Agenda 01/11/2011 Item #16D15
Aoenda Item No. 16D15
v January 11, 2011
Page 1 of 21
EXECUTIVE SUMMARY
Recommendation to approve award for Invitation to Bid (ITB) 10-5568-R for
Fitness Equipment Repair and Purchase to Tropic Gym Tech, LLC ($70,000
approximate annual spending).
OBJECTIVE: To identify a commercial equipment supplier who is able to service and
repair the standard fitness equipment the Parks and Recreation facility.
CONSIDERATIONS: The Parks and Recreation Departments are interested in securing
a supplier to perform manufacturer authorized maintenance for its fitness equipment
throughout its various sites. \^!hile service is the primary focus of this solicitation, if
needed, the awarded vendor may also be used for purchase of replacement or new
equipment.
Notices were sent to 139 vendor email addresses; 32 suppliers requested the ITB
packages; one (1) bid was submitted. Vendors were asked to provide an hourly service
rate which is expected to remain firm for the first year of the contract, a discount for the
purchase of any new equipment, and a list the manufacturers that they are authorized to
represent. The award for this solicitation is being made by the lowest hourly rate of $50
per hour and shall be considered along with the highest number of manufacturers that
the vendor is able to represent and has been certified by the manufacturer to complete
repairs.
Parks and Recreation and Purchasing staff recommend the award to:
. Tropic Gym Tech, LLD, Ft. Myers, FI
Parks and Recreation will issue the County's standard purchase order or use the
County's procurement card to commence the repair service or the purchase of new
equipment or parts.
FISCAL IMPACT: Funds are available in FY 2011 budgets for this service.
GROWTH MANAGEMENT IMPACT: There is no Growth Management Impact
associated with this Executive Summary.
LEGAL CONSIDERATIONS: This item has been reviewed by the County Attorney's
Office, requires simple majority vote, and is legally sufficient for Board action. - CMG
RECOMMENDATIONS: Recommendation to approve award for Invitation to Bid (ITS)
10-5568-R for Fitness Equipment Repair and Purchase to Tropic Gym Tech, LLC
($70,000 approximate annual spending).
PREPARED BY: Kerry Runyon, Regional Manager, Parks and Recreation Department
Item Number:
Item Summary:
Meeting Date:
Agenda Item No. 16D15
January 11, 2011
Page 2 of 21
COLLIER COUNTY
BOARD OF COUNTY COMMISSIONERS
16015
Recommendation to approve award for Invitation to Bid (ITS) 10-5568-R for Fitness
Equipment Repair and Purchase to Tropic Gym Tech, LLC ($70,000 approximate annual
spending).
1/11/2011 9:00:00 AM
Approved By
Joanne Markiewicz
Administrative Services
Division
Manager - Purchasing Acquisition
Date
Purchasing & General Services
12/14/201010:53 AM
Approved By
Colleen Greene
County Attorney
Assistant County Attorney
Date
County Attorney
12/15/20108:21 AM
Approved By
Marla Ramsey
Public Services Division
Administrator - Public Services
Date
Public Services Division
12/15/201010:18 AM
Approved By
Barry Williams
Public Services Division
Director - Parks & Recreation
Date
Parks & Recreation
12/30/20109:40 AM
Approved By
Sherry Pryor
Office of Management &
Budget
Management/ Budget Analyst, Senior
Date
Office of Management & Budget
1/4/20119:10 AM
Approved By
Jeff Klatzkow
County Attorney
Date
Approved By
1/4/201110:11 AM
Mark isackson
Office of Management &
Budget
Management/8udget Analyst, Senior
Date
Office of Management & Budget
1/4/2011 10:19 AM
Project Manager: Gary Stagg
Collier County
Tab Sheet
10-5568 - R Fitness Equipment Repair
Agenaa Hem 1\10. I \)UI::>
January 11, 2011
Pagernaif ~nt: 139
Solicitations Downloaded: 32
Bids Received: 1
Item Comments Tropic Gym Tech
... Ft. Myers, FL
Hourly Repair Rate Rate to remain firm for initial agreement term $ 50.00
Discount off Parts and Rate to remain firm for initial agreement term 15%
Equipment Sales and any renewal terms
Cybex (included in 80% of Manufacturer Certified Distributor of Service Yes and warranty work
County Equipments) and Equipment
Hammer (included in 80% of Manufacturer Certified Distributor of Service Yes and warranty work
County Equipments) and Equipment
Life Fitness (included in 80% Manufacturer Certified Distributor of Service Yes and warranty work
of County Equipments) and Equipment
Bodymaster Manufacturer Certified Distributor of Service Yes
and Equipment
Concept Manufacturer Certified Distributor of Service Yes
and Equipment
Free Motion Manufacturer Certified Distributor of Service Yes
and Equipment
Magnum Manufacturer Certified Distributor of Service Yes
and Equipment
Nu-Step Manufacturer Certified Distributor of Service Yes and warranty work
and Equipment
