Proposal SubmittalS�C Southeast Environmental Contractors
ASBESTOS ABATEMENT & ENCAPSULATION IN ACCORDANCE WITH
EPA Standards
Robert J Ankney
President
PROPOSAL SUBMITTAL
2303 W. McNab Road • Pompano Beach, FL 33069 . (305) 971-5992 • 971-6406 • 1-800-533-5992
i
I
BID FORM
(This form must not be
the Contract Documents
submitted in duplicate
and one carbon
detached from
and must be
- One original
copy
�� .• . Lots]
BIDDER Southeast PnWirnnmontal Cnntractors
OWtra
ADDRESS 2303 W McNah Rd-,
Pompano Beach, FL. 33069
Gentlemen:
The undersigned, as Bidder, hereby declares that the only person or persons
indicated in this Bid as Principal, or Principals, is or are named herein and
that no person other than herein mentioned has any interest in this Bid or in
the Contract to be entered into; that this Bid is made without connection with
any other person, company or parties making a Bid; and that it is in all
respects fair and in good faith without collusion or fraud.
The Bidder further declares that he has examined the site of the work and
informed himself fully in regard to all conditions pertaining to the place where
the work is to be done; that he has examined the Plans and Technical Specifi-
cations for the worn, and other Contract Documents relative thereto, including
the Solicitation for Bids, Instructions to Bidders, Bid Bond, Form of Contract,
Performance Bond Form, Payment Bond Form, General Conditions and Special Pro-
visions, and has read all the Addenda furnished prior to the opening of the
Bids, as acknowledged below; and that he has satisfied himself relative to the
work to performed, and the time within which it is to be completed.
The Bidder agrees, if this Bid is accepted, to contract with the Owner
Mn rr�- Count in the form of Contract
attached, to furnish all necessary materials, equipment, machinery, tools,
apparatus, means of transportation, labor and incidentals necessary to construct
and complete within the time specified the work covered by this Bid and other
Contract Documents for
Asbestos Abatement -Public Service Facilities
Contract NoAtec Project No Entitled (Stock Island)
at Key West Florid
r
to furnish the prescribed Performance and Payment Bonds, each for not less than
�. the total Contract price; to execute the Assignment and Agreement; and to
furnish the required evidence of the specified insurance.
The Bidder's failure to comply with the requirements set forth in the
preceding paragraphs within fifteen (15) days after the prescribed Documents are
presented to him shall be grounds for annulment of the tentative award and
forfeiture of his Bid Guaranty.
The Bidder further agrees not to withdraw this Bid for a period of ninety
(90) days after the time set for opening of Bids.
The Bidder agrees that, in case of unit price items, if any, the quantities
stated in the Schedule of Prices Bid for the various items are estimates only
and may be increased or decreased as provided in the General Conditions.
The Bidder agrees to accept full compensation for all work required to
complete the Contract, the prices named therefor in the following Schedule of
Prices Bid:
M
r-
SCHEDULE OF PRICES BID
Southeast Environmental Contractors, Inc. proposes to perform the scope of
work as stated in the plans and specifications as follows:
1. Storage Room: $ 5,000.00
(Five Thousand Dollars)
2. Main Hallway: $ 12,000.00
(Twelve Thousand Dollars)
3. Public Works tiding and Sign Marking Room: $ 15,000.00
Total Lump Sum Bid to Perform all the work specified in this
bid package:
Thirty Two Thousand Dollars ( $ 32,000.00)
Acknowledgment
of Addenda
r Addendum
No.
Signature
Addendum
No.
Signature
Addendum
No.
Signature.
Addendum
No.
Signature
Addendum
No.
Signature
Addendum
No.
Signature
Addendum
No.
Signature
Date
Date
Date
Date
Date
Date
Date
No addenda has been received by Southeast Environmental Contractors,
Inc. pertaining to this bid.
F_
i
BID SIGNATURE PAGE FOR CORPORATION
Attached is n„r check or draft on the �...��eas� ,TP.A.
Bank of M,Ami� Flnria;j
or a Bid Bond in the accompanying form for the sum of
OnP Thniicand S1,, Rkipekzed Dollars,
(� 1,600.00 _ }, in accordance with the Instructions to Bidders.
