel-toe boots with slip-resistant soles - High-visibility safety vests or shirts - PPE must be inspected prior to each use, and any defective equipment must be reported and replaced. - Specialized PPE (e.g., respirators) must be used according to OSHA Respiratory Protection Standard (29 CFR 1910.134). 4. Tree Trimming Safety Procedures - Pre-Work Inspection: - Inspect trees for rot, pest damage, dead limbs, and overhead hazards. - Determine proximity to power lines and follow electrical hazard protocols. - Work Zone Safety: - Secure the area with cones, caution tape, or barricades. - Designate a ground person to monitor the work zone and communicate with the crew. - Fall Protection and Climbing: - Employees working above 6 feet must use a personal fall arrest system. - Use only approved climbing ropes, harnesses, and saddles. - Never tie into dead branches or unstable sections. - Chainsaw Use: - Chainsaws must be fitted with chain brakes, functioning kill switches, and anti-vibration systems. - Operators must maintain two-handed grip and proper body positioning at all times. - Refueling must be done at least 10 feet away from any ignition source. - Aerial Lift Operations: - Only trained and certified employees may operate aerial lifts. - Fall restraint must be used when in the bucket. Page 3257 of 6525 - Inspect lift devices daily and keep a written log. 5. Landscape Maintenance Safety Procedures - Power Equipment Use: - Inspect mowers, trimmers, and blowers before each use. - Shut off engines before inspecting blades or clearing debris. - Avoid operating equipment on wet or uneven terrain. - Noise Exposure: - Use hearing protection when noise exceeds 85 dB. - Follow the Hearing Conservation Program for prolonged exposures. - Chemical Use: - Follow all label instructions and SDS protocols for herbicides, pesticides, and fertilizers. - Maintain a chemical log and storage inventory. - Use secondary containment for all chemical storage. - Manual Tasks and Ergonomics: - Use mechanical aids or team lifts for items over 50 lbs. - Bend at the knees and lift with legs, not the back. - Alternate repetitive tasks and take short breaks to avoid strain injuries. 6. Training Requirements - Initial Training: - Includes general safety orientation, PPE usage, and emergency response. - Task-Specific Training: - Chainsaw use and maintenance - Climbing and rigging techniques - Aerial lift certification - Hazard communication and SDS review - Refresher Training: - Conducted annually or following an incident or policy change. Page 3258 of 6525 - Training Records: - Maintained for at least five years and available for inspection. 7. Incident Reporting & Emergency Response - All incidents, including near-misses, must be reported immediately to a supervisor. - First aid kits must be kept fully stocked and accessible in every truck and job site. - Emergency procedures must be reviewed monthly. - Serious injuries require immediate 911 notification and OSHA reporting within 8 hours. - The nearest hospital or urgent care center must be listed in each vehicle. - Electrical contact incidents require contacting the utility company immediately. 8. Florida-Specific Requirements - Comply with the Florida Department of Agriculture and Consumer Services (FDACS) for chemical use and applicator licensing. - Abide by county tree protection ordinances and permitting processes. - Protect wetlands, endangered species habitats, and follow FDEP stormwater management guidelines. - Follow Florida heat stress prevention practices: enforce hydration, rest breaks, and shade availability. 9. Safety Audits and Accountability - Supervisors conduct weekly jobsite safety inspections using a standardized checklist. - Monthly internal audits will review training, equipment condition, and documentation. - Corrective actions must be documented and resolved within 7 days. - Repeat safety violations may lead to suspension or termination. 10. Acknowledgment and Signature All employees must sign the Employee Safety Acknowledgment Form indicating they: - Have read and understood this manual. - Agree to follow all safety procedures. - Understand that failure to follow safety procedures may result in disciplinary action. Page 3259 of 6525 Stay alert. Stay safe. Safety is not optional — it’s your responsibility. Page 3260 of 6525 R&N Lawn Maintenance Inc. – Organizational Chart & Team Expertise Company: R&N Lawn Maintenance Inc. Contact: Ricardo Rives, CEO | (239) 253-3395 | rnlawn@gmail.com Organizational Structure CEO / President: Ricardo Rives Vice President / Admin & Office Manager: Noel Rives Field Supervisors & Estimators: Walter Alas, Noah Rives, Salustaino Rives, Noel Rives, Breanah Rives Crew Leaders: Fransisco Rivera, Carlos Alas Estimators: Ricardo Rives, Noah Rives Management Team – Roles & Expertise Ricardo Rives Title: CEO / President | Estimator Responsibilities: • - Executive leadership of all operations and contracts • - Client relationship management • - High-level estimating and oversight of bidding processes Noel Rives Title: Vice President – Administration & Office Manager | Field Supervisor & Estimator Responsibilities: • - Oversees office operations and scheduling • - Manages administrative tasks and internal coordination • - Supervises field operations and jobsite safety • - Supports estimating and client reporting Page 3261 of 6525 Walter Alas Title: Field Supervisor Responsibilities: • - Supervise daily landscape maintenance operations • - Ensure safety, quality, and efficiency on all worksites • - Conduct site inspections and enforce OSHA compliance • - Coordinate crew activities and client communication Noah Rives Title: Field Supervisor / Estimator Responsibilities: • - Supervise daily landscape maintenance operations • - Ensure safety, quality, and efficiency on all worksites • - Conduct site inspections and enforce OSHA compliance • - Coordinate crew activities and client communication Salustaino Rives Title: Field Supervisor Responsibilities: • - Supervise daily landscape maintenance operations • - Ensure safety, quality, and efficiency on all worksites • - Conduct site inspections and enforce OSHA compliance • - Coordinate crew activities and client communication Breanah Rives Title: Field Supervisor Responsibilities: • - Supervise daily landscape maintenance operations • - Ensure safety, quality, and efficiency on all worksites • - Conduct site inspections and enforce OSHA compliance • - Coordinate crew activities and client communication Fransisco Rivera Title: Crew Leader Responsibilities: • - Direct on-site crew operations Page 3262 of 6525 • - Ensure daily tasks are completed safely and effectively • - Report to field supervisors and maintain communication on work progress Carlos Alas Title: Crew Leader Responsibilities: • - Direct on-site crew operations • - Ensure daily tasks are completed safely and effectively • - Report to field supervisors and maintain communication on work progress Estimators – Ricardo Rives, Noah Rives Responsibilities: • - Evaluate project scope and prepare maintenance cost estimates • - Conduct site assessments for contract bidding • - Collaborate with management and field staff for accurate planning Page 3263 of 6525 R&N Lawn Maintenance Inc. – Equipment List This list includes the core equipment used in lawn maintenance, landscaping, and tree trimming operations. It also includes safety gear and traffic control tools required for jobsite compliance. Lawn Maintenance Equipment • - Commercial zero-turn mowers (48”–72” deck) • - Walk-behind mowers • - String trimmers (gas or battery powered) • - Edgers • - Backpack blowers • - Push blowers • - Hedge trimmers • - Gas cans with safety spouts • - Wheelbarrows • - Utility trailers • - Tool racks and secure transport systems Landscaping Equipment • - Mulch spreaders • - Landscape rakes and shovels • - Soil augers • - Hand pruners and loppers • - Irrigation flags and hand tools • - Measuring wheels • - Fertilizer spreaders • - Landscape fabric and pins • - Compact tiller • - Pickup trucks with dump beds • - Skid steer or mini loader (optional based on project scope) Tree Trimming Equipment • - Aerial lift bucket (ANSI-certified, insulated for electrical safety) • - Chainsaws (various sizes for pruning and felling) • - Pole saws and manual pole pruners Page 3264 of 6525 • - Rigging ropes and throw lines • - Climbing saddles and harnesses • - Carabiners and friction savers • - Rakes, hand saws, and chipper tools • - Wood chipper (tow-behind, 12” capacity) • - Traffic cones and signage • - First aid kit and emergency contact info on each truck Required Safety Equipment (All Services) • - Hard hats (ANSI Z89.1) • - Safety glasses or face shields (ANSI Z87.1) • - High-visibility vests/shirts • - Hearing protection (ear plugs or earmuffs) • - Steel-toe boots (slip-resistant) • - Chainsaw chaps (for saw operators) • - Cut-resistant gloves • - Fall protection gear (harness, lanyards, anchors – tree work only) • - Respirators (when handling chemicals or dusty conditions) • - Fire extinguishers on all trucks • - DOT-compliant first aid kits • - Traffic cones for perimeter safety and road work notifications Page 3265 of 6525 Page 3266 of 6525 Page 3267 of 6525 Page 3268 of 6525 Page 3269 of 6525 Page 3270 of 6525 Page 3271 of 6525 Business Tax Receipt I hope you have a successful year. Lee County Tax Collector Payment Information: $ May engage in the business of: - LEE COUNTY BUSINESS TAX RECEIPT Account Expires: THIS BUSINESS TAX RECEIPT IS NON REGULATORY Dear Business Owner: Your -Lee County Business Tax Receipt is attached below for account number / receipt    Business name Ownership Physical location Business closed This is not a bill. Detach the bottom portion and display in a public location. Sincerely,  If there is a change in one of the following, refer to the instructions on the back of this receipt. number:/ $FFRXQt Number: 5HFHLSt Number: State License Number: Location: 1026351 1026351 R & N LAWN MAINTENANCE INC R & N LAWN MAINTENANCE INC 105.00 340 6TH ST SE NAPLES, FL 34117 2024 2024 GV17069 1203520 1203520 PROFESSIONAL LANDSCAPING COMPANY R & N LAWN MAINTENANCE INC 340 6TH ST SE NAPLES, FL 34117 INT-00-02609209PAID 2025 2025 RIVES RICARDO 340 6TH ST SE NAPLES, FL 34117 09/17/2024 September 30, 2025 Page 3272 of 6525 Change of Business Name and/or Ownership: Change of Location: Tangible Taxes: Owner/Qualifier Name Signature of Owner/Qualifier Tangible Personal Property Account Number for the business: The business named on the reverse side of this notice ceased operations and disposed of the assets by: Retention for personal use Scrapped, junked, or likewise disposed of, etc. Date Sold: Phone Number Date Closed Street or PO Box Number (your current mailing address) City/State/Zip Submit a new Business Tax Application Submit other required documents, if applicable (e.g. Fictitious Name Registration, State or County License, etc.) Submit a Bill of Sale (if changing ownership) A 10% transfer fee applies to ownership changes The Lee County Property Appraiser's office should be notified of any change in the business name and/or ownership      Submit a new Business Tax Application Obtain zoning approval, or provide a copy of a city local business tax receipt, if relocating from:   Commercial to Commercial Commercial to Residential Residential to Commercial A 10% transfer fee applies to location changes The Lee County Property Appraiser's office should be notified of any change in business location Tangible Personal Property Tax Returns must be filed with the Property Appraiser's office by April 1st of each Closing Your Business: If you are closing or no longer in business, the owner/qualifier must do the following:   Sign, date and submit the Out of Business Affidavit below File a Tangible Disposition Letter form with the Property Appraiser, www.leepa.org or call 239.533.6140 to avoid receiving future tangible tax notices If you plan to liquidate your merchandise, contact our office at 239.533.6000 for instructions on obtaining a Going Out of Business Permit. year. Contact the Property Appraiser's office 239.533.6140. Account No: Receipt No: CHANGES TO YOUR BUSINESS TAX ACCOUNT Information/Questions: call 239.533.6000 or visit our official website at www.leetc.com. Out of Business Affidavit Purchase Price: Complete the buyer information below: Name:Phone Number: Address: All of the tangible assets were were not sold to the purchaser. Return this Out of Business Affidavit to: Lee County Tax Collector, PO Box 1549, Fort Myers, FL 33902-1549 1026351 1203520 Page 3273 of 6525 RICARDO RIVES January 14, 2025 November 30, 2025 BUREAU OF LICENSING & ENFORCEMENT 3125 CONNER BLVD, BLDG. 8 TALLAHASSEE, FLORIDA 32399-1650 LC226645 340 6TH ST SE NAPLES, FL 34117 COMMERCIAL LANDSCAPE MAINT. HOLDER STATE OF FLORIDADepartment of Agriculture and Consumer Services BUREAU OF LICENSING AND ENFORCEMENT STATE OF FLORIDA Date File No.Expires THE COMMERCIAL LANDSCAPE MAINT. HOLDER NAMED BELOW HAS REGISTERED UNDER THE PROVISIONS OF CHAPTER 482 FOR THE PERIOD EXPIRING: November 30, 2025 Signature Department of Agriculture and Consumer Services HAS PAID THE FEE REQUIRED BY CHAPTER 482 FOR THE PERIOD EXPIRING November 30, 2025 RICARDO RIVES BUREAU OF LICENSING AND ENFORCEMENT LC226645 Wallet Card - Fold Here WILTON SIMPSON, COMMISSIONER WILTON SIMPSON COMMISSIONER Page 3274 of 6525 Page 3275 of 6525 Page 3276 of 6525 Page 3277 of 6525 Page 3278 of 6525 Page 3279 of 6525 Page 3280 of 6525 340 6TH STREET SE NAPLES, FL 34117 Current Principal Place of Business: Current Mailing Address: 340 6TH ST SE NAPLES, FL 34117 US Entity Name: R & N LAWN MAINTENANCE, INC. DOCUMENT# P96000025328 FEI Number: 65-0733218 Certificate of Status Desired: Name and Address of Current Registered Agent: RIVES, RICARDO 340 6TH STREET SE NAPLES, FL 34117 US The above named entity submits this statement for the purpose of changing its registered office or registered agent, or both, in the State of Florida. SIGNATURE: Electronic Signature of Registered Agent Date Officer/Director Detail : I hereby certify that the information indicated on this report or supplemental report is true and accurate and that my electronic signature shall have the same legal effect as if made under oath; that I am an officer or director of the corporation or the receiver or trustee empowered to execute this report as required by Chapter 607, Florida Statutes; and that my name appears above, or on an attachment with all other like empowered. SIGNATURE: Electronic Signature of Signing Officer/Director Detail Date FILED Jan 08, 2025 Secretary of State 9351563619CC NOEL RIVES VICE PRESIDENT 01/08/2025 2025 FLORIDA PROFIT CORPORATION ANNUAL REPORT Yes Title PRESIDENT Name RIVES, RICARDO Address 340 - 6TH ST SE City-State-Zip:NAPLES FL 34117 Title VP Name RIVES, NOEL M Address 340 6TH ST SE City-State-Zip:NAPLES FL 34117 Page 3281 of 6525 340 6TH STREET SE NAPLES, FL 34117 Current Principal Place of Business: Current Mailing Address: 340 6TH ST SE NAPLES, FL 34117 US Entity Name: R & N LAWN MAINTENANCE, INC. DOCUMENT# P96000025328 FEI Number: 65-0733218 Certificate of Status Desired: Name and Address of Current Registered Agent: RIVES, RICARDO 340 6TH STREET SE NAPLES, FL 34117 US The above named entity submits this statement for the purpose of changing its registered office or registered agent, or both, in the State of Florida. SIGNATURE: Electronic Signature of Registered Agent Date Officer/Director Detail : I hereby certify that the information indicated on this report or supplemental report is true and accurate and that my electronic signature shall have the same legal effect as if made under oath; that I am an officer or director of the corporation or the receiver or trustee empowered to execute this report as required by Chapter 607, Florida Statutes; and that my name appears above, or on an attachment with all other like empowered. SIGNATURE: Electronic Signature of Signing Officer/Director Detail Date FILED Jan 08, 2025 Secretary of State 9351563619CC NOEL RIVES VICE PRESIDENT 01/08/2025 2025 FLORIDA PROFIT CORPORATION ANNUAL REPORT Yes Title PRESIDENT Name RIVES, RICARDO Address 340 - 6TH ST SE City-State-Zip:NAPLES FL 34117 Title VP Name RIVES, NOEL M Address 340 6TH ST SE City-State-Zip:NAPLES FL 34117 Page 3282 of 6525 Company ID Number: THE E-VERIFY MEMORANDUM OF UNDERSTANDING FOR EMPLOYERS ARTICLE I PURPOSE AND AUTHORITY The parties to this agreement are the Department of Homeland Security (DHS) and (Employer). The purpose of this agreement is to set forth terms and conditions which the Employer will follow while participating in E-Verify. E-Verify is a program that electronically confirms an employee’s eligibility to work in the United States after completion of Form I-9, Employment Eligibility Verification (Form I-9). This Memorandum of Understanding (MOU) explains certain features of the E-Verify program and describes specific responsibilities of the Employer, the Social Security Administration (SSA), and DHS. Authority for the E-Verify program is found in Title IV, Subtitle A, of the Illegal Immigration Reform and Immigrant Responsibility Act of 1996 (IIRIRA), Pub. L. 104-208, 110 Stat. 3009, as amended (8 U.S.C. § 1324a note). The Federal Acquisition Regulation (FAR) Subpart 22.18, “Employment Eligibility Verification” and Executive Order 12989, as amended, provide authority for Federal contractors and subcontractors (Federal contractor) to use E-Verify to verify the employment eligibility of certain employees working on Federal contracts. ARTICLE II RESPONSIBILITIES A. RESPONSIBILITIES OF THE EMPLOYER 1.The Employer agrees to display the following notices supplied by DHS in a prominent place that is clearly visible to prospective employees and all employees who are to be verified through the system: a.Notice of E-Verify Participation b.Notice of Right to Work 2.The Employer agrees to provide to the SSA and DHS the names, titles, addresses, and telephone numbers of the Employer representatives to be contacted about E-Verify. The Employer also agrees to keep such information current by providing updated information to SSA and DHS whenever the representatives’ contact information changes. 3.The Employer agrees to grant E-Verify access only to current employees who need E-Verify access. Employers must promptly terminate an employee’s E-Verify access if the employer is separated from the company or no longer needs access to E-Verify. Page 1 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 2682463 R&N Lawn Maintenance Inc Page 3283 of 6525 Company ID Number: 4.The Employer agrees to become familiar with and comply with the most recent version of the E-Verify User Manual. 5.The Employer agrees that any Employer Representative who will create E-Verify cases will complete the E-Verify Tutorial before that individual creates any cases. a.The Employer agrees that all Employer representatives will take the refresher tutorials when prompted by E-Verify in order to continue using E-Verify. Failure to complete a refresher tutorial will prevent the Employer Representative from continued use of E-Verify. 6.The Employer agrees to comply with current Form I-9 procedures, with two exceptions: a.If an employee presents a "List B" identity document, the Employer agrees to only accept "List B" documents that contain a photo. (List B documents identified in 8 C.F.R. § 274a.2(b)(1)(B)) can be presented during the Form I-9 process to establish identity.) If an employee objects to the photo requirement for religious reasons, the Employer should contact E-Verify at 888-464-4218. b.If an employee presents a DHS Form I-551 (Permanent Resident Card), Form I-766 (Employment Authorization Document), or U.S. Passport or Passport Card to complete Form I-9, the Employer agrees to make a photocopy of the document and to retain the photocopy with the employee’s Form I-9. The Employer will use the photocopy to verify the photo and to assist DHS with its review of photo mismatches that employees contest. DHS may in the future designate other documents that activate the photo screening tool. Note: Subject only to the exceptions noted previously in this paragraph, employees still retain the right to present any List A, or List B and List C, document(s) to complete the Form I-9. 7.The Employer agrees to record the case verification number on the employee's Form I-9 or to print the screen containing the case verification number and attach it to the employee's Form I-9. 8.The Employer agrees that, although it participates in E-Verify, the Employer has a responsibility to complete, retain, and make available for inspection Forms I-9 that relate to its employees, or from other requirements of applicable regulations or laws, including the obligation to comply with the anti- discrimination requirements of section 274B of the INA with respect to Form I-9 procedures. a.The following modified requirements are the only exceptions to an Employer’s obligation to not employ unauthorized workers and comply with the anti-discrimination provision of the INA: (1) List B identity documents must have photos, as described in paragraph 6 above; (2) When an Employer confirms the identity and employment eligibility of newly hired employee using E-Verify procedures, the Employer establishes a rebuttable presumption that it has not violated section 274A(a)(1)(A) of the Immigration and Nationality Act (INA) with respect to the hiring of that employee; (3) If the Employer receives a final nonconfirmation for an employee, but continues to employ that person, the Employer must notify DHS and the Employer is subject to a civil money penalty between $550 and $1,100 for each failure to notify DHS of continued employment following a final nonconfirmation; (4) If the Employer continues to employ an employee after receiving a final nonconfirmation, then the Employer is subject to a rebuttable presumption that it has knowingly Page 2 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 2682463 Page 3284 of 6525 Company ID Number: employed an unauthorized alien in violation of section 274A(a)(1)(A); and (5) no E-Verify participant is civilly or criminally liable under any law for any action taken in good faith based on information provided through the E-Verify. b.DHS reserves the right to conduct Form I-9 compliance inspections, as well as any other enforcement or compliance activity authorized by law, including site visits, to ensure proper use of E-Verify. 9.The Employer is strictly prohibited from creating an E-Verify case before the employee has been hired, meaning that a firm offer of employment was extended and accepted and Form I-9 was completed. The Employer agrees to create an E-Verify case for new employees within three Employer business days after each employee has been hired (after both Sections 1 and 2 of Form I-9 have been completed), and to complete as many steps of the E-Verify process as are necessary according to the E-Verify User Manual. If E-Verify is temporarily unavailable, the three-day time period will be extended until it is again operational in order to accommodate the Employer's attempting, in good faith, to make inquiries during the period of unavailability. 10.The Employer agrees not to use E-Verify for pre-employment screening of job applicants, in support of any unlawful employment practice, or for any other use that this MOU or the E-Verify User Manual does not authorize. 11.The Employer must use E-Verify for all new employees. The Employer will not verify selectively and will not verify employees hired before the effective date of this MOU. Employers who are Federal contractors may qualify for exceptions to this requirement as described in Article II.B of this MOU. 12.The Employer agrees to follow appropriate procedures (see Article III below) regarding tentative nonconfirmations. The Employer must promptly notify employees in private of the finding and provide them with the notice and letter containing information specific to the employee’s E-Verify case. The Employer agrees to provide both the English and the translated notice and letter for employees with limited English proficiency to employees. The Employer agrees to provide written referral instructions to employees and instruct affected employees to bring the English copy of the letter to the SSA. The Employer must allow employees to contest the finding, and not take adverse action against employees if they choose to contest the finding, while their case is still pending. Further, when employees contest a tentative nonconfirmation based upon a photo mismatch, the Employer must take additional steps (see Article III.B. below) to contact DHS with information necessary to resolve the challenge. 13.The Employer agrees not to take any adverse action against an employee based upon the employee's perceived employment eligibility status while SSA or DHS is processing the verification request unless the Employer obtains knowledge (as defined in 8 C.F.R. § 274a.1(l)) that the employee is not work authorized. The Employer understands that an initial inability of the SSA or DHS automated verification system to verify work authorization, a tentative nonconfirmation, a case in continuance (indicating the need for additional time for the government to resolve a case), or the finding of a photo mismatch, does not establish, and should not be interpreted as, evidence that the employee is not work authorized. In any of such cases, the employee must be provided a full and fair opportunity to contest the finding, and if he or she does so, the employee may not be terminated or suffer any adverse employment consequences based upon the employee’s perceived employment eligibility status Page 3 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 2682463 Page 3285 of 6525 Company ID Number: (including denying, reducing, or extending work hours, delaying or preventing training, requiring an employee to work in poorer conditions, withholding pay, refusing to assign the employee to a Federal contract or other assignment, or otherwise assuming that he or she is unauthorized to work) until and unless secondary verification by SSA or DHS has been completed and a final nonconfirmation has been issued. If the employee does not choose to contest a tentative nonconfirmation or a photo mismatch or if a secondary verification is completed and a final nonconfirmation is issued, then the Employer can find the employee is not work authorized and terminate the employee’s employment. Employers or employees with questions about a final nonconfirmation may call E-Verify at 1-888-464-4218 (customer service) or 1-888-897-7781 (worker hotline). 14.The Employer agrees to comply with Title VII of the Civil Rights Act of 1964 and section 274B of the INA as applicable by not discriminating unlawfully against any individual in hiring, firing, employment eligibility verification, or recruitment or referral practices because of his or her national origin or citizenship status, or by committing discriminatory documentary practices. The Employer understands that such illegal practices can include selective verification or use of E-Verify except as provided in part D below, or discharging or refusing to hire employees because they appear or sound “foreign” or have received tentative nonconfirmations. The Employer further understands that any violation of the immigration-related unfair employment practices provisions in section 274B of the INA could subject the Employer to civil penalties, back pay awards, and other sanctions, and violations of Title VII could subject the Employer to back pay awards, compensatory and punitive damages. Violations of either section 274B of the INA or Title VII may also lead to the termination of its participation in E-Verify. If the Employer has any questions relating to the anti-discrimination provision, it should contact OSC at 1-800-255-8155 or 1-800-237-2515 (TDD). 15.The Employer agrees that it will use the information it receives from E-Verify only to confirm the employment eligibility of employees as authorized by this MOU. The Employer agrees that it will safeguard this information, and means of access to it (such as PINS and passwords), to ensure that it is not used for any other purpose and as necessary to protect its confidentiality, including ensuring that it is not disseminated to any person other than employees of the Employer who are authorized to perform the Employer's responsibilities under this MOU, except for such dissemination as may be authorized in advance by SSA or DHS for legitimate purposes. 16.The Employer agrees to notify DHS immediately in the event of a breach of personal information. Breaches are defined as loss of control or unauthorized access to E-Verify personal data. All suspected or confirmed breaches should be reported by calling 1-888-464-4218 or via email at E-Verify@uscis.dhs.gov. Please use “Privacy Incident – Password” in the subject line of your email when sending a breach report to E-Verify. 17.The Employer acknowledges that the information it receives from SSA is governed by the Privacy Act (5 U.S.C. § 552a(i)(1) and (3)) and the Social Security Act (42 U.S.C. 1306(a)). Any person who obtains this information under false pretenses or uses it for any purpose other than as provided for in this MOU may be subject to criminal penalties. 18.The Employer agrees to cooperate with DHS and SSA in their compliance monitoring and evaluation of E-Verify, which includes permitting DHS, SSA, their contractors and other agents, upon Page 4 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 2682463 Page 3286 of 6525 Company ID Number: reasonable notice, to review Forms I-9 and other employment records and to interview it and its employees regarding the Employer’s use of E-Verify, and to respond in a prompt and accurate manner to DHS requests for information relating to their participation in E-Verify. 19.The Employer shall not make any false or unauthorized claims or references about its participation in E-Verify on its website, in advertising materials, or other media. The Employer shall not describe its services as federally-approved, federally-certified, or federally-recognized, or use language with a similar intent on its website or other materials provided to the public. Entering into this MOU does not mean that E-Verify endorses or authorizes your E-Verify services and any claim to that effect is false. 20.The Employer shall not state in its website or other public documents that any language used therein has been provided or approved by DHS, USCIS or the Verification Division, without first obtaining the prior written consent of DHS. 21.The Employer agrees that E-Verify trademarks and logos may be used only under license by DHS/USCIS (see M-795 (Web)) and, other than pursuant to the specific terms of such license, may not be used in any manner that might imply that the Employer’s services, products, websites, or publications are sponsored by, endorsed by, licensed by, or affiliated with DHS, USCIS, or E-Verify. 22.The Employer understands that if it uses E-Verify procedures for any purpose other than as authorized by this MOU, the Employer may be subject to appropriate legal action and termination of its participation in E-Verify according to this MOU. B. RESPONSIBILITIES OF FEDERAL CONTRACTORS 1.If the Employer is a Federal contractor with the FAR E-Verify clause subject to the employment verification terms in Subpart 22.18 of the FAR, it will become familiar with and comply with the most current version of the E-Verify User Manual for Federal Contractors as well as the E-Verify Supplemental Guide for Federal Contractors. 