Paramount Manufacturer Certified Distributor of Service Yes
and Equipment
Precor USA Manufacturer Certified Distributor of Service Yes and warranty work
and Equipment
Scwhinn Manufacturer Certified Distributor of Service Yes
and Equipment
Stairmaster Manufacturer Certified Distributor of Service Yes
and Equipment
Tectrix Manufacturer Certified Distributor of Service Yes and warranty work
and Equipment
TRUE Manufacturer Certified Distributor of Service Yes and warranty work
and Equipment
Manufacturer Certified Distributor of Service Landice
Other and Equipment
Manufacturer Certified Distributor of Service Hoist
Other and Equipment
Manufacturer Certified Distributor of Service Vision
Other and Equipment
Manufacturer Certified Distributor of Service Matrix
Other and Equipment
Manufacturer Certified Distributor of Service Keiser
Other and Equipment
Number of Lines Provided 19
Attachment 1: Vendor Check List Yes
Attachment 2: Bid Response Form Yes
Florida Certificate of Authority L08000087806
FTID 263496661
Attachment 3: Insurance Yes
Attachment 4: Local Vendor Preference Yes
Attachment 5: Immigration Affidavit Yes
E-Verify Validation Yes
Opened by:
Brenda Reaves
Project Manager: Gary Stagg
Collier County
Tab Sheet
10-5568 - R Fitness Equipment Repair
Aaen:a lIt?m r~'JO. '! o~_r~ 0
~ ,JcL1uary ~ 1 2011
PagEmaif ~nt: 139
Solicitations Downloaded: 32
Bids Received: 1
I
Item
Comments
Tropic Gym Tech
Ft. Myers, FL
Witnessed by:
Joanne Markiewicz, 12/9/10, Noon
HAS-rc!e.
Attachment 1: Vendor Submittal - Vendor's Check List
Agenda Item No. 16D15
January 11, 2011
Page 5 of 21
IMPORTANT: THIS SHEET MUST BE SIGNED BY VENDOR. Please read carefully, sign in the
spaces Indicated and return with bid.
Vendor should check off each of the following items as the necessary action is completed:
1. The Bid has been signed.
2. The Bid prices offered have been reviewed.
3. The price extensions and totals have been checked.
4. The payment tenns have been indicated.
5. Any required drawings, descriptive literature, etc..have been included.
6. Any delivery information required is included.
7. If reauired, the amount of bid bond has been checked, and the bid bond or cashiers check has
been included.
8. Addendum have been signed and included, if applicable.
9. Affidavit for Claiming Status as a Local Business, if applicable.
10. Immigration Affidavit and company's E-Verify profile page or memorandum of understanding.
11. Copies of licenses, equipment lists, subcontr$ctors or any other infonnation as noted in this
ITB.
12. The mailing envelope must be addressed to:
Purchasing Director
Collier County Government Center
Purchasing Building
3327 East Tamiami Trail
Naples, Florida 34112
13. The mailing envelope must be sealed and marked with:
. Solicitation # and Title: 10-5568-R Fitness Equipment Repair
. Opening Date: 9/30/10
14. The bid will be mailed or delivered in time to be received no later than the specified oDening
date and time. (Otherwise bid cannot be considered.)
ALL COURIER DELIVERED BIDS MUST HAVE THE BID NUMBER AND nTLE ON THE OUTSIDE
OF THE COURIER PACKET.
tropiC Grvm -riCH J LLC
Com~~ . J ,/_~_
· .. ~ . Of~'lVn.s
Signature & Title /7 /0 lYJiUlo/f
"11~V'~ ,d,O
,
Date
23
#10-5568 - R Fitness Equipment Repair and Purchase
ITB Template_10152010
Agenda Item No. 16D15
January 11, 2011
Page 6 of 21
Attachment 2: Vendor Submittal - Bid Response Form
FROM: -fropiC.
,
6v m fich 1- L (}-
I I
Board of County Commissioners
Collier County Government Center
Naples, Florida 34112
RE: Solicitation # and TItle: 10-s568-R Fitness Equipment Repair
Dear Commissioners:
The undersigned, as Vendor, hereby declares that the specifications have been fully examined and
the Vendor is fully informed in regard to all conditions pertaining to the work to be performed for as
per the scope of work. The Vendor further declares that the only persons, company or parties
interested in this Bid or the Contract to be entered into as principals are named herein; that this Bid is
made without connection with any other person, company or companies submitting a Bid; and it is all
respects fair and in good faith, without collusion or fraud.
The Vendor proposes and agrees if this Bid is accepted, to contract, either by a County issued
purchase order or formal contract, to compty with the requirements in full in accordance with the
terms, conditions and specifications denoted herein, according to the following unit prices:
1. Attachment 1: Vendor's Check List
2. Attachment 2: Bid Response Form
3. Attachment 3: Insurance and Bonding Requirements
4. Attachment 4: Local Vendor Preference Affidavit
5. Attachment 5: Immigration Affidavit and company's E-Verfrfy profile page and memorandum of
understanding.