The officers of the Corporation are as follows:
Name Address
President Robert J. Ankney ti _0 n U,,Q;;t, 4, LaUdeU-Ela}e,.f,,
Vice President
Secretary Rc)hr-rt r T Lir,,-i- , 15Hr Am-, f-itaint, FM
Treasurer Rnhert- T rnhart 20432 N W 15t•h Ave_., Miami, F'T.,
The full names and residences of stockholders, persons, for firms
interested in the foregoing Bid, as principals, are as follows:
MMOE COUNTY CERTIFICATE OF COMPETENCY/STATE OF FLORIDA
CERTIFICATE OF CERTIFICATION
Robert J. Ankney
Southeast Environmental Centractnrs, Tnr- CJ C046325
(Name of Holder) (Certificate Number)
Post Office Address:
Pompano Beach, FL. 33069
State in which Chartered
FlQr-}da • Registry with Florida
Secretary of State, if foreign:
Date: -�>.t. Qcet=9— 4-e:33 ;
BIDDER:
Southeast Environmental Contractors, l
Cor orate ell
BY
President
Robert ey
Attest:
secre_ary
Robert L. LPORATE SELL)
Date of this document signature:
. Southeast Enviv onrnental Contractors
ASBESTOS ABATEMENT & ENCAPSI_ILATION IN ACCORCANCE WITH
EPA Standards
Robert , Ankney
President
January 17, 1990
To Whom It May Concern:
Please be advised that the attached is a true and accurate
copy of the Corporate Resolution indicating the authority of
persons having the Power to Bond/Contract this firm, Southeast
Environmental Contractors, Inc.
_Signed,
Robert L. Lubart —
General Manager - =
Secretary/Treasurer =-
231'3 V1 McNab Road • Pomoono Beach, FL 33069 • (305) 971-5992 • 971-6406 • 1-800-5315992
�,�• ,?.oL• �Ys'fT, y ''1$'r" ri7' a -5rt`
`►' Sofitheast Dank
CORPORATE RESOLUTION T
1, the undersigned Secretary of t _A)al/k'D(V 117FL.'
- N'nn�n (T-'orparatron
a corporation organized and existing under the laws of the State of � UT tCSlsq
DRyH.EER�E�B�Y1 CERTIFY that at a meeting of the Board of Directors of said corporation, duly held
on—^L"=-' ` —) , 1 19'?1, a quorum being present, the following resolutions were
adopted and that the said resolutions have been entered upon the regular minute book of said corporation, are in accordance
with the by-laws and are now in full force and effect to -wit:
- RESOLVED, that Southeast
be and It hereby Is designated as a depository of this corporation subject to rules and regulations of said bank, and any
amendments thereto, and that the officers of this corporation or either or any of them be and they hereby are authorized
to open a bank account or accounts with the said bank, for and In the name of this corporation, and to deposit with the
said bank in the said account from time to time any and all checks, notes, drafts, bills of exchange, moneys, acceptances,
orders and other items of any kind.. /_1%
Further, RESOLVED, that the
o..anrf m groat perfonf eu
signing nA)�— and their successors in office (or either) (or any of
(Number of Signatures Required)
them) be and they are hereby authorized to sign any and all checks, drafts, notes, acceptances, bills of exchange, orders or
other instruments for the payment and withdrawal of any and all moneys, credits, items and property at any time held by the
said Bank, for account of this corporation.
Further, RESOLVED, that said bank is hereby authorized to pay or cash any such instruments and any instruments
payable to or held by this corporation when endorsed as aforesaid and also to receive the same for credit to the account of or
in payment from the payee or any other holder (including any officer of this corporation), without inquiry as to the
circumstance of issue or endorsement thereof, or the disposition of the proceeds, even if drawn, endorsed or payable to cash,
bearer or to the individual order of any signing officer or tendered in payment of his individual obligation.