2.In addition to the responsibilities of every employer outlined in this MOU, the Employer understands that if it is a Federal contractor subject to the employment verification terms in Subpart 22.18 of the FAR it must verify the employment eligibility of any “employee assigned to the contract” (as defined in FAR 22.1801). Once an employee has been verified through E-Verify by the Employer, the Employer may not create a second case for the employee through E-Verify. a.An Employer that is not enrolled in E-Verify as a Federal contractor at the time of a contract award must enroll as a Federal contractor in the E-Verify program within 30 calendar days of contract award and, within 90 days of enrollment, begin to verify employment eligibility of new hires using E-Verify. The Employer must verify those employees who are working in the United States, whether or not they are assigned to the contract. Once the Employer begins verifying new hires, such verification of new hires must be initiated within three business days after the hire date. Once enrolled in E-Verify as a Federal contractor, the Employer must begin verification of employees assigned to the contract within 90 calendar days after the date of enrollment or within 30 days of an employee’s assignment to the contract, whichever date is later. Page 5 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 2682463 Page 3287 of 6525 Company ID Number: b.Employers enrolled in E-Verify as a Federal contractor for 90 days or more at the time of a contract award must use E-Verify to begin verification of employment eligibility for new hires of the Employer who are working in the United States, whether or not assigned to the contract, within three business days after the date of hire. If the Employer is enrolled in E-Verify as a Federal contractor for 90 calendar days or less at the time of contract award, the Employer must, within 90 days of enrollment, begin to use E-Verify to initiate verification of new hires of the contractor who are working in the United States, whether or not assigned to the contract. Such verification of new hires must be initiated within three business days after the date of hire. An Employer enrolled as a Federal contractor in E-Verify must begin verification of each employee assigned to the contract within 90 calendar days after date of contract award or within 30 days after assignment to the contract, whichever is later. c.Federal contractors that are institutions of higher education (as defined at 20 U.S.C. 1001(a)), state or local governments, governments of Federally recognized Indian tribes, or sureties performing under a takeover agreement entered into with a Federal agency under a performance bond may choose to only verify new and existing employees assigned to the Federal contract. Such Federal contractors may, however, elect to verify all new hires, and/or all existing employees hired after November 6, 1986. Employers in this category must begin verification of employees assigned to the contract within 90 calendar days after the date of enrollment or within 30 days of an employee’s assignment to the contract, whichever date is later. d.Upon enrollment, Employers who are Federal contractors may elect to verify employment eligibility of all existing employees working in the United States who were hired after November 6, 1986, instead of verifying only those employees assigned to a covered Federal contract. After enrollment, Employers must elect to verify existing staff following DHS procedures and begin E-Verify verification of all existing employees within 180 days after the election. e. The Employer may use a previously completed Form I-9 as the basis for creating an E-Verify case for an employee assigned to a contract as long as: i.That Form I-9 is complete (including the SSN) and complies with Article II.A.6, ii.The employee’s work authorization has not expired, and iii.The Employer has reviewed the Form I-9 information either in person or in communications with the employee to ensure that the employee’s Section 1, Form I-9 attestation has not changed (including, but not limited to, a lawful permanent resident alien having become a naturalized U.S. citizen). f.The Employer shall complete a new Form I-9 consistent with Article II.A.6 or update the previous Form I-9 to provide the necessary information if: i.The Employer cannot determine that Form I-9 complies with Article II.A.6, ii.The employee’s basis for work authorization as attested in Section 1 has expired or changed, or iii.The Form I-9 contains no SSN or is otherwise incomplete. Note: If Section 1 of Form I-9 is otherwise valid and up-to-date and the form otherwise complies with Page 6 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 2682463 Page 3288 of 6525 Company ID Number: Article II.C.5, but reflects documentation (such as a U.S. passport or Form I-551) that expired after completing Form I-9, the Employer shall not require the production of additional documentation, or use the photo screening tool described in Article II.A.5, subject to any additional or superseding instructions that may be provided on this subject in the E-Verify User Manual. g.The Employer agrees not to require a second verification using E-Verify of any assigned employee who has previously been verified as a newly hired employee under this MOU or to authorize verification of any existing employee by any Employer that is not a Federal contractor based on this Article. 3. The Employer understands that if it is a Federal contractor, its compliance with this MOU is a performance requirement under the terms of the Federal contract or subcontract, and the Employer consents to the release of information relating to compliance with its verification responsibilities under this MOU to contracting officers or other officials authorized to review the Employer’s compliance with Federal contracting requirements. C. RESPONSIBILITIES OF SSA 1.SSA agrees to allow DHS to compare data provided by the Employer against SSA’s database. SSA sends DHS confirmation that the data sent either matches or does not match the information in SSA’s database. 2.SSA agrees to safeguard the information the Employer provides through E-Verify procedures. SSA also agrees to limit access to such information, as is appropriate by law, to individuals responsible for the verification of Social Security numbers or responsible for evaluation of E-Verify or such other persons or entities who may be authorized by SSA as governed by the Privacy Act (5 U.S.C. § 552a), the Social Security Act (42 U.S.C. 1306(a)), and SSA regulations (20 CFR Part 401). 3.SSA agrees to provide case results from its database within three Federal Government work days of the initial inquiry. E-Verify provides the information to the Employer. 4.SSA agrees to update SSA records as necessary if the employee who contests the SSA tentative nonconfirmation visits an SSA field office and provides the required evidence. If the employee visits an SSA field office within the eight Federal Government work days from the date of referral to SSA, SSA agrees to update SSA records, if appropriate, within the eight-day period unless SSA determines that more than eight days may be necessary. In such cases, SSA will provide additional instructions to the employee. If the employee does not visit SSA in the time allowed, E-Verify may provide a final nonconfirmation to the employer. Note: If an Employer experiences technical problems, or has a policy question, the employer should contact E-Verify at 1-888-464-4218. D. RESPONSIBILITIES OF DHS 1.DHS agrees to provide the Employer with selected data from DHS databases to enable the Employer to conduct, to the extent authorized by this MOU: a.Automated verification checks on alien employees by electronic means, and Page 7 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 2682463 Page 3289 of 6525 Company ID Number: b. Photo verification checks (when available) on employees. 2. DHS agrees to assist the Employer with operational problems associated with the Employer's participation in E-Verify. DHS agrees to provide the Employer names, titles, addresses, and telephone numbers of DHS representatives to be contacted during the E-Verify process. 3. DHS agrees to provide to the Employer with access to E-Verify training materials as well as an E-Verify User Manual that contain instructions on E-Verify policies, procedures, and requirements for both SSA and DHS, including restrictions on the use of E-Verify. 4.DHS agrees to train Employers on all important changes made to E-Verify through the use of mandatory refresher tutorials and updates to the E-Verify User Manual. Even without changes to E-Verify, DHS reserves the right to require employers to take mandatory refresher tutorials. 5.DHS agrees to provide to the Employer a notice, which indicates the Employer's participation in E-Verify. DHS also agrees to provide to the Employer anti-discrimination notices issued by the Office of Special Counsel for Immigration-Related Unfair Employment Practices (OSC), Civil Rights Division, U.S. Department of Justice. 6.DHS agrees to issue each of the Employer’s E-Verify users a unique user identification number and password that permits them to log in to E-Verify. 7.DHS agrees to safeguard the information the Employer provides, and to limit access to such information to individuals responsible for the verification process, for evaluation of E-Verify, or to such other persons or entities as may be authorized by applicable law. Information will be used only to verify the accuracy of Social Security numbers and employment eligibility, to enforce the INA and Federal criminal laws, and to administer Federal contracting requirements. 8.DHS agrees to provide a means of automated verification that provides (in conjunction with SSA verification procedures) confirmation or tentative nonconfirmation of employees' employment eligibility within three Federal Government work days of the initial inquiry. 9.DHS agrees to provide a means of secondary verification (including updating DHS records) for employees who contest DHS tentative nonconfirmations and photo mismatch tentative nonconfirmations. This provides final confirmation or nonconfirmation of the employees' employment eligibility within 10 Federal Government work days of the date of referral to DHS, unless DHS determines that more than 10 days may be necessary. In such cases, DHS will provide additional verification instructions. ARTICLE III REFERRAL OF INDIVIDUALS TO SSA AND DHS A. REFERRAL TO SSA 1. If the Employer receives a tentative nonconfirmation issued by SSA, the Employer must print the notice as directed by E-Verify. The Employer must promptly notify employees in private of the finding and provide them with the notice and letter containing information specific to the employee’s E-Verify case. Page 8 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 2682463 Page 3290 of 6525 Company ID Number: The Employer also agrees to provide both the English and the translated notice and letter for employees with limited English proficiency to employees. The Employer agrees to provide written referral instructions to employees and instruct affected employees to bring the English copy of the letter to the SSA. The Employer must allow employees to contest the finding, and not take adverse action against employees if they choose to contest the finding, while their case is still pending. 2.The Employer agrees to obtain the employee’s response about whether he or she will contest the tentative nonconfirmation as soon as possible after the Employer receives the tentative nonconfirmation. Only the employee may determine whether he or she will contest the tentative nonconfirmation. 3.After a tentative nonconfirmation, the Employer will refer employees to SSA field offices only as directed by E-Verify. The Employer must record the case verification number, review the employee information submitted to E-Verify to identify any errors, and find out whether the employee contests the tentative nonconfirmation. The Employer will transmit the Social Security number, or any other corrected employee information that SSA requests, to SSA for verification again if this review indicates a need to do so. 4.The Employer will instruct the employee to visit an SSA office within eight Federal Government work days. SSA will electronically transmit the result of the referral to the Employer within 10 Federal Government work days of the referral unless it determines that more than 10 days is necessary. 5.While waiting for case results, the Employer agrees to check the E-Verify system regularly for case updates. 6.The Employer agrees not to ask the employee to obtain a printout from the Social Security Administration number database (the Numident) or other written verification of the SSN from the SSA. B. REFERRAL TO DHS 1.If the Employer receives a tentative nonconfirmation issued by DHS, the Employer must promptly notify employees in private of the finding and provide them with the notice and letter containing information specific to the employee’s E-Verify case. The Employer also agrees to provide both the English and the translated notice and letter for employees with limited English proficiency to employees. The Employer must allow employees to contest the finding, and not take adverse action against employees if they choose to contest the finding, while their case is still pending. 2.The Employer agrees to obtain the employee’s response about whether he or she will contest the tentative nonconfirmation as soon as possible after the Employer receives the tentative nonconfirmation. Only the employee may determine whether he or she will contest the tentative nonconfirmation. 3.The Employer agrees to refer individuals to DHS only when the employee chooses to contest a tentative nonconfirmation. 4.If the employee contests a tentative nonconfirmation issued by DHS, the Employer will instruct the Page 9 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 2682463 Page 3291 of 6525 Company ID Number: employee to contact DHS through its toll-free hotline (as found on the referral letter) within eight Federal Government work days. 5.If the Employer finds a photo mismatch, the Employer must provide the photo mismatch tentative nonconfirmation notice and follow the instructions outlined in paragraph 1 of this section for tentative nonconfirmations, generally. 6.The Employer agrees that if an employee contests a tentative nonconfirmation based upon a photo mismatch, the Employer will send a copy of the employee’s Form I-551, Form I-766, U.S. Passport, or passport card to DHS for review by: a.Scanning and uploading the document, or b.Sending a photocopy of the document by express mail (furnished and paid for by the employer). 7.The Employer understands that if it cannot determine whether there is a photo match/mismatch, the Employer must forward the employee’s documentation to DHS as described in the preceding paragraph. The Employer agrees to resolve the case as specified by the DHS representative who will determine the photo match or mismatch. 8.DHS will electronically transmit the result of the referral to the Employer within 10 Federal Government work days of the referral unless it determines that more than 10 days is necessary. 9.While waiting for case results, the Employer agrees to check the E-Verify system regularly for case updates. ARTICLE IV SERVICE PROVISIONS A. NO SERVICE FEES 1. SSA and DHS will not charge the Employer for verification services performed under this MOU. The Employer is responsible for providing equipment needed to make inquiries. To access E-Verify, an Employer will need a personal computer with Internet access. ARTICLE V MODIFICATION AND TERMINATION A. MODIFICATION 1. This MOU is effective upon the signature of all parties and shall continue in effect for as long as the SSA and DHS operates the E-Verify program unless modified in writing by the mutual consent of all parties. 2. Any and all E-Verify system enhancements by DHS or SSA, including but not limited to E-Verify checking against additional data sources and instituting new verification policies or procedures, will be covered under this MOU and will not cause the need for a supplemental MOU that outlines these changes. Page 10 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 2682463 Page 3292 of 6525 Company ID Number: B. TERMINATION 1.The Employer may terminate this MOU and its participation in E-Verify at any time upon 30 days prior written notice to the other parties. 2.Notwithstanding Article V, part A of this MOU, DHS may terminate this MOU, and thereby the Employer’s participation in E-Verify, with or without notice at any time if deemed necessary because of the requirements of law or policy, or upon a determination by SSA or DHS that there has been a breach of system integrity or security by the Employer, or a failure on the part of the Employer to comply with established E-Verify procedures and/or legal requirements. The Employer understands that if it is a Federal contractor, termination of this MOU by any party for any reason may negatively affect the performance of its contractual responsibilities. Similarly, the Employer understands that if it is in a state where E-Verify is mandatory, termination of this by any party MOU may negatively affect the Employer’s business. 3.An Employer that is a Federal contractor may terminate this MOU when the Federal contract that requires its participation in E-Verify is terminated or completed. In such cases, the Federal contractor must provide written notice to DHS. If an Employer that is a Federal contractor fails to provide such notice, then that Employer will remain an E-Verify participant, will remain bound by the terms of this MOU that apply to non- Federal contractor participants, and will be required to use the E-Verify p rocedures to verify the employment eligibility of all newly hired employees. 4.The Employer agrees that E-Verify is not liable for any losses, financial or otherwise, if the Employer is terminated from E-Verify. ARTICLE VI PARTIES A.Some or all SSA and DHS responsibilities under this MOU may be performed by contractor(s), and SSA and DHS may adjust verification responsibilities between each other as necessary. By separate agreement with DHS, SSA has agreed to perform its responsibilities as described in this MOU. B.Nothing in this MOU is intended, or should be construed, to create any right or benefit, substantive or procedural, enforceable at law by any third party against the United States, its agencies, officers, or employees, or against the Employer, its agents, officers, or employees. C.The Employer may not assign, directly or indirectly, whether by operation of law, change of control or merger, all or any part of its rights or obligations under this MOU without the prior written consent of DHS, which consent shall not be unreasonably withheld or delayed. Any attempt to sublicense, assign, or transfer any of the rights, duties, or obligations herein is void. D.Each party shall be solely responsible for defending any claim or action against it arising out of or related to E-Verify or this MOU, whether civil or criminal, and for any liability wherefrom, including (but not limited to) any dispute between the Employer and any other person or entity regarding the applicability of Section 403(d) of IIRIRA to any action taken or allegedly taken by the Employer. Page 11 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 2682463 Page 3293 of 6525 Company ID Number: E. The Employer understands that its participation in E-Verify is not confidential information and may be disclosed as authorized or required by law and DHS or SSA policy, including but not limited to, Congressional oversight, E-Verify publicity and media inquiries, determinations of compliance with Federal contractual requirements, and responses to inquiries under the Freedom of Information Act (FOIA). F. The individuals whose signatures appear below represent that they are authorized to enter into this MOU on behalf of the Employer and DHS respectively. The Employer understands that any inaccurate statement, representation, data or other information provided to DHS may subject the Employer, its subcontractors, its employees, or its representatives to: (1) prosecution for false statements pursuant to 18 U.S.C. 1001 and/or; (2) immediate termination of its MOU and/or; (3) possible debarment or suspension. G. The foregoing constitutes the full agreement on this subject between DHS and the Employer. To be accepted as an E-Verify participant, you should only sign the Employer’s Section of the signature page. If you have any questions, contact E-Verify at 1-888-464-4218. Page 12 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 2682463 Page 3294 of 6525 Company ID Number: Approved by: Employer Name (Please Type or Print) Title Signature Date Department of Homeland Security – Verification Division Name (Please Type or Print) Title Signature Date Page 13 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 2682463 Electronically Signed 05/04/2025 USCIS Verification Division Electronically Signed 05/04/2025 Ricardo Rives R&N Lawn Maintenance Inc Page 3295 of 6525 Company ID Number: Information Required for the E-Verify Program Information relating to your Company: Company Name Company Facility Address Company Alternate Address County or Parish Employer Identification Number North American Industry Classification Systems Code Parent Company Number of Employees Number of Sites Verified for Page 14 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 2682463 R&N Lawn Maintenance Inc 5 to 9 340 6th St SE Naples, FL 34117 COLLIER 650733218 811 1 site(s) Page 3296 of 6525 Company ID Number: Are you verifying for more than 1 site? If yes, please provide the number of sites verified for in each State: Page 15 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 2682463 1FL Page 3297 of 6525 Company ID Number: Information relating to the Program Administrator(s) for your Company on policy questions or operational problems: Page 16 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 2682463 rnlawn@gmail.comEmail Fax Ricardo RivesName 2392533395Phone Number Page 3298 of 6525 Company ID Number: This list represents the first 20 Program Administrators listed for this company. Page 17 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 2682463 Page 3299 of 6525 Form W-9 (Rev. March 2024) Request for Taxpayer Identification Number and Certification Department of the Treasury Internal Revenue Service Go to www.irs.gov/FormW9 for instructions and the latest information. Give form to the requester. Do not send to the IRS. Before you begin. For guidance related to the purpose of Form W-9, see Purpose of Form, below.Print or type. See Specific Instructions on page 3.1 Name of entity/individual. An entry is required. (For a sole proprietor or disregarded entity, enter the owner’s name on line 1, and enter the business/disregarded entity’s name on line 2.) 2 Business name/disregarded entity name, if different from above. 3a Check the appropriate box for federal tax classification of the entity/individual whose name is entered on line 1. Check only one of the following seven boxes. Individual/sole proprietor C corporation S corporation Partnership Trust/estate LLC. Enter the tax classification (C = C corporation, S = S corporation, P = Partnership) .... Note: Check the “LLC” box above and, in the entry space, enter the appropriate code (C, S, or P) for the tax classification of the LLC, unless it is a disregarded entity. A disregarded entity should instead check the appropriate box for the tax classification of its owner. Other (see instructions) 3b If on line 3a you checked “Partnership” or “Trust/estate,” or checked “LLC” and entered “P” as its tax classification, and you are providing this form to a partnership, trust, or estate in which you have an ownership interest, check this box if you have any foreign partners, owners, or beneficiaries. See instructions ......... 4 Exemptions (codes apply only to certain entities, not individuals; see instructions on page 3): Exempt payee code (if any) Exemption from Foreign Account Tax Compliance Act (FATCA) reporting code (if any) (Applies to accounts maintained outside the United States.) 5 Address (number, street, and apt. or suite no.). See instructions. 6 City, state, and ZIP code Requester’s name and address (optional) 7 List account number(s) here (optional) Part I Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later. Note: If the account is in more than one name, see the instructions for line 1. See also What Name and Number To Give the Requester for guidelines on whose number to enter. Social security number –– or Employer identification number – Part II Certification Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and 2. I am not subject to backup withholding because (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and 3. I am a U.S. citizen or other U.S. person (defined below); and 4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct. Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and, generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part II, later. Sign Here Signature of U.S. person Date General Instructions Section references are to the Internal Revenue Code unless otherwise noted. Future developments. For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go to www.irs.gov/FormW9. What’s New Line 3a has been modified to clarify how a disregarded entity completes this line. An LLC that is a disregarded entity should check the appropriate box for the tax classification of its owner. Otherwise, it should check the “LLC” box and enter its appropriate tax classification. New line 3b has been added to this form. A flow-through entity is required to complete this line to indicate that it has direct or indirect foreign partners, owners, or beneficiaries when it provides the Form W-9 to another flow-through entity in which it has an ownership interest. This change is intended to provide a flow-through entity with information regarding the status of its indirect foreign partners, owners, or beneficiaries, so that it can satisfy any applicable reporting requirements. For example, a partnership that has any indirect foreign partners may be required to complete Schedules K-2 and K-3. See the Partnership Instructions for Schedules K-2 and K-3 (Form 1065). Purpose of Form An individual or entity (Form W-9 requester) who is required to file an information return with the IRS is giving you this form because they Cat. No. 10231X Form W-9 (Rev. 3-2024) Ricardo Rives R&N LAWN MAINTENANC INC. ✔ 340 6TH ST SE NAPLES, FL 34117 COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS 65 0733218 05/06/2025 Page 3300 of 6525 1001486 132849.12 03-16-2016 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES 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). 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY 01/13/2025 THOMAS R GRAY GRAY INSURANCE AGENCY 3400 TAMIAMI TRL N STE 304 NAPLES FL 34103 CRYSTAL MAXWELL 239-261-5623 239-261-0267 CRYSTAL@THOMGRAYAGENCY.COM R&N LAWN MAINTENANCE INC 340 6TH ST SE NAPLES FL 34117-9345 25178 E32 0028-A29-59B 01/29/2025 01/29/2026 1,000,000 1,000,000 1,000,000 07 MITSUBISHI FE145 STK TRK STK TRK VIN: JL6BBE1S87K000219 06 MITSUBISHI FE145 DMP SGL DMP SGL VIN: JL6BBE1S06K009236 01 CHEVROLET C34 HDBOX TRK BOX TRK VIN: 1GBJC34121F212076 COLLIER COUTY BOARD OF COUNTY COMMISSIONERS 3327 TAMIAMI TRAIL E NAPLES, FL 34112 State Farm Mutual Automobile Insurance Company E32 0035-A29-59A E32 0042-A29-59A 01/29/2025 01/29/2025 01/29/2026 01/29/2026 Page 3301 of 6525 CERTIFICATE OF LIABILITY INSURANCE 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 FrankCrum Insurance Agency, Inc. 100 South Missouri Avenue Clearwater, FL 33756 INSURED FrankCrum L/C/F R & N Lawn Maintenance, Inc. 100 South Missouri Avenue Clearwater, FL 33756 CONTACT NAME: PHONE:(800) 277-1620 X 4800 FAX:(727) 797-0704 E-MAIL ADDRESS: INSURERS(S) AFFORDING COVERAGE NAIC# INSURER A:Frank Winston Crum Insurance Company 11600 INSURER B: INSURER C: INSURER D: INSURER E: INSURER F: certs@frankcrum.com FrankCrum Certificate Department COVERAGES CERTIFICATE NUMBER:1395387 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 ADDL INSRD SUBR WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY)LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PROJECT LOC OTHER EACH OCCURENCE DAMAGE TO RENTED PREMISES (Ea occurence) MED EXP (Any one person) PERSONAL & ADV INJURY GENERAL AGGREGATE PRODUCTS-COMP/OP AGG $ $ $ $ $ $ $ AUTOMOBILE LIABILITY ANY AUTO OWNED AUTOS ONLY SCHEDULED AUTOS HIRED AUTOS ONLY NON-OWNED AUTOS ONLY COMBINED SINGLE UNIT (Ea accident) BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE (Per accident) $ $ $ $ $ UMBRELLA LIAB EXCESS LIAB CLAIMS MADE DED RETENTION $ OCCUR EACH OCCURENCE AGGREGATE $ $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N (Mandatory in NH) ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under DESCRIPTION OF OPERATIONS below N/A WC202500000 01/01/2025 01/01/2026 X PER STATUE OTHER E.L. EACH ACCIDENT E.L. DISEASE-EA EMPLOYEE E.L. DISEASE-POLICY LIMIT $1,000,000 $1,000,000 $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Effective 02/18/2024, coverage is for 100% of the employees of FrankCrum leased to R & N Lawn Maintenance, Inc. (Client) for whom the client is reporting hours to FrankCrum. Coverage is not extended to statutory employees. CERTIFICATE HOLDER CANCELLATION Collier County Board of Count Commissioners 3327 Tamiami Trl East NAPLES, FL 34112- 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 DATE (MM/DD/YYYY) 12/07/2024 ACORD 25 (2016/03)The ACORD name and logo are registered marks of ACORD © 1988-2016 ACORD CORPORATION. All rights reserved. Page 3302 of 6525 06/27/2024 Brightway Insurance P.O. Box 5700 3733 University Blvd W #100 Jacksonville FL 32247 Commercial Service (855) 841-3135 (904) 322-5928 certificate@brightway.com R & N Lawn Maintenance Inc 340 6th Street SE Naples FL 34117 Cypress Property & Casualty Insurance Company 10953 CL2462709927 A Y IGF1018603-12 07/07/2024 07/07/2025 1,000,000 100,000 5,000 1,000,000 2,000,000 SETUP Certificate holder is included as an additional insured with respects to the General Liability policy as required by written contract. Collier County Board of Commissioners 3295 Tamiami Trail East Naples FL 34112 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. INSURER(S) AFFORDING COVERAGE INSURER F : INSURER E : INSURER D : INSURER C : INSURER B : INSURER A : NAIC # NAME:CONTACT (A/C, No):FAX E-MAILADDRESS: PRODUCER (A/C, No, Ext):PHONE INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES 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). 