6. Vendor Price and Equipment List
7. Manufacturer letter or certification to work on Cybex, Hammer and Life Fitness (which
represents 8% of the Equipment in Parks and Recreation)
Any discounts or terms must be shown on the Bid Response Form. Such discounts, if any, will be
considered and computed in the tabulation of the bids. In no instance should terms for less than
fifteen (15) days payment be offered.
Prompt Payment Terms:
%
Days; Net !SDays
Note: If you choose to bid manually, please submit an ORIGINAL and ONE Copy of your bid
response pages. The undersigned do agree that should this Bid be accepted, to execute a formal
contract, if required, and present the formal contract to the County Purchasing Director for approval
within fifteen (15) days after being notified of an award.
#10-5568 - R Fitness Equipment Repair and Purchase
ITB Template_10152010
24
IN WITNESS WHEREOF, WE have hereunto subscribed our names on this
MVlmht/ .2010 in the County of 1-.tL . in the State of
-(;.OPX GYM 7etH u.e
1118 CON~DON ~OfrD
{OIZ-T M ~~/Ls Pi- 3310B
1-08000081600
:ZiP 3tf9 b~(P I
J.,3Q - ;lJ.,;l -~5;Z 8
;Z 99" to 10" 0 13 1
Firm's Complete Legal Name
Address
City, State, Zip
Florida Certificate of Authority
Document Number
Federal Tax Identification
Number
Telephone Number
FAX Number
Check one of the following:
Signature I Title
Type Name of Signature
Date
Agenda Item No. 16D15
January 11,2011
Page 7 of 21
/~ day of
pt,
o Sole Proprietorship j
~ Corp or P.A State of f/oririCL
D Limited Partnership
o General Partnership ~
~4 !()~S
I-:41D 1+ H A--:fDIt-MPrC.,/+A
tI J{2. "1 /It / n
Nev. /(;1 I ~ .......
.
~ll
*.....AAAAAA.A*****************************AAAAAAAAAA**AAAAAa.AAaAAk******AAAAA.*a.AAAAAAAAAA"*****
Additional Contact Infonnation
Send Payments To: (REQUIRED ONLY if different from above)
Firm's Complete Legal Name
Address
City, State, Zip
Contact Name
Telephone Number
FAX Number
Email Address
#10-5568 - R Fitness Equipment Repair and Purchase
ITB Template_10152010
25
Agenda Item No. 16D15
January 11, 2011
Page 8 of 21
Attachment 3: Vendor Submittal - Insurance and Bonding Requirements
Insurance I Bond Type
1. ~ Worker's
Compensation
2. 0 Employer's Liability
3. t8I Commercial General
Liability (Occurrence Form)
pattemed after the current
ISO form
4. ~ Indemnification
4. r8l Automobile Liability
Required Limits
Statutory Limits of Florida Statutes, Chapter 440 and all Federal Government
Statutory Limits and Requirements
$
single limit per occurrence
Bodily Injury and Property Damage
$500.000 single limit per occurrence
To the maximum extent permitted by Florida law, the
ContractorNendor/Consultant shall indemnify and hold harmless Collier
County, its offICers and employees from any and all liabilities, damages,
losses and costs, including, but not limited to, reasonable attorneys' fees and
paralegals' fees, to the extent caused by the negligence, recklessness, or
intentionally wrongful conduct of the ContractorNendor/Consultant or anyone
employed or utilized by the ContractorNendor/Consultant in the performance
of this Agreement. This indemnification obligation shall not be construed to
negate, abridge or reduce any other rights or remedies which otherwise may
be available to an indemnified party or person described in this paragraph.
This section does not pertain to any incident arising from the sole negligence
of Collier County.
$ 500.000 Each Occurrence; Bodily Injury & Property Damage,
OwnedlNon-owned/Hired; Automobile Included
s
Per Occurrence
noted:
5. 0 Ot."er insurance as 0 Watercraft
6. 0 Bid bond
D United States Longshoreman's and Harborworker's Act coverage shall be
maintained where applicable to the completion of the work.
$ Per Occurrence
o Maritime Coverage (Jones Act) shall be maintained where applicable to
the completion of the work.
$
Per Occurrence
o Aircraft Liability coverage shall be carried in limits of not less than
$5,000,000 each occurrence if applicable to the completion of the Services
under this Agreement
o Pollution
$
$
Per Occurrence
Per Occurrence
o Professional Liability $
. $ 500,000 each claim and in the aggregate
. $1,000,000 each claim and in the aggregate
. $2,000,000 each claim and in the aggregate
Per Occurrence
o Project Professional Liability
o Valuable Papers Insurance
$
$
Per Occurrence
Per Occurrence
Shall be submitted with proposal response in the form of certified funds,
cashiers' check or an irrevocable letter of credit, a cash bond posted with the
County Clerk, or proposal bond in a sum equal to 5% of the cost proposal. All
#10-5568 - R Fitness Equipment Repair and Purchase
ITS Template_" 015201 0
26
7. 0 Performance and
Payment Bonds
Agenda Item No. 16D15
January 11, 2011
checks shall be made payable to the Collier County Board of County Page 9 of 21
Commissioners on a bank or trust oompany located in the State of Florida and
insured by the Federal Deposit Insurance Corporation.