Further, RESOLVED, that the following officers or authorized signers:
umber o Signatures Required
of this corporation are hereby authorized to borrow money and to obtain credit for this corporation from said bank on such
terms as may seem to them advisable, and to make and deliver notes, drafts, acceptances, agreements, and any other
obligations of this corporation therefor, in form satisfactory to said bank, and as security therefor to pledge and trustee,
withdraw, exchange and substitute any stocks, bonds, bills and accounts receivable, bills of lading, warehouse receipts, or any
other property of this corporation, with full authority to endorse or guarantee the same in the name of this corporation, to
execute and deliver all instruments and assignments and transfer and to affix the corporate seal; and also to discount any bills
receivable or paper of any kind (negotiable or otherwise) with full authority to endorse same in the name of this corporation,
Further. RESOLVED, that endorsements on behalf of this corporation upon any and all commercial paper of any
kind deposited by or on behalf of this corporation with the said bank for credit or for collection or otherwise may be made
by any one of the foregoing officers, or by rubber stamp.
Further, RESOLVED, that the foregoing authorized official or any of them and their successors in office or any of
them be end they are hereby authorized (a) for and on behalf of this corporation to lease from said Bank a safe deposit box
or boxes and enter into for and on behalf of this corporation with said Bank its required standard form of safe deposit box
lease for corporations, and (b) for and on behalf of this corporation to have access to said box or boxes, in accordance with
the terms, conditions, agreements, rules and regulations of the said lease.
Further, RESOLVED, that all the foregoing authorities shall be and continue in full force and effect until revoked or
modified by written notice actually received by said Bank, setting forth a resolution to that effect stated to have been
adopted by the Board of Directors of this corporation, and signed by the secretary or assistant secretary of this corporation
and bearing this corporation's seal; and said Bank is hereby authorized and directed to at all times rely upon the last notice
received by it of any resolution as to the foregoing authorities and as to the nersons who from time to time are its officers
and their signatures, when such notice bears this corporation's seal and is signed by one purporting to be its secretary or
assistant secretary,
I FURTHER CERTIFY that the foregoing resolutions are fully in accord with and pursuant to the bylaws of said
corporation.
I FURTHER CERTIFY that the following nersons, whose genuine signatures appear below, are officers of or
authorized signers for said corporation in the capacity set opposite their respective signatures, to wit;
lam/ IC Presid t
nn Vice Pre
( Secretary n
Treasurer�C�,
IN WITNESS WHEREOF I have hernunto subscribed my name and affixed the seal of said corporation,
this day of
� . 19
(Seal of Corporation)
President
Secretary
Secretary
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NUM8ER OF SIGNATURES
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USE ONLY
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WORK SCHEDULE
DAY DESCRIPTION
DAY #1 - MOBILIZE
DAY #2 - PREP AREAS 1, 2 & 3
DAY #3 - REMOVAL AREAS 1, 2 & 3
DAY #4 - FINAL CLEAN TEST 1, 2 & 3
SEAL HOLES IN BOILER ROOM
AREA #1 - STORAGE ROOM
AREA #2 - MAIN HALLWAY
AREA #3 - PUBLIC WORKS WING AND SIGN MAKING ROOM
MANPOWER
* NOTE: WORK INCLUDES 24 HOUR WORKING DAYS FOR DURATION
E.' Southeast Environmental contractors
ASBESTOS ABATEMENT & ENCAPSULATION IN ACCORDANCE WITH
EPA Standards
Robert J Ankney
President
1. Bid Security - Enclosed
2. Copy of health and safety policy - Enclosed
a. Respiratory Protection Program including medical
clearance information.
b. Safety rules and regulations
c. Medical monitoring controls described in OSHA 29 CFR
1926.58.
3. List of previous clients including the following information
for each project.- Enclosed
a. Client company name and address
b. Client contact name and telephone number
c. Project cost
4. Example of Certification of Occupational Disease Insurance
with a $1,000,000 limit of liability.- Enclosed
5. A photocopy of the current insurance policy for occupational
disease insurance.- Enclosed
6. Any and all judgements or violations the contractor, or any
member of his/her staff that has been associated with in a
prior or present management and/or corporation. - N/A
7. Documentation demonstrating their compliance with the
Florida Statutes F>S> 455.302-455.308, Licensure for
Asbestos Consultants and Contractors, as administered by the
Florida Department of Professional Regulation. - Enclosed
2303 W. McNab Road • Pompano Beach, FL 33069 • (305) 971-5992 • 971-6406 • 1-800-533-5992
SEC Southeast Environmental Contractors
ASBESTOS ABATEVE%T & ENCAPSUTAT1Orj IN ACCORDAr)CE WiTii
EPA Standards
RobertJ Ankney
Presiaen'
1. Bid Security
Southeast Bank, N.A.