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. OTHER: (Per accident) (Ea accident) $ $ N / A SUBR WVD ADDL INSD 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. $ $ $ $PROPERTY DAMAGE BODILY INJURY (Per accident) BODILY INJURY (Per person) COMBINED SINGLE LIMIT AUTOS ONLY AUTOSAUTOS ONLY NON-OWNED SCHEDULEDOWNED ANY AUTO AUTOMOBILE LIABILITY Y / N WORKERS COMPENSATION AND EMPLOYERS' LIABILITY OFFICER/MEMBER EXCLUDED? (Mandatory in NH) DESCRIPTION OF OPERATIONS below If yes, describe under ANY PROPRIETOR/PARTNER/EXECUTIVE $ $ $ E.L. DISEASE - POLICY LIMIT E.L. DISEASE - EA EMPLOYEE E.L. EACH ACCIDENT EROTH-STATUTEPER LIMITS(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)POLICY EFFPOLICY NUMBERTYPE OF INSURANCELTRINSR DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) EXCESS LIAB UMBRELLA LIAB $EACH OCCURRENCE $AGGREGATE $ OCCUR CLAIMS-MADE DED RETENTION $ $PRODUCTS - COMP/OP AGG $GENERAL AGGREGATE $PERSONAL & ADV INJURY $MED EXP (Any one person) $EACH OCCURRENCE DAMAGE TO RENTED $PREMISES (Ea occurrence) COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO-JECT LOC CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) CANCELLATION AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD HIRED AUTOS ONLY Page 3303 of 6525 Page 3304 of 6525 Page 3305 of 6525 WILTON SIMPSON COMMISSIONER Florida Department of Agriculture and Consumer Services Division of Agricultural Environmental Services CERTIFICATE OF INSURANCE Rules 5E-14.142 and 5E-14.117, F.A.C. Telephone: (850) 617-7997; Fax (850) 617-7967 Please check the type of business your insurance is applicable to: Commercial Landscape Maintenance Commercial Wildlife Management Policy Number Policy effective date Policy expiration date Section(s) 482.071(4), 482.156(2)(a), and 482.157(2)(c), Florida Statutes, states, in part, “Each person making application for certification under this section must furnish proof of having a certificate of insurance, as required by Section 482.071(4), Florida Statutes”, which states that the employer or individual meets the requirements for minimum financial responsibility for bodily injury and property damage consisting of: (A) Bodily injury: $250,000 each person and $500,000 each occurrence; and Property damage: $250,000 each occurrence and $500,000 in the aggregate; or (B) Combined single-limit coverage: $500,000 in the aggregate. The insured’s coverage meets or exceeds the minimum statutory requirement as stated above: Authorized Insurance Representative CERTIFICATE HOLDER Florida Department of Agriculture and Consumer Services Bureau of Licensing and Enforcement 3125 Conner Blvd., Bldg. 8, Tallahassee, Florida 32399-1650 FDACS-13688 Rev. 09/16 Respond to: Bureau of Licensing and Enforcement 3125 Conner Blvd., Bldg. 8, Tallahassee, FL 32399-1650 Insured: Company Name Company Business Location Address City, State, Zip Code ______________________________________________ Individual’s Name (for Landscape and Wildlife applicants) PRODUCER: (Insurance Agent) Company Name Company Business Location Address City, State, Zip Code Insured Company Affording Coverage: Company Name R&N LAWN MAINTENANCE INC 340 6TH ST SE NAPLES, FL 34117 RICARDO RIVES E32-0028-A29-59B THOMAS R. GRAY GRAY INSURANCE AGENCY 3400 TAMIAMI TRL N STE 304 NAPLES, FL 34103 STATE FARM MUTUAL AUTOMOBILE INSURANCE COMPANY 01/29/2025 01/29/2026 Page 3306 of 6525 Page 3307 of 6525 J, ' .J i j BOARD OF COUNTY COMMISSIONERS Collier County Government Complex Naples, Florida 34112 Dear Commissioners: £) Collier County Procurement Services Division Form 1: Vendor Declaration Statement The undersigned, as Vendor declares that this response is made without connection or arrangement with any other person and this proposal is in every respect fair and made in good faith, without collusion or fraud. The Vendor hereby declares the instructions, purchase order terms and conditions, requirements, and specifications/scope of work of this solicitation have been fully examined and accepted. The Vendor agrees, if this solicitation submittal is accepted by Collier County, to accept a Purchase Order as a form of a formal contract or to execute a Collier County formal contract for purposes of establishing a contractual relationship between the Vendor and Collier County, for the performance of all requirements to which this solicitation pertains. The Vendor states that the submitted is based upon the documents listed by the above referenced solicitation. The Vendor agrees to comply with the requirements in accordance with the terms, conditions and specifications denoted herein and according to the pricing submitted as a part of the Vendor's bids. Further, the Vendor agrees that if awarded a contract for these goods and/or services, the Vendor will not be eligible to compete, submit a proposal, be awarded, or perform as a sub-vendor for any future associated work that is a result of this awarded contract IN WITNESS WHEREOF, WE have hereunto subscribed our names on this __ day of ____ --J 20_ in the County of in the State of -----~ ----- Firm's Legal Name: Address: City, State, Zip Code: Florida Certificate of Authority Document Number Federal Tax Identification Number *CCR# or CAGE Code *OnlyifGrantFunded Telephone: Email: Signature by: (Typed and written) Title: R&N LAWN MAINTENANCE INC. 3406rnSTSE NAPLES, FL 34117 65-0733218 239-253-3395 RNLA WN@GMAIL.COM President Page 3308 of 6525 Additional Contact Information Send payments to: (required if different from Company name used as payee above) Contact name: NOEL RIVES ----------------------------- Title: VICE PRESIDENT ----------------------------- Address: 340 6TH ST SE ----------------------------- City, State, ZIP NAPLES, FL 34117 ------------------------------- Telephone: 2392491537 Office servicing Collier County to place orders (required if different from above) Contact name: Title: Address: City, State, ZIP Telephone: Email: ----------------------------- Page 3309 of 6525 Addendum #1 Date: May 21, 2025 From: Lisa Oien, Procurement Strategist To: Interested Bidders Subject: Addendum #1 Solicitation 25-8345 Landscape Maintenance Contractors The following clarifications are issued as an addendum: The following has been Removed and Added: Removed: Invitation for Qualification (IFQ) Instructions Form Added: Invitation for Qualification (IFQ) Instructions_2025 Rev.2.pdf The Invitation for Qualifications has one change: The following language has been added and incorporated into the added Invitation for Qualification (IFQ) Instructions_2025 Rev.2.pdf 39. PROHIBITION OF COLLUSION 39.1 Vendors are hereby notified that collusion or anti-competitive practices among vendors/proposers are strictly prohibited and will not be tolerated. Any agreement or cooperation between vendors to manipulate pricing, restrict competition, or otherwise undermine the integrity of the procurement process may result in: 39.1.1. Disqualification of all involved vendors. 39.1.2. Rejection of submitted proposals. 39.1.3. Referral to appropriate legal authorities for investigation and prosecution under applicable state and federal laws. 39.2 Each vendor/proposer must independently prepare and submit its proposer without any consultation, communication, or agreement with any other vendor/proposer or vendor/proposer regarding prices, terms, or conditions of the offer, or with the intention of restricting competition. 39.3 All vendor/proposer and have an affirmative duty to reveal if it/they have any professional or personal relationship with any other vendors that provide a bid on a solicitation and that the duty to reveal such a relationship continues to run throughout the period of solicitation all the way up through the recommended award and ultimate award of the solicitation. 39.4 By submitting a proposal the vendor certifies that the proposal is made without collusion, fraud, or any connection with any other vendor submitting a proposal for the same work, and that the bidder has not offered or received any inducement or advantage in connection with their bid. The Vendor, does declare that the only person or persons interested in this Proposal as principal or principals is/are named therein and that no person other than therein mentioned has any interest in this Proposal or in the contract Email: Lisa.Oien@colliercountyfl.gov Telephone: (239) 252-8935 Page 3310 of 6525 to be entered into; that this Proposal is made without connection with any person, company or parties making a Proposal, and that it is in all respects fair and in good faith without collusion or fraud. Failure to comply with this provision may result in disbarment from future contracting opportunities with Collier County. If you require additional information, please post a question on our Opengov bidding platform (https://procurement.opengov.com/portal/collier-county-fl) under the solicitation for this project. Please sign below and return a copy of this Addendum with your submittal for the above referenced solicitation. (Signature) Date (Name of Firm) Page 3311 of 6525 Page 3312 of 6525 Page 3313 of 6525 Department of Environmental Protection 2600 Blair Stone Road, M.S. 3510 Tallahassee, Florida 32399-2400 Congratulations on successfully completing the Florida Green Industries Best Management Practices Training. Your certificate and wallet card are below. If the certificate is not correct, please contact the GI-BMP office of the UF/IFAS Florida-Friendly LandscapingTM Program at gi.bmp@ifas.ufl.edu or (352) 273-4517. To legally apply fertilizer commercially in Florida, you need the Limited Urban Commercial Fertilizer Applicator Certification from Florida Department of Agriculture and Consumer Services (FDACS). Use the certificate # below to apply online: https://aeslicensing.fdacs.gov For help: FDACS Pest Control Licensing and Certification (850) 617-7997 If your GI-BMP test score is 90% or higher, you may be eligible to become a GI-BMP Instructor. Learn more at https://ffl.ifas.ufl.edu/ffl-and-you/gi-bmp-program/instructor-program/ Ricardo Rives R & N Lawn Maintenance Inc GI-BMP Certificate #: GV17069-2 Certification Date: 08/19/2025 Test Score: 100 State of Florida DEPARTMENT OF ENVIRONMENTAL PROTECTION Ricardo Rives GV17069-2 Certificate # GV17069 Trainee ID # GREEN INDUSTRIES BEST MANAGEMENT PRACTICES TRAINING PROGRAM GV17069-2 Certificate # GV17069 Trainee ID # Certificate of Training Best Management Practices Florida Green Industries The undersigned hereby acknowledges that Ricardo Rives has successfully completed the Green Industries Best Management Practices Program developed by the Florida Department of Environmental Protection with the University of Florida Institute of Food and Agricultural Sciences. Tom Wichman Assistant Director Florida-Friendly LandscapingTM Program T. Wichman Instructor 08/19/2025 Date Claire Lewis, MLA Director Florida-Friendly LandscapingTM Program Page 3314 of 6525 Page 3315 of 6525 Page 3316 of 6525 Page 3317 of 6525 Page 3318 of 6525 Page 3319 of 6525 Page 3320 of 6525 Page 3321 of 6525 Page 3322 of 6525 Page 3323 of 6525 Page 3324 of 6525 Page 3325 of 6525 Page 3326 of 6525 Page 3327 of 6525 Page 3328 of 6525 Page 3329 of 6525 Page 3330 of 6525 Page 3331 of 6525 Page 3332 of 6525 Page 3333 of 6525 Page 3334 of 6525 Page 3335 of 6525 County of Collier, FL Procurement Kenneth Kovensky, Executive Director 3299 Tamiami Trail, East Naples, FL 34112 [SUPERIOR LANDSCAPING & LAWN SERVICE INC.] RESPONSE DOCUMENT REPORT GEN No. 25-8345 Landscape Maintenance Contractors RESPONSE DEADLINE: May 23, 2025 at 3:00 pm Report Generated: Friday, May 23, 2025 Superior Landscaping & Lawn Service Inc. Response CONTACT INFORMATION Company: Superior Landscaping & Lawn Service Inc. Email: jotero@superiorlandscaping.com Contact: Jesenia Otero Address: 2200 NW 23 Avenue Miami, FL 33142 Phone: N/A Website: N/A Submission Date: May 23, 2025 1:54 PM (Eastern Time) Page 3336 of 6525 [SUPERIOR LANDSCAPING & LAWN SERVICE INC.] RESPONSE DOCUMENT REPORT GEN No. 25-8345 Landscape Maintenance Contractors [SUPERIOR LANDSCAPING & LAWN SERVICE INC.] RESPONSE DOCUMENT REPORT undefined - Landscape Maintenance Contractors Page 2 ADDENDA CONFIRMATION Addendum #1 Confirmed May 21, 2025 7:44 PM by Jesenia Otero QUESTIONNAIRE 1. I certify that I have read, understood and agree to the terms in this solicitation, and that I am authorized to submit this r esponse on behalf of my company.* Confirmed 2. ALL DOCUMENTS REQUIRING EXECUTION SHOULD BE EITHER BY WET SIGNATURES OR VERIFIABLE ELEC TRONIC SIGNATURES. FAILURE TO PROVIDE THE APPLICABLE DOCUMENTS MAY DEEM YOU NON-RESPONSIVE/NON-RESPONSIBLE. Confirmed 3. Invitation for Qualification (IFQ) Instructions Form* Invitation for Qualification (IFQ) Instructions have been acknowledged and accepted. Confirmed 4. Collier County Purchase Order Terms and Conditions.* Collier County Purchase Order Terms and Conditions have been acknowledged and accepted. Confirmed 5. Insurance Requirements* Vendor Acknowledges Insurance Requirement and is prepared to produce the required insurance certificate(s) within five (5) days of the County's issuance of a Notice of Recommended Award. Page 3337 of 6525 [SUPERIOR LANDSCAPING & LAWN SERVICE INC.] RESPONSE DOCUMENT REPORT GEN No. 25-8345 Landscape Maintenance Contractors [SUPERIOR LANDSCAPING & LAWN SERVICE INC.] RESPONSE DOCUMENT REPORT undefined - Landscape Maintenance Contractors Page 3 Confirmed 6. Proposal Submittal* Please submit a proposal per Evaluation Criteria outlined in Solicitation. IFQ_25-8345_-_SLLS_Package.pdf 7. County Required Forms VENDOR DECLARATION STATEMENT (FORM 1)* Vendor_Declaration_Statement.pdf CONFLICT OF INTEREST AFFIDAVIT (FORM 2)* Conflict_of_Interest_Certification_Affidavit.pdf IMMIGRATION AFFIDAVIT CERTIFICATION (FORM 3)* Immigration_Affidavit_Certification.pdf LOCAL VENDOR PREFERENCE (IF APPLICABLE FORM 4) Include a copy of the business tax receipt. Local_Vendor_Preference_Certification.pdf REFERENCE QUESTIONNAIRE (IF APPLICABLE FORM 5) No response submitted GRANT PROVISIONS (IF APPLICABLE FORM 6) All forms must be completed No response submitted Page 3338 of 6525 [SUPERIOR LANDSCAPING & LAWN SERVICE INC.] RESPONSE DOCUMENT REPORT GEN No. 25-8345 Landscape Maintenance Contractors [SUPERIOR LANDSCAPING & LAWN SERVICE INC.] RESPONSE DOCUMENT REPORT undefined - Landscape Maintenance Contractors Page 4 PROOF OF STATUS FROM DIVISION OF CORPORATIONS - FLORIDA DEPARTMENT OF STATE (SUNBIZ)** http://dos.myflorida.com/sunbiz/ should be attached with your submittal. Proof_of_status_from_Division_of_Corporations.pdf E-VERIFY - MEMORANDUM OF UNDERSTANDING* Vendor MUST be enrolled in the E-Verify - https://www.e-verify.gov/ at the time of submission of the proposal/bid. E-Verify Memorandum of Understanding or Company Profile page should be attached with your submittal. E-Verify_Memorandum_of_Understanding.pdf W-9 FORM* Superior_W-9_2025_Executed.pdf SIGNED ADDENDUMS (IF APPLICABLE) Addendum.pdf MISCELLANEOUS DOCUMENTS No response submitted Page 3339 of 6525 SUPERIOR Invitation For Qualification (IFQ) Landscape Maintenance Contractors IFQ: 25-8345 BID PACKAGE SUBMITTED 5/23/2025 BY JESENIA OTERO, ESTIMATING COORDINATOR 27871 Industrial Street Bonita Springs, FL 34135 JOtero@superiorlandscaping.com T: 800.759.4156 | P: 305.634.0717 Page 3340 of 6525 ITQ 25-8345 LANDSCAPE MAINTENANCE CONTRACTORS May 23, 2025 Cover Letter Dear Procurement Evaluation Committee, Superior Landscaping & Lawn Service, Inc appreciates the opportunity to present the proposal with the intent to offer its services. The extensive experience that our company brings will certainly continue to enhance the property’s beauty and serene vista. Our approach is to team up with your staff, by not only taking care of our contractual agreement, but also reporting anything we see. This teaming approach will ensure an excellent and successful working relationship. Founded in 1982, Superior Landscaping & Lawn Service, Inc has provided on-point services for many quality municipalities, property management companies and historical residences. We pride ourselves in having successfully completed many challenging contracts that cover a full spectrum of services such as daily porter & janitorial services, Exotic vegetation removal, emergency Debris removal, HOAs, landscape & hardscape maintenance, arbor care, irrigation repairs and maintenance, pesticide and insecticide control, and pre- and post-storm preparation and restoration services. Our company’s mission statement is to exceed customer’s expectations with a ‘service-first’ attitude while forming a lifelong company-client relationship that is committed and mutually beneficial. Our service teams are bilingual, friendly, and knowledgeable. Most of our employees have dedicated their services to our company and customer base for over 30 years. It is with the same loyalty and dedication that our team members will provide services to our customers. Fully licensed, insured, and bonded, Superior Landscaping & Lawn Service, Inc. can handle the largest contracts. Our administrative and financial personnel and advisors constantly report, analyze, and interpret data to guide the company and its stakeholders in the most fiscally sound manner. The following pages represent the commitment that Superior Landscaping & Lawn Service, Inc. will have in providing professional, quality service. Our company and its team will deliver friendly, customer-oriented services with the intention of creating a more welcoming, clean and special environment for its owners, tenants and visitors. Best, Jesenia Otero Superior Landscaping & Lawn Service, Inc. JOtero@superiorlandscaping.com 305-634-0717 F: 305-634-0744 2200 NW 23 Avenue Miami, FL 33142 Page 3341 of 6525 ITQ 25-8345 LANDSCAPE MAINTENANCE CONTRACTORS May 23, 2025 Certified Woman And/Or Minority Business Enterprise Intentionally Omitted. Page 3342 of 6525 ITQ 25-8345 LANDSCAPE MAINTENANCE CONTRACTORS May 23, 2025 Industry Licenses and Certifications Please see attached certificates and licenses. We are in the process of getting the pest control employee ID cards renewed. Page 3343 of 6525 Collier County Board of County Commissioners Certificate of Competency Collier County * City of Marco * City of Naples * City of Everglades Issued Date: 09/30/2024 Company:SUPERIOR LANDSCAPING & LAWN SERVICE, INC Address:PO BOX 35-0095 MIAMI, FL 33135 Telephone:(305) 634-0717 Qualifier:CANTOR, LAURENCE License #:C30610 Issuance #:201700001059 Classification:LANDSCAPING RESTRICTED Valid Thru: State License #: State Valid Thru: 09/30/2025 It is the Qualifier’s responsibility to keep current all records with Collier County. This shall include insurance certificates and/or contact information. Always verify licenses online at https://cvportal.colliercountyfl.gov/CityViewWeb/ Do not alter this document in any form. This is your license. It is unlawful for anyone other than the licensee to use this document. This Collier County Certificate of Competency’s status and expiration date may change on July 1, 2025, due to the State of Florida Senate Bill No. 1142. Please visit our website at www.colliercountyfl.gov/government/growth-management/divisions/operations- regulatory-management/contractor-licensing for more information as it becomes available. Page 3344 of 6525 Page 3345 of 6525 Page 3346 of 6525 VOID 6, 3, 21, 5A Commercial Applicator License Florida Department of Agriculture and Consumer Services Issued: License # CM23229 Expires: Pesticide Certification Office Signature of Licensee WILTON SIMPSON, COMMISSIONER Categories The above individual is licensed under the provisions of Chapter 487, F.S. to purchase and apply restricted use pesticides. 3558 FLORIDA AVE SANDS III, PAUL LEONARD MIAMI, FL 33133 This card is your license. It authorizes you, the license holder, to purchase and apply Restricted Use Pesticides (RUPs). Please sign your card and keep it with you when applying or purchasing RUPs. The bottom two cards are for your Authorized Purchasing Agents (APAs). Please sign the card in the space provided and give to your APA to sign. APAs are authorized to purchase RUPs. For questions, comments or concerns, Contact us at: Florida Department of Agriculture and Consumer Services Pesticide Certification Office 3125 Conner Blvd, Bldg 8 Tallahassee, FL 32399-1650 Phone: (850) 617-7870 Fax: (850) 617-7895 Florida Department of Agriculture and Consumer Services Pesticide Certification Office To renew a pesticide applicator license, applicators must first become recertified. Recertification is accomplished by either retaking the certification exams or accumulating Continuing Education Units (CEUs). See Table 2 in the Pesticide Applicator Certification and Licensing in Florida handbook located at http://pested.ifas.ufl.edu/pdfs/Pesticide-Applicator-Cert-Licensing.pdf for information on Recertification. February 16, 2023 October 31, 2026 Page 3347 of 6525 Melanie S. Griffin, SecretaryRon DeSantis, GovernorSTATE OF FLORIDADEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATIONCONSTRUCTION INDUSTRY LICENSING BOARDTHE PLUMBING CONTRACTOR HEREIN IS CERTIFIED UNDER THEPROVISIONS OF CHAPTER 489, FLORIDA STATUTESLEVY, BERNARD ADo not alter this document in any form.SUPERIOR LANDSCAPING & LAWN SERVICE INCLICENSE NUMBER: CFC1425682EXPIRATION DATE: AUGUST 31, 2026This is your license. It is unlawful for anyone other than the licensee to use this document.11231 SW 1ST. COURTPLANTATION FL 33325Always verify licenses online at MyFloridaLicense.comISSUED: 06/07/2024Page 3348 of 6525 Page 3349 of 6525 Page 3350 of 6525 CERTIFICATE OF COMPLETION JOAN CRUZ Has Completed a FDOT Approved Temporary Traffic Control (TTC): Intermediate Course . 05/01/2023 Issue Date 04/25/2027 Expiration Date L. R Instructor 609354 Certificate No. Training Provider: Verify this Certificate by visiting www.motadmin.com Access Safety Compliance Training 11481 SW Rossano Ln. Port St. Lucie FL 34987 Phone: 561-350-8913 Page 3351 of 6525 CERTIFICATE OF COMPLETION RICARDO SOSA Has Completed a FDOT Approved Temporary Traffic Control (TTC): Intermediate Course . 05/01/2023 Issue Date 04/25/2027 Expiration Date L. R Instructor 609360 Certificate No. Training Provider: Verify this Certificate by visiting www.motadmin.com Access Safety Compliance Training 11481 SW Rossano Ln. Port St. Lucie FL 34987 Phone: 561-350-8913 Page 3352 of 6525 CERTIFICATE OF COMPLETION MARCO MANZO Has Completed a FDOT Approved Temporary Traffic Control (TTC): Intermediate Course . 05/01/2023 Issue Date 04/25/2027 Expiration Date L. R Instructor 609357 Certificate No. Training Provider: Verify this Certificate by visiting www.motadmin.com Access Safety Compliance Training 11481 SW Rossano Ln. Port St. Lucie FL 34987 Phone: 561-350-8913 Page 3353 of 6525 GI-BMP Trainee ID: GV399887 Certification date: 9/28/2016 Marco A. Manzo Superior Landscaping & Lawn Services 6220 Topaz Ct Fort Myers, FL 33966 Marco A. Manzo Marco A. Manzo GV399887-1 GV399887 GV399887-1 GV399887 D. Rainey 9/28/2016 Test Score: 78% Page 3354 of 6525 Page 3355 of 6525 Page 3356 of 6525 Page 3357 of 6525 Page 3358 of 6525 Page 3359 of 6525 Page 3360 of 6525 Page 3361 of 6525 Page 3362 of 6525 ITQ 25-8345 LANDSCAPE MAINTENANCE CONTRACTORS May 23, 2025 Experience Organization Name Contract Name Contract Location Acreage Amount Scope of Work Contact Person Information Dates of Services Contract Amount Florida Department of Transportation - District 7 FDOT E7Q06-R0 - Mowing, Litter and Edging East Hillsborough Mowing, Litter, and Edging East @ Hillsborough County Yearly Acreage: Litter Removal - 13,566.732 AC Large machine Mowing - 11,486.112 AC Slope Mowing - 1,728.00 AC Intermediate Machine Mowing - 97.62 AC Small Machine Mowing - 255.00 AC Edging - 7,751.748 MI Dale Hall 11201 N. McKinley Drive Tampa, FL 33612 Ph: 813-460-1565 Dale.Hall@dot.state.fl. us 5/23/23 – Ongoing 365 Day Contract - Renewed $1,143,000 Florida Department of Transportation - Turnpike Enterprise FDOT E8U79 - Mowing and Landscaping Services at SunTrax Test Facility Mowing and Landscaping Services at SunTrax Test Facility @ Polk County Yearly Acreage: Performance Turf, Sod - 400.00 SY Large machine Mowing - 1,443.120 AC Landscape Maintenance - 78.86 AC Small Machine Mowing - 2,023.20 AC Herbicide (Strip Application) - 18.57 AC Herbicide (Hand Application) - 10.00 AC Herbicide (Spot Application) - 10,000 SF Michael Rokosz Florida's Turnpike Enterprise Headquarters Milepost 263, Bldg. 5315 Ocoee, FL 34761 407-793-2255 Michael.Rokosz@dot.s tate.fl.us 11/26/23 – Ongoing 365 Day Contract - Renewed $294,215.68 Florida Department of Transportation - District 7 FDOT E7Q67 - Brooksville Mowing Contract - Routine Maintenance Routine maintenance mowing at Brooksville @ Hernando County Yearly Acreage: Litter Removal - 9,551.10 AC Large machine Mowing - 4,560.30 AC Slope Mowing - 731.70 AC Intermediate Machine Mowing - 170.10 AC Small Machine Mowing - 268.56 AC Edging - 1,445.88 MI Christopher Mastosimone 11201 N. McKinley Drive Tampa, FL 33612 813-541-2828 Christopher.Mastrosim one@dot.state.fl.us 09/05/23 – Ongoing 365 Day Contract - Renewed $400,000.00 Page 3363 of 6525 ITQ 25-8345 LANDSCAPE MAINTENANCE CONTRACTORS May 23, 2025 Experience Organization Name Contract Name Contract Location Acreage Amount Scope of Work Contact Person Information Dates of Services Contract Amount Florida Department of Transportation - District 7 FDOT E7Q68 - Districtwide Landscaping Maintenance Districtwide Landscaping Maintenance Yearly Acreage: Litter Removal - 1,251.00 AC Weed Control - 561.00 AC Slope Mowing - 110.00 AC Small Machine Mowing - 550.00 AC Herbicide, Landscaped mulch Bed Application - 601.00 AC Jaclyn Berberian 11201 N. McKinley Drive Tampa, FL 33612 813-975-6192 Jaclyn.Berberian@dot. state.fl.us 2/15/24 – Ongoing 365 Day Contract - Renewed $1,500,000.00 Florida Department of Transportation - District 7 FDOT E7Q06-R0 - Mowing, Litter and Edging East Hillsborough Mowing, Litter, and Edging West @ Hillsborough County Yearly Acreage: Litter Removal - 13,566.732 AC Large machine Mowing - 11,486.112 AC Slope Mowing - 1,728.00 AC Intermediate Machine Mowing - 97.62 AC Small Machine Mowing - 255.00 AC Edging - 7,751.748 MI Dale Hall 11201 N. McKinley Drive Tampa, FL 33612 Ph: 813-460-1565 Dale.Hall@dot.state.fl. us 6/7/23 - Ongoing 365 Day Contract - Renewed $985,000.00 City of Miami Beach Grounds maintenance for parks and Coastal areas 7.69 sq mi of Litter removal, Small Machine Mowing, Edging, weed control, herbicide, mulch application Carlos Naumann 2100 Washington Ave, Miami Beach, Fl. 33139 Ph: 305-673-7272, ext. 26806 Fax: 786-394-4448 CarlosNaumann@mia mibeachfl.gov July 14 - June 2025 $1,100,000.00 Page 3364 of 6525 $9 Collier County Form 5 Reference Questionnaire (USE ONE FORM FOR EACH REQUIRED REFERENCE) Solicitation: Reference Questionnaire for:Superior Landscaping &Lawn Service Inc. (Name of Company Requesting Reference Information) Jesenia O tero ,Estim ating Coordinator (Name of Individuals Requesting Reference Information) el s /la..co (Evaluator completing reference questionnaire) ca losocar l vo h ee L/.o Email:-FAX: C.,j "f1 /1/4 c;rn/'der-~/Company:y o c h (Evaluator's Company completing reference)(/?;,1'~cnof.f't't'.) Tete»one:7f-$S-570 Collier County has implemented a process that collects reference information on firms and their key personnel to be used in the selection of firms to perform this project.The Name of the Company listed in the Subject above has listed you as a client for which they have previously performed work.Please complete the survey.Please rate each criteria to the best of your knowledge on a scale of I to I 0, with IO representing that you were very satisifed (and would hire the firm/individual again)and I representing that you were very unsatisfied (and would never hire the firm/indivdiual again).If you do not have sufficient knowledge of past performance in a particular area,leave it blank and the item or form will be scored "0." Project Description: Protect [3udget. Completion Date:_ Project Number of Days:_ Item Criteria Score (must be completed) I Ability to manage the project costs (minimize change orders to scope)./ 2 Ability to maintain project schedule (complete on-time or early)./0 3 Quality of work./O 4 Quality of consultative advice provided on the project.9 5 Professionalism and ability to manage personnel.9 6 Project administration (completed documents,final invoice,final product turnover;9invoices;manuals or going forward documentation,etc.) 7 Ability to verbally communicate and document information clearly and succinctly./0 8 Abiltity to manage risks and unexpected project circumstances.JO 9 Ability to follow contract documents,policies,procedures,rules,regulations,etc.10 10 Overall comfort level with hiring the company in the future (customer satisfaction)./0 TOTAL SCORE OF ALL ITEMS 97 Page 3365 of 6525 Form 5 Reference Questionnaire (USE ONE FORM FOR EACH REQUIRED REFERENCE) Solicitation: Reference Questionnaire for: (Name of Company Requesting Reference Information) (Name of Individuals Requesting Reference Information) Name: (Evaluator completing reference questionnaire) Company: (Evaluator’s Company completing reference) Email: FAX: Telephone: Collier County has implemented a process that collects reference information on firms and their key personnel to be used in the selection of firms to perform this project. The Name of the Company listed in the Subject above has listed you as a client for which they have previously performed work. Please complete the survey. Please rate each criteria to the best of your knowledge on a scale of 1 to 10, with 10 representing that you were very satisifed (and would hire the firm/individual again) and 1 representing that you were very unsatisfied (and would never hire the firm/indivdiual again). If you do not have sufficient knowledge of past performance in a particular area, leave it blank and the item or form will be scored “0.” Project Description: ___________________________ Completion Date: _____________________________ Project Budget: _______________________________ Project Number of Days: _______________________ Item Criteria Score (must be completed) 1 Ability to manage the project costs (minimize change orders to scope). 2 Ability to maintain project schedule (complete on-time or early). 3 Quality of work. 4 Quality of consultative advice provided on the project. 5 Professionalism and ability to manage personnel. 6 Project administration (completed documents, final invoice, final product turnover; invoices; manuals or going forward documentation, etc.) 7 Ability to verbally communicate and document information clearly and succinctly. 8 Abiltity to manage risks and unexpected project circumstances. 9 Ability to follow contract documents, policies, procedures, rules, regulations, etc. 10 Overall comfort level with hiring the company in the future (customer satisfaction). TOTAL SCORE OF ALL ITEMS Superior Landscaping & Lawn Service Inc. Jesenia Otero Page 3366 of 6525 Form 4 Reference Questionnaire (USE ONE FORM FOR EACH REQUIRED REFERENCE) Solicitation: Reference Questionnaire for: (Name of Company Requesting Reference Information) (Name of Individuals Requesting Reference Information) Name: (Evaluator completing reference questionnaire) Company: (Evaluator’s Company completing reference) Email: FAX: Telephone: Collier County has implemented a process that collects reference information on firms and their key personnel to be used in the selection of firms to perform this project. The Name of the Company listed in the Subject above has listed you as a client for which they have previously performed work. Please complete the survey. Please rate each criteria to the best of your knowledge on a scale of 1 to 10, with 10 representing that you were very satisifed (and would hire the firm/individual again) and 1 representing that you were very unsatisfied (and would never hire the firm/indivdiual again). If you do not have sufficient knowledge of past performance in a particular area, leave it blank and the item or form will be scored “0.” Project Description: ___________________________ Completion Date: _____________________________ Project Budget: _______________________________ Project Number of Days: _______________________ Item Criteria Score (must be completed) 1 Ability to manage the project costs (minimize change orders to scope). 2 Ability to maintain project schedule (complete on-time or early). 3 Quality of work. 4 Quality of consultative advice provided on the project. 5 Professionalism and ability to manage personnel. 6 Project administration (completed documents, final invoice, final product turnover; invoices; manuals or going forward documentation, etc.) 7 Ability to verbally communicate and document information clearly and succinctly. 8 Abiltity to manage risks and unexpected project circumstances. 9 Ability to follow contract documents, policies, procedures, rules, regulations, etc. 10 Overall comfort level with hiring the company in the future (customer satisfaction). TOTAL SCORE OF ALL ITEMS Superior Landscaping & Lawn Service Inc. Jesenia Otero, Estimating Coordinator Page 3367 of 6525 ITQ 25-8345 LANDSCAPE MAINTENANCE CONTRACTORS May 23, 2025 Experience Since 1998, Superior Landscaping & Lawn Service, Inc. has been creating landscape solutions for clients throughout the State of Florida. The owners, Orlando Otero and Maria Valdes, began their business as a sole proprietorship over thirty years ago with a vision to create a company that would provide excellent service to their customers as well as create a welcoming and creative atmosphere for its employees. Years of experience, discipline and hard work have shaped a complete landscaping and lawn maintenance service company that can accommodate projects of any size. Throughout decades of exceptional performance and sound professional practices, the company has been exceeding the needs of its customers by providing the highest quality of services in the industry, establishing itself as one of the leading landscaping companies in South Florida. Page 3368 of 6525 ITQ 25-8345 LANDSCAPE MAINTENANCE CONTRACTORS May 23, 2025 Experience One of South Florida’s leading landscape contractors, Superior Landscaping & Lawn Service, Inc. has provided maintenance solutions to South Florida’s elite residential, commercial and government properties. Our team of experts is trained to develop quality plans to provide a full menu of services to satisfy our customers’ needs. We are fully licensed, insured and bonded to provide landscape & irrigation system installations and maintenance, fertilizer, pesticide and herbicide treatment plans, arbor services and pre-preparation and post-storm recovery. The company’s influence stretches beyond Miami to include commercial and municipal accounts located in Broward, Palm Beach, Lee, Collier, Polk & Sarasota counties. We perform 100% of the work in these categories. Page 3369 of 6525 ITQ 25-8345 LANDSCAPE MAINTENANCE CONTRACTORS May 23, 2025 Quality Assurance and Safety Standards Please see the attached safety program. Page 3370 of 6525 Superior Landscaping and Lawn Service ▪ P.O. Box 35-0095 ▪ Miami ▪ Florida ▪ 33135 ▪ (305) 634-0717 January 2021 Safety and Health Plan For Superior Landscaping and Lawn Service Prepared by: Philip Nanna, CSP Safety and Risk Solutions Page 3371 of 6525 2 Table of Contents Section I – Purpose and Scope ............................................................................................... 4 Purpose ............................................................................................................................... 