For projects in excess of $200,000, bonds shall be submitted with the
executed contract by Proposers receiving award, and written for 100% of the
Contract award amount, the cost borne by the Proposer receiving an award.
The Performance and Payment Bonds shall be underwritten by a surety
authorized to do business in the State of Florida and otherwise acceptable to
Owner; provided, however, the surety shall be rated as "A-" or better as to
general policy holders rating and Class V or higher rating as to financial size
category and the amount required shall not exceed 5% of the reported policy
holders' surplus, all as reported in the most current Best Key Rating Guide,
published by A.M. Best Company, Inc. of 75 Fulton Street, New York, New
York 10038.
8. [8] Vendor shall ensure that all subcontractors comply with the same insurance requirements that
he is required to meet. The same Vendor shall provide County with certificates of insurance
meeting the required insurance provisions.
9. [8] Collier County must be named as "ADDITIONAL INSURED" on the Insurance Certificate for
Commercial General Liability where required.
10. [8] The Certificate Holder shall be named as Collier County Board of County Commissioners, OR,
Board of County Commissioners in Collier County, OR Collier County Government, OR Collier
County.
11. ~ Thirty (30) Days Cancellation Notice required.
Vendor's Insurance Statement
We understand the insurance requirements of these specifications and that the evidence of insurability
may be required within five (5) days of the award of this solicitation.
~
Name of Firm
Date
Vendor Signature
Print Name
It1
ct t,A- Y '-Oil. I ~('.
o (j::r/;l1 13 Y Telephone Number ;;23q - 331-
;z.;z.z,1
Insurance Agency
Agent Name
#10-5568 - R Fitness Equipment Repair and Purchase
ITB Template_10152010
27
cJtr CoHnty
Agenda Item No. 16D15
January 11, 2011
Page 10 of 21
Attachment 4
Vendor Submittal - Local Vendor Preference
Affidavit
Adn'ir1sbative Services Division
Pun::hasing
Solicitation" and TItle 10-5568-R Fitness Equipment Repair (Check Appropriate Boxes Below)
State of Florida (Select County If Vendor Is described as a Local Business
o Collier County
QlLee County
Vendor affinns that it is a local business as defined by the Purchasing Policy of the Collier County Board of
County Commissioners and the Regulations Thereto. As defined in Section XI of the Collier County Purchasing
Policy;
A "local business" is defined as a business that has a valid occupational license issued by either Collier or Lee
County for a minimum of one (1) year prior to a Collier County bid or proposal submission that authorizes the
business to provide the commodities or services to be purchased, and a physical business address located
within the limits of Collier or Lee Counties from which the vendor operates or performs business. Post Office
Boxes are not verifiable and 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 either eoRier or Lee County in a verifiable and measurable way. This may
include, but not be limited to, the retention and expansion of employment opportunities, the support and
increase to either Collier or Lee County's tax base, and residency of employees and principals of the business
within Collier or Lee 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.
Vendor must complete the following information:
Year Business Established in OCollier County or rgJ Lee County: ').,DO~
Number of Employees (Induding Owner(s) or Corporate Officers): L/
Number of l1'1'ployees Living in 0 Collier County or ~ Lee (Including Owner(s) or Corporate
Officers): tI-
If requested by the County, vendor will be required to provide documentation substantiating the information
given in this affidavit Failure to do so will result in vendor's submission being deemed not applicable.
Vendor Name: Wf:P'- 6~ nm IJ12 Date: ;.J,V-
I B N nil-r ftl ElL5 R- 539aB
Title: ()f<<A-h~/}j J'.11111Af;E!L
Signature:
Address in Collier or Lee County:
, ..
STATE OF FLORIDA
o COLLIER COUNTY @'CEE COUNTY
to a d Subscribed Before Me, a Notary Public, for the above State and County, on this _\ ?3'"
O~.