REGION I
Miami, Florida
REMITTER Snui-hPagt Rnvinrm,-ni-al Contractors Inc.
PA
TO
TH
OR ER
OF
**MONROE COUNTY **
II' 2080 3 981I' i:066000 S8 1l:
W0. Ju'�
T an 19Q_ 63-58
660
S**1600 00**
Cashier's Check
- � �--,
AUTHORIZED SIGNATURE
DE86;E SA IPSOf
0 90 10 S 0 0 8 II' 3-A-1389
CYPRESS CREEK B/C
2303 W. McNab Road • Pompano Beach, FL 33069 • (305) 971-5992 • 971-6406 • 1-800-533-5992
FAY, /?n51 071-9070
SSG Southeast Environmental Contractors
ASBESTOS ABATEMENT & ENCAPSULATION IN ACCGRDANCE WITH
EPA Standards
Robe^ -1 Ankney
Previcer'
2. CoDv of Health & Safety Policy
2303 W. McNab Road • Pompano Beach, FL 33069 • (305) 971-5992 . 971-6406 • 1-800-533-5992
FAX (305) 971-9979
SEC Southeast Environmental Contractors
ASBESTOS ABATEMENT & ENCAPSUTATIO-1 IN ACCORDANCE WITH
EPA Standards
Robert J Ankney
Preslcent
RESPIRATORY PROTECTION PROGRAM
Prior to the use of any respirator that may be used in an asbestos
abatement project, Southeast Environmental Contractors, Inc. shall
make available to the worker a comprehensive medical questionnaire,
a chest roentgenogram, a history to elicit symptomology of respiratory
disease, and a pulmonary function test, in compliance to OSHA
regulations.
Southeast Environmental Contractors, Inc. shall thoroughly train all
workers prior to their working in the hazards of asbestos to the
following: The use, limitations, wearing and maintenance of personnel
protective equipment, good work practices pertaining to all procedures
used in .asbestos removal and disposal of asbestos containing
materials.
Southeast Environmental Contractors, Inc. shall implement a
Respiratory Protection Program prior to starting work in accordance
to OSHA regulations 29 CFR 1910.134, 29 CFR 1910.1001 and 29 CFR
1926.58. At a minimum, all respirators shall be qualitatively fit
tested in a test atmosphere.
Periodical medical examinations will be made on an annual basis. All
medical records will be made available to the worker upon his/her
request.
2303 W. McNab Road • Pompano Beach, FL 33069 • (305) 971-5992 • 971-6406 • 1-800-533-5992
FAX (305) 971-9979
SEC Southeast Environmental Contractor,
ASBESTOS ABATEMENT & ENCAPSULATION IN ACCORDANCE WTH
EPA Standards
RcbertJ Ankney
President JOB SAFETY AND HAZARDS
EFFECTIVE IMMEDIATELY, please set aside the first fifteen or twenty
minutes of each Monday for the purpose of conducting a safety
meeting for all employees on your job. Attendance is mandatory and
your daily report for that day will indicate those attending the
meeting.
Subjects to be covered include but are not limited to such items
as the correct use of scaffolds as approved by OSHA: Electrical
hazards at the work site, proper use of tools, correct lifting
procedures to prevent back injuries, and other related safety
problems associated with asbestos abatement.
First aid and proper steps to be taken in case of injury will also
be covered at these meetings. First aid courses will be made
available to those employees wishing to take them.
Please be sure to cover at least one of these safety items each
week. Assistance is available from the office should it be needed.
It is extremely important that these meetings take place, the items
are properly covered and fullu documented in your daily report.