5 Safety Statement ................................................................................................................ 6 Emergency Telephone Numbers......................................................................................... 7 Section II - Policies and Procedures ........................................................................................ 8 General Safety Rules ........................................................................................................... 9 Plan for Prevention of Alcohol and Drug Abuse ................................................................. 9 Progressive Disciplinary Policy .......................................................................................... 10 OSHA Inspection Policy ..................................................................................................... 12 In The Event of an Injury ................................................................................................... 14 Incident Investigation ....................................................................................................... 14 Competent Person ............................................................................................................ 15 Supervisory and Employee Safety Meetings .................................................................... 15 Motor Vehicle and Driver’s Safety .................................................................................... 16 Cellular Phones and Wireless Communications ............................................................... 18 Safety Inspections ............................................................................................................. 18 Safety Audits ..................................................................................................................... 18 Personal Protection Equipment ........................................................................................ 19 Hazard Communication Program...................................................................................... 20 Respiratory Protection Plan .............................................................................................. 21 Excavations and Trenches ................................................................................................. 24 Fall Protection ................................................................................................................... 24 Scaffold Safety .................................................................................................................. 24 Crane Safety ...................................................................................................................... 25 Hand and Power Tools ...................................................................................................... 25 Material Handling ............................................................................................................. 26 Housekeeping ................................................................................................................... 27 Electrical ............................................................................................................................ 27 Powered Industrial Vehicles and Rough Terrain Vehicles ................................................ 27 Ladders .............................................................................................................................. 28 Fire Protection and Prevention ......................................................................................... 29 Landscaping Equipment and Machinery Hazards ............................................................. 29 Heat-Related Illnesses ....................................................................................................... 30 Job-Specific Safety Precautions ........................................................................................ 31 Hurricane Emergency Management Plan ......................................................................... 34 Section III – Forms & Checklists ............................................................................................ 38 Jobsite Daily Safety Review ........................................................................................................... 39 Notification Of Unsafe Act or Condition ....................................................................................... 40 Safety Meeting Attendance .......................................................................................................... 41 No Accident Certification Record.................................................................................................. 42 Accident Investigation Form ......................................................................................................... 43 Page 3372 of 6525 3 Accident Witness Statement ........................................................................................................ 44 Employee’s Report of Injury ......................................................................................................... 45 Refusal of Medical Treatment Form ............................................................................................. 46 Page 3373 of 6525 4 Section I – Purpose and Scope Page 3374 of 6525 5 Purpose This document provides the means to provide a safe and healthy workplace. All sections of this written plan are an integral part of the program to keep all of the Superior Landscaping and Lawn Service employees and clients safe. This plan is divided into three sections for the ease of use by the employees. These sections are: Section I – Purpose and Scope Section II – Policies and Procedures Section III – Forms and Checklists This program uses terms such as “Shall” and “Must”. Those sections are mandatory and must be followed by all Superior Landscaping and Lawn Service at all time. Terms such as “may” and “should” are not mandatory but are strongly recommended. All deviations from this plan must have the written approval of the company president prior to proceeding. Page 3375 of 6525 6 Safety Statement This document provides a general description of the Superior Landscaping and Lawn Service plan regarding occupational health and safety, for all work locations. This document serves as a guide in determining basic responsibilities in these areas. It is not intended to provide detailed instructions regarding specific work functions or specific procedures. The safety of our employees is an important concern of ours. We pledge not to compromise the safety of our workers to achieve any operational or business objectives. Our aim is to prevent all accidents and occupational injuries. We expect managers and supervisors to ensure safe and healthful working conditions, to instruct employees in safe practices, and to inform workers of any workplace hazards. All employees are expected to work in a manner, which safeguards themselves and others and to participate in the improvement of work conditions and practices to reduce hazards in the work place. Superior Landscaping and Lawn Service is committed to protecting the health and safety of our people, our customers and the communities where we operate. Meeting this commitment is an important management objective and the individual and collective responsibility of all Superior Landscaping and Lawn Service employees. To that end, we shall: 1. Comply with all applicable environmental health and safety laws, regulations, and Superior Landscaping and Lawn Service safety policies. 2. Set companywide safety goals for continual improvement 3. Integrate safety into our business plans and decisions 4. Motivate and prepare all employees to take personal accountability for protecting themselves and creating a safe and healthy workplace 5. Make it a condition of employment that all employees comply with the requirements of this policy, safety rules, instructions, and procedures issued in conjunction with it. Failure to comply will result in disciplinary action or termination outlined in the attached policy 6. Make every effort to ensure that the operations of other contractors not under control of Superior Landscaping and Lawn Service do not endanger the safety of our employees. To this end all employees are required to report hazardous activities of other employees to the appropriate representatives We will regularly review and improve this policy, and communicate it to all. The Superintendent(s) have the full support of the President of Superior Landscaping and Lawn Service in enforcing the provisions of this policy as it relates to responsibilities assigned to them. Questions concerning the content of this document may be referred to me at (305) 634-0717 . Orlando Otero President Page 3376 of 6525 7 Emergency Telephone Numbers Company President Orlando Otero: (305) 634-0717 office Police: 911 Fire Rescue: 911 OSHA: 1-800-321-OSHA (6742) Poison Control Center: 1-800-222-1222 Safety Director: Page 3377 of 6525 8 Section II - Policies and Procedures Page 3378 of 6525 9 General Safety Rules It is the Superior Landscaping and Lawn Service policy that everything possible will be done to protect the workers and visitors on all work sites from accidents, injuries and/or occupational disease. Safety is a cooperative undertaking requiring constant safety consciousness on the part of everyone. If someone is injured, positive and prompt action must be taken to see that they receive adequate treatment. To carry out this policy, the following rules will apply at all times: 1. Everyone shall follow the safe practices and rules contained in this manual and such other rules and practices communicated on the job. All unsafe conditions or practices shall be reported to the Superior Landscaping and Lawn Service Superintendent. 2. All workers must attend a job safety orientation program conducted by Superior Landscaping and Lawn Service to review all safety rules and requirements. 3. Any power cord or extension cord must be of proper gauge and free of any damage or repairs. Any power cord or extension cord found to be damaged or repaired, will be disabled during the periodic site audits. 4. Hard Hats will be worn at all times during tree trimming work. 5. Work boots will be worn at all times. 6. A reflective high visibility vest will be worn at all times. 7. Eye protection will be worn at all times by everyone when using power and h and tools and performing work that exposes an employee to foreign air-borne particles. 8. Good housekeeping must be practiced at all times in the work area. 9. Anyone under the influence of intoxicating liquor or drugs, including prescription drugs which might impair motor skills and judgment, will not be allowed on the job site. 10. Horseplay, scuffling, and other acts which tend to have an adverse influence on safety or well being of others are prohibited. 11. All injuries should be reported to the Superior Landscaping and Lawn Service Superintendent so that arrangements can be made for medical or first aid treatment. 12. Ladders will be constructed in accordance with ANSI and used in accordance with OSHA and best practices. 13. Power tools will be used only for their intended function and will be double insulated or grounded. Plan for Prevention of Alcohol and Drug Abuse Superior Landscaping and Lawn Service prohibits the use, possession or distribution on the project site of any of the following by employees: alcoholic bevera ges, intoxicants, narcotics, illegal or unauthorized drugs (including marijuana), simulated drugs and related drug paraphernalia. Page 3379 of 6525 10 Employees must not report for duty under the influence of any drug/alcohol that may in any way adversely affect their working ability, alertness, coordination, response or adversely affect the safety of others on the job. For purposes of this program, influence shall be presumed for any individual whose drug or alcohol level exceeds applicable testing levels. Superior Landscaping and Lawn Service shall not allow employees who are found to be using alcohol or drugs illegally to remain on the project. Superior Landscaping and Lawn Service will determine when the employee in violation can return to the project or be permanently removed. Legally prescribed drugs may be permitted on premises or work locations, provided the drugs are contained in the original prescription container and are prescribed by an authorized medical practitioner for the current use of the person in possessio n. Legally prescribed drugs must not affect working ability, alertness, coordination or response of the person taking the medication. The Acknowledgment of Safety Policy on Drugs, Alcohol and Other Prohibited Items form will be completed by each Superior Landscaping and Lawn Service employee on orientation. Acknowledgement of the policy is not an endorsement of pre-employment drug screening. Superior Landscaping and Lawn Service will conduct post-accident and for cause drug and alcohol screening. Training Orientation training will be performed by Superior Landscaping and Lawn Service. Re-training will be conducted for any employee who does not demonstrate a complete understanding of the rules. Weekly safety meetings will be held to keep the employe es well informed on the project’s inherent hazards as well as some unique ones. Every effort will be made to properly inform employees of their role in the jobsite safety program. Training may be conducted in a formal setting or through documented safety meetings and safety breaks. Progressive Disciplinary Policy Superior Landscaping and Lawn Service believes in the safety of their employees and trade contractor employees, subcontractors, vendors and other visitors on the jobsite. In that capacity, everyone’s voluntary compliance with this safety program is solicited for their own safety, for the safety of other employees and trade contractor employees, guests, the general public, customers, and for the good of the Company. Because of the importance of t his program, the following steps will be taken to ensure compliance: Page 3380 of 6525 11 1. Daily inspections of the job sites by superintendents and the safety manager. 2. Periodic inspections of job sites by representatives of our insurance company and/or consultants. 3. Periodic inspections of job sites by the upper management of the Company. All employees, trade contractor employees and lower tier trade contractors are required to comply with all OSHA regulations and the safety rules and policy of this jobsite. The purpose of this discipline program is not to penalize the worker or the subcontractor, but to assist in changing the undesirable work habits and behaviors, eliminating the potential for injury and damage. This disciplinary program will be enforced in a fair and cons istent manner, taking into account the severity of the act or condition, which occurred or was present, and any previous disciplinary problems. Monetary fines will be issued to the subcontractor for non -compliance with the safety program of the subcontract or employee or lower tiered contractor employee. Each repeat violation will result in a minimum fine of $500 per occurrence. The enforcement procedure will be as follows: On a first offense, the worker is to be verbally informed that the workers actions are jeopardizing his/her safety and the safety or others. The exact nature of the hazard is to be thoroughly explained to the worker. The violation is to be brought to the attention of the worker’s supervisor and a record of the is made with the nature of the violation. If the worker is a subcontracted worker, the subcontractor will be issued a minimum fine of $100 for each observed violation. A deduct change order will be issued to the contractor for the fine accumulated each month. If the undesirable act or condition is of a serious nature, or the worker becomes argumentative or belligerent, a written reprimand is issued to the employee. If the worker is a subcontracted worker, and fine as described in the following paragraph may be issued. On a second offense for the same violation, a Safety Hazard Notification is issued and a copy is placed in the employee personnel file. If the worker is a subcontracted worker, the notification is sent to the to the contractor responsible for that worker if applicable. The notification will explain in detail the nature of the hazard . The subcontractor will be issued a minimum fine of $250 for each observed violation. A deduct change order will be issued to the contractor for the fine accumulated each month. On a third offense for the same violation, a Safety Hazard Notification is issued and a copy is and a copy is placed in the employee personnel file and the worker will be terminated. If the worker is a subcontracted worker, the notification will explain in detail the nature of the hazard and the worker will be immediately removed from the project and shall not be permitted to return. Page 3381 of 6525 12 In the event that a worker has three formal written reprimands of various and/or different violations the worker will be immediately removed from the project or terminated and shall not be permitted to return. A worker may be removed from the jobsite or terminated at anytime if the violation is flagrant or involves a serious offense such as assault, horseplay, refusal to obey safety policies, any act Superior Landscaping and Lawn Service deems discourteous or disrespectful to a client, etc. Subcontractors or lower tiered supervisors who are unable or unwilling to secure safe performance in compliance with the contractual obligations of safety will not be considered acceptable and will be removed from the project. OSHA Inspection Policy Workplace inspections by OSHA Compliance Safety and Health Officers (CSHO) are usually unannounced. The following is a summary of procedures to be followed for unannounced inspections: 1. The Superior Landscaping and Lawn Service safety consultant (Safety and Risk Solutions) must be notified immediately if a CSHO arrives at a Superior Landscaping and Lawn Service facility or work location. 2. The CSHO should be escorted to a private office or job trailer and asked for the OSHA representative’s identification, including picture identification. The card and ID should be copied. The reason for the inspection must then be determined and make notes of the answer. If the inspection is the result of a complaint, request a copy of the complaint. 3. It is the policy of Superior Landscaping and Lawn Service that the safety consultant accompany the CSHO during the tour and answer the questions. Do not engage in any substantive discussion with the OSHA compliance officer without the safety consultant present. Do not provide the CSHO with any written documentation unless directed to do so by the safety consultant. 4. If OSHA appears at the jobsite and requests an inspection, the safety consultant must be contacted immediately. If the safety consultant does not respond, the President of Superior Landscaping and Lawn Service will be contacted. The safety consultant or the Superior Landscaping and Lawn Service President will communicate by telephone directly with the OSHA CSHO until an authorized representative of management arrives at the site to meet with the OSHA CSHO and handle the request for inspection. Site management is not authorized to allow OSHA to commence an inspection until approval is expressly given directly by the safety consultant or the Superior Landscaping and Lawn Service President. 5. The CSHO must be accompanied by one Superior Landscaping and Lawn Service Superintendent or higher. This responsibility cannot be delegated to an “in-charge” or other non-management employee. If no General Superintendent is on -site, the compliance officer should be so advised and asked to “stand-by” until one is contacted. Page 3382 of 6525 13 When reached, the responsible Superintendent should make arrangements, directly with the compliance officer, to have the inspection conducted when the appropriate personnel are available. The CSHO should be advised that it is the policy of Superior Landscaping and Lawn Service that the safety consultant accompany the officer during the tour. 6. The CSHO should be treated politely and professionally. Employees should respond truthfully to questions asked by OSHA personnel, stating facts and avoiding speculation. 7. The CSHO is not allowed to remove original documents from the work site. These must be maintained as part of Superior Landscaping and Lawn Service records. 8. The Superior Landscaping and Lawn Service supervisor or manager who accompanies the CSHO on each inspection must make detailed notes of all discussions and inspection tours. 9. The CSHO may request to speak with an employee privately. That is permissible if it does not interfere with the employee’s work. Make note of who was interviewed and the beginning and ending times of the interviews. If the interview cannot be conducted without interfering with work, do not permit the interview. The CSHO is free to obtain the employee’s name and telephone number from the employee, (do not provide that information), and to arrange to conduct the interview at another time. Any employee also has the right to refuse to speak to the CSHO. 10. If the CSHO takes photographs, Superior Landscaping and Lawn Service must arrange to duplicate any photographs taken. If the CSHO takes measurements, Superior Landscaping and Lawn Service must take the same measurements. 11. The CSHO may point out what he/she believes to be violations. Do not admit to any violations at any time. 12. Do not conduct any demonstrations for the CSHO’s benefit. Superior Landscaping and Lawn Service is not under any obligation to do so and it can only work to the disadvantage of the Company. 13. The CSHO may request to use an employee as a test subject to monitor noise levels or atmospheric conditions. To do so, the CSHO may want to attach m easuring devices to the employee. The employee can deny the request and Superior Landscaping and Lawn Service should advise them of that right. Additionally, if a measuring device is worn; the employee must conduct normal work operations and not be direc ted to do any activity by the CSHO. 14. Never give estimates. If accurate and reliable information is not available, say that the information is available elsewhere and will be given to the CSHO at another time. 15. While accompanying the CSHO, ask questions and note the answers. Ask why measurements and photographs are being taken and note the answers. 16. If the CSHO gives a copy of an OSHA publication accept them and note the name of the CSHO and the date given on the cover. 17. If the CSHO reviews records, do not provide a copy to reproduce or supply the CSHO with reproduction to take with them. They may review the documentation and make note, but unless there is a warrant that requires removal of a copy of a record, we will not provide an extra copy. Page 3383 of 6525 14 18. After an inspection is completed, the CSHO will conduct a closing conference. Superior Landscaping and Lawn Service will not admit to any violations or even if a condition may exist. Superior Landscaping and Lawn Service should ask the CSHO why he/she thinks a violation exists. 19. If the CSHO asks how much time Superior Landscaping and Lawn Service will need for abatement, they are looking for an admission of a violation. If Superior Landscaping and Lawn Service does not think a violation exists, then do not answer. An arbitrary date will be assigned by OSHA which can be extended during the contesting of the citation. In The Event of an Injury Superior Landscaping and Lawn Service intentions are to provide a safe working environment to all of its personnel. However if an injury should occur, proper accident reporting and investigative procedures must be activated. The following is the general policy of accident reporting and investigative procedures of Superior Landscaping and Lawn Service: 1. Employees shall immediately report all injuries, sustained while on duty, immediately to the field site manager. 2. The field site manager shall be responsible for seeing that injured employees receive immediate medical attention and the details of the incident are reported. 3. Immediately following an injury, the field site manager shall: a. Arrange for immediate medical attention and proper transportation to the place of treatment. b. Completely fill out the incident report form. The incident report form must be submitted within 24 hours. c. Start the investigative process to prevent recurrence of the same accident. 4. When a field site manager is aware of lost time (disabling injury) accident, he/she shall immediately report the injury to the Superior Landscaping and Lawn Service Superintendent. Incident Investigation All incidents will be investigated and reported. The following will be reported upon in detail: 1. Injuries 2. Near misses 3. Property damage 4. Violence Each report will attempt to identify the root cause; each incident will be communicated thoroughly to all parties related to the project to make every effort possible to avoid a similar incident of repeating. Page 3384 of 6525 15 Competent Person Superior Landscaping and Lawn Service will appoint a Competent Person who is capable of identifying existing and predictable hazards in their surroundings or working conditions which are unsanitary, hazardous, or dangerous to employees, and has the authority to take prompt corrective measures to eliminate them. This person shall be available and present on site, at all times while work is being conducted under their contract. This person will have completed, at a minimum, a 10 Hour Occupational Safety and Health Training Course in Construction Safety and Health within the past three (3) years. Proof of such training is availab le if required. The Competent Person(s) safety responsibilities shall include: 1. Instructing workers under their supervision in Safe Work Practices and Work Methods at the time workers are given work assignments. 2. Supply and enforce all appropriate safety, health and environmental standards with his/her employees. 3. Take immediate action to correct unsafe practices and/or conditions when discovered. 4. Supply and enforce the use of proper personal protective equipment and sui table tools for his/her employees. 5. Attend and participate in Safety Meetings (Safety Coordination, Safety Committee, etc.) as scheduled. 6. Conduct and document weekly "Tool Box" training with his/her employees and tiered contractors to: a. Discuss observed unsafe work practices and conditions b. Review any accidents or incidents that recently occurred c. Document each meeting with employees signatures 7. Be available and on-site at all times when the Trade contractor and any tiered contractors are working on the project. 8. Complete safety reports (accident/incident reports, etc.). 9. Accompany any injured employee(s) to an approved medical facility in the event of an injury to include follow-up appointments. Supervisory and Employee Safety Meetings It is recognized that it is imperative to communicate to all workers how they might best perform their jobs without injury to themselves, to fellow workers, or to members of the public. Weekly safety breaks are the vehicle chosen by the company as the most effective means to communicate with workers. The meetings will be conducted on the start of the Monday shift and the length of the meeting should be appropriate for the material to be covered. Each meeting conducted must be documented as to the date, signatures of persons attending, and the name of the person conducting the meeting, and the topics discussed. The Safety Meeting Attendance form is included with this plan. Page 3385 of 6525 16 These meetings should communicate safety violations discovered during safety inspections; accidents, injuries, and “near misses;” new or unusual exposures to employees or to the public; and a safety message relating to the operations. Safety meetings should allow for employee input and discussion. In addition to the weekly safety meetings, brief “tailgate” meetings are to be conducted prior to each shift to discuss the hazards expected to be encountered that day. The attendance documentation is included in this plan. At the end of the workweek, each employee is to complete the “No Accident Certification” which is included in this plan. Motor Vehicle and Driver’s Safety This policy is effective for all company owned/leased vehicles, and any driver using the vehicle, including rented vehicles, on Superior Landscaping and Lawn Service business. While operating a motor vehicle on company business, Superior Landscaping and Lawn Service employees must: 1. Be a safe and courteous driver. 2. Obey all applicable traffic regulations at all times. 3. Have in their possession a valid Florida driver’s license. 4. Have a valid certificate of auto liability coverage. 5. Wear seat belts at all times. 6. Ensure that all passengers wear a seat belt at all times. 7. Verify that vehicle safety equipment is present in their vehicle and is in good working order, including, but not limited to, flashlights, fire extinguishers, and first aid kit s. 8. Report missing or defective safety equipment to management and obtain replacement equipment before driving the vehicle. 9. Submit to a breathalyzer or other drug and alcohol testing request from law enforcement authorities. 10. Report any traffic citations received from local authorities to their supervisor within 24 hours of receipt. 11. Report any motor vehicle accident involving a Superior Landscaping and Lawn Service vehicle immediately to their supervisor. 12. Maintain vehicles in a clean and orderly condition. While driving a motor vehicle on company business Superior Landscaping and Lawn Service employees are prohibited from: 1. Disabling any safety device including seat belts and air bags. 2. Carrying passengers in vehicles unless those passengers are Superior Landscaping and Lawn Service employees with legitimate business reasons for being in the vehicle. 3. Allowing any unauthorized personnel to drive Company vehicles at any time. 4. Overloading and/or overcrowding vehicles. 5. Picking up hitchhikers. 6. Operating motorcycles on Company business. Page 3386 of 6525 17 7. Carrying firearms or other weapons in any vehicle used for Superior Landscaping and Lawn Service business. 8. Operating any vehicle that is in unsafe operating condition. 9. Using portable computers or similar devices. 10. Being under the influence of alcohol, drugs or other controlled substances. 11. Driving after taking any prescription or over-the-counter medication that may cause drowsiness, dizziness, or other side effects or that may affect the ability to safely and effectively operate a motor vehicle. 12. Using a company vehicle for any purpose other than legitimate company business. 13. Using a company vehicle for any purpose in violation of federal, state, or local laws. Anyone authorized to drive on Company business must maintain a valid Florida d river’s license. Such drivers must immediately report any suspension or revocation of their driver’s license and any violation or other conviction involving a motor vehicle to the Human Resource manager. Any vehicle used for Superior Landscaping and Lawn Service business must have the appropriate automobile liability insurance required by Florida. This includes personal vehicles if the employee is required to drive on Superior Landscaping and Lawn Service business. The employee is responsible for personal vehicle insurance. Verification of a valid driver’s license and, if appropriate, proof of auto liability insurance must be made for all new employees who will drive on Company business. Additionally, the driving history for the previous three years must also be examined. New employees may not drive a vehicle on Superior Landscaping and Lawn Service business if their record shows a conviction for any of the following or similar violations within the three years prior to their hire date: 1. Driving under the influence (“DUI”)/driving while intoxicated (“DWI”); 2. Negligent homicide with a vehicle; 3. Vehicular manslaughter; 4. Leaving the scene of an accident; 5. Reckless driving; 6. Driving with a suspended license; 7. Any other felony conviction involving a motor vehicle; 8. Failure to report an accident; 9. Refusal to submit to a breathalyzer or other drug and alcohol testing request; 10. Knowingly falsifying an accident report or police report; and 11. At Superior Landscaping and Lawn Service discretion, any other conviction involving a motor vehicle. The Human Resource Department is responsible for re-evaluating driving history, driver’s license and auto liability insurance verification annually. Driving privileges may be revoked after the conviction for any of the following violations, regardless of whether the violations occurred while on duty for Superior Landscaping and Lawn Service: Page 3387 of 6525 18 1. Driving under the influence (“DUI”)/driving while intoxicated (“DWI”); 2. Negligent homicide with a vehicle; 3. Vehicular manslaughter; 4. Leaving the scene of an accident; 5. Reckless driving; 6. Driving with a suspended license; 7. Any other felony conviction involving a motor vehicle; 8. Refusal to submit to a breathalyzer or other drug and alcohol testing request; 9. Failure to report an accident; and 10. Knowingly falsifying an accident report or police report. Cellular Phones and Wireless Communications While operating a motor vehicle on company business Superior Landscaping and Lawn Service employees may not use a hand-held cell phone, tablet, or laptop while operating a vehicle. This will include whether the vehicle is in motion or stopped. This includes, but is not limited to, answering or making phone calls, engaging in phone conversations, and reading or responding to emails, instant messages, and text messages. If company employees need to use their phones or similar devices, they must pull over safely into a parking lot and turn off the vehicle. Additionally, company employees are required to: 1. Turn cell phones off or put them on silent or vibrate before start ing the vehicle. 