Day
Notary Public
My Commission Expires: c; -8-((.,.(
I 'A'
ADAllIIIONTNORN
NoIary PuIlIIc, state of PIartda
~DD999319
My llOIlUIl. expires June 8. 2014
(AFFIX OFFICIAL SEAL)
#1 0-5568 - R Fitness Equipment Repair and Purchase
ITB lemplate_10152010
28
Agenda Item No. 16D15
January 11, 2011
Page 11 of 21
~Cmmty
- ~'-
Acmnistratlve Servia!s CMsion
Purchasing
Attachment 5
Vendor Submittal-Immigration Affidavit
Solicitation # and TItle: 10-5568-R Fitness Equipment Repair
This Affidavit is required and should be signed, notarized by an authorized principal of the firm and submitted
with formal Invitations to Bid (ITB's) and Request for Proposals (RFP) submittals. Further, Vendors I Bidders
are required to enroll in the E-Verify program, and provide acceptable evidence of their enrollment, at the time of
the submission of the vendor's/bidder's proposal. Acceptable evidence consists of a copy of the properly
completed E-Verify Company Profile page or a copy of the fully executed E-Verify Memorandum of
Understanding for the company. Failure to include this Afftdavit and acceDtable evidence of enrollment in
the E-Vertfv Droaram. shall deem the Vendor I Bidder's Drooosal 88 non-resDOnslve. Documentation of
these reaulrements will not be aceeDied after the bid J DfODOSaI deadline date.
Collier County will not intentionally award County contracts to any vendor who knowingly employs unauthorized
alien workers, constituting a violation of the employment provision contained in 8 U.S.C. Section 1324 a(e)
Section 274A(e) of the Immigration and Nationality Act rINA-).
Collier County may consider the employment by any vendor of unauthorized aliens a violation of Section 274A
(e) of the INA Such Violation by the recipient of the Employment Provisions contained in Section 274A (e) of
the INA shall be grounds for unilateral termination of the contract by Collier County.
Vendor attests that they are fully compliant with all applicable immigration laws (specifically to the 1986
Immigration Act and subsequent Amendment(s)) and agrees to comply with the provisions of the Memorandum
of Understanding with E-Verify and to provide proof of enrollment in The Employment Eligibility Verification
System (E-Verify), operated by the Department of Homeland Security in partnership with the Social Security
Administration at the time of submission of the Vendor's I Bidder's proposal.
/I ~ J !/J
-r ty) I~e t:; y IVI I et:J.I / J-/-(..,
:;:z ~-:
Company Name
Print Name
Ofe-/l../f'rtt>N.5 /Vl!W.JJOe7<-
/Jov. / if ")1)10
Signature
State of f]o,..,'L
County of l-ee
Tbp./oregol/1g instrument was elgnod end ee_ged _re me this 18<).y 01
,v""em J2u . 20 10. by
!tl\o.ckc-- who has produced _Bl/L.. as identification.
Name) (Type of Identification and Number)
fA'
ADAM FICIfIIDH
NolaIy PIdc. State of Florida
Commls8lonlDD999319
My comm. ... .hn 8. 2014
The signee of this Affidavit guarantees, as evidenced by the sworn affidavit required herein, the truth
and accuracy of this affidavit to interrogatories hereinafter made.
#10-5568 - R Fitness Equipment Repair and Purchase
ITS Template_10152010
29
E-Verify
Agenda Item No. 16D15
January 11, 2011
--, p'ag~ 12 of 21
,.\~l
c I ~ ~
." '''" UIM~..
~_f... ''',,)"f''''
Company ID Number: 372945
THE E.VERIFY PROGRAM FOR EMPLOYMENT VERIFICATION
MEMORANDUM OF UNDERSTANDING
ARTICLE I
PURPOSE AND AUTHORITY
This Memorandum of Understanding (MOU) sets forth the points of agreement between the
Department of Homeland Security (DHS) and Trooic Gvm Tech. LLC (Employer) regarding the
Employer's participation in the Employment Eligibility Verification Program (E-Vertfy). This MOU
explains certain features of the E-Verify program and enumerates specific responsibilities of
DHS, the Social Security Administration (SSA) , and the Employer. E-Verify is a program that
electronically confirms an employee's eligibility to work in the United States after completion of
the Employment Eligibility Verification Form (Form 1-9). For covered government contractors, E-
Verify is used to verify the employment eligibility of all newly hired employees and all existing
employees assigned to Federal contracts or to verify the entire workforce if the contractor so
chooses.
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 Stal 3009, as
amended (8 U.S.C. S 1324a note). Authority for use of the E-Verify program by Federal
contractors and subcontractors covered by the terms of Subpart 22.18, "Employment Eligibility
Verification", of the Federal Acquisition Regulation (FAR) (hereinafter referred to in this MOU as
a "Federal contractor with the FAR E-Verify clause") to verify the employment eligibility of
certain employees working on Federal contracts is also found in Subpart 22.18 and in Executive
Order 12989, as amended.
ARTICLE II
FUNCTIONS TO BE PERFORMED
A. RESPONSIBILITIES OF SSA
1. SSA agrees to provide the Employer with available information that allows the Employer to
confirm the accuracy of Social Security Numbers provided by all employe~s verified under this
MOU and the employment authorization of U.S. citizens.
2. SSA agrees to provide to the Employer appropriate assistance with operational problems that
may arise during the Employer's participation in the E-Verify program. SSA agrees to provide
the Employer with names, titles, addresses, and telephone numb&rs of SSA representatives to
be contacted during the E-Verify process.
