Item C44i 1:' = � = = M W MaMi
�WW NO PAM I I NO IN1004 10 Ll 14��
Meeting Date: 2014 Division: Public Works/Eiigineering
Bulk Item: Yes X No — Department: Project Management
Staff Contact Person/Phone #: Kevin Wilson x8797
91=1138=6
ITEM BACKGROUND: On March 25"', 2014 sealed bids were opened for the Repairs of the Blimp
Road Boat Ramp. Douglas N. Higgins, Inc., was the sole contractor to bid on the job in the amount of
$167,000.00. The original estimates to perform this work are far less than were quoted. Staff, as well
as the design consultant, speculates that the contractor considered a different construction method than
was originally assumed for this project. Negotiations are needed to clarify the construction method
with the possibility of reducing the cost.
■,► RELEVANT BOCC ACTION: On May 16', 2012 the Board of County Commissioners
Approved a Joint Agreement to maintain Public Access and Stormwater system for the purposes of
completing the requirements of the Joint ■ with the Army Corps of Engineering and the Florida
Department of Environmental Protection and receiving authorization to perform the repairs • the Boat
Ramp.
TOTAL COST: $ -0- INDIRECT COST:
(askinp, for avvroval to nevii�
M
DIFFERENTIAL OF LOCAL PREFERENCE: N/A
COST TO COUNTY: N/A SOURCE OF FUNDS:Boater Improvement Fund
REVENUE PRODUCING: Yes No X AMOUNT PER MONTH Year
APPROVED BY: County Atty OMB/Purchasing is Management
DOCUMENTATION: Included X Not Required__
Exnaerf-.�
AUM
KEY
�BOA�TRAI�IPRE�PAIR, _CUDJOE
BLIMP
SECTION ()O"o
L FORIJ.
------------- BOARD OF COUNTY COMMISSIONERS
PROPOSAL TO: MONROE COUNTY
c/o PURCHASING DEPARTMENT
1`100 SIMONTON STREET
ROOM 2.213
KEY WEST, FLORIDA 33040
PROPOSALFROM: UO
L 1"i,
undersined, having carefully examined the Work and reference Drawings, Specifications,
The g
Proposal, and Addenda thereto and other Contract Documents for the construction of:
Blimp Road Boat Ramp Repair
CU JOE LORIDA
and having carefully examined the site where the Work is tbe performed. having become
familiar with all local conditions including labor affecting the cos
t thereof, and having familiarized
himself with material availability, Federal, State, and Local laws, ordinances, rulalles andbor,
regulations affecting performance of the Work, does hereby propose to furnish la
mechanics, superintendents, tools, material, equipment. transportation services, and all
incidentals necessary to perform and complete said Work and work incidental hereto, in a
workman -like manner, in conformance with said Drawings, Specifications, and other Contract
Documents including Addenda issued thereto.
The undersigned further certifies that he has personally inspected the actual location of where
the Work is to be performed, together wit��heerfaamed
rcesofsupplyeethe conditions under which the Work is to pThe successful proposer shall assume
the risk of any and all costs and delays arising from the existence of any subsurface or other
latent physical condition which could be reasonably anticipated by reference to documentary
information provided and made available, and from inspection and examination of the site.
The Base Proposal shall be furnished below in words and numbers. If there is an
inconsistency between the two the Proposal in words shall control.
-2-011ars.