2. Consider modifying voice mail greetings to indicate that you are unavailable to answer calls or return messages while driving. 3. Inform clients, associates and business partners of this policy as an explanation of why calls may not be returned immediately. In order to allow our employees to devote their complete attention to their safety and the safety of our clients, company employees are not allowed to eat, drink, smoke or have similar distractions while operating a company vehicle. Failure to comply with the rules regarding driver distraction will result in disciplinary action, including immediate termination. Safety Inspections A daily safety inspection will be conducted by the foreman. The “Jobsite Daily Safety Review” found in this plan will be completed as part of this review. Any noted deficiencies will have corrective action initiated by the Superintendent. Safety Audits Periodically a Safety and Health audit will be completed by Safety and Risk Solutions. Any observed safety/health deficiency will be noted in writing. Corrective action is to be Page 3388 of 6525 19 immediately initiated by the Superior Landscaping and Lawn Service Superintendent. Notes as to who was contacted to correct the item and the approximate time estimated for abatement will be recorded by the Superintendent. Once the item has been corrected, a follow-up note will be made to document what corrective action was taken and when it occurred. Personal Protection Equipment When working at or visiting a Superior Landscaping and Lawn Service jobsite, the nature of the activities requires that employees must wear appropriate personal protective equipment. Personal protection equipment (PPE) is issued by Superior Landscaping and Lawn Service and maintained by the employee. These PPE requirements are as follows: 1. Head Protection – All employees are to wear hard hats meeting the requirements of the latest ANSI Z89.1 standard at all times while within the work area. Employees who misplace or forget to bring an approved hard hat, shall not be allowed on the jobsite until they retrieved their hard hat or purchase another one. Failure to wear the hard hat will result in disciplinary action including removal from the jobsite. Superior Landscaping and Lawn Service is responsible for the purchase of this equipment and any damaged equipment. However, if lost by the employee, the cost of a replacement will be deducted from the employee pay. 2. Eye Protection – All employees are to wear safety glasses or goggles meeting the requirements of the latest ANSI Z87.1 standard. Eye protection will be worn at all times by everyone when using power and hand tools and performing work that exposes an employee to foreign air-borne particles. Employees who misplace or forget to bring approved eye protection shall not be allowed on the jobsite until they retrieved their eye protection or purchased another one. Failure to wear it will result in disciplinary action including removal from the jobsite. Superior Landscaping and Lawn Service is responsible for the purchase of this equipment and any damaged equipment. However if lost by the employee, the cost of a replacement will be deducted from the employee pay. 3. Foot Protection – All employees are to wear work shoes/boots with a minimum ½ inch heel worn at all times. It is the responsibility of each worker to purchase and wear them. Failure to wear it will result in disciplinary action including removal from the jobsite. 4. Hand Protection – All employees are to wear hand protection that provides adequate protection for hazards present in the work area. The employee must select the protection that fits properly and comfortably. Wear rubber or neoprene gloves when handling chemicals. Superior Landscaping and Lawn Service is responsible for the purchase of this equipment and any damaged equipment. However, if lost by the employee, the cost of a replacement will be deducted from the employee pay. 5. Hearing Protection – Approved hearing protection is required when any member of the crew is using power tools or motorized equipment or when the noise is loud enough that the employee must raise his voice to be heard or can't hear someone 3 feet away. Failure to wear it will result in disciplinary action including removal from the jobsite. Page 3389 of 6525 20 Superior Landscaping and Lawn Service is responsible for the purchase of this equipment and any damaged equipment. 6. Respiratory Protection - A properly fitted respirator with N95 filtration will be worn by anyone using a tool or machine that creates visible dust in their breathing zone . Failure to wear it will result in disciplinary action including removal from the jobsite. Superior Landscaping and Lawn Service is responsible for the purchase of this equipment and any damaged equipment. However, if lost by the employee, the cost of a replacement will be deducted from the employee pay. 7. Reflective clothing - All workers within the right-of-way of a road or parking lot must wear high-visibility safety vests that meets the Performance Class 2 requirements of the ANSI/ISEA 107-2010 publication entitled “American National Standard for High-Visibility Safety Apparel and Headwear.” Failure to wear it will result in disciplinary action including removal from the jobsite. Superior Landscaping and Lawn Service is responsible for the purchase of this equipment and any damaged equipment. However, if lost by the employee, the cost of a replacement will be deducted from the employee pay. 8. Personal clothing – All employees are to wear long pants and shirts with a minimum 4 inch sleeve at all times. No jewelry or loose-fitting clothing should be worn while operating landscaping machinery. Shorts, tank tops, etc do not project the professional image of Superior Landscaping and Lawn Service and does not offer the injury protection required by Superior Landscaping and Lawn Service standards. Failure to wear it will result in disciplinary action including removal from the jobsite. Superior Landscaping and Lawn Service is not responsible for the purchase of personal clothing. Personal Protection Equipment (PPE) will be inspected by the employee daily for wear and tear; the site superintendent will inspect once a month during a routine weekly safety break. Hazard Communication Program A written Hazard Communication Program has been developed to provide edu cation and training to all workers about any chemicals expected to be found on a Superior Landscaping and Lawn Service job site. This program is intended to ensure compliance with Occupational Health and Safety Administration (OSHA) requirements for the adoption of the UN Globally Harmonized System (Hazcom 2012 / GHS) and to provide a safe work environment for employees working here. The company is responsible for the implementation of this program and its review, maintenance and updating as necessary. All employees, including permanent and independent contractors, who may have exposure to hazardous chemicals during normal work or in emergency situations must comply with the practices and procedures outlined in this program. Page 3390 of 6525 21 Supervisors will ensure all containers of hazardous materials received for use are clearly labelled according to the regulated requirements of Hazcom 2012 (GHS). This includes the name of the material (Trade Name or chemical name), hazard pictogram(s), signal word, hazard statements, precautionary statements, and the manufacturer or distributors name address and emergency contact information. When the contents of large containers are broken down into smaller or secondary containers for in-house use Superior Landscaping and Lawn Service will ensure that the label shows the chemical identity and appropriate warnings as required by OSHA. The supervisors in each work area will ensure that all secondary containers are properly labeled. The company will establish an SDS program to collect, manage, monitor and update SDSs and the SDSs library as required. No container will be released for use until the SDS is received and the information verified. Supervisors must first obtain approval from the company for all new hazardous chemicals to b e used by employees. If Superior Landscaping and Lawn Service has a hazardous material on site but is unable to contact the distributor we will access the information on line at www.msds.com or www.msdssearch.com Supervisors will ensure that the SDSs are conveniently located close to the work area where the hazardous materials are used. Superior Landscaping and Lawn Service employees and independent contractors shall be allowed to review the inventory and obtain information from the SDS at any time duri ng their work shift. Supervisors shall be responsible to ensure the inventory is available at all times. Failure of a subcontractor to submit a SDS in the proper format prior to their mobilization on a project will result in a $500 penalty and will pay any additional penalty that may be incurred by any regulatory agency. Respiratory Protection Plan Respiratory protection is not an anticipated need. However, this plan will apply to all employees who may be required to wear a respirator to perform assigned duties at this jobsite. In addition, any who voluntarily wears a respirator when one is not required is subject to the medical evaluation, cleaning, maintenance, and storage elements of this program, and will be provided with necessary training. Employees who voluntarily wear filtering face pieces (dust masks) are not subject to the medical evaluation, cleaning, storage, and maintenance provisions of this program. Page 3391 of 6525 22 Each individual is responsible for wearing his or her respirator when and where required a nd in the manner in which they are trained. Employees must also: 1. Use the respiratory protection in accordance with the manufacturer’s instructions and the training received. 2. Care for and maintain their respirators as instructed, guard them against damage, and store them in a clean, sanitary location. 3. Immediately report any defects in the respiratory protection equipment and whenever there is a respirator malfunction, immediately evacuate to a safe area and report malfunction. 4. Promptly report to the supervisor any symptoms of illness that may be related to respirator usage or exposure to hazardous atmospheres. 5. Report any health concerns related to respirator use or changes in health status to occupational physician. 6. Inform their supervisor or the Program Administrator of any respiratory hazards that they feel are not adequately addressed in the workplace and of any other concerns that they have regarding this program. Employees who are either required to wear respirators, or who choose to wear a half face p iece APR voluntarily, must pass a medical exam before being permitted to wear a respirator on the job. Employees are not permitted to wear respirators until a physician has determined that they are medically able to do so. Any employee refusing the medical evaluation will not be allowed to work in an area requiring respirator use. A licensed physician chosen by Superior Landscaping and Lawn Service will provide the medical evaluations. After a user has received clearance to wear his or her respirator, addi tional medical evaluations will be provided under the following circumstances: 1. The employee reports signs and/or symptoms related to their ability to use the respirator, such as shortness of breath, dizziness, chest pains or wheezing. 2. The evaluating physician or supervisor informs the Program Administrator that the employee needs to be reevaluated. 3. Information found during the implementation of this program, including observations made during the fit testing and program evaluation, indicates a need for ree valuation. 4. A change occurs in workplace conditions that may result in an increased physiological burden on the employee. Users who are required to or who voluntarily wear half -face piece APRs will be fit tested: 1. prior to being allowed to wear any respirator with a tight-fitting face piece; 2. annually; or 3. when there are changes in the user’s physical condition that could affect respiratory fit (e.g., obvious change in body weight, facial scarring, etc.). Users will be fit tested with the make, model, and size of respirator that they will actually wear. Page 3392 of 6525 23 All users shall conduct user seal checks each time they wear their respirators and shall use either the positive or negative pressure check (depending on which test works best for them) as specified in the OSHA Respiratory Protection Standard. All users shall be permitted to leave the work area to go to a designated area that is free of respiratory hazards to maintain their respirator for the following reasons: 1. to clean their respirator if it is impeding t heir ability to work; 2. to change filters or cartridges; 3. to replace parts; or 4. to inspect respirator if it stops functioning as intended. Users are not permitted to wear tight-fitting respirators if they have any condition, such as facial scars, facial hair, or missing dentures that would prevent a proper seal. Additionally, uses are not permitted to wear headphones, jewelry, or other items that may interfere with the seal between the face and the face piece. All respirators shall be inspected routinely before and after each use. After inspection, cleaning, and necessary repairs, respirators shall be stored in an area designated by the superintendent to protect against dust, sunlight, heat, extreme cold, excessive moisture, or damaging chemicals. Respirators must be stored in a clean, dry area, and in accordance with the manufacturer’s recommendations. In addition, respirators shall be packed or stored so that the face piece and exhalation valve will rest in a near normal position and shall not be placed in places such as lockers or toolboxes unless they are in carrying cartons. Respirators that are defective or have defective parts shall be taken out of service immediately. If, during an inspection, a user discovers a defect in a respirator, he/she is to bring the defect to the attention of his/her supervisor. The superintendent will decide whether to: 1. temporarily take the respirator out of service until it can be repaired; 2. perform a simple fix on the spot, such as replacing a head strap; or 3. to dispose of the respirator due to an irreparable problem or defect. When a respirator is taken out of service for an extended period of time, the respirator will be tagged out of service, and the wearer will be given a replacement of a similar make, model, and size at the cost of the user’s employer. All tagged out respirators will be kept in the superintendent possession. Page 3393 of 6525 24 Excavations and Trenches A Competent Person will inspect each excavation on a daily basis for each excavation where Superior Landscaping and Lawn Service employees will work in said excavation. Excavations shall be considered to be in Type C soil unless otherwise an engineering report states otherwise. All excavations or trenches five feet or greater in depth shall be appropriately benched, shored, or sloped according to the procedures and requirements set forth in this policy. Excavations or trenches 20 feet deep or greater must have a protective system designed by a registered professional engineer. The Competent Person must conduct inspections of the entire excavation site: 1. Daily and before the start of each shift. 2. As dictated by the work being done in the trench. 3. After every rain storm. 4. When fissures, tension cracks, sloughing, undercutting, water seepage, bulging at the bottom, or other similar conditions occur. 5. When there is a change in the size, location, or placement of the spoil pile. 6. When there is any indication of change or movement in adjacent structures. Spoil piles shall be placed no closer than 2 feet from the surface edge of t he excavation. The distance is measured from the nearest base of the spoil to the cut. Fall Protection Superior Landscaping and Lawn Service will ensure that their employees are properly trained and qualified to work in areas where fall protection is required. There will be zero tolerance for any employee who is found in blatant violation of the fall protection policies. When exposed to a fall of 6 feet or more, employees will be required to don body harness with shock-absorbing lanyard and tie off to an engineered anchor point. The anchor will be structural in nature, to ensure the criterion outlined by OSHA is complied with at all times. Scaffold Safety Scaffolds shall be erected, moved, dismantled, or altered only under the supervision of a competent person and will have guardrails and toeboards installed. When scaffolding hazards exist that cannot be eliminated, then engineering practices, administrative practices, safe work practices, Personal Protective Equipment (PPE), and proper training regardin g scaffolds will be implemented. These measures will be implemented to minimize those hazards to ensure the safety of employees and the public. It is the responsibility of each manager/unit head, supervisor, and employee to ensure implementation of Superior Landscaping and Lawn Service safety policy and procedure on Page 3394 of 6525 25 scaffolds. It is also the responsibility of each Superior Landscaping and Lawn Service employee to report immediately any unsafe act or condition to his or her supervisor. Crane Safety Cranes to be used by Superior Landscaping and Lawn Service uses only NCCCO certified crane operators. The NCCCO certifications will be cross-referenced with the specific type of crane mobilized to ensure they match. Additionally, each crane must possess the annu al comprehensive 3rd party inspection. After set up, the crane manual, log book and load chart will be reviewed to ensure the capacity of the crane matches the intended loads and that maintenance has been performed as required per manual. The log will be provided to Superior Landscaping and Lawn Service on a monthly basis. The log must contain the daily inspection items that need to address by the operator per the operator’s manual which must remain on the crane. Additionally the crane operator will make available to Superior Landscaping and Lawn Service: 1. The last week’s, last monthly and last annual crane inspection. 2. A copy of the crane manufacturer’s operation maintenance and instruction manual. 3. Current drug screening certification. All riggers and signal persons must have the appropriate training as Qualified Riggers and Qualified Signal Person as specified by OSHA Standard 1926 Subpart CC. Hand and Power Tools A damaged or malfunctioning tool must be turned in for servicing and a tool in good conditio n obtained to complete the job. Workers must use the correct tool for the work to be performed; if they are unfamiliar with the operation of the tool, they must request instruction from their supervisor before starting the job. Supervisors are responsible for ensuring that employees are properly trained in the operation of any tool that they are expected to operate. Tools that are not double-insulated must be effectively grounded and tested. Testing must be accomplished: 1. Before initial issue. 2. After repairs. 3. After any incident that could cause damage, such as dropping or exposure to a wet environment. Grounded tools must always be used with an effectively grounded circuit. Any extension cord used with a grounded tool must be a three-wire, grounded type. Electric-powered hand tools used on construction sites, on temporary wired circuits, or in wet environments will be used in conjunction with an approved ground fault circuit interrupter (GFCI). Page 3395 of 6525 26 Material Handling Lifting and moving of objects must be done by mechanical devices rather than by manual effort whenever this is practical. The equipment used must be appropriate for the lifting or moving task. Lifting and moving devices must be operated only by personnel trained and authorized to operate them. Employees will not be required to lift heavy or bulky objects that overtax their physical condition or capability. Manual lifting and handling of material must be done by methods that ensure the safety of both the employee and the material. Workers whose task assignments require heavy lifting must be properly trained and physically qualified. The following are rules for manual lifting: 1. Inspect the load to be lifted for sharp edges, slivers, and wet or greasy spots 2. Wear gloves when lifting or handling objects with sharp or splintered edges. These gloves must be free of oil, grease, or other agents that may cause a poor grip. 3. Inspect the route over which the load is to be carried. It should be in plain view and free of obstructions or spillage that could cause tripping or slipping. 4. Consider the distance the load is to be carried. Recognize the fact your gripping power may weaken over long distances. 5. Size up the load and make a preliminary "heft" to be sure the load is easily within your lifting capacity. If it is not, get help. 6. If team lifting is required, personnel should be similar in size and physique. One person should act as leader and give the commands to lift, lower, etc. 7. Two persons carrying a long piece of pipe or lumber should carry it on the same shoulder and walk in step. Shoulder pads should be used to prevent cutting shoulders and help reduce fatigue. To lift an object off the ground, the following are manual lifting steps: 1. Make sure of good footing and set your feet about 10 to 15 inche s apart. It may help to set one foot forward of the other. 2. Assume a knee-bend or squatting position, keeping your back straight and upright. Get a firm grip and lift the object by straightening your knees - not your back. 3. Carry the load close to your body (not on extended arms). To turn or change your position, shift your feet - don't twist your back. Mechanical devices must be used for lifting and moving objects that are too heavy or bulky for safe manual handling by employees. Employees who have not b een trained must not operate power-driven mechanical devices to lift or move objects of any weight. Heavy objects that require special handling or rigging must be moved only by riggers or under the guidance of employees specifically Page 3396 of 6525 27 Housekeeping The Superior Landscaping and Lawn Service subcontract workers will be responsible for ensuring that their work area is maintained in a clean and orderly condition, that trash and debris is removed daily or more to ensure a clean work area. All areas at any work site must be kept in orderly and clean condition and used only for activities or operations for which they have been approved. The following specific rules must also be followed: 1. Materials that are stored on site, shall be stored in such a manner to prese nt a neat and orderly appearance. 2. Keep stairs, corridors, and aisles clear. Traffic lanes and loading areas must be kept clear and marked appropriately. 3. Do not allow exits, passageways, or access to equipment to become obstructed by either stored materials or materials and equipment that is being used. 4. Arrange stored materials safely to prevent tipping, falling, collapsing, rolling, or spreading. 5. Place materials such as cartons, boxes, drums, lumber, pipe, and bar stock in racks or in stable piles as appropriate for the type of material. 6. Segregate and store incompatible materials in separate locations. Electrical All workers on the site will be responsible to ensure that their equipment is in good condition, that all electrical tools are grounded or double insulated, that GFCI’s are used on all electrically powered equipment and that any exposed wires are de -energized or covered to protect workers. Any power cord or extension cord must be of proper gauge and free of any damage or repairs. Any power cord or extension cord found to be damaged or repaired, will be disabled by Superior Landscaping and Lawn Service superintendent. Powered Industrial Vehicles and Rough Terrain Vehicles All industrial forklift and rough terrain forklift operators must be trained and certified in the safe operation of forklifts in accordance with this policy, the manufacturer’s recommendations, OSHA CFR 1910.178, ANSI 92.2, and that these devices are maintained in accordance with the manufacturer’s recommendations and sound safety practices. All employees who receive training will be issued a personal wallet size license card stating the equipment he/she is authorized to operate, the signature of the trainer and the expiration date of the license. Refresher training is required e very three years, whenever a new or different type of forklift is purchased, whenever the employee demonstrates a need for retraining, or when new personnel are hired. Page 3397 of 6525 28 A copy of the manufacturer’s operating and maintenance manual shall be kept in a pouch or compartment on the forklift so that the operator may easily consult the manual . Ladders All ladders shall be inspected daily and ladders with defects or other safety -related problems shall be withdrawn immediately from service. Proper ladders shall be used for all jobs and all ladders shall be properly positioned and secured. The following are some of the general requirements for a ladder on this site: 1. Ladder rungs, cleats, and steps must be parallel, level, and uniformly spaced when the ladder is in position for use. 2. Rungs, cleats, and steps of portable and fixed ladders must not be spaced less than 10 inches apart or more than 14 inches apart, along the ladder’s side rails. 3. Rungs, cleats, and steps of step stools must not be less than 8 inches apart, nor more than 12 inches apart. 4. Ladders will not be tied or fastened together to create a longer ladder unless they are designed for that purpose. 5. Ladder components must be surfaced to prevent injury from punctures or lacerations, and prevent snagging of clothing. 6. Wood ladders will not be coated with any paint or other opaque coating, except for identification or warning labels. 7. Portable ladders must be capable of supporting at least four times the maximum intended load; extra heavy-duty type 1A ladders must sustain 3.3 times the maximum intended load. 8. Fixed ladders must be capable of supporting at least two loads of 250 pounds each, concentrated between any two consecutive attachments. 9. A metal spreader or locking device must be provided on each stepladder t o hold the front and back sections in an open position when the ladder is in use. 10. Ladders must be maintained free of oil, grease, or other slip hazard. 11. When portable ladders are used for access to an upper landing surface, the side rails must extend at least 3 feet above the upper surface landing. When an extension is not possible, the ladder must be secured, and a grab rail or other means of grabbing must be provided. 12. Ladders must not be loaded beyond the maximum intended load. 13. Ladders will only be used for their designed purpose. 14. Ladders will only be used on stable, level and slip resistant surfaces unless secured to prevent accidental movement. 15. Ladders placed in hazardous or congested passageways will be secured and traffic barricades and/or warnings signs will be used. 16. The area at the top and bottom of the ladder will be kept clear. 17. Non-conductive ladders will only be used when the potential for contact with exposed energized electrical is present. 18. The top or top step of a stepladder will not be used a s a step. 19. Single-rail ladders will not be used. Page 3398 of 6525 29 20. Ladders will be inspected by a competent person on a periodic basis. 21. When ascending or descending a ladder, the worker must face the ladder. 22. Each worker must use at least one hand to grasp the ladder when moving up or down the ladder. 23. A worker must not carry any object or load when climbing a ladder that might cause the worker to lose balance and fall. 24. Portable ladders with structural defects - such as broken or missing rungs, cleats, or steps, broken or split rails, corroded components, or other faulty or defective components - must immediately be marked defective, or tagged with “Do Not Use” or similar language and withdrawn from service until repaired. Fire Protection and Prevention The Superior Landscaping and Lawn Service workers are not in the business of fighting fires. The fire extinguishers are to be used only to stop small fires at their start or to assist in the event of an emergency evacuation. The emergency 911 system or other emergency system will be called to fight fires. Only approved containers shall be used for the storage and handling flammable and combustible liquids. Approved metal safety cans shall be used for the handling and use flammable liquids in quantities greater than one gallon and shall not be stored in areas used for exits, stairways, or normally used for the safe passage of people. Landscaping Equipment and Machinery Hazards Superior Landscaping and Lawn Service equipment and machines have hazards that can injure the user and others if not used correctly. Workers are not to use any equipment they have not been trained on. The hazards on the machines and equipment include: 1. Pinch Points are formed when two rotating objects move together; at least one of them moving in a circle. Belt drives, chain drives and gear drives are all pinch points. Body parts such as fingers, hands and feet can get caught in pinch points or may be drawn into a pinch point by way of clothing that gets caught. Do not take chances by reaching over or working near rotating parts, as machines can quickly cause damage once limbs or clothing get caught. Always turn off machinery to perform repairs, and replace guards and shields that have been removed for maintenance. 2. Wrap points are formed when parts of a machine rotate in a way that could catch clothing. Entanglement in a wrap point can causes the worker to be pulled into the machine or clothing to be tightly wrapped enough that the worker is crushed or suffocated. Workers must check equipment for potential wrap points and ensure that there is a guard or shield to prevent exposure. Superior Landscaping and Lawn Service will do its best to paint wrap points a bright color to remind workers of the hazard. 3. Shear and cut points are formed when the edges of two objects move close enough together to cut into material. These points are present in machinery such as lawn mowers Page 3399 of 6525 30 that are designed to cut. Workers are to stay alert for cut and shear points, as they cannot be guarded. 4. Crush Points are formed when two objects move together or one object moves toward a stationary object. Workers are to inspect the equipment to make sure all guards and shields are in place that prevent a fatal crushing injury. 5. Thrown Objects such as stones can be propelled with great force from rotary motors and string trimmers. Superior Landscaping and Lawn Service will identify machines that have the potential to throw objects and shield against these hazards. All workers are to stay a stay a safe distance away from equipment that cannot guard against thrown objects. 