3. SSA agrees to safeguard the infonnation provided by the Employer through the E-Verify
program procedures, and to limit access to such information, as is appropriate by law, to
individuals responsible for the verification of Social Security Numbers and for evaluation of the
E-Verify program or such other persons or entities who may be authorized by SSA as govemed
Page 1 of 131 E-Verify MOU for Employer I Revision Date 09/01J09
www.dhs.govlE-Verify
E-Veri~
Agenda Item No. 16D 15
January 11, 2011
.~ .....-_.' raq~-::.13 of 21
. l'~ll~
'. (4 ~ ~~Jrrutj
. .,' ~ . "'.\<'~I.",t-""
Company 10 Number: 372945
To be accepted as a participant in E-Verify, you should only sign the Employer's Section
of the signature page. If you have any questions, contact E-Verify at 888-464-4218.
mployer Tropic Gym Tech, LLC
epartment of Homeland Security - Verification Division
SCIS VerificatioD Division
ame (Please Type or Print)
itJe
111712010
ate
Infonnation Required for the E-Verify Program
nformation relatin
ort Myers, FL 33908
Company Altemate
Address:
Coun or Parish:
r--------
!
l
Employer Identification
Number:
Page 12 of 131 E-Verffy MOU for Employer I Revision Dale 09/01/09
www.dhs.govlE-Verify
E-Veri~
Agenda Item No. 16D15
January 11, 2011
'.~_. ~.' ~14 of 21
\ .' ". Kltm?-
.f.. t,.>' "''''I.''$1'''''''~
Company 10 Number: 372945
North American Industry
Classification Systems 541
Code:
Administrator:
I
Number of EmplOVees: 1to4
Number of Sites Verified
for.
Are you verifying for more than 1 site? If yes, please provide tbe number ofsites verified for
00 each State:
. FLORIDA 1 site(s)
Information relating to the Program Administrator(s) for your Company on policy
questions or operational problems:
Name:
Telephone Number.
E-mail Address:
Uada Hajdamatha
(239) 222 - 4528
gymteehl@hotmail.com
Fax Number:
(239) 690 - 0739
Page 13 of 131 E-Vertfy MOU for Employer I Revision Date 09/01/09
www.dhs.gov/E-Verlfy
a-
"; -
a..
Gt-
0::...1
--
C C
at S'
Eg.
a.._
.- ::s
::J 0"
.ffw
f)"
f) C
Ii ='=
C CD
:= u
I.L .i:
0::1l1.
1.0
CO 0
CO"
10 C
~~
Q
"r'"
to
C
o
~
u
2
-
.
.5
-
o
c::
Ii
-
-
II.)
::;
-
:::I .
.o.g
c)~
.S c::
-gB
-111
g~
.- 0
II.)C-
1i)~
8~
--
mrri
o~
9? ~
.~ 1;
.:!"i)
o :::I
.S ....
.....
c::
CD
E
C-
'3
CT
w
"0
C
111
0)
o
'1::
a.
~
.g (l)iti
c ~e
II) U) a.
> ::I.
~ E"O
:;::: CIlI1l
c _ CD
CD l! -E
CD .= ~
:5 roo
(I) .a...
CD Ui' l!! .9
Q.15~"O
E+:J....~
o :::1.-
8m~,g
".... N
rn
CD
Ii
(j)
.....
c::
(I)
E
a.
"3
e-
CD
"0
c::
ro
~
ro
a.
r/)
-....
e
:::I
'0
!!
:::I
c::
co
E
-
o
:t:
o
.....
c
8
r/)
:0
1::
(I)
r/)
c
C")
'0
r/)....
CD ~
m~
"o.!!
c :::::I
CD C
CD 111
.2 E
~ E
(j) e
.... ....
,2c
.... .2
0-
::i~
.0 :;::
E:e
, r/) CD
=so
CD
i:2
N >
'1:: 0
~a.
"5-0-
CO (I)
-
c It)
CD=
~4i
- ....
r/) :::::I
~u
; .!!
t:: :::I
(I) C
r/) CD
s: E
oq-
:6
'i
.....
r/)
;-0
o~
-c::
Q) 0)
Sr/)
C)l!!
co.
:a I!!
i~
>-I!!
..o.a
~j
.- :::I
E 5
... ...
~E
"00
.8Q)
_.a
10 'i ~
.S "0 c::
.... 0)
E ;:;
.a 111 It)
-g ....: CD..2
:~5~
.....E"O-
111 .... C ro
"0-0)....
:::I>~
er/) ....
.2>:2 ~ S
CI).oI-.c::
It) <0
-
r/)
::;
-
c
0)
E
a.
'3
e-
LU
"0
r::
CD
CD
o
'1::
0.
....
o
"0
r::
~
e
!
i
~
C
'0
C
~
g
ci"#.
Il'lll'l
.-!
10
~
c:
l!!
>-
C
l\1
"0
C
111
E E
.... ....
SS
.cc
~o)CD
c E E
eCDCD
=!~
0111111
U1iilO
:,Q :w
:5 :5
.... ....