(Total Base Proposal- words)
(Total Base Proposal — numbers)
I acknowledge Alternates as follows:
I acknowledge receipt of Addenda No.(s) 00110-4
2/14/2014 PROPOSAL
No. .1 Dated 3-1S-14
No. Dated
No. Dated
Proposer, states by his check mark in the blank beside the form and by his signature that he
has provided the following forms (locat-H in Section 00110):
a. Proposal Form V ,
b. Proposal Security (Bid Bond) V�
C. Non -Collusion Affidavit ,!,
d. Lobbying and Conflict of Interest Clause P
e. Drug -Free Workplace Form 1� I
f. Subcontractor Listing For V ,
9. Proposer's Insurance and Indemnification Statern nt\/
h. Insurance Agents Statement (signed by agent) 7 , and
i. Local Preference Form and requirements (if applicable),
In addition, Proposer states that he has included a certified copy of Contractor's License,
Monroe and County Occupational License, LCheck mark items above, as a re inder that
they are included.1
I f'oift., Suf
Mailing Address: C) / "o V1 S ltlc
fry) n
Phone Number: ( -1
Date: 0_� .�ulq Signed
Ij
V
(Naro
(Title)
Witness: allyd&L t Uj (�_(S ea 1)
2/14/2014 PROPOSAL 00110-5
4*11IIIH111M
of the city 00y, IIV i al CU
accordit to 1* on my oath, and under penalty of perjury, depose and say that:
V � u n � 4-
described in the notice for calling for proposals
ffly- f"o a 6u III f (kavvi r, r�,tr (I ir 660 joe- Kel
t" The prices in this proposal have been arrived at independently without collusion, consultation,
communication or agreement for the purpose of restricting competition, as to any matter relating ts
such prices with any other proposer or with any competitor;
11.01 1 1 0; nOW. 0140.11- is
1p-11 1011111 Rolm 11#1100W"191 N i A I I fit-0#1101OWN IN(f] 0 1 SPA W I 90141W.RGISQ-111 A Lei R I I �6001 It I For-111111VU I HE. I
5. The statements contained in this affidavit are true and correct, and made with full knowledge that
said project.
C
(Sign tore of Vroposer) ^ (Date)
STATE OF: 10,1167 01
COUNTY OF- iI a I&II
PERSONALLY APPEARED BEFORE ME, the undersigned authority,
who, after first being sworn by me, (name of individual signing) affixed his/her signature in the space provided above
41.1
on this 011�D day of r t 201
- S&I'til't
NOTARY PUBLIC
My commission expires: J0
SANDRA K GARRISON
NOTARY PUBLIC - STATE OF MICHIE,74_�
COUNTY OF WASHTENAW
my Commission EViras January I II 2(''U
2/14/2014 PROPOSAL 00110-7
11A 17HI W-9750 F0073-9 FZT-,Tiyjl'J &I to-10-604T4 WkJ
T aw 1 &o] =bjellIk' III IVAJ Its] ;A
161S
of Section 3 of Orciinance No. 010-1990. For breach or violation of this provision the County may, in its discretion,
terminate this contiract without liability and may also, in its discretion, deduct from the contract or purchase price, or
otherwise recover, the full amount of any fee, commission, percentage, gift, or consideration paid to the former
County officer or ernployee".
(Signs iurh) J
Date: . � /-) � / I q
STATE OF:
COUNTY OF:
Subscribed and sw,orn to (or affirmed) before me on (date)
by. (name of affiant). He/She n to me
- * a - 0
IsEq wrs-- maj q11 it
NOTARY PUBLIC
My commission expires� 0,-)
C
2/14/2014 PROPOSAL 00110-8
1 . Publishes a statement notifying employees that the unlawful manufacture, distribution,
dispensing, possession, or use of a controlled substance is prohibited in the workplace and
specifying the actions that will be taken against employees for violations of such prohibition.
2. Informs employees about the dangers of drug abuse in the workplace, the business's
policy of maintaining a drug -free workplace, any available drug counseling, rehabilitation, and
employee assistance programs, and the penalties that may be imposed upon employees for
drug abuse violations.
3. Gives each employee engaged in providing the commodities or contractual services that
are under proposal a copy of the statement specified in subsection (1).
the statement specified in subsection (1), notifies the employees that, as a condition
of working on the commodities or contractual services that are under proposal, the employee
of guilty or nolo contendere to, any violation of Chapter 893 (Florida Statutes) or of any
controlled substance law of the United States or any state, for a violation occurring in the
workplace no later than five (5) days after such conviction.
5. Imposes a sanction on, or require the satisfactory participation in a drug abuse
assistance or rehabilitation program if such is available in the employee's community, or any
employee who is so convicted.
6. Makes a good faith effort to continue to maintain a drug -free workplace through
implementation of this section.
As the person authorized to sign the statement, I certify that this firm complies fully with the
above requirements.