2303 W. McNab Road • Pompano Beach, FL 33069 • (305) 971-5992 • 971-W6 • 1-800-533-5992
FAX (305) 971-9979
SEC Southeast Environmental Contractors
ASBESTOS ABATEMENT & ENCAPSULATION IN ACCGRDAt�CE WITH
EPA Standards
Robert J Ankney MEDICAL MONITORING PROGRAM
President
Prior to the use of any respirator that may be used to an asbestos
abatement project, Southeast Environmental Contractors, Inc. will
provide to the worker with the following:
(A) Medical and work history with special emphasis directed to
the pulmonary, cardiovascular, and gastrointestinal systems.
(13) On the inital examination, the standardized questionaire
contained in Appendix D, Part 1, and, on annual examination, the
abbreviated standardized questionnaire contained in Appendix D,
Part 2.
(C) A physician examination directed to the pulmonary and
gastrointestinal systems, including a chest roentgenogram to be
administered at the, discretion of the physician, and pulmonary
function tests of forced vital capacity (FVC) and forced expiratory
volume at one second (FEV1). Interpertation and classification of
chest roentgenograms shall be conducted in accordance with Appendix
E.
(D) Any other examinations or tests deemed necessary by the
examining physician.
Periodical medical examinations will be made on an annual basis.
All medical records will be made available to the worker upon
his/her request.
2303 W. McNab Road • Pompano Beach, FL 33069 • (305) 971-5992 • 971-W6 • 1-800-533-5992
FAX (305) 971-9979
SEC Southeast Environmental Contractor`
ASBESTOS ABATEMENT & ENCAPSULATION IN ACCORDANCE WITS,
EPA Standards
Rcdert J Ankney
?res!dent
All Southeast Environmental Contractors, Inc. personnel
involved with the handling of Asbestos Containing Material are
included in S.E.C.'s Medical Surveillance Program.
Southeast Environmental Contractors, Inc. uses clinics that
have received and reviewed the following.
A. A copy of OSHA regulation Standards 29CFR 1926.58 NS and
appendices D, E, and F.
B. A description of the affected worker's duties as they
relate to the worker's exposure.
C. The worker's representative exposure level or anticipated
exposure level.
D. The description of any personal protective and
respiratory equipment used or to be used.
E. Information from previous medical examinations of the
affected work that is not otherwise available to the examining
physician (per request).
This program complies with EPA 40CFR Part 763 "Asbestos
Abatement Projects; worker protection, final rule.
2303 W. McNab Road • Pompano Beach, FL 33069 • (305) 971-5992 • 971-6406 • 1-800-533-5992
FAX (305) 971-9979
SEC Southeast Environmental Contractors
ASBESTOS ABATEMENT & ENCAPSULATION IN ACCORDANCE WITH
EPA Standards
Rooert J Ankney
President
MEDICAL MONITORING PROGRAM
Minor Emergi Center
639 North Federal Highway
Pompano Beach, Florida 33062-4301
(305) 772-1544
Attn.: Dr. Lisa Scott
Airport Medical Center
3588 N.W. 72nd Avenue
Miami, Florida 33122
(305) 592-5205
Attn.: Dr. Candelario Guzman
Dr. Arnaldo Carmouze
Dr. Gary Holland, M.D.,P.A.
11200 Seminole Blvd., Suite 202
Largo, Florida 33544
(813) 392-2247
2303 W. McNab Road • Pompano Beach, FL 33069 • (305) 971-5992 • 971-6406 . 1-800-533-5992
FAX (305) 971-9979
SEC Southeast Environmental Contractors
ASBESTOS ABATEMENT & ENCAPSULATION IN ACCORDANCE WITH
EPA Standards
RODertJ Ankney
President
TRAINING AND CERTIFICATION GUIDELINES
Southeast Environmental Contractors, Inc. operates in compliance
with AHERA and Florida Statutes 455.301 - 455.309 training
requirements. All of our field personnel are AHERA Certified by
EPA accredited courses.
*Please note that any new employee joining Southeast Environmental
Contractors' work force will have received his AHERA accreditation
prior to his commencement of work on any jobsite.