.g.g
E E
.... ....
I;: it:
C r::
'm'm
E E
II) II)
.... ....
.9.9
SS
111 co
0:::0::
It)
Q)
1ii
CI)
C
CD
E
.9-
:::I
CT
W
e "0
.! 5i
CD
-;~
0:::111
.!::: a..
lUll::
CD 0
o::i::
:::I
-.::8
s.~
:::co
.....
r::
CD
E
a.
'3
CT
W
"0
C
111
8
"~
CD
en
....
o
....
.9
:::I
.0
"I::
.....
r/)
5
"0
CD
l;::
:e
(I)
u
....
I!!
:::I
o
.J!!
U) :::J
Eli
.!~
~
~
~
c:
ftI
....
....
ftI
3
"0
c::
ftI
VI
1II
>-
~
....
o
3
>-
...
c:
e
....
III
3
"0
c:
III
'"
~
C
4>>
E
a.
'S
CT
W
"0
C
111
8
.~
Q)
CI)
....
o
g
:::I
.0
'1::
-
r/)
5
i
q::
1::
CD
o
....
~
.3
o
.!!
:::I
r::
<<J
~
Agenda Item No. 16D15
January 11. 2011
Page 15 of 21
~
....
Q
3
l;'
c::
nI
....
....
;
"0
c:
III
VI
1II
>-
VI
1II
>-
-
c
CD
E
a.
'S
e-
W
"0
r::
l\1
8
.~
4>>
(/)
'5
B
:::I
.a
'1::
]j
o
'0
(I)
I;:
:e
(I)
u
WWWWUJUJWWWWUJWWUJUJW
"0"0"0"0"0"0"0"0"0"0"0"0"0"0"0"0
cc:ccr::c::cccr::c::ccc:r::r::
COCOl1ll1lCDCDl1Il1Il1ICDtul1ll1ll1lCDtu
~.~ .~.~.~.~ .~.~.~.~ ~ .~.~.~~ 8
2: c: c: c: 2:: c: c: c: 2: c;; c: c: c: 2:: 2:: 2::
(I)CIlO)Q)CD(I)4>>(I)Q)CDCDCDII)(PCDCD
en en(/)CI)CI) C1)(/)(/)v)C/J V)CI)V)(I)C/Jv)
.....__'t-....~......"f-........._~""'-.....4I.:r....
~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~I
.9.9.9.9.9.9.9.9.9.9.9.9.9.9.9,g
:::J:::J:::I:::I:::I:::I:::I:::I:::I:::I:::I:::I:::I:::I:::I:::I
.0.0.0.0.0.0.0.0.0.0..0..0.0.0..0.0
E:5EEE:S:SE:S:S:S:S:S:S:S:S
r/)r/)(j)r/)r/)r/)r/)r/)ctJVlr/)lI.)ctJctJ"'r/)
55i5i5555oc55i5i5i5i55
"0"0"0"0"0"0"0"0"0"0"0"0"0"0"0"0
JL!L!L~~~~~.!~.!~ !!!~~~
1:: 'e :e :e 1:: 1:: 1:: :e :e :e :e :e ~ 1:: 1:: :e
Q)(I)(I)(I) 4>>(1)(1) 4>>CP CDCD(I)CDCI)CI)Q)
oO(J(JoooO(JooO(Jooo
I- ~ '- ~ L- L... L... '- ..... I- ~ __ L.. '- .... '-
!!!l!!l!!l!!l!!!!!!l!!!!!!
:::I:::J:::I:::J:::I:::I:::I:::I:::I:::I:::I:::I:::I:::I.3.a
000'00'0'0000'0'00000
.!!J!!J!!.!!SJ!!.!!.!!.!!.!.!!J!!J!!SSJ!
:::::I :::I :::I :::I :::I :::I :::I :::I :::I :::I :::J :::::I :::I :::I :::::I :::I
r:: c c: c: c:: c c c: r::: r::: c c r::: r::: c:: r::
l\1 111 l\1 111 CD 111 11I lU CD tu 11I l1I 11I 111 tV 11I
~:E:E:E:E~~:E:E:E:E:E:E:E~:E
1:-
r::
:::I
o
o
-
o
'#.
o
00
.5
1:-
r:::
:::I
o
o
....
o
~
o
o
00
.5
"0
Q)
~
"; -
Q,..
CD-
a::..1
...-
C C
CD CD
E e
Q,..8-
- ::s
;.C"
,..w
~
lIP .
C CD
~u
u. ";:
a::D..
. ....
ID 0
CO~
It)C
It) CD
.>
C>
~
Agenda Item No. 16D15
January 11, 2011
Page 16 of 21
C)
--
~
N
i"--
.........
\.
~
~
~ ~
--.J
-.t
Q)
15
:J
o
en
c
=:
"E
.0
:J
00
>-
c::
t'O
Q.