9E��=
MW
2/14/2014 PROPOSAL 00110-9
LOCAL PREFERENE1/
C6
1. Does the vendor have a valid receipt for the business tax paid to the Monroe County Tax Collector dated at least
one year prior to the notice or request for bid or proposal? (Please furnish copy.)
2. Does the vendor have a physical business address located within Monroe County from which the vendor operats
or performs business on a day to day basis that is a substantial component of the goods or services being offered to
Monroe County? I
M E�f M
Telephone Number:
B. Does the vendor/prime contractor intend to subcontract 50% or more of the goods, services or construction to
local businesses meeting the criteria above as to licensing and location?
If yes, please provide:
I . Copy of Receipt of business tax paid to the Monroe County Tax Collector by the subcontractor dated at least one
year prior to the notice or request for bid or proposal.
2. Subcontractor Address within Monroe County from which the subcontractor operates:
ignature anUTF Tiff —eOT AUttiori—z—ed-Yi—gnatory tor
Proposer/Responder
9WK6TQ
On this day of _, 20_, before me, the undersigned notary public, personally appeared
known to me to be the person whose name is subscribed above or who produced
as identification, and acknowledged that he/she is the person who executed the above Local
Preference Form for the purposes therein contained.
= I
2/14/2014 PROPOSAL 00110-10
Division Subcontractor Contact Person Ph # w/area code Fax: Call: Address
2/14/2014 PROPOSAL 00110-11
3 118512 rliil 2
INSURANCE CHECKLIST
FOR
VE-NJ1*A-S—SUBNTffTTVqG ir-A*r-*SAi
FOR WORK
AND
EMPLOYERS'LIABILITY
x Workers' Compensation Statutory Limits
Injury by Disease, policy
limits/Bodily Injury by Disease
eacA employee
WC1
Employers Liability
$100,0001500,0005 100,000
WC2 x
Employers Liability
$500,0005500,0005500,000
WC3
Employers Liability
$1,000,000/$ 1,000,000/s 1,000,000
WCUSLH
US Longshoremen &
Same as Employers'
Harbor Workers Act
Liability
WCJA
Federal Jones Act
Same as Employers'
Liability
2/14/2014 PROPOSAL 00110-12
"-Muir
GENERAL LIABILITY
As a minimum, the required general liability coverages will include:
• Premises Operations • Products and Completed Operations
• Blanket Contractual Personal Injury
• Expanded Definition
of Property Damage
Required Limits:
GLI
WIM
ME
MCI,
Required Endorsement:
GLXCU
M
$200,000 per Person; $300,000 per Occurrence
$200,000 Property Damage
or
$300,000 Combined Single Limit
$300,000 per Person; $500,000 per Occurrence
$200,000 Property Damage
or
$500,000 Combined Single Limit
i■0
$ 100,000 Property Damage
•
$ 1,000,000 Combined Single Limit
Underground, Explosion and Collapse (XCU)
Liquor Liability
MORM11=
2/14/2014 PROPOSAL 00110-13
W=IRX=0
VLI $50,000 per Person: $100,000 per Occurrence
$25,000 Property Damage
or
$ 100,000 Combined Single Limit
(The use of VLl should be limited to special projects that involve
other governmental entities or "Not for Profit" organizations. Risk
Management must approve the use oft is form).
VL2 X $200,000 per Person; $300,000 per Occurrence
$200,000 Property Damage
or
$300,000 Combined Single Limit
VU $500,000 per Person; $ 1,000,000 per Occurrence
$ 100,000 Property Damage
or
$1,000,000 Combined Single Limit
VL4 $5,000,000 Combined Single Limit
BRI
Builders'
Limits equal tothe
Risk
completed project.
MVC
Motor Truck
Limits equal to the maximum
Cargo
value of any one shipment.
PROI
Professional
$ 300,000 per Occurrencel 500,000Agg.
PR02
Liability
$ 500,000 per Occurrence/$ 1,000,000 Agg.
PR03
$ 1,000,000 per Occurrence/$ 2, 000,000 Ag&
POU
Pollution
$ 500,000 per Occurrence/$ 1,000,000 Agg.
POL2
Liability
$1,000,000 per Occurrence/$ 2,000,000 Agg.