6. Free-Wheeling Parts occur when machine parts continue to move after the power is shut off such as a mower blade. Do not touch these machines until the parts have stopped moving completely. 7. Vibrations maybe occur in some machinery and equipment. Workers who spend hours operating vibrating machinery may run the risk of developing shoulder, neck and back pain, poor circulation in the legs and degeneration of the spinal discs. Therefore, workers are to alternate between tasks to avoid using vibrating equipment for an extended period of time. Superior Landscaping and Lawn Service will add extra padding to equipment seats to absorb some of the vibrations if possible. Heat-Related Illnesses Superior Landscaping and Lawn Service workers are exposed to the sun and heat of Florida weather and are expected to take the following precautions: 1. Wear loose, light colored clothing and a hat. 2. Adapt to working in hot conditions gradually, avoid over-exerting yourself during peak temperature periods. 3. Drink water frequently—at least eight ounces every 20 to 30 minutes. Stay away from liquids containing caffeine, as they tend to increase urination, which causes rapid depletion of body liquids. 4. Watch for the following signs and symptoms of heat -related illnesses: a. Heat cramps – Severe muscle spasms in the back, stomach, arms and legs, which are attributed to the loss of body salt and water during periods of heavy perspiration. b. Heat exhaustion – Heavy sweating, cool or pale skin, nausea, headache, weakness, vomiting and fast pulse. c. Heat stroke – High body temperature, minimal sweating, red and dry skin, rapid breathing and pulse, headache, nausea, vomiting, diarrhea, seizures, confusion or unconsciousness. 5. Treat heat illness as soon as possible by doing the following: a. Heat cramps – Move to a cooler area and drink approximately six ounces of water every 15 minutes. Follow up with a medical examination. b. Heat exhaustion – Move to a cooler area and lie down with your legs slightly elevated. Cool your body by fanning and applying cool, wet towels and drink Page 3400 of 6525 31 approximately six ounces of water every 15 minutes. Follow up with a medical examination. c. Heat stroke – Call 9-1-1 immediately. Move to a cooler area, remove your outer clothing, immerse yourself in cool water or apply cool, wet towels or cloths to the body. Do NOT drink liquid, and wait for emergency personnel to arrive. Job-Specific Safety Precautions Superior Landscaping and Lawn Service workers are to take the appropriate precautions when using the tools of the trade. No worker is to use the equipment until properly trained. 1. Shoveling and Digging a. Locate underground utilities before digging on a worksite. Contact each utility company to mark the lines so you b. avoid hitting them while performing excavation tasks. c. Inspect shovels before each use by looking specifically for cracked handles and dull edges. If shovels are not in d. good working condition, use a different tool. e. Select the proper shovel for the task at hand. f. Remain cautious when shoveling wet soil, as it is extremely heavy. g. Keep your feet apart to keep your balance while shoveling. h. Turn your front foot in the direction where you want to move the load to avoid back injuries from twisting unnecessarily. i. Lift loads with your legs and then step toward the spot where you want to deposit the load. j. Keep your back straight throughout the entire shoveling process. 2. Heavy Equipment Operation a. No passengers are permitted on heavy equipment. b. Keep windows and windshield clean. c. Do not use heavy equipment if the horn or backup alarm does not sound. d. Turn off the engine before leaving heavy equipment unattended. e. Keep heavy equipment in gear when going down grade. Do not use neutral. f. Display the Slow Moving Vehicle (SMV) sign when operating heavy equipment on roads. 3. Riding Lawn Mowers a. Read the instruction manual and receive the proper training before operating the machinery. b. Inspect the equipment before each use. c. Assure that the grass catcher, discharge guard and other safety devices are in good working order. d. Clear the desired mowing area of debris, rocks or other obstacles before each use. e. With the engine is off, adjust the deck cutting height. Page 3401 of 6525 32 f. Never carry passengers on the mower with you. g. Start the mower while in the driver’s seat, not while standing next to the machine. h. Disengage the mower and transmission before starting. i. Engage the blades at the lowest engine setting first and then release the brake slowly. j. Mow in straight lines while trying to avoid objects such as trees and shrubs. k. Slow down significantly while turning. l. Never put your hands or feet near the rotating blades under the machine. m. Turn off the mower and disengage the blades when you are finished. n. Clean clippings and other debris from the mower after each use. o. Avoid driving in reverse, if possible. 4. Push Mowers a. Ensure that shields are in place before operating the machine. b. Push the mower in a forward direction only. c. When stopping to pick up debris, cut the throttle to idle so that the mower cannot roll away. d. Set the mower on the highest cutting level when operating it on rough terrain. e. Do not operate a push mower with your back bent; this can cause back pain and injuries. f. Stop the mower if you hit an object. Then, inspect the blade and service the machine, if necessary. g. Never leave a running mower unattended. 5. Tractors with Rotary Mowers a. Do not operate a tractor without the appropriate Rollover Protection Structure (ROPS) and seatbelt properly in place. b. Make sure the Power Take-Off (PTO), mower input driveline, drive belts, chains and gears are properly guarded. c. Place an SMV emblem on the back of the machine if you are traveling on public roadways. d. Inspect warning lights and signs for damage. e. Never leave the driver seat with the blade engaged. f. Proceed with caution around corners. 6. Tractors a. Always wear a seat belt while operating a tractor and ensure that the proper Rollover Protection Structure (ROPS) is in place. b. Always wear hearing protection, as not all tractor cabs are soundproof. c. Drive at slow speeds to retain control and maintain the ability to stop suddenly. Reduce your speed when turning and breaking. d. Use a wide wheel track on hillsides and sloped ground. e. Put on the parking brake before dismounting. Page 3402 of 6525 33 f. Never leave a tractor in a position where it can roll, where it is jacked up or with the starter key in the ignition. g. Dismount every hour for five to 10 minutes to avoid strain injuries. h. Keep the power take-off (PTO), PTO shaft and power input coupling guards in place to prevent clothing or body parts from becoming tangled in any moving parts. i. Make sure that the control lever is easily reachable while sitting to reduce the risk of a PTO injury. j. Do not turn sharply when operating power implements. This can cause the PTO guard cones to break and lower links or tractor tires can contact the power shaft. k. Fit attachments according to manufacturer’s instructions only. l. Only attach implements to the draw bar or mounting points provided by the manufacturer. m. Check the safety pins on towed lift wing implements regularly for wear and tear. n. Ensure that all towed implements guards are in place before operating the tractor. o. Never adjust or perform work on implements when they are in motion. 7. Hedge Trimmers a. Inspect the equipment before use. Note that the safety guards are in working order and are not damaged. b. Check for loose screws or bolts. Replace any parts that are broken or damaged. Sharpen the blades, if needed. c. Clear the area of stones, debris, garbage and fellow employees. d. Pull back long hair and remove any hanging jewelry that could get caught in the equipment. e. Carry the tool to the desired location by the front handle with the cutting blades behind you. f. Do not remove any of the safety equipment on the tool while it is in use. g. Hold the tool with both hands, grasping the handles with your fingers tightly. h. Position your body away from the engine fumes to avoid inhalation. i. When using electric models, keep the cord away from the blades to avoid cutting it. 8. Leaf Blowers a. Plan work before operating a leaf blower. Do not operate machinery near others, as there is a thrown object hazard. b. Run the machine in an upright position. c. Wear a mask in dusty or dirty areas to avoid respiratory damage. 9. Chain Saws a. Inspect the equipment before each use. Note that the safety guards are in working good order and are not damaged. Replace any parts that are broken or damaged. b. Assure that there is someone within ear shot in case of an emergency. c. To get a feel for how the machine operates, practice using it on small logs. d. Clear the area of stones, debris and garbage. Page 3403 of 6525 34 e. Sharpen the blade, if necessary. f. Examine the elements. Notice the direction of the wind to determine how to cut the tree. Make sure you are standing in a dry area with no risk of slipping. g. Plan your move away from the tree. You will need at least 25 feet to avoid injury. h. Pull back long hair and remove hanging jewelry that could get caught on the equipment. i. Start the saw by placing it between your knees or resting it on the ground with the chain away from any obstacles. j. Position your body a safe distance away from the blades. k. Hold the tool with both hands – your right hand on the rear handle and trigger, and your left hand grasping the front handle bar. l. Remove your hand from the trigger between cuts. m. Turn off the engine before setting the saw on the ground. n. Be alert and wary of kickbacks. Kickback occurs when the guide bar hits an object and projects the saw back at the user – occurs when hitting a knot in the wood, operating the saw too slowly, twisting the saw, having a loose chain, or not using the proper grip. o. Only use a chain saw with an anti-kickback chain to prevent injuries. p. Refuel away from the work area after the saw has cooled for several minutes. Hurricane Emergency Management Plan This Superior Landscaping and Lawn Service Hurricane Emergency Management Plan is intended to establish policies, procedures and organizational structure for responding to storm emergencies that are of a magnitude that can cause a significant disruption of the functions of a project. This plan depicts the basic roles and responsibilities of Superior Landscaping and Lawn Service and personnel during emergency situations. The basic emergency procedures are designed to protect lives and property through effective use of existing resources. This plan outlines the preparation, response and recovery of Superior Landscaping and Lawn Service personnel and resources for emergency situations. This Hurricane Emergency Management Plan is consistent with established practices relating to coordination of emergency response actions. Nothing in this plan shall be constructed in a manner that limits the use of good judgment and common sense in matters not foreseen or covered by the elements of the plan. This Hurricane Emergency Management Plan is predicated on a realistic approach to the problems likely to be encountered during a major storm emergency. Hence, the following assumptions are made and should be used as general guidelines in such an event. 1. A storm may occur at any time of the day or night, weekend, or holiday. 2. The succession of events in an emergency is not predictable; therefore, published operational plans, such as this plan, should serve only as a guide and a checklist, and may require modification in order to meet the requirement of the emergency. Page 3404 of 6525 35 3. A storm emergency may be declared if information indicates that such conditions are developing or probable. Superior Landscaping and Lawn Service Communications Superior Landscaping and Lawn Service will be responsible to keep their personnel and their subcontractors for the project informed of the weather conditions. They will receive written notifications and special warnings about the weather conditions. Personnel will be notified of the following via phone call, verbal, email or fax: 1. Weather condition that could represent a danger of a hurricane. 2. Formation of a hurricane that could represent a danger to our zone. 3. Hurricane location (latitude and longitude) and forecasts 4. Hurricane Classification based on wind speed. 5. Hurricane status (Alert, Watch, Warning). 6. Additional information and special precautions to be t aken. Superior Landscaping and Lawn Service Emergency Information Superior Landscaping and Lawn Service has prepared and will keep updated a list of key personnel. A meeting with the personnel team will be held to discuss the action plan and to distribute the project hurricane plans responsibilities. They key personnel will be responsible to report to work after the hurricane following an official notice from the National Hurricane Center and local officials that the hurricane danger is finished. They sho uld notify Superior Landscaping and Lawn Service if they would not be able to report to work due to weather or aftermath conditions. Superior Landscaping and Lawn Service will determine the next step to cover this insufficiency. Action Plan The preparations will increase as the storm approaches and its path is reasonably plotted in the hurricane-tracking chart. Once an alert has been given, all employees and subcontractors should keep in touch with Superior Landscaping and Lawn Service for the storm progress. The following steps are recommended to be as followed: 1. Hurricane Watch 36 to 48 Hours Before Hurricane a. Project supervisors and subcontractors will be notified of the hurricane watch. b. Hold a meeting with the key personnel to distribute responsibilities and to detect any special condition present at the project that could require more attention. c. Re-supply the first aid kit. d. Ensure that emergency equipment is stored in a safe place. e. Coordinate to have available at least the following equipment: i. Flashlights with extra batteries ii. Portable generator(s) iii. Inexpensive battery operated radio (weather Band) Page 3405 of 6525 36 iv. Fire extinguisher(s) v. Personal Protective Equipment (raining coats, rubber boots, hand gloves, etc.) f. Develop an emergency phone list according to the project are a and location. 2. Hurricane Warning – 36 hours to Hurricane a. Notify Projects supervisors, key personnel, and subcontractors of the hurricane warning and weather conditions. b. Hold a meeting with the key personnel to distribute preparation responsibilities and review the actions already taken. c. All material will be contained in a manner that it cannot be a projectile or it will be removed from jobsite. d. All floors exposed to outside elements should be broom clean. e. Take photographs of the jobsite, both inside and o utside, to aid in documenting the precautions taken before the hurricane. f. Refuel all company vehicles and park them in a protected area to minimize damage from windblown objects. g. Shutdown all non-essential electric motors and cut off power at main breaker. h. Fill all safety cans with gasoline and/or diesel. The safety cans should be labeled with the nature of their contents. i. Remove compressed gas cylinders form the work areas when they are exposed to outside elements. Be sure that they are stored in upright position and tied up. j. Materials, tools, and equipment stored in areas susceptible to flooding should be storage in high places. k. Prepare an accurate inventory list of all equipment, materials and tools at the project site. l. Fill drinking water cans with ice and water and place them in a safe place. m. Secure all hazardous chemicals materials to prevent chemicals spills. 3. After The Hurricane a. For job personnel who must return to work to the site in the aftermath of the hurricane, certain precautions are needed: i. Avoid areas where power lines are down, especially in the vicinity of the water. Report any power line down to the Florida Power and Light Company (FPL). ii. Avoid piles of debris, where poisonous snakes and insects may have taken refuge. Page 3406 of 6525 37 b. Remember that on-site structures may have been damaged and now unable to sustain weight or stress. c. Do not use water from city mains until it has been declared safe from contamination. d. Take photographs of all areas to document all damages. e. Check fire extinguisher and take extra precautions to prevent fires. Lowered water pressure in city mains and debris in streets may prevent effective firefighting after the hurricane. f. A walk through the project should be made prior to allow employees to the project facilities. g. Prepare an accurate inventory of tall the equipment, materials and tolls to detect any loss or damages. h. Do not turn on any computer and/or electronic equipment until the electric power is verified from low voltages and/or fluctuations. Plan Definitions Tropical Depression – An organized system of clouds and thunderstorms with a defined circulation and top winds of less than 39 mph. Tropical Storm – An organized system of clouds and thunderstorms with a defined circulation and top winds of 39 to 74 mph. Tropical storms ca n quickly develop into hurricanes. Storms are named when they reach tropical storm. Hurricane – An intense tropical weather system with a well-defined circulation and sustained wind speeds of 74 mph or higher. Hurricane Watch – Hurricane conditions are possible in the specified area of the watch, usually within 36 hours. During a hurricane watch, prepare to take immediate action according to the procedure established in this program. Hurricane Warning - Hurricane conditions are expected in the specified area of the warning within 24 hours. Complete all storm preparation according to the procedure established in this program. Page 3407 of 6525 38 Section III – Forms & Checklists Page 3408 of 6525 39 Jobsite Daily Safety Review Jobsite: Date: Weather Condition Est. Temperature OK – Satisfactory NI – Needs Improvement NA – Not Applicable ITEM OK NI NA COMMENTS Extension cords of proper type and in good condition. GFI used for all electrical equipment Floor openings properly covered or barricaded. Everyone wearing the required personal protective equipment and clothing. Fall Protection used as required. Compressed gas cylinders properly secured and valve covers in place Housekeeping satisfactory Ladders free from defects and equipped with safety feet, blocked, cleated, or otherwise secured. Ladder bases out from wall 1/4 working length of ladder Superior Landscaping and Lawn Service Signature Page 3409 of 6525 40 Notification Of Unsafe Act or Condition Subcontractor: Date: Employee Name: Jobsite Name: Jobsite Address: You are in VIOLATION of the following regulations or policies: □ Hard Hats □ Safety Glasses □ Personal Clothing □ Work Boots □ Housekeeping □ Electrical – Extension Cords □ Fall Protection □ Electrical - Other □ Horseplay □ Welding / Cutting □ Ladders □ Scaffolding □ Hand Tools □ Power Tools □ Railings / Barricades □ Cranes / Hoists □ Ramps, Walkways, Stairs □ Trenching / Excavation □ Other: Comments: Superior Landscaping and Lawn Service Management Signature: Copy to Subcontractor Office and Job File Page 3410 of 6525 41 Safety Meeting Attendance Location: _ Date: _ Safety Topic: By my signature below, I certify that I attended the weekly safety meeting and have understood the contents. Por mi firma abajo, yo certifico que asisti el reunir semanal de la seguridad y he entendido el contenido. Print Or Type Signature ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ Page 3411 of 6525 42 No Accident Certification Record Location: Week Ending:_______________ By my signature below, I certify that during the period specified above I have not been injured during my work shift(s), nor have I witnessed an accident resulting in injury to someone else. Por mi firma abajo, yo certifico que durante el periodo especifico encima de yo no ha sido herido durante mi cambio (s) del trabajo, ni tiene presencie un accidente teniendo como resultado la herida a otra persona. PRINT OR TYPE SIGNATURE ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ Page 3412 of 6525 43 Accident Investigation Form Accident Witness Statement Form Page 3413 of 6525 44 Accident Witness Statement Employee Report of Injury Form Page 3414 of 6525 45 Employee’s Report of Injury Page 3415 of 6525 46 Refusal of Medical Treatment Form f Medic Refusal Of Medical Treatment Report Part A (To Be Completed By Supervisor) Date of Accident / /_____ Name of Injured________________________________________ Name of Project________________________________________ Did Employee Refuse Treatment? Yes No Was First Aid Rendered? Yes No First Aid given by : ______________________________________________________________________________ Type of Injury (check all that apply):  Laceration  Puncture  Sprain/Strain  Bruise  Burn  Foreign Object  Other (specify): Body Part Injured (check all that apply):  Back  Shoulder  Arm  Hand  Leg  Foot  Head  Face  Eye  Other (specify): Part B (To Be Completed By Injured) I, __________________________________________have refused the professional medical treatment offered to me (name) for the on the job injury which occurred on_______________________. This decision is made voluntarily and without (date of injury) inducement or compulsion. I am releasing Superior Landscaping and Lawn Service from any liability resulting from my refusal of professional medical treatment for this injury. or – Yo ________________________________ he rehusado el tratamiento médico profesional ofrecidó a mí para la (el nombre) herida en el trabajo que ocurrió en_____________________________. He tomado esta decision voluntariament e (la fecha de la herida) y sin incentivo u obligación. Libero a la compania Superior Landscaping and Lawn Service de cualquier responsabilidad que resulta de haber negado tratamiento médico profesional para esta herida. Employee Signature:____________________________________________ Date:_______________ Superintendent Signature:_______________________________________ Date:_______________ Page 3416 of 6525 ITQ 25-8345 LANDSCAPE MAINTENANCE CONTRACTORS May 23, 2025 Specialized Expertise of Team Members Orlando & MariaBoard of Directors Mary Lopez Sales Director Jesenia Otero Estimating Coordinator Bob Hennis Business Development Estimator Rolando Sanchez Business Developer -Maintenance Mike Levy Irrigation Estimator Kerem Keyser COO Joan Cruz Ft. Myers Branch Manager Ricardo SosaAccount Manager Betty Gerdts Maintenance Division Manager Paul Sands Arborist Carlos Henriquez Account Manager Roberto SanchezAccount Manager Julio LumbiAccount Manager Juan Carlos RiveraIrrigation Manager Victor Rodriguez Account Manager Rafael Hernandez Account Manager Larry CantorConstruction Operations Manager Monica Martinez Construction Manager Moises Miranda Martinez CM Assistant Elmer Portillo Project Manager Julio Valdes Project Manager Aurora HernandezProject Manager Lisandro IglesiasFDOT Project Manager Franklin Bravo Project Manager Jesus Acosta Construction Irrigation Luis LopezProject Manager Marcos Ceballos Tampa Branch Manager Wayne StanleyAccount Manager Juan Vicario Buyer/Purchaser Argia Matisko Assistant Maria Valdes Secretary Aileen Valdes Human Resources / Payroll Sandra Arroyo Accountant & Contracts Administrator Page 3417 of 6525 ITQ 25-8345 LANDSCAPE MAINTENANCE CONTRACTORS May 23, 2025 Specialized Expertise of Team Members PAUL L. SANDS ISA Arborist & Aquatic Pest Control Spray Technician PROFESSIONAL EXPERIENCE Superior Landscaping & Lawn Service, Inc. April 2019 – present Spray Technician • Maintains all properties and sites for fertilizer • Monitoring, Inspections, and Applications for pest control • Transfer, mix, transport & apply herbicides & adjuvants for exotic / nuisance vegetation • Maintains all canals and ditch banks free of vegetation • Daily maintenance on turf and recreational fields Aquatic Vegetation Control, Inc. March 2013 - April 2019 Project Manager • Maintain all canals and ditch banks free of vegetation • Lakes and retention ponds maintenance for sub-merged aquatic vegetation • Wetland and protected areas Herbicide application for exotic| non- native vegetation • Supervises crews up to 15 crew members • Daily survey and data recordings AWARDS AND CERTIFICATIONS • State of Florida Department of Agriculture and Consumer Services o Natural Areas Certification – CM23229 o Right of Way Certification – CM23229 o Aquatics Certification – CM23229 • Best Management Practices Certification – GV907420 • Broward County Advanced Tree Trimming Certification – 120462 • Certified Arborist – FL-9676A Page 3418 of 6525 ITQ 25-8345 LANDSCAPE MAINTENANCE CONTRACTORS May 23, 2025 Specialized Expertise of Team Members Betty Gerdts Maintenance Division Manager PROFESSIONAL EXPERIENCE Superior Landscaping & Lawn Service, Inc. September 2011 – present Maintenance Division Manager • Provide administrative staff assistance to upper management. • Plans and implement goals and objectives for the maintenance department and ensures that company policies and procedures are adhered to at all times. • Directs, oversees and participates in department work plans, assign work activities, operations and maintenance programs. • Monitors work flow and project status. • Visits job sites to oversee work in progress and provide needed direction; responds to emergencies at any time and evaluates the progress of ongoing maintenance activities. • Oversees the maintenance of department records and files. • Attends weekly department meetings with my staff. • Reviews costing reports. • Coordinates the fertilization program for all properties, including to ordering the materials and keeping an organized inventory control. • Interviews and hires new staff, prioritizes, assigns and reviews work • Approve time off for payroll purposes and participates in weekly payroll meetings. Vila & Son Landscaping Corp. March 2009 - August 2011 Office Manager • Act as liaison between customers and Account Managers. Followed up and resolved customer concerns. • Request insurance and federal bonds for construction projects. • Managed all office personnel as well as providing support to our Corporate Office as needed. • Responsible for all aspects of billing, A/R, Collections and A/P postings. • Input all customer information as well as the monthly billings in Great Plains Dynamic Accounting Software. • Create weekly financial projections reports for the corporate office. • Participate in all staff meetings and conference calls in order to provide feedback and maintain company standards. • Managed Payroll and HR personnel. • Prepared all hiring packages and offer letters for new hires for salary personnel. • Maintained records of all workman compensation claims. CERTIFICATIONS State of Florida Notary, Certificate of Best Management Practices Page 3419 of 6525 ITQ 25-8345 LANDSCAPE MAINTENANCE CONTRACTORS May 23, 2025 Specialized Expertise of Team Members Julio Valdes MOT, Safety Officer, Landscape Inspector PROFESSIONAL EXPERIENCE: Customer Service Policies & Procedures People Leadership Communication Employee Motivation Staff Training & Development EXPERIENCE & WORK HISTORY: Superior Landscaping & Lawn Service, Inc May 1995 – Present Project Manager - Operation weekly meetings - Safety Manager - Supervise Arbor Division - Fleet Manager - Act as Liaison between Company and Customer, while Building Long Term Relationships - Hired and Trained new employees - Supervise and manage all construction employees - Safety meetings, training and inspections - Supervise MOT Operations EDUCATION: High School - Interamerican Military Academy 1977 Trainings and Certifications: - Metro Florida Safety Council Advanced MOT/TTC No. 28649 - FDOT Advanced Temporary Traffic Control – Cert. # 71857 – 03/26/2025 - Best Management Practice – 04/23/2009 - Florida Department of Agriculture Consumer Service Commercial Applicator No. CM19133 - Landscape Inspector Association of Florida #2021-257 – 12/31/2021 - Safety & Risk Solution training on Heavy Equipment Operations and Skid Steer Operation - CICB Training on Basic Rigging and Signal Personnel - Broward County Extension Education ID 6807 Tree Trimming Membership: - LIAF - ISA Florida Chapter - Urban Forestry Page 3420 of 6525 ITQ 25-8345 LANDSCAPE MAINTENANCE CONTRACTORS May 23, 2025 Specialized Expertise of Team Members Daniel H. Ackenbrack Certified Pesticide Applicator PROFESSIONAL EXPERIENCE Superior Landscaping & Lawn Service, Inc. April 2010 – present Certified Pesticide Technician • Conducting tech training for State I.D. cards and safety meeting. • Oversee chemical application treatments on-site. • Oversee reports of application dates and chemicals. A-Plus Pest Control, Inc. August 1991 - January 2010 Owner/Manager/Certified operator • Extensive experience in truck and equipment operation & safety • Experienced in all aspects of pest control & safety (except fumigation) • Experienced in tech training for state I.D. cards and safety meetings • Supervises crews up to 15 crew members. • Data recordings EDUCATION AND CERTIFICATIONS • State of Florida Department of Agriculture and Consumer Services o Certified Operator – JE44120 o Lawn and Ornamental – JF7250 o Termite and Other WDO Control – JF7250 o General Household Pest and Rodent Control – JF7250 • Member of Certified Pest Control Operators of Florida since 1996 • Broward Community College 1991-1994 (24 credits in pest control related subjects o Annual continuing education credits required for state license renewal Page 3421 of 6525 ITQ 25-8345 LANDSCAPE MAINTENANCE CONTRACTORS May 23, 2025 Equipment List SMALL EQUIPMENT EQUIPMENT DESCRIPTION MAKE MODEL OWNED Chipper Vermeer BC1000XL Yes Chipper Vermeer BC1000XL Yes Chipper Vermeer BC1000XL Yes Chipper Vermeer BC1000XL Yes Chipper Vermeer BC1500 Yes Chipper Vermeer BC1000XL Yes Mini Excavator Caterpillar 303.5E2CR Yes Mini Excavator Yanmar VIOI17 Yes HEDGE TRIMMER STIHL HL94K Yes HEDGE TRIMMER STIHL HL94K Yes HEDGE TRIMMER STIHL HL94K Yes HEDGE TRIMMER STIHL HL94K Yes HEDGE TRIMMER STIHL HL94K Yes HEDGE TRIMMER STIHL HL94K Yes HEDGE TRIMMER STIHL HL94K Yes HEDGE TRIMMER STIHL HL94K Yes HEDGE TRIMMER STIHL HL94K Yes HEDGE TRIMMER STIHL HL94K Yes HEDGE TRIMMER STIHL HL94K Yes LAWN EDGERS STIHL FC91 Yes LAWN EDGERS STIHL FC91 Yes LAWN EDGERS STIHL FC91 Yes Page 3422 of 6525 ITQ 25-8345 LANDSCAPE MAINTENANCE CONTRACTORS May 23, 2025 LAWN EDGERS STIHL FC96 Yes LAWN EDGERS STIHL FC96 Yes LAWN EDGERS STIHL FC96 Yes LAWN EDGERS STIHL FC96 Yes LAWN EDGERS STIHL FC90 Yes LAWN EDGERS STIHL FC90 Yes LAWN EDGERS STIHL FC90 Yes LAWN EDGERS STIHL FC90 Yes LAWN EDGERS STIHL FC90 Yes LAWN EDGERS STIHL FC90 Yes LAWN EDGERS STIHL FC90 Yes LAWN EDGERS STIHL FC90 Yes LAWN EDGERS STIHL FC91 Yes LAWN EDGERS STIHL FC91 Yes LAWN EDGERS STIHL FC91 Yes LAWN EDGERS STIHL FC91 Yes LAWN EDGERS STIHL FC91 Yes LAWN EDGERS STIHL FC91 Yes LAWN EDGERS STIHL FC91 Yes LAWN EDGERS STIHL FC91 Yes LAWN EDGERS STIHL FC91 Yes LAWN EDGERS STIHL FC91 Yes LAWN EDGERS STIHL FC91 Yes LAWN EDGERS STIHL FC91 Yes LAWN EDGERS STIHL FC91 Yes LAWN EDGERS STIHL FC91 Yes STRING TRIMMER STIHL FS240R-AUTO Yes Page 3423 of 6525 ITQ 25-8345 LANDSCAPE MAINTENANCE CONTRACTORS May 23, 2025 STRING TRIMMER STIHL FS240R-AUTO Yes STRING TRIMMER STIHL FS240R-AUTO Yes STRING TRIMMER STIHL FS240R-AUTO Yes STRING TRIMMER STIHL FS240R-AUTO Yes STRING TRIMMER STIHL FS240R-AUTO Yes STRING TRIMMER STIHL FS240R-AUTO Yes STRING TRIMMER STIHL FS240R-AUTO Yes STRING TRIMMER STIHL FS240R-AUTO Yes STRING TRIMMER STIHL FS240R-AUTO Yes STRING TRIMMER STIHL FS240R-AUTO Yes STRING TRIMMER STIHL FS240R-AUTO Yes STRING TRIMMER STIHL FS240R-AUTO Yes STRING TRIMMER STIHL FS240R-AUTO Yes STRING TRIMMER STIHL FS240R-AUTO Yes STRING TRIMMER STIHL FS240R-AUTO Yes STRING TRIMMER STIHL FS240R-AUTO Yes STRING TRIMMER STIHL FS240R-AUTO Yes STRING TRIMMER STIHL FS240R-AUTO Yes STRING TRIMMER STIHL FS240R-AUTO Yes STRING TRIMMER STIHL FS240R-AUTO Yes STRING TRIMMER STIHL FS240R-AUTO Yes STRING TRIMMER STIHL FS240R-AUTO Yes STRING TRIMMER STIHL FS240R-AUTO Yes STRING TRIMMER STIHL FS240R-AUTO Yes STRING TRIMMER STIHL FS240R-AUTO Yes STRING TRIMMER STIHL FS240R-AUTO Yes STRING TRIMMER STIHL FS251R Yes Page 3424 of 6525 ITQ 25-8345 LANDSCAPE MAINTENANCE CONTRACTORS May 23, 2025 STRING TRIMMER STIHL FS251R Yes STRING TRIMMER STIHL FS251R Yes STRING TRIMMER STIHL FS251R Yes STRING TRIMMER STIHL FS251R Yes STRING TRIMMER STIHL