Various training programs on an "as needed" basis for worker and
supervision AHERA Training with organizations such as Mayhew
Environmental Training Associates, Lawrence, Kansas; TREEO-
Center, Gainsville, Florida; Seagul Productions, Ft. Lauderdale,
Florida and Georgia Institute of 'Technology, Atlanta, Georgia.
At present Southeast Environmental Contractors, Inc. are setting
up an "in house" training program to provide 24 hour AHERA training
for new workers. Two Southeast Environmental Contractors'
supervisors recently completed University of Florida TREEO course
entitled "Train the Trainer". These two individuals are now
certified Trainers under EPA/TREEO Guidelines.
Documentation of our employees' accreditation can be provided upon
your request.
2303 W, McNab Road • Pompano Beach, FL 33069 • (305) 971-5992 • 971-6406 • 1-800-533-5992
FAX (305) 971-9979
SEC Southeast Environmental Contractors
ASBESTOS ABATEMENT & ENCAPSULATION IN ACCORDANCE WITH
EPA Standards
RobertJ Anknev
President
3. List of Previous Clients
2303 W. McNab Road • Pompano Beach, FL 33069 • (305) 971-5992 • 971-6406 • 1-800-533-5992
FAX (305) 971-9979
SE t',,'.*' Southeast Environmental Contractors
ASBESTOS ABATEMENT & ENCAPSULATION IN ACCORDANCE 1VITH
EPA Standards
1<oDe^ J Ankney
Pres;den'
January 17, 1990
Monroe County Engineering Dept.
ATTENTION: MR. DAVID S. KOPPEL
P.O. Box 1029
5825 Junior College Rd., West Wing 2
Stock Island
Key West, Florida 33040
SUBJECT:
RE:
ASBESTOS ABATEMENT -PUBLIC SERVICE FACILITIES (STOCK ISLAND),
FOR MONROE COUNTY ENGINEERING DEPARTMENT,
ATEC PROJECT NO. 98055
PART 1.0 SPECIAL INSTRUCTIONS TO BIDDERS
LINE ITEM 1.14, SUBSECTION f, LINE ITEM 3a, 3b, and 3c
Dear Mr. Koppel:
I have received from Mike Lawn in your Engineering Department,
via a telephone conversation this morning, the authority to include
the following statement in my proposal regarding the above
captioned specification requirements, and not be held in non-
compliance with the specifications:
Southeast Environmental Contractors, Inc. will be responsible
to any request to provide a list of previous clients including
client name, address, contact, telephone number and project cost,
should we be considered as the low bidder and the awardee to
perform the above captioned project.
2303 W. McNab Road • Pompano Beach, FL 33069 • (305) 971-5992 • 971-6406 • 1-800-533-5992
FAX (305) 971-9979
We do believe however, that it is not in our best interest to
casually provide other interested parties with a breach of our
confidentiality and exhibit poor professional judgement in
disclosing our long cultivated list of client particulars.
We thank you for your consideration in this matter.
Sincerely,
Robert L. Lubart
General Manager
11
SEC Southeast Environmental Contractors
ASBESTOS ABATEMENT & ENCAPSULATION IN ACCORGANCE WITJJ
EPA Standards
Rcr)erTJ Anknev
President
4. Example of Certification of Occupational Disease Insurance
2303 W. McNab Road • Pompano Beach, FL 33069 . (305) 971-5992 • 971-6406 • 1-800-533-5992
FAX (305) 971-9979
ROSE-TILLMANN, INC. BONDS AND INSURANCE
P.Q. SOX 828 40 EUWARGSVILLE PROFESSIONAL PARK
EOWARDSVILLE. IL 82025
January 16, 1990
ROBERT LUBART
SOUTHEAST ENVIRONMENTAL CONT I
2303 W. MCNAB RD
SUITE 15
POMPANO BEACH, FL 33069
Dear BOB,
IN REGARDS TO PROJECTS IN WHICH YOU ARE PRESENTLY BIDDING, WE
WILL BE HAPPY TO INCREASE YOUR EMPLOYER LIABILITY LIMITS TO
$1,000,000. THIS REQUIREMENT MERELY INVOLVES A SLIGHT INCREASE IN
YOUR WOKERS COMPENSATION PREMIUM AND CAN BE DONE SO ON REQUEST. AS
USUAL, IT HAS BEEN A GREAT PLEASURE WORKING WITH YOU. IF YOU HAVE
ANY QUESTIONS AT ALL, FEEL FREE TO CALL.(800)228-3328
S ELY
S MCQUIGGAN
SESENIOR ICE PRESIDENT
ROSE-TILLMANN, INC.