E
o
()
Q)
-
t'O
Cl
"0
c::
t'O
~
:J
-
t'O
c::
en
en
\.:>>
:z
"'< :t
- Q
Q::i:
'-U~
'-U~
:ZQ
-- '-'
- &.&..
\.:>>0
:z~
'-U~
Q~
....,1-
'-Uffi
-- '-'
-
'-L.
<:'.1<.,,; ~!)
'" ~E?~'~;:~..., .:'
.,~..,~
':'7.~:;~:s.' ,
"l.~~
~'
, V):t.
.% 1 r 2
~ 1 \:L\h&-
~,~_ ~. i
10~-t~
o
+-'
~
"'0
Q)
......
-c
ro
l-
aD
Vl
Q)
+-'
rtl
u
"-
'+-
......
lo-
Q)
U
VI
.1::
I-
'--
CD
c:
..c:
(,)
r!
......
~
e
~
Vl
Ul
"'
.c. U
u
<VQ)Cl
l-.r::.C
E 01-1 'c
01'-
>-c"'
~:p~
.~ ~ OJ
c.c.U
o E'-
l... >
l-OaJ
4-U(f)
o >--
It, = ro
'" :J ..
OJ 4- "~
>-UlC
OVl.J::
-Q)U
o.UQJ
EUl-
='
OJ tfl Vl
C l... VI
mOW
IO-C
Ul :!:::
c::( L1-
(l)
4-
:.:J
0. n 1
January 11, 2011
Page 17 of 21
j"
" ~
!
~
~
[i
~
....
....
o
N
l... ....
<V T"'l
Cl ....
10 Q)
> C O'l .DE
Q)100Q)
:C~~f)
H 01 ...z
~ c: N =
Q) .C '1"""1 c:
c: <V l... ::::l
IJ) (p Q) "0
~ c..o =
"51 E ~
QJ.!!!
<( c
"C Z .S!
- .....
.~ B
L1- iC
.....
....
Q)
u
.!!!
..r:::.
I-
-....
"
Agenda Item No. 16D15
January 11, 2011
Page 19 of 21
LL z
0 <
~
~ == ~
~ .~ l;O
'.... .... 0
~ U ~ ~. C
'.... .. I:'i
(;) l::!t rJ'l
~. ...... < .~ == ...
~ .>.
~ ~ 1..;;",. c-
~ ..~ '- >- ;i c:J
U
0 ::e '-). c
0 ~ 0 ~ ..s::
~ -< ~ r- ~
~ ';,,) Q
U V) == ;:s... en
~ Q 0 ~ . .5
l;\,) s:
f."I U ~ "a
..... L
~. ~ '.... .o\..J ~ .,..
~ ?-. ~ ~ III
0 o\..J < o\..J ~.
l:S ~. ~ 0) '" (:
~ ~ u
U V) ""t
== !:Q U)
'.... ,~,
~ ~ ~ ==
~ o\..J .< ~
~ '.... ......
~ ~ ...... = .~
';,,) ~ rJ'l
~ ~ .. <:;\)
U VI >- ......
'.... ;:
~ 1--1 == lIl),
1-4 Z c == VI
~ U ~. l;\,)
~ =:l ~
~ < ~ ~
E-
" Q
~
u
\fIl'~
Tax ~tor
'of f\O<i>.
Lee County Tax Collector
2480 Thompson Street
Fort Myers, Florida 33901
www.leetc.com Tel: (239) 533-6000
SUOC0144
Agenda Item No. 16D15
January 11, 2011
Page 21 of 21
Local Business Tax Account: 0610729
Dear Business Owner:
Your 201G-?011 Lee County Local Business Tax Receipt is attached below. The receipt is non-
regulatory and is issued using the information currently on file with our office. It does not signify
compliance with zoning, health or other regulatory requirements nor is it an endorsement of work
quality.
Annual account renewal notices are mailed in August to the address of record at that time; to ensure
delivery of your annual notice, mailing addresses may be updated online at www.leetc.com.
If there is a change in the business name, ownership, physical location or if the business is being
closed, please follow the instructions on the back of this letter to transfer or to close the account.
I hope you have a successful year.
C~~c~
Lee County Tax Collector
Detach and display bottom portion and keep upper portion for your recon:ts
~~
T=~tor
d\. bit
-~te of f\O~
LEE COUNTY LOCAL BUSINESS TAX RECEIPT
2010.2011
ACCOUNT NUMBER: 0610729
ACCOUNT EXPIRES SEPTEMBER 30, 2011
May engage in the business of:
EQUIPMENT REPAIR
Location
7178 CONGDON RD
FT MYERS FL 33908
THIS LOCAL BUSINESS TAX RECEIPT IS NON REGULATORY
mOPlc GYM TECH LLC
TROPIC GYM TECH LLC
7178 CONGDON RD
FT MYERS FL 33908
THIS IS NOT A BILL - DO NOT PAY
-l
PAID 281230-37-1
IVR
09109/2010 05:30
$50.00