FS251R Yes STRING TRIMMER STIHL FS251R Yes STRING TRIMMER STIHL FS251R Yes STRING TRIMMER STIHL FS251R Yes STRING TRIMMER STIHL FS251R Yes STRING TRIMMER STIHL FS251R Yes STRING TRIMMER STIHL FS251R Yes STRING TRIMMER STIHL FS251R Yes STRING TRIMMER STIHL FS251R Yes STRING TRIMMER STIHL FS251R Yes STRING TRIMMER STIHL FS251R Yes STRING TRIMMER STIHL FS251R-AUTO Yes STRING TRIMMER STIHL FS91R-AUTO Yes STRING TRIMMER STIHL FS91R-AUTO Yes STRING TRIMMER STIHL FS91R-AUTO Yes STRING TRIMMER STIHL FS91R-AUTO Yes STRING TRIMMER STIHL FS91R-AUTO Yes STRING TRIMMER STIHL FSA90R Yes STRING TRIMMER STIHL FSA90R Yes STRING TRIMMER STIHL FSA90R Yes MOWER 60" 31 HP Kawasaki FX w/60" Turbo Force Deck 72960 Yes Page 3425 of 6525 ITQ 25-8345 LANDSCAPE MAINTENANCE CONTRACTORS May 23, 2025 MOWER 60" 25 HP Kohler CP EFI w/60" TURBO Force RD Deck Tweels 72921 Yes MOWER 60" 25 HP Kohler CP EFI w/60" TURBO Force RD Deck Tweels 72921 Yes MOWER 60" 25 HP Kohler CP EFI w/60" TURBO Force RD Deck Tweels 72921 Yes MOWER 52" 22 HP Kawasaki FX W/52' Turbo Force DEC QTO72505 Yes MOWER 52" 22 HP Kawasaki FX W/52' Turbo Force DEC QTO72505 Yes MOWER 52" Toro 35 HP Kawasaki FX W/52" Turbo Force 72507 Yes MOWER 60" Toro 31 HP Kawasaki FX W/60" Turbo 74015 Yes MOWER 60" Toro 31 HP Kawasaki FX W/60" Turbo 74015 Yes MOWER 60" Toro 31 HP Kawasaki FX W/60" Turbo 74015 Yes MOWER 60" Toro 31 HP Kawasaki FX W/60" Turbo 74015 Yes Page 3426 of 6525 ITQ 25-8345 LANDSCAPE MAINTENANCE CONTRACTORS May 23, 2025 MOWER 60" Toro 31 HP Kawasaki FX W/60" Turbo 74015 Yes MOWER 60" Toro 31 HP Kawasaki FX W/60" Turbo 74015 Yes MOWER 60" Toro 31 HP Kawasaki FX W/60" Turbo 72960 Yes MOWER 60" Toro 31 HP Kawasaki FX W/60" Turbo 72960 Yes MOWER 60" Toro 31 HP Kawasaki FX W/60" Turbo 72960 Yes MOWER 60" Toro 31 HP Kawasaki FX W/60" Turbo 72510 Yes MOWER 60" Toro 31 HP Kawasaki FX W/60" Turbo 72510 Yes MOWER 60" Toro 31 HP Kawasaki FX W/60" Turbo 72510 Yes MOWER 60" HUSTLER 941153 Yes MOWER 60" HUSTLER 941153 Yes MOWER 60" HUSTLER 941153 Yes MOWER 60" HUSTLER 941153 Yes MOWER 96" 38 HP Kohler EFI w/96" Turbo Force 74096 Yes MOWER 60'' Toro 74015 Yes MOWER 60'' Toro 74015 Yes MOWER 60'' Toro 74015 Yes Skid steer Caterpillar 279D3 Yes Page 3427 of 6525 ITQ 25-8345 LANDSCAPE MAINTENANCE CONTRACTORS May 23, 2025 Skid steer Caterpillar 279D3 Yes POWER PRUNNER STIHL HT135-14 Yes POWER PRUNNER STIHL HT135-14 Yes POWER PRUNNER STIHL HT135-14 Yes POWER PRUNNER STIHL HT135-14 Yes POWER PRUNNER STIHL HT135-14 Yes POWER PRUNNER STIHL HT135-14 Yes POWER PRUNNER STIHL HT135-14 Yes POWER PRUNNER STIHL PPT2620 Yes CLIMBING SAW/CHAINSAW STIHL STEMS193T-PS3-16 Yes CLIMBING SAW/CHAINSAW STIHL STEMS193T-PS3-16 Yes CLIMBING SAW/CHAINSAW STIHL STEMS193T-PS3-16 Yes CLIMBING SAW/CHAINSAW STIHL STEMS193T-PS3-16 Yes CLIMBING SAW/CHAINSAW STIHL STEMS193T-PS3-16 Yes CLIMBING SAW/CHAINSAW STIHL STEMS193T-PS3-16 Yes CLIMBING SAW/CHAINSAW STIHL STEMS193T-PS3-16 Yes CLIMBING SAW/CHAINSAW STIHL STEMS193T-PS3-16 Yes CHAINSAW STIHL MS291-20 Yes CHAINSAW STIHL MS291-20 Yes CHAINSAW STIHL MS291-20 Yes CHAINSAW STIHL MS291KIT-20 Yes CHAINSAW STIHL MS291KIT-20 Yes CHAINSAW STIHL MS291KIT-20 Yes Page 3428 of 6525 ITQ 25-8345 LANDSCAPE MAINTENANCE CONTRACTORS May 23, 2025 CHAINSAW STIHL MS291KIT-20 Yes CHAINSAW STIHL MS291KIT-20 Yes CHAINSAW STIHL MS291KIT-20 Yes CHAINSAW STIHL MS291KIT-20 Yes CHAINSAW STIHL MS661CM-36 Yes CHAINSAW STIHL MS661CM-36 Yes CHAINSAW STIHL MS661CM-36 Yes CHAINSAW STIHL MS661CM-36 Yes CHAINSAW STIHL MS661CM-36 Yes CHAINSAW STIHL MS661CM-36 Yes CHAINSAW STIHL MS661CM-36 Yes CHAINSAW STIHL MS661CM-36 Yes CHAINSAW STIHL MS661CM-36 Yes CHAINSAW STIHL MS661CM-36 Yes CHAINSAW STIHL MS661CM-36 Yes CHAINSAW STIHL MS261CM-20 Yes CHAINSAW STIHL MS261CM-20 Yes CHAINSAW STIHL MS261CM-20 Yes CHAINSAW STIHL MS261CM-36 Yes CHAINSAW STIHL MS261CM-36 Yes CHAINSAW STIHL MS261CM-36 Yes CHAINSAW STIHL MS261CM-36 Yes CHAINSAW STIHL MS261CM-36 Yes CHAINSAW STIHL MS261CM-36 Yes CHAINSAW STIHL MS261CM-36 Yes CHAINSAW STIHL MS261CM-36 Yes CHAINSAW STIHL MS261CM-36 Yes Page 3429 of 6525 ITQ 25-8345 LANDSCAPE MAINTENANCE CONTRACTORS May 23, 2025 CHAINSAW STIHL MS261CM-36 Yes CHAINSAW STIHL MS261CM-36 Yes CHAINSAW STIHL MS261CM-36 Yes CHAINSAW STIHL MS261CM-36 Yes CHAINSAW STIHL MS261CM-36 Yes CHAINSAW STIHL MS261CM-36 Yes CHAINSAW STIHL MS261CM-36 Yes CHAINSAW STIHL MS271KIT-20 Yes CHAINSAW STIHL MS271KIT-20 Yes BLOWER STIHL BGA86 Yes BLOWER STIHL BGA86 Yes BLOWER STIHL BR430 Yes BLOWER STIHL BR430 Yes BLOWER STIHL BR430 Yes BLOWER STIHL BR430 Yes BLOWER STIHL BR430 Yes BLOWER STIHL BR430 Yes BLOWER STIHL BR430 Yes BLOWER STIHL BR430 Yes BLOWER ECHO PB770T Yes BLOWER ECHO PB770T Yes BLOWER ECHO PB770T Yes BLOWER ECHO PB770T Yes BLOWER ECHO PB770T Yes BLOWER ECHO PB770T Yes BLOWER ECHO PB770T Yes BLOWER ECHO PB770T Yes Page 3430 of 6525 ITQ 25-8345 LANDSCAPE MAINTENANCE CONTRACTORS May 23, 2025 BLOWER ECHO PB770T Yes BLOWER ECHO PB770T Yes BLOWER ECHO PB770T Yes BLOWER ECHO PB770T Yes BLOWER ECHO PB770T Yes BLOWER ECHO PB770T Yes BLOWER ECHO PB770T Yes BLOWER ECHO PB770T Yes BLOWER ECHO PB770T Yes BLOWER ECHO PB9010T Yes BLOWER ECHO PB9010T Yes Stump Vermeer SC652 Yes Tractor 514 Kubota L4330D L43300 Yes Backhoe Caterpillar 420E Yes Stump Grinder Vermeer SC352 Yes Backpack Sprayer STIHL SR 200 Yes Backpack Sprayer STIHL SR 200 Yes Backpack Sprayer STIHL SR 200 Yes Backpack Sprayer STIHL SR 200 Yes Backpack Sprayer STIHL SR 200 Yes Backpack Sprayer STIHL SR 200 Yes Backpack Sprayer STIHL SR 200 Yes Backpack Sprayer STIHL SR 200 Yes Backpack Sprayer STIHL SR 200 Yes Backpack Sprayer STIHL SR 200 Yes Page 3431 of 6525 ITQ 25-8345 LANDSCAPE MAINTENANCE CONTRACTORS May 23, 2025 Equipment List EQUIPMENT DESCRIPTION MAKE MODEL BODY YEAR OWNED Truck # 1 Isuzu NPR Crew Cab 2004 Yes Truck # 2 Isuzu NPR Crew Cab 2005 Yes Truck # 3 Isuzu NPR Crew Cab 2007 Yes Truck # 4 Isuzu NPR Crew Cab 2007 Yes Truck # 5 ISUZU NPR Crew Cab 2007 Yes Truck # 6 Isuzu NPR Crew Cab 2013 Yes Truck # 7 Isuzu NPR-HD Crew Cab Crew Cab 2013 Yes Truck # 8 Isuzu NPR-HD Crew Cab Crew Cab 2013 Yes Truck # 9 Isuzu NPR Crew Cab 2012 Yes Truck # 10 Isuzu NPR Crew Cab 2011 Yes Truck # 11 Isuzu NPR Crew Cab 2009 Yes Truck # 12 Isuzu NPR Crew Cab 2012 Yes Truck # 13 Intl C-4700 1999 Yes Truck # 14 INTL Prostar 2012 Yes Truck # 15 F-750 Ford 2004 Yes Truck # 16 F-750 Ford 2005 Yes Page 3432 of 6525 ITQ 25-8345 LANDSCAPE MAINTENANCE CONTRACTORS May 23, 2025 Equipment List EQUIPMENT DESCRIPTION MAKE MODEL YEAR OWNED Trailer # 1 Kendall Enclosed Trailer 2004 Yes Trailer # 2 Kendall Enclosed Trailer 2006 Yes Trailer # 3 Kendall Enclosed Trailer 2006 Yes Trailer # 4 Kendall Enclosed Trailer 2004 Yes Trailer # 5 Kendall Enclosed Trailer 1997 Yes Trailer # 6 Kendall Enclosed Trailer 2004 Yes Trailer # 7 Kendall Enclosed Trailer 2005 Yes Trailer # 8 ASPT Enclosed Trailer 2004 Yes Trailer # 9 Suncoast Equipment Trailer 2006 Yes Trailer # 10 Rolls Rite Equipment Trailer 2006 Yes Trailer # 11 EMES Open Trailer 1988 Yes Page 3433 of 6525 ITQ 25-8345 LANDSCAPE MAINTENANCE CONTRACTORS May 23, 2025 Local Vendor Preference Please see attached local vendor preference form. Page 3434 of 6525 � Collier CountyProcurement Services Division Form 4: Vendor Submittal-Local Vendor Preference Certification (Check Appropriate Boxes Below) State of Florida (Select County if Vendor is described as a Local Business) D Collier County i;;zj Lee County Vendor affirms that it is a local business as defined by the Procurement Ordinance of the Collier County Board of County Commissioners and the Regulations Thereto. As defined in Section Fifteen of the Collier County Procurement Ordinance: Local business means the vendor has a current Business Tax Receipt issued by the Collier County Tax Collector prior to bid or proposal submission to do business within Collier County, and that identifies the business with a permanent physical business address located within the limits of Collier County from which the vendor's staff operates and performs business in an area zoned for the conduct of such business. A Post Office Box or a facility that receives mail, or a non-permanent structure such as a construction trailer, storage shed, or other non-pennanent structure shall not be used for the purpose of establishing said physical address. In addition to the foregoing, a vendor shall not be considered a "local business" unless it contributes to the economic development and well-being of Collier County in a verifiable and measurable way. This may include, but not be limited to, the retention and expansion of employment opportunities, support and increase to the County's tax base, and residency of employees and principals of the business within Collier County. Vendors shall affirm in writing their compliance with the foregoing at the time of submitting their bid or proposal to be eligible for consideration as a "local business" under this section. A vendor who misrepresents the Local Preference status of its firm in a proposal or bid submitted to the County will lose the privilege to claim Local Preference status for a period of up to one year under this section. Vendor must complete the following information: Year Business Established in □Collier County or f;2J Lee County: 2013 Number of Employees (Including Owner(s) or Corporate Officers): 22 5---- Number of Employees Living in D Collier County or i;;zj Lee (Including Owner(s) or Corporate Officers): 25 --- If requested by the County, Vendor will be required to provide documentation substantiating the information given in this certification. Failure to do so will result in vendor's submission being deemed not applicable. Sign and Date Certification: Under penalties o(periury, I certify that the information shown on this form is correct to my knowledge. Compaoy Name, Superior Landscaping & Lawn Service Inc.Dato, Address in Collier or Lee County: 11 InI ) :;i<'J?-S Signature,}� �Title, Estimating Coordinator Rev. I 2025 27871 Industrial St. Bonita Springs, FL 34135 Page 3435 of 6525 ITQ 25-8345 LANDSCAPE MAINTENANCE CONTRACTORS May 23, 2025 Required Forms Please see attached all other additional forms. Page 3436 of 6525 Page 3437 of 6525 Page 3438 of 6525 BOARD OF COUNTY COMMISSIONERS Collier County Government Complex Naples, Florida 34112 Dear Commissioners: Collier County Procurement Services Division Form 1: Vendor Declaration Statement The undersigned, as Vendor declares that this response is made without connection or arrangement with any other person and this proposal is in every respect fair and made in good faith, without collusion or fraud. The Vendor hereby declares the instructions, purchase order terms and conditions, requirements, and specifications/scope of work of this solicitation have been fully examined and accepted. The Vendor agrees, if this solicitation submittal is accepted by Collier County, to accept a Purchase Order as a form of a formal contract or to execute a Collier County formal contract for purposes of establishing a contractual relationship between the Vendor and Collier County, for the performance of all requirements to which this solicitation pertains. The Vendor states that the submitted is based upon the documents listed by the above referenced solicitation. The Vendor agrees to comply with the requirements in accordance with the terms, conditions and specifications denoted herein and according to the pricing submitted as a part of the Vendor's bids. Further, the Vendor agrees that if awarded a contract for these goods and/or services, the Vendor will not be eligible to compete, submit a proposal, be awarded, or perform as a sub-vendor for any future associated work that is a result of this awarded contract. IN WlTNESS WHEREOF, WE have hereunto subscribed our names on this 14 day of May , 2025 in the County of Miami-Dade , in the State of Florida -------- Firm's Legal Name: Address: City, State, Zip Code: Florida Certificate of Authority Document Number Federal Tax Identification Number *CCR# or CAGE Code*Only if Grant Funded Telephone: Email: Signature by: (Typed and written) Title: Superior Landscaping & Lawn Service Inc. 27871 Industrial Street Bonita Springs, FL 34135 P98000044604 65-0838100 3NRM9 305-634-0717 J0tero@superiorlandscaping.com :: Otero, Estimating Coordinator Rev. 1 2025 Page 3439 of 6525 Page 3440 of 6525 Page 3441 of 6525 Page 3442 of 6525 The ACORD name and logo are registered marks of ACORD CERTIFICATE HOLDER © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) AUTHORIZED REPRESENTATIVE CANCELLATION DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCE LOCJECTPRO-POLICY GEN'L AGGREGATE LIMIT APPLIES PER: OCCURCLAIMS-MADE COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence)$DAMAGE TO RENTED EACH OCCURRENCE $ MED EXP (Any one person) $ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $RETENTIONDED CLAIMS-MADE OCCUR $ AGGREGATE $ EACH OCCURRENCE $ UMBRELLA LIAB EXCESS LIAB INSRLTR TYPE OF INSURANCE POLICY NUMBER POLICY EFF(MM/DD/YYYY)POLICY EXP(MM/DD/YYYY)LIMITS PERSTATUTE OTH-ER E.L. EACH ACCIDENT E.L. DISEASE - EA EMPLOYEE E.L. DISEASE - POLICY LIMIT $ $ $ ANY PROPRIETOR/PARTNER/EXECUTIVE If yes, describe under DESCRIPTION OF OPERATIONS below (Mandatory in NH) OFFICER/MEMBER EXCLUDED? WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y / N AUTOMOBILE LIABILITY ANY AUTO ALL OWNED SCHEDULED HIRED AUTOS NON-OWNEDAUTOSAUTOS AUTOS COMBINED SINGLE LIMIT BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE $ $ $ $ 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. INSD ADDL WVD SUBR N / A $ $ (Ea accident) (Per accident) OTHER: THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). COVERAGES CERTIFICATE NUMBER:REVISION NUMBER: INSURED PHONE(A/C, No, Ext): PRODUCER ADDRESS:E-MAIL FAX(A/C, No): CONTACTNAME: NAIC # INSURER A : INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : INSURER(S) AFFORDING COVERAGE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 12/3/2024 Keyes Coverage Insurance 5900 Hiatus Road Tamarac FL 33321 Carlos Cardozo 954-724-7000 954-724-7024 Ccardozo@keyescoverage.com Greenwich Insurance Co 22322 Richmond National Insurance Company 17103SuperiorLandscaping&Lawn Service,Inc. PO Box 35-0095 Miami FL 33135 Bridgefield Casualty Ins Co 10335 Westchester Surplus Lines Insurance Company 10172 1630271710 A X 1,000,000 X 100,000 10,000 1,000,000 2,000,000 X Y Y NGL-1008397-01 12/1/2024 12/1/2025 2,000,000 B X X 4,000,000YYRN-1-0225651 4,000,000 12/1/2024 12/1/2025 C N Y WFL507443200 5/22/2024 5/22/2025 D Pollution Liability G71670478001 4/23/2024 4/23/2025 Aggregate Occurrence Retention 1,000,000 1,000,000 10,000 30 day cancellation/10 day non-pay "Sample" "Sample" Page 3443 of 6525 1001486 132849.14 04-13-2022 INSR LTR TYPE OF INSURANCE ADD INSD SUB WVD POLICY NUMBER POLICY EFF (MM/DD/YYYY) POLICY EXP (MM/DD/YYYY)LIMITS COMMERCIAL GENERAL LIABILITY CLAIMS-MADE OCCUR GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO- JECT LOC OTHER: EACH OCCURRENCE $ DAMAGE TO RENTED PREMISES (Ea occurrence)$ MED EXP (Any one person)$ PERSONAL & ADV INJURY $ GENERAL AGGREGATE $ PRODUCTS - COMP/OP AGG $ $ AUTOMOBILE LIABILITY ANY AUTO OWNED AUTOS ONLY SCHEDULED AUTOS HIRED AUTOS ONLY NON-OWNED AUTOS ONLY COMBINED SINGLE LIMIT (Ea accident)$ BODILY INJURY (Per person)$ BODILY INJURY (Per accident)$ PROPERTY DAMAGE (Per accident)$ $ UMBRELLA LIAB OCCUR EXCESS LIAB CLAIMS-MADE DED RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below Y / N N / A PER STATUTE OTH- ER $ E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT $ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. CANCELLATION E-MAIL ADDRESS: CONTACT NAME:PHONE (A/C, No, Ext): FAX (A/C, No): INSURER(S) AFFORDING COVERAGE NAIC # INSURER A : INSURER B : INSURER C : INSURER D : INSURER E : INSURER F : PRODUCER INSURED REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES 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). 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. 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. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved. CERTIFICATE HOLDER The ACORD name and logo are registered marks of ACORD AUTHORIZED REPRESENTATIVE A K94 5581-F19-59 06/19/2024 06/19/2025 1,000,000 MEDICAL EXPENSES 5,000 bernardo@rplanter.com Bernardo Valencia 305 705 2559 State Farm Mutual Automobile Insurance Company 25178 Rodrigo Planter Insurance Agency 2018 NE 164th st. N Miami Beach FL 33162 SUPERIOR LANDSCAPING & LAWN SERVICE INC PO BOX 350095 MIAMI FL 33135-0095 12/06/2024 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Completed by an authorized State Farm representative. If signature is required, please contact a State Farm agent. "Sample" "Sample" Page 3444 of 6525 Local Business Tax Receipt I hope you have a successful year. Lee County Tax Collector Payment Information: $ May engage in the business of: - LEE COUNTY LOCAL BUSINESS TAX RECEIPT Account Expires: THIS LOCAL BUSINESS TAX RECEIPT IS NON REGULATORY Dear Business Owner: Your -Lee County Local Business Tax Receipt is attached below for account number / receipt:    Business name Ownership Physical location Business closed This is not a bill. Detach the bottom portion and display in a public location. Sincerely,  If there is a change in one of the following, refer to the instructions on the back of this receipt. number:/ Account Number: Receipt Number: State License Number: Location: 1013865 1013865 SUPERIOR LANDSCAPING & LAWN SERVICE INC SUPERIOR LANDSCAPING & LAWN SERVICE INC 50.00 5740 ZIP DR FT MYERS, FL 33905 2024 2024 CFC1425682 0803984 0803984 PLUMBING CONTRACTOR-CERTIFIED SUPERIOR LANDSCAPING & LAWN SERVICE INC PO BOX 35-0095 MIAMI, FL 33135 INT-00-02630725PAID 2025 2025 LEVY BERNARD A 5740 ZIP DR FT MYERS, FL 33905 09/26/2024 September 30, 2025 Page 3445 of 6525 Local Business Tax Receipt I hope you have a successful year. Lee County Tax Collector Payment Information: $ May engage in the business of: - LEE COUNTY LOCAL BUSINESS TAX RECEIPT Account Expires: THIS LOCAL BUSINESS TAX RECEIPT IS NON REGULATORY Dear Business Owner: Your -Lee County Local Business Tax Receipt is attached below for account number / receipt:    Business name Ownership Physical location Business closed This is not a bill. Detach the bottom portion and display in a public location. Sincerely,  If there is a change in one of the following, refer to the instructions on the back of this receipt. number:/ Account Number: Receipt Number: State License Number: Location: 1025184 1025184 SUPERIOR LANDSCAPING & LAWN SERVICES INC SUPERIOR LANDSCAPING & LAWN SERVICES INC 135.00 5740 ZIP DR FT MYERS, FL 33905 2024 2024 CV14332-1 1201802 1201802 PROFESSIONAL LANDSCAPING COMPANY SUPERIOR LANDSCAPING & LAWN SERVICES INC PO BOX 35 0095 MIAMI, FL 33135-0095 INT-00-02630725PAID 2025 2025 LANGANEY JOEL 5740 ZIP DR FT MYERS, FL 33905 09/26/2024 September 30, 2025 Page 3446 of 6525 Melanie S. Griffin, SecretaryRon DeSantis, GovernorSTATE OF FLORIDADEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATIONCONSTRUCTION INDUSTRY LICENSING BOARDTHE GENERAL CONTRACTOR HEREIN IS CERTIFIED UNDER THEPROVISIONS OF CHAPTER 489, FLORIDA STATUTESDICKENS, BRIAN MDo not alter this document in any form.SUPERIOR LANDSCAPING & LAWN SERVICE INCLICENSE NUMBER: CGC1529871EXPIRATION DATE: AUGUST 31, 2026This is your license. It is unlawful for anyone other than the licensee to use this document.2200 NORTHWEST 23RD AVENUEMIAMI FL 33142Always verify licenses online at MyFloridaLicense.comISSUED: 09/01/2024Page 3447 of 6525 State of Florida Department of State I certify from the records of this office that SUPERIOR LANDSCAPING & LAWN SERVICE INC.is a corporation organized under the laws of the State of Florida,filed on May 18,1998. The document number of this corporation is P98000044604. I further certify that said corporation has paid all fees due this office through December 31,2024,that its most recent annual report/uniform business report was filed on March 4,2024,and that its status is active. I further certify that said corporation has not filed Articles of Dissolution. Given under my hand and the Great Seal of the State of Florida at Tallahassee,the Capital,this the Ninth day of May,2024 Tracking Number:3993215632CU To authenticate this certificate,visit the following site,enter this number,and then follow the instructions displayed. https://services.sunbiz.org/Filings/CertificateOfStatus/CertificateAuthentication Page 3448 of 6525 Page 3449 of 6525 BOARD OF COUNTY COMMISSIONERS Collier County Government Complex Naples, Florida 34112 Dear Commissioners: Collier County Procurement Services Division Form 1: Vendor Declaration Statement The undersigned, as Vendor declares that this response is made without connection or arrangement with any other person and this proposal is in every respect fair and made in good faith, without collusion or fraud. The Vendor hereby declares the instructions, purchase order terms and conditions, requirements, and specifications/scope of work of this solicitation have been fully examined and accepted. The Vendor agrees, if this solicitation submittal is accepted by Collier County, to accept a Purchase Order as a form of a formal contract or to execute a Collier County formal contract for purposes of establishing a contractual relationship between the Vendor and Collier County, for the performance of all requirements to which this solicitation pertains. The Vendor states that the submitted is based upon the documents listed by the above referenced solicitation. The Vendor agrees to comply with the requirements in accordance with the terms, conditions and specifications denoted herein and according to the pricing submitted as a part of the Vendor's bids. Further, the Vendor agrees that if awarded a contract for these goods and/or services, the Vendor will not be eligible to compete, submit a proposal, be awarded, or perform as a sub-vendor for any future associated work that is a result of this awarded contract. IN WlTNESS WHEREOF, WE have hereunto subscribed our names on this 14 day of May , 2025 in the County of Miami-Dade , in the State of Florida -------- Firm's Legal Name: Address: City, State, Zip Code: Florida Certificate of Authority Document Number Federal Tax Identification Number *CCR# or CAGE Code*Only if Grant Funded Telephone: Email: Signature by: (Typed and written) Title: Superior Landscaping & Lawn Service Inc. 27871 Industrial Street Bonita Springs, FL 34135 P98000044604 65-0838100 3NRM9 305-634-0717 J0tero@superiorlandscaping.com :: Otero, Estimating Coordinator Rev. 1 2025 Page 3450 of 6525 Page 3451 of 6525 Page 3452 of 6525 Page 3453 of 6525 � Collier CountyProcurement Services Division Form 4: Vendor Submittal-Local Vendor Preference Certification (Check Appropriate Boxes Below) State of Florida (Select County if Vendor is described as a Local Business) D Collier County i;;zj Lee County Vendor affirms that it is a local business as defined by the Procurement Ordinance of the Collier County Board of County Commissioners and the Regulations Thereto. As defined in Section Fifteen of the Collier County Procurement Ordinance: Local business means the vendor has a current Business Tax Receipt issued by the Collier County Tax Collector prior to bid or proposal submission to do business within Collier County, and that identifies the business with a permanent physical business address located within the limits of Collier County from which the vendor's staff operates and performs business in an area zoned for the conduct of such business. A Post Office Box or a facility that receives mail, or a non-permanent structure such as a construction trailer, storage shed, or other non-pennanent structure shall not be used for the purpose of establishing said physical address. In addition to the foregoing, a vendor shall not be considered a "local business" unless it contributes to the economic development and well-being of Collier County in a verifiable and measurable way. This may include, but not be limited to, the retention and expansion of employment opportunities, support and increase to the County's tax base, and residency of employees and principals of the business within Collier County. Vendors shall affirm in writing their compliance with the foregoing at the time of submitting their bid or proposal to be eligible for consideration as a "local business" under this section. A vendor who misrepresents the Local Preference status of its firm in a proposal or bid submitted to the County will lose the privilege to claim Local Preference status for a period of up to one year under this section. Vendor must complete the following information: Year Business Established in □Collier County or f;2J Lee County: 2013 Number of Employees (Including Owner(s) or Corporate Officers): 22 5---- Number of Employees Living in D Collier County or i;;zj Lee (Including Owner(s) or Corporate Officers): 25 --- If requested by the County, Vendor will be required to provide documentation substantiating the information given in this certification. Failure to do so will result in vendor's submission being deemed not applicable. Sign and Date Certification: Under penalties o(periury, I certify that the information shown on this form is correct to my knowledge. Compaoy Name, Superior Landscaping & Lawn Service Inc.Dato, Address in Collier or Lee County: 11 InI ) :;i<'J?-S Signature,}� �Title, Estimating Coordinator Rev. I 2025 27871 Industrial St. Bonita Springs, FL 34135 Page 3454 of 6525 Page 3455 of 6525 Page 3456 of 6525 Page 3457 of 6525 Page 1 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 Company ID Number: THE E-VERIFY MEMORANDUM OF UNDERSTANDING FOR EMPLOYERS ARTICLE I PURPOSE AND AUTHORITY E-Verify is a program that electronically confirms an employee’s eligibility to work in the United States after completion of Form I-9, Employment Eligibility Verification (Form I-9). This Memorandum of Understanding (MOU) explains certain features of the E-Verify program and describes specific responsibilities of the Employer, the Social Security Administration (SSA), and DHS. Authority for the E-Verify program is found in Title IV, Subtitle A, of the Illegal Immigration Reform and Immigrant Responsibility Act of 1996 (IIRIRA), Pub. L. 104-208, 110 Stat. 3009, as amended (8 U.S.C. § 1324a note). The Federal Acquisition Regulation (FAR) Subpart 22.18, “Employment Eligibility Verification” and Executive Order 12989, as amended, provide authority for Federal contractors and subcontractors (Federal contractor) to use E-Verify to verify the employment eligibility of certain employees working on Federal contracts. ARTICLE II RESPONSIBILITIES A. RESPONSIBILITIES OF THE EMPLOYER 1.The Employer agrees to display the following notices supplied by DHS in a prominent place that is clearly visible to prospective employees and all employees who are to be verified through the system: a.Notice of E-Verify Participation b.Notice of Right to Work 2.The Employer agrees to provide to the SSA and DHS the names, titles, addresses, and telephone numbers of the Employer representatives to be contacted about E-Verify. The Employer also agrees to keep such information current by providing updated information to SSA and DHS whenever the representatives’ contact information changes. 3.The Employer agrees to grant E-Verify access only to current employees who need E-Verify access. Employers must promptly terminate an employee’s E-Verify access if the employer is separated from the company or no longer needs access to E-Verify. 272503 The parties to this agreement are the Department of Homeland Security (DHS) and the Superior Landscaping & Lawn Service, Inc. (Employer). The purpose of this agreement is to set forth terms and conditions which the Employer will follow while participating in E-Verify. Page 3458 of 6525 Page 2 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 Company ID Number: 4. The Employer agrees to become familiar with and comply with the most recent version of the E-Verify User Manual. 5. The Employer agrees that any Employer Representative who will create E-Verify cases will complete the E-Verify Tutorial before that individual creates any cases. a. The Employer agrees that all Employer representatives will take the refresher tutorials when prompted by E-Verify in order to continue using E-Verify. Failure to complete a refresher tutorial will prevent the Employer Representative from continued use of E-Verify. 6. The Employer agrees to comply with current Form I-9 procedures, with two exceptions: a. If an employee presents a "List B" identity document, the Employer agrees to only accept "List B" documents that contain a photo. (List B documents identified in 8 C.F.R. § 274a.2(b)(1)(B)) can be presented during the Form I-9 process to establish identity.) If an employee objects to the photo requirement for religious reasons, the Employer should contact E-Verify at 888-464-4218. b. If an employee presents a DHS Form I-551 (Permanent Resident Card), Form I-766 (Employment Authorization Document), or U.S. Passport or Passport Card to complete Form I-9, the Employer agrees to make a photocopy of the document and to retain the photocopy with the employee’s Form I-9. The Employer will use the photocopy to verify the photo and to assist DHS with its review of photo mismatches that employees contest. DHS may in the future designate other documents that activate the photo screening tool. Note: Subject only to the exceptions noted previously in this paragraph, employees still retain the right to present any List A, or List B and List C, document(s) to complete the Form I-9. 7. The Employer agrees to record the case verification number on the employee's Form I-9 or to print the screen containing the case verification number and attach it to the employee's Form I-9. 8. The Employer agrees that, although it participates in E-Verify, the Employer has a responsibility to complete, retain, and make available for inspection Forms I-9 that relate to its employees, or from other requirements of applicable regulations or laws, including the obligation to comply with the antidiscrimination requirements of section 274B of the INA with respect to Form I-9 procedures. a. The following modified requirements are the only exceptions to an Employer’s obligation to not employ unauthorized workers and comply with the anti-discrimination provision of the INA: (1) List B identity documents must have photos, as described in paragraph 6 above; (2) When an Employer confirms the identity and employment eligibility of newly hired employee using E-Verify procedures, the Employer establishes a rebuttable presumption that it has not violated section 274A(a)(1)(A) of the Immigration and Nationality Act (INA) with respect to the hiring of that employee; (3) If the Employer receives a final nonconfirmation for an employee, but continues to employ that person, the Employer must notify DHS and the Employer is subject to a civil money penalty between $550 and $1,100 for each failure to notify DHS of continued employment following a final nonconfirmation; (4) If the Employer continues to employ an employee after receiving a final nonconfirmation, then the Employer is subject to a rebuttable presumption that it has knowingly 272503 Page 3459 of 6525 Page 3 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 Company ID Number: employed an unauthorized alien in violation of section 274A(a)(1)(A); and (5) no E-Verify participant is civilly or criminally liable under any law for any action taken in good faith based on information provided through the E-Verify. b. DHS reserves the right to conduct Form I-9 compliance inspections, as well as any other enforcement or compliance activity authorized by law, including site visits, to ensure proper use of E-Verify. 9. The Employer is strictly prohibited from creating an E-Verify case before the employee has been hired, meaning that a firm offer of employment was extended and accepted and Form I-9 was completed. The Employer agrees to create an E-Verify case for new employees within three Employer business days after each employee has been hired (after both Sections 1 and 2 of Form I-9 have been completed), and to complete as many steps of the E-Verify process as are necessary according to the E-Verify User Manual. If E-Verify is temporarily unavailable, the three-day time period will be extended until it is again operational in order to accommodate the Employer's attempting, in good faith, to make inquiries during the period of unavailability. 10. The Employer agrees not to use E-Verify for pre-employment screening of job applicants, in support of any unlawful employment practice, or for any other use that this MOU or the E-Verify User Manual does not authorize. 