POU
$ 5,000,000 per Occurrencel 10,000,000 Agg.
EDI
Employee
$ 10,000
ED2
Dishonesty
$100,000
GKI
Garage
$ 300,000($ 25,000perVeh)
GK2
Keepers
$ 500,000 ($100,000 per Veh)
GK3
$1,000,000 ($250,000 per Veh)
2/14/2014 PROPOSAL 00110-14
Medical $ 0i! 750,000
'1 * ! , *,,, at 3,000,000 i ! i&
$5,000,000510,000,000 Agg.
i.MTWX
Installed
BLL Baileer'...
will be - !!
! ! a
HKLI
Hangarkeepers
300,000
HKL2
Liability
500,000
HKL3
s
1,000,000
AIRI
Aircraft
$
1,000,000
Liability
5,00 ,00
AIR3
$50,000,000
AE01
Architects Errors
300,000 e ccrrecel$ 500,000
Omissions
$
500,000 perccu ec/ 1,000,000
AE03
$
1,000,000 per c e ce/ 3,000,000
EOI
Engineers Erors
00,000 per Occurrencel 500,000
Omissions
5 00,0 r Occurrence/$ Occurrence!1,000,000
1,000,000 perccrrec/ ,00 ,00
2/14/2014 PROPOSAL00110-15
g"NAMMMMM WIN 10 12
I have reviewed the above requirements with the bidder named below. The following deductibles
Rpply to the corresponding policy.
POLICY DEDUCTIBLES
Liability policies are ccurrence
Insurance Agency
W MIMIMi f
Signature
L C; f f 1-j ?1M a" affiliv
with all the requirements.
�1' i iature
NBLidderL- , ' f- g
FGSTGT�
2/14/2014 PROPOSAL 00110-16
WORKERS'COMPENSATION
INSURANCE REQUIREMENTS
FOR
CONTRACT: Blimp Road Boat Ramp Repair, Cudjoe Key
Key West, Florida
BETWEEN
I 11cult. & AOTeMe(3 D:77 I aket, L11c; %- I CT" M1177m"
Wo ers' Compensation Insurance with limits sufficient to respond to the applicable state
statutes.
Inaddition, the Contractor shall obtain Employers' Liability Insurance with limits of not less
than:
. of fit u's
NOW,
relffiff-304rou M-1
state of Flo If'Aa.
Tat Me,
of Insurance, providing details on the Contractor's ELess Insurance Program.
. Tticipa . -.— Lilu, a ,-Cl It instrance 17"Ce reqjureu.
In addition, the Contractor may be required to submit updated financial statements from the fund
upon request from the County.
NM
2/14/2014 PROPOSAL 00110-17
GETIERAL LIABILITT
INSURANCE REQUIREMENTS
FOR
CONTRACT: Blimp Road Boat Ramp Repair, Cudjoe Key
Key West, Florida
BETWEEN
MONROE COUNTY FLORIDA
Prior to the commencement of work governed by this contract, the Contractor shall obtain
General Liability Insurance. Coverage shall be maintained throughout the life of the contract
and include, as a minimum:
Premises Operations
Products and Completed Operations
Blanket Contractual Liability
Personal Injury Liability
Expanded Definition of Property Damagi
An Occurrence Form policy is preferred. If coverage is provided on a Claims Made policy, its
It
The Monroe County Board of County Commissioners shall be named as Additional Insured on
all policies issued to satisfy the above requirements.
WE
2/14/2014 PROPOSAL 00110-18
VEHICLE LIABILITY
INSURANCE REQUIREMENTS
FOR
CONTRACT: Blimr Road Boat Ramp Reyair_ CudjJoe Key,
Key West, Florida
BETWEEN
MONROE COUNTY * FLORIDA
wrill
11grgol 111R11 1MINI Iftell Igo Lyle two I w
all policies issued to satisfy the above requirements.
kw
2/14/2014 PROPOSAL 00110-19
FIX. 4@11JIX61 A
PROPOSER'S INSURANCE AND INDEMNIFICATION STATEMENT
INSURANCE REQUIREMENTS
Employers Liability
e%
General Liability, including
Premise Operation
Blanket Contractual
Expanded Definition of Property Damage
Products and Completed Operations
Personal Injury
1,tatutory Limits
$500,000 Bodily Injury by Accident
$500,000 Bodily Injury by Disease Policy Limits
..........