PHONE 619/892-0608 FAX 819/892-1369 NATIONWIDE TOLL FREE 600/229-3328
SEC Southeast Environmental Contra :tors
ASBESTOS ABATEMENT & ENCAPSULATION IN ACCORDANCE WITH
EPA Standards
Robert J Ankney
Presldert
5. Current Insurance Policy for Occupational Disease Insurance
2303 W. McNab Road • Pompano Beach, FL 33069 • (305) 971-5992 • 971-W6 • 1-800-533-5992
FAX (305) 971-9979
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�
: DATE (NAIMIODrrYij
'`%„t ISSUE
PRODUCER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND,
EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Rose-Tillmann, Inc.
P.O. Box 628
COMPANIES AFFORDING COVERAGE
a
Edwardsville, IL 62025
COMPANY
A
LETTER National Union F Insurancp
COMPANY
LETTER B Zurich American Insurance
- _
INSURED
Southeast Environmental
COMPANY
C
a
Contractors Inc. and
LETTER
Insurance Company of North America
ASI Fireproofing, Inc.
COMPANY Q
2302 W. McNab Road
LETTER --
Pompano Beach, FL 33069
COMMA"LETTER Y E
0
TR
a
3
THIS IS TO CERTIFY THAT 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 CONDI-
TIONS OF SUCH POLICIES.
TYPE OF INSURANCE
POLICY NUMSEA
POLICY EFFECTIvF
DATE (M%'OD(YYI
r
PO -ICY E).P.RATipv
DATE (MuDD'YYI
ALL LIMITS IN THOUSANDS
GENERAL AGGREGATE $
GENERAL
LIABILITY
COMMERCIAL GENERALLIABILITY
CIA:IAiM.1`E I 10(YUHNF J
000JR S L CONTRACTORS PRUTECINE
Asb. Abatement
AAI 777-81-18
07-11-89
07-11-9
�^
PHODuCTS COMPIOPS AGGREGATE
$
$ 11a
PFRSONALBAV`JEflT1S14GINJURY
SACK OCCURRFNCE
x
FiRFDAMAGE (ANY ONE FIREi
$
MEDICAI EXPENSE (ANY ONE PERSONI
$
AUTOMOBILE
LIABILITY
ANY AUTO
A.L OWNED AUTO$
SCHEDULED AUTOS
HIRED AUTOS
h01,OWNLD AUTOS
GARAGE LIAS'LITY
BAP 628547300
10-13-89
10-13-9
CSL
$
BOPIIY
LVJURY
(PEA PERSON)
J
V(P?GbEJU�FIY
ACCIDE411
$
i e.
PROPERTY
DAMAGE
EXCESS LIABILITY
OTHER THAN UMBRELLA FORM
WORKERS' COMPENSATION
AND
EMPLOYERS' UABILITY
EACH AGGREGATE
OCCURRENCE
STATUTORY
C32699431 108-30-89 1 08-30--90 $
E$ 500,
(EACH ACCIDENT;
(OiSFASF POLIM
IDISEASE-EACH FM-'LOYEV
OTHER
All Risk, ACV,
B Commercial $ 21000. Misc. Tools
Property CPP 628947200 10-13-89 10-13-90 $ 131,300 Sched.Equi
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS! SPECIAL ITEMS $ 500. Ded .
FOR BIDDING OR INFORMATIONAL PURPOSES ONLY.