11. The Employer must use E-Verify for all new employees. The Employer will not verify selectively and will not verify employees hired before the effective date of this MOU. Employers who are Federal contractors may qualify for exceptions to this requirement as described in Article II.B of this MOU. 12. The Employer agrees to follow appropriate procedures (see Article III below) regarding tentative nonconfirmations. The Employer must promptly notify employees in private of the finding and provide them with the notice and letter containing information specific to the employee’s E-Verify case. The Employer agrees to provide both the English and the translated notice and letter for employees with limited English proficiency to employees. The Employer agrees to provide written referral instructions to employees and instruct affected employees to bring the English copy of the letter to the SSA. The Employer must allow employees to contest the finding, and not take adverse action against employees if they choose to contest the finding, while their case is still pending. Further, when employees contest a tentative nonconfirmation based upon a photo mismatch, the Employer must take additional steps (see Article III.B. below) to contact DHS with information necessary to resolve the challenge. 13. The Employer agrees not to take any adverse action against an employee based upon the employee's perceived employment eligibility status while SSA or DHS is processing the verification request unless the Employer obtains knowledge (as defined in 8 C.F.R. § 274a.1(l)) that the employee is not work authorized. The Employer understands that an initial inability of the SSA or DHS automated verification system to verify work authorization, a tentative nonconfirmation, a case in continuance (indicating the need for additional time for the government to resolve a case), or the finding of a photo mismatch, does not establish, and should not be interpreted as, evidence that the employee is not work authorized. In any of such cases, the employee must be provided a full and fair opportunity to contest the finding, and if he or she does so, the employee may not be terminated or suffer any adverse employment consequences based upon the employee’s perceived employment eligibility status 272503 Page 3460 of 6525 Page 4 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 Company ID Number: (including denying, reducing, or extending work hours, delaying or preventing training, requiring an employee to work in poorer conditions, withholding pay, refusing to assign the employee to a Federal contract or other assignment, or otherwise assuming that he or she is unauthorized to work) until and unless secondary verification by SSA or DHS has been completed and a final nonconfirmation has been issued. If the employee does not choose to contest a tentative nonconfirmation or a photo mismatch or if a secondary verification is completed and a final nonconfirmation is issued, then the Employer can find the employee is not work authorized and terminate the employee’s employment. Employers or employees with questions about a final nonconfirmation may call E-Verify at 1-888-464- 4218 (customer service) or 1-888-897-7781 (worker hotline). 14. The Employer agrees to comply with Title VII of the Civil Rights Act of 1964 and section 274B of the INA as applicable by not discriminating unlawfully against any individual in hiring, firing, employment eligibility verification, or recruitment or referral practices because of his or her national origin or citizenship status, or by committing discriminatory documentary practices. The Employer understands that such illegal practices can include selective verification or use of E-Verify except as provided in part D below, or discharging or refusing to hire employees because they appear or sound “foreign” or have received tentative nonconfirmations. The Employer further understands that any violation of the immigration-related unfair employment practices provisions in section 274B of the INA could subject the Employer to civil penalties, back pay awards, and other sanctions, and violations of Title VII could subject the Employer to back pay awards, compensatory and punitive damages. Violations of either section 274B of the INA or Title VII may also lead to the termination of its participation in E-Verify. If the Employer has any questions relating to the anti-discrimination provision, it should contact OSC at 1-800-255-8155 or 1-800-237-2515 (TDD). 15. The Employer agrees that it will use the information it receives from E-Verify only to confirm the employment eligibility of employees as authorized by this MOU. The Employer agrees that it will safeguard this information, and means of access to it (such as PINS and passwords), to ensure that it is not used for any other purpose and as necessary to protect its confidentiality, including ensuring that it is not disseminated to any person other than employees of the Employer who are authorized to perform the Employer's responsibilities under this MOU, except for such dissemination as may be authorized in advance by SSA or DHS for legitimate purposes. 16. The Employer agrees to notify DHS immediately in the event of a breach of personal information. Breaches are defined as loss of control or unauthorized access to E-Verify personal data. All suspected or confirmed breaches should be reported by calling 1-888-464-4218 or via email at E-Verify@dhs.gov. Please use “Privacy Incident – Password” in the subject line of your email when sending a breach report to E-Verify. 17. The Employer acknowledges that the information it receives from SSA is governed by the Privacy Act (5 U.S.C. § 552a(i)(1) and (3)) and the Social Security Act (42 U.S.C. 1306(a)). Any person who obtains this information under false pretenses or uses it for any purpose other than as provided for in this MOU may be subject to criminal penalties. 18. The Employer agrees to cooperate with DHS and SSA in their compliance monitoring and evaluation of E-Verify, which includes permitting DHS, SSA, their contractors and other agents, upon 272503 Page 3461 of 6525 Page 5 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 Company ID Number: reasonable notice, to review Forms I-9 and other employment records and to interview it and its employees regarding the Employer’s use of E-Verify, and to respond in a prompt and accurate manner to DHS requests for information relating to their participation in E-Verify. 19. The Employer shall not make any false or unauthorized claims or references about its participation in E-Verify on its website, in advertising materials, or other media. The Employer shall not describe its services as federally-approved, federally-certified, or federally-recognized, or use language with a similar intent on its website or other materials provided to the public. Entering into this MOU does not mean that E-Verify endorses or authorizes your E-Verify services and any claim to that effect is false. 20. The Employer shall not state in its website or other public documents that any language used therein has been provided or approved by DHS, USCIS or the Verification Division, without first obtaining the prior written consent of DHS. 21. The Employer agrees that E-Verify trademarks and logos may be used only under license by DHS/USCIS (see M-795 (Web)) and, other than pursuant to the specific terms of such license, may not be used in any manner that might imply that the Employer’s services, products, websites, or publications are sponsored by, endorsed by, licensed by, or affiliated with DHS, USCIS, or E-Verify. 22. The Employer understands that if it uses E-Verify procedures for any purpose other than as authorized by this MOU, the Employer may be subject to appropriate legal action and termination of its participation in E-Verify according to this MOU. B. RESPONSIBILITIES OF FEDERAL CONTRACTORS 1. If the Employer is a Federal contractor with the FAR E-Verify clause subject to the employment verification terms in Subpart 22.18 of the FAR, it will become familiar with and comply with the most current version of the E-Verify User Manual for Federal Contractors as well as the E-Verify Supplemental Guide for Federal Contractors. 2. In addition to the responsibilities of every employer outlined in this MOU, the Employer understands that if it is a Federal contractor subject to the employment verification terms in Subpart 22.18 of the FAR it must verify the employment eligibility of any “employee assigned to the contract” (as defined in FAR 22.1801). Once an employee has been verified through E-Verify by the Employer, the Employer may not create a second case for the employee through E-Verify. a. An Employer that is not enrolled in E-Verify as a Federal contractor at the time of a contract award must enroll as a Federal contractor in the E-Verify program within 30 calendar days of contract award and, within 90 days of enrollment, begin to verify employment eligibility of new hires using E-Verify. The Employer must verify those employees who are working in the United States, whether or not they are assigned to the contract. Once the Employer begins verifying new hires, such verification of new hires must be initiated within three business days after the hire date. Once enrolled in E-Verify as a Federal contractor, the Employer must begin verification of employees assigned to the contract within 90 calendar days after the date of enrollment or within 30 days of an employee’s assignment to the contract, whichever date is later. 272503 Page 3462 of 6525 Page 6 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 Company ID Number: b. Employers enrolled in E-Verify as a Federal contractor for 90 days or more at the time of a contract award must use E-Verify to begin verification of employment eligibility for new hires of the Employer who are working in the United States, whether or not assigned to the contract, within three business days after the date of hire. If the Employer is enrolled in E-Verify as a Federal contractor for 90 calendar days or less at the time of contract award, the Employer must, within 90 days of enrollment, begin to use E-Verify to initiate verification of new hires of the contractor who are working in the United States, whether or not assigned to the contract. Such verification of new hires must be initiated within three business days after the date of hire. An Employer enrolled as a Federal contractor in E-Verify must begin verification of each employee assigned to the contract within 90 calendar days after date of contract award or within 30 days after assignment to the contract, whichever is later. c. Federal contractors that are institutions of higher education (as defined at 20 U.S.C. 1001(a)), state or local governments, governments of Federally recognized Indian tribes, or sureties performing under a takeover agreement entered into with a Federal agency under a performance bond may choose to only verify new and existing employees assigned to the Federal contract. Such Federal contractors may, however, elect to verify all new hires, and/or all existing employees hired after November 6, 1986. Employers in this category must begin verification of employees assigned to the contract within 90 calendar days after the date of enrollment or within 30 days of an employee’s assignment to the contract, whichever date is later. d. Upon enrollment, Employers who are Federal contractors may elect to verify employment eligibility of all existing employees working in the United States who were hired after November 6, 1986, instead of verifying only those employees assigned to a covered Federal contract. After enrollment, Employers must elect to verify existing staff following DHS procedures and begin E-Verify verification of all existing employees within 180 days after the election. e. The Employer may use a previously completed Form I-9 as the basis for creating an E-Verify case for an employee assigned to a contract as long as: i. That Form I-9 is complete (including the SSN) and complies with Article II.A.6, ii. The employee’s work authorization has not expired, and iii. The Employer has reviewed the Form I-9 information either in person or in communications with the employee to ensure that the employee’s Section 1, Form I-9 attestation has not changed (including, but not limited to, a lawful permanent resident alien having become a naturalized U.S. citizen). f. The Employer shall complete a new Form I-9 consistent with Article II.A.6 or update the previous Form I-9 to provide the necessary information if: i. The Employer cannot determine that Form I-9 complies with Article II.A.6, ii. The employee’s basis for work authorization as attested in Section 1 has expired or changed, or iii. The Form I-9 contains no SSN or is otherwise incomplete. Note: If Section 1 of Form I-9 is otherwise valid and up-to-date and the form otherwise complies with 272503 Page 3463 of 6525 Page 7 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 Company ID Number: Article II.C.5, but reflects documentation (such as a U.S. passport or Form I-551) that expired after completing Form I-9, the Employer shall not require the production of additional documentation, or use the photo screening tool described in Article II.A.5, subject to any additional or superseding instructions that may be provided on this subject in the E-Verify User Manual. g. The Employer agrees not to require a second verification using E-Verify of any assigned employee who has previously been verified as a newly hired employee under this MOU or to authorize verification of any existing employee by any Employer that is not a Federal contractor based on this Article. 3. The Employer understands that if it is a Federal contractor, its compliance with this MOU is a performance requirement under the terms of the Federal contract or subcontract, and the Employer consents to the release of information relating to compliance with its verification responsibilities under this MOU to contracting officers or other officials authorized to review the Employer’s compliance with Federal contracting requirements. C. RESPONSIBILITIES OF SSA 1. SSA agrees to allow DHS to compare data provided by the Employer against SSA’s database. SSA sends DHS confirmation that the data sent either matches or does not match the information in SSA’s database. 2. SSA agrees to safeguard the information the Employer provides through E-Verify procedures. SSA also agrees to limit access to such information, as is appropriate by law, to individuals responsible for the verification of Social Security numbers or responsible for evaluation of E-Verify or such other persons or entities who may be authorized by SSA as governed by the Privacy Act (5 U.S.C. § 552a), the Social Security Act (42 U.S.C. 1306(a)), and SSA regulations (20 CFR Part 401). 3. SSA agrees to provide case results from its database within three Federal Government work days of the initial inquiry. E-Verify provides the information to the Employer. 4. SSA agrees to update SSA records as necessary if the employee who contests the SSA tentative nonconfirmation visits an SSA field office and provides the required evidence. If the employee visits an SSA field office within the eight Federal Government work days from the date of referral to SSA, SSA agrees to update SSA records, if appropriate, within the eight-day period unless SSA determines that more than eight days may be necessary. In such cases, SSA will provide additional instructions to the employee. If the employee does not visit SSA in the time allowed, E-Verify may provide a final nonconfirmation to the employer. Note: If an Employer experiences technical problems, or has a policy question, the employer should contact E-Verify at 1-888-464-4218. D. RESPONSIBILITIES OF DHS 1. DHS agrees to provide the Employer with selected data from DHS databases to enable the Employer to conduct, to the extent authorized by this MOU: a. Automated verification checks on alien employees by electronic means, and 272503 Page 3464 of 6525 Page 8 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 Company ID Number: b. Photo verification checks (when available) on employees. 2. DHS agrees to assist the Employer with operational problems associated with the Employer's participation in E-Verify. DHS agrees to provide the Employer names, titles, addresses, and telephone numbers of DHS representatives to be contacted during the E-Verify process. 3. DHS agrees to provide to the Employer with access to E-Verify training materials as well as an E-Verify User Manual that contain instructions on E-Verify policies, procedures, and requirements for both SSA and DHS, including restrictions on the use of E-Verify. 4. DHS agrees to train Employers on all important changes made to E-Verify through the use of mandatory refresher tutorials and updates to the E-Verify User Manual. Even without changes to E-Verify, DHS reserves the right to require employers to take mandatory refresher tutorials. 5. DHS agrees to provide to the Employer a notice, which indicates the Employer's participation in E-Verify. DHS also agrees to provide to the Employer anti-discrimination notices issued by the Office of Special Counsel for Immigration-Related Unfair Employment Practices (OSC), Civil Rights Division, U.S. Department of Justice. 6. DHS agrees to issue each of the Employer’s E-Verify users a unique user identification number and password that permits them to log in to E-Verify. 7. DHS agrees to safeguard the information the Employer provides, and to limit access to such information to individuals responsible for the verification process, for evaluation of E-Verify, or to such other persons or entities as may be authorized by applicable law. Information will be used only to verify the accuracy of Social Security numbers and employment eligibility, to enforce the INA and Federal criminal laws, and to administer Federal contracting requirements. 8. DHS agrees to provide a means of automated verification that provides (in conjunction with SSA verification procedures) confirmation or tentative nonconfirmation of employees' employment eligibility within three Federal Government work days of the initial inquiry. 9. DHS agrees to provide a means of secondary verification (including updating DHS records) for employees who contest DHS tentative nonconfirmations and photo mismatch tentative nonconfirmations. This provides final confirmation or nonconfirmation of the employees' employment eligibility within 10 Federal Government work days of the date of referral to DHS, unless DHS determines that more than 10 days may be necessary. In such cases, DHS will provide additional verification instructions. ARTICLE III REFERRAL OF INDIVIDUALS TO SSA AND DHS A. REFERRAL TO SSA 1. If the Employer receives a tentative nonconfirmation issued by SSA, the Employer must print the notice as directed by E-Verify. The Employer must promptly notify employees in private of the finding and provide them with the notice and letter containing information specific to the employee’s E-Verify 272503 Page 3465 of 6525 Page 9 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 Company ID Number: case. The Employer also agrees to provide both the English and the translated notice and letter for employees with limited English proficiency to employees. The Employer agrees to provide written referral instructions to employees and instruct affected employees to bring the English copy of the letter to the SSA. The Employer must allow employees to contest the finding, and not take adverse action against employees if they choose to contest the finding, while their case is still pending. 2. The Employer agrees to obtain the employee’s response about whether he or she will contest the tentative nonconfirmation as soon as possible after the Employer receives the tentative nonconfirmation. Only the employee may determine whether he or she will contest the tentative nonconfirmation. 3. After a tentative nonconfirmation, the Employer will refer employees to SSA field offices only as directed by E-Verify. The Employer must record the case verification number, review the employee information submitted to E-Verify to identify any errors, and find out whether the employee contests the tentative nonconfirmation. The Employer will transmit the Social Security number, or any other corrected employee information that SSA requests, to SSA for verification again if this review indicates a need to do so. 4. The Employer will instruct the employee to visit an SSA office within eight Federal Government work days. SSA will electronically transmit the result of the referral to the Employer within 10 Federal Government work days of the referral unless it determines that more than 10 days is necessary. 5. While waiting for case results, the Employer agrees to check the E-Verify system regularly for case updates. 6. The Employer agrees not to ask the employee to obtain a printout from the Social Security Administration number database (the Numident) or other written verification of the SSN from the SSA. B. REFERRAL TO DHS 1. If the Employer receives a tentative nonconfirmation issued by DHS, the Employer must promptly notify employees in private of the finding and provide them with the notice and letter containing information specific to the employee’s E-Verify case. The Employer also agrees to provide both the English and the translated notice and letter for employees with limited English proficiency to employees. The Employer must allow employees to contest the finding, and not take adverse action against employees if they choose to contest the finding, while their case is still pending. 2. The Employer agrees to obtain the employee’s response about whether he or she will contest the tentative nonconfirmation as soon as possible after the Employer receives the tentative nonconfirmation. Only the employee may determine whether he or she will contest the tentative nonconfirmation. 3. The Employer agrees to refer individuals to DHS only when the employee chooses to contest a tentative nonconfirmation. 4. If the employee contests a tentative nonconfirmation issued by DHS, the Employer will instruct the 272503 Page 3466 of 6525 Page 10 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 Company ID Number: employee to contact DHS through its toll-free hotline (as found on the referral letter) within eight Federal Government work days. 5. If the Employer finds a photo mismatch, the Employer must provide the photo mismatch tentative nonconfirmation notice and follow the instructions outlined in paragraph 1 of this section for tentative nonconfirmations, generally. 6. The Employer agrees that if an employee contests a tentative nonconfirmation based upon a photo mismatch, the Employer will send a copy of the employee’s Form I-551, Form I-766, U.S. Passport, or passport card to DHS for review by: a. Scanning and uploading the document, or b. Sending a photocopy of the document by express mail (furnished and paid for by the employer). 7. The Employer understands that if it cannot determine whether there is a photo match/mismatch, the Employer must forward the employee’s documentation to DHS as described in the preceding paragraph. The Employer agrees to resolve the case as specified by the DHS representative who will determine the photo match or mismatch. 8. DHS will electronically transmit the result of the referral to the Employer within 10 Federal Government work days of the referral unless it determines that more than 10 days is necessary. 9. While waiting for case results, the Employer agrees to check the E-Verify system regularly for case updates. ARTICLE IV SERVICE PROVISIONS A. NO SERVICE FEES 1. SSA and DHS will not charge the Employer for verification services performed under this MOU. The Employer is responsible for providing equipment needed to make inquiries. To access E-Verify, an Employer will need a personal computer with Internet access. ARTICLE V MODIFICATION AND TERMINATION A. MODIFICATION 1. This MOU is effective upon the signature of all parties and shall continue in effect for as long as the SSA and DHS operates the E-Verify program unless modified in writing by the mutual consent of all parties. 2. Any and all E-Verify system enhancements by DHS or SSA, including but not limited to E-Verify checking against additional data sources and instituting new verification policies or procedures, will be covered under this MOU and will not cause the need for a supplemental MOU that outlines these changes. 272503 Page 3467 of 6525 Page 11 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 Company ID Number: B. TERMINATION 1. The Employer may terminate this MOU and its participation in E-Verify at any time upon 30 days prior written notice to the other parties. 2. Notwithstanding Article V, part A of this MOU, DHS may terminate this MOU, and thereby the Employer’s participation in E-Verify, with or without notice at any time if deemed necessary because of the requirements of law or policy, or upon a determination by SSA or DHS that there has been a breach of system integrity or security by the Employer, or a failure on the part of the Employer to comply with established E-Verify procedures and/or legal requirements. The Employer understands that if it is a Federal contractor, termination of this MOU by any party for any reason may negatively affect the performance of its contractual responsibilities. Similarly, the Employer understands that if it is in a state where E-Verify is mandatory, termination of this by any party MOU may negatively affect the Employer’s business. 3. An Employer that is a Federal contractor may terminate this MOU when the Federal contract that requires its participation in E-Verify is terminated or completed. In such cases, the Federal contractor must provide written notice to DHS. If an Employer that is a Federal contractor fails to provide such notice, then that Employer will remain an E-Verify participant, will remain bound by the terms of this MOU that apply to non-Federal contractor participants, and will be required to use the E-Verify procedures to verify the employment eligibility of all newly hired employees. 4. The Employer agrees that E-Verify is not liable for any losses, financial or otherwise, if the Employer is terminated from E-Verify. ARTICLE VI PARTIES A. Some or all SSA and DHS responsibilities under this MOU may be performed by contractor(s), and SSA and DHS may adjust verification responsibilities between each other as necessary. By separate agreement with DHS, SSA has agreed to perform its responsibilities as described in this MOU. B. Nothing in this MOU is intended, or should be construed, to create any right or benefit, substantive or procedural, enforceable at law by any third party against the United States, its agencies, officers, or employees, or against the Employer, its agents, officers, or employees. C. The Employer may not assign, directly or indirectly, whether by operation of law, change of control or merger, all or any part of its rights or obligations under this MOU without the prior written consent of DHS, which consent shall not be unreasonably withheld or delayed. Any attempt to sublicense, assign, or transfer any of the rights, duties, or obligations herein is void. D. Each party shall be solely responsible for defending any claim or action against it arising out of or related to E-Verify or this MOU, whether civil or criminal, and for any liability wherefrom, including (but not limited to) any dispute between the Employer and any other person or entity regarding the applicability of Section 403(d) of IIRIRA to any action taken or allegedly taken by the Employer. E. The Employer understands that its participation in E-Verify is not confidential information and may be disclosed as authorized or required by law and DHS or SSA policy, including but not limited to, 272503 Page 3468 of 6525 Page 12 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 Company ID Number: Congressional oversight, E-Verify publicity and media inquiries, determinations of compliance with Federal contractual requirements, and responses to inquiries under the Freedom of Information Act (FOIA). F. The individuals whose signatures appear below represent that they are authorized to enter into this MOU on behalf of the Employer and DHS respectively. The Employer understands that any inaccurate statement, representation, data or other information provided to DHS may subject the Employer, its subcontractors, its employees, or its representatives to: (1) prosecution for false statements pursuant to 18 U.S.C. 1001 and/or; (2) immediate termination of its MOU and/or; (3) possible debarment or suspension. G. The foregoing constitutes the full agreement on this subject between DHS and the Employer. To be accepted as an E-Verify participant, you should only sign the Employer’s Section of the signature page. If you have any questions, contact E-Verify at 1-888-464-4218. 272503 Page 3469 of 6525 Page 13 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 Company ID Number: Approved by: Employer Name (Please Type or Print) Title Signature Date Department of Homeland Security – Verification Division Name (Please Type or Print) Title Signature Date 272503 Superior Landscaping & Lawn Service, Inc. Aileen Villasana Electronically Signed 11/03/2009 USCIS Verification Division Electronically Signed 11/03/2009 Page 3470 of 6525 Page 14 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 Company ID Number: Information Required for the E-Verify Program Information relating to your Company: Company Name Company Facility Address Company Alternate Address County or Parish Employer Identification Number North American Industry Classification Systems Code Parent Company Number of Employees Number of Sites Verified for 272503 Superior Landscaping & Lawn Service, Inc. 2200 NW 23rd Avenue Miami, FL 33142 PO Box 35-0095 Miami, FL 33135-0095 MIAMI-DADE 650838100 238 100 to 499 1 Page 3471 of 6525 Page 15 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 Company ID Number: Are you verifying for more than 1 site? If yes, please provide the number of sites verified for in each State: 272503 FLORIDA 1 site(s) Page 3472 of 6525 Page 16 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 Company ID Number: Information relating to the Program Administrator(s) for your Company on policy questions or operational problems: 272503 Name Aileen Villasana Phone Number (305) 634 - 0717 Fax Number (305) 634 - 0744 Email Address avillasana@superiorlandscaping.com Page 3473 of 6525 Page 17 of 17 E-Verify MOU for Employers | Revision Date 06/01/13 Company ID Number: 272503 Page intentionally left blank Page 3474 of 6525 Page 3475 of 6525 Page 3476 of 6525 Page 3477 of 6525 Page 3478 of 6525 State of Florida Florida Department of Agriculture and Consumer Services Bureau of Licensing and Enforcement CERTIFIED PEST CONTROL OPERATOR Certificate Number: JF7250 DANIEL ACKENBRACK This is to certify that the individual named above is a Certified Pest Control Operator and is privileged to practice General Household Pest and Rodent Control,Lawn and Ornamental,Termite and Other WDO Control in conformity with an Act of the Legislature of the State of Florida regulating the practice of Pest Control and imposing pen alties for violations. Issue Date: 06/03/2025 Expiration Date: 06/01/2026 ____________________________________________ WILTON SIMPSON Commissioner of Agriculture Page 3479 of 6525 Page 3480 of 6525 Page 3481 of 6525 Page 3482 of 6525 Page 3483 of 6525 Page 3484 of 6525 Page 3485 of 6525 Page 3486 of 6525 Page 3487 of 6525 Page 3488 of 6525 Page 3489 of 6525 Page 3490 of 6525 Page 3491 of 6525 Page 3492 of 6525 Page 3493 of 6525 Page 3494 of 6525 Page 3495 of 6525 Page 3496 of 6525 Page 3497 of 6525 Page 3498 of 6525 Page 3499 of 6525 Page 3500 of 6525 Page 3501 of 6525 Page 3502 of 6525 Page 3503 of 6525 Page 3504 of 6525 Selection Committee Scoring Sheet (STEP 1) Title: Landscape Maintenance Contractors Name of Firm Eric Short Osvaldo Sanchez Irving Baez Dayara Perez David Merino Total Scores Mainscape Inc.94 92 92 89 95 462.00 Superior Landscaping & Lawn Service Inc.95 93 93 88 93 462.00 A&M Property Maintenance LLC 91 95 82 90 90 448.00 John Fideli Landscapes, LLC 86 93 79 90 84 432.00 Procurement Professional Barbara Lance Date 8/8/2025 Step 1: Upon direction by the Procurement professional, the individual selection committee member should provide their scoring of the proposals. Step 2: The procurement professional will review the mathematically tabulated scores. Step 3: The Committee will determine the number of proposers to bring back for oral presentations. Page 1 of 1 Page 3505 of 6525