10 i �i I ........... N.
If split limits are preferred:
I =1 I Me — •ME
Vehicle Liability (Owned, non -owned, and hired vehicles) $300,000 Combined Single Limit
If split limits are preferred:
$200,000 per Person
$300,000 per Occurrence
$200,000 Property Damage
INDEMNIFICATION AND HOLD HARMLESS FOR CONSTRUCTION CONTRACTORS AND
SUBCONTRACTORS
Notwithstanding any minimum insurance requirements prescribed elsewhere in this agreement, the
Contractor covenants and agrees that he shall indemnify and hold the COUNTY and the COUNTY'S
elected and appointed officers and employees harmless from liabilities, damages, losses and costs,
recklessness, or intentional wrongful misconduct of the Contractor and persons employed or utilized by
the contractor, including sub-Contractor(s) in any tier, in the performance of the construction contract.
Wsifir g the claims. actions, causes of action, litigation, wroceedinos, costs or ex enses relate to events
fiWa11W1W11k1A1111ZM111^ wm_ "41
III M I A mg(Qm I I go] M I a I &-wAyea ILI apilingliv, swellglayAPM. INEWSINIUM-IM101111#111114 a IQFMZJQQQI:X0 IN
in ine ellen a ne comprefun-a J 11 1%11
result of the Consultant's failure to purchase or maintain the required insurance, the Consultant shall
indemnify the County from any and all increased expenses resulting from such delay. Should any claims
be asserted against the County by virtue of any deficiency or ambiguity in the plans and specifications
provided by the Consultant, the Consultant agrees and warrants that the Consultant shall hold the County
harmless and shall indemnify it from all losses occurring thereby and shall further defend any claim or
action on the County's behalf.
The first ten dollars ($10.00) of remuneration paid to the Contractor is for the indemnification provided for
the above. .
The extent of liability is in no way limited to, reduced, or lessened by the insurance requirements
contained elsewhere within this AGREEMENT.
2/14/2014 PROPOSAL 00110-20
I understand the insurance that will be mandatory if awarded the contract and will comply in ful
with all the requirements. I fully accept the indemnification and hold harmless as set out on pa
00110-12 of this proposal. I
Docka las � ftoln� Jkl( A) I 1 1.1 /� ,
PROP ER Signaldri
I have reviewed the above requirements with the proposer named above. The following
deductibles apply to the corresponding policy.
POLICY DEDUCTIBLES
1 0
: iability policies are X Occurrenca
Insurance Agency
IM FM M & Me
2/14/2014 PROPOSAL 00110-21
i2014
MONROE COUNTY BUSINESS TAX RECEIPT
EXPIRES SEPTEMBER 1 2014
731164=0,� ..
Owner Name: DOUGLAS N HIGGINS, DANIEL N HIGGINS Business Location: MO CTY
Mailing Address: KEY WEST, FL 3300
3390 TRAVIS POINTE RD Business Phone: 305-294-3355
Ste A Business Type: CONTRACTOR (UNDERGROUND UTILITY)
ANN ARBOR, MI 48108
Employees 5
* 1 IIIi I I I: I I II
THIS RECEIPT MUST BE POSTED CONSPICUOUSLY IN YOUR PLACE OF BUSINESS
THIS BECOMES A TAX RECEIPT Danise D. Henriquez, CFC, Tax Collector THIS IS ONLY A TAX.
WHEN VALIDATED PO Box 1129, Key West, FL 33041 YOU MUST MEET ALL
COUNTY AND/OR
MUNICIPALITY PLANNING
AND ZONING REQUIREMENTS,
MONROE COUNTY BUSINESS TAX RECEIPT
P.O. Box 11, Key West, FL 3041-119
EXPIRES SEPTEMBER 30, 201
DOUGLAS N HIGGINS INC RECEIPT# 30140-62369
Business Name:
, DANIEL HIGGINS Business Location: MO
CTY