TO WHOM IT MAY CONCERN
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX-
PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
SEC Southeast Environmental Contractors
Robert) Ankney
President
ASBESTOS ABATEMENT & ENCAPSULATION IN ACCORDANCE WITH
EPA Standards
6. Judgements or Violations
2303 W. McNab Road • Pompano Beach. FL 33069 • (305) 971-5992 • 971-6406 • 1-800-533-5992
FAX (305) 971-9979
SEC Southeast Environmental Contractors
ASBESTOS ABATEMENT & ENCAPSULATION IN ACCORDANCE WITH
EPA Standards
Robert J Ankney
President
7. License for Asbestos Consultants & Contractors
2303 W. McNab Road • Pompano Beach, FL 33069 • (305) 971-5992 • 971-W6 • 1-800-533-5992
FAX (305) 971-9979
SEC Southeast Environmental Contra :gars
ASBESTOS ABATEMENT & ENCAPSULATION IN ACCORDANCE WITH
EPA Standards
Roper, .1 Ankney
President
January 17, 1990
Southeast Environmental Contractors, Inc. has been in
compliance with all Federal, State, and Local regulatory agencies,
in all matters relating to asbestos abatement activity.
Southeast Environmental Contractors, Inc. has not had any
citations/judgements/violations issued against them or incurred any
penalties through noncompliance with any project specifications,
including those of liquidated damages, overruns in scheduled time
limitations, nor has this firm ever defaulted on a contract.
Southeast Environmental Contractors, Inc. and its employees
that may take part in this project, have not participated nor are
they currently involved in any asbestos related legal
proceedings/claims.
Signed,
Robert L. Lubart
General Manager
January 17, 1990
STATE OF FLORIDA
COUNTY OF BROWARD
BEFORE , the undersigned authority, personally
appeared ,e� �,�,� , known to me to be the person
whose name is subscribed hereto having the power to bond and
contract the firm of Southeast Environmental Contractors, Inc., and
having been by me duly sworn upon oath stated and acknowledged that
the statements contained in the foregoing Agreement and Affidavit
are true and correct to the best of his knowledge, that he is
authorized to make this Agreement and Affidavit; and that he
executed the foregoing for the purposes and considerations and in
the capacity stated therein stated.
GIVEN UNDER MY HAND AND SEAL OF OFFICE, and SUBSCRIBED AND SWORN
TO BEFORE ME this /7 day of —,—Aa 19911-1
cc
NOTARY PUB IC IN AND FOR
COUNTY,
7rj Mayi-vim is si i'a * I /laper•
2303 W. McNab Road • Pompano Beach, FL 33069 • (305) 971-5992 • 971-6406 • 1-800-533-5992
FAX (305) 971-9979
STATE OF FLORIDA j
DEPARTMENT OF PROFESSIONAL REGULATION I i
CONSTRUCTION INDUSTRY LICENSING BOARD
06/28/89 1 CJ C046325
THE CERTIFIED -ASBESTOS CONTRACTOR
NAMED BELOW vHAS REGISTERED
EUNDER XPIRING HE �1lw 1�. St V&2CHAPTER 489
ANKNEY. ROBERT JAY
SE ENVIRONMENTAL CONTR INC
2303 Y MC NAB ROAD JUITE 15
POMPANO BEACH FL 3069
09993
F.S., FOR THE YEAR
BGO ERN"ARTOR` DISPLAY IN A CONSPICUOUS PLACE ��
SECRETARY, D.P.R.
06/28/89 0.51613 3
AUDiT CONTF.OL N0.
UCENSE NO. BATCH NO. FEE AMOUNT
CJ C046325 09993 $196_00
CONSTRUCTION INDUSTRY LICENSING BL
POST OFFICE BOX 2
JACKSONVILLEP FL 32201
SE-
_ _ : MALLET A FOL HERE
ST TEA R OF FLOREA
DEPARTC NSTRUC7 ONOIANOUSTURL7T10N
0 LICENSING BOARD
CERTIFIED ASBESTOS CONTRACTOR
ANKNETo ROBERT JAY
SE ENVIRONMENTAL CONTR INC
HAS PAID THE FEE REQUIRED BY CHA1pIER 489 F.S..
FOR THE YEAR EXPIRING
J UN E 3�i 1992
OB MARTINEZ
LAR GOirA
I GOVERNOR
SECRETARY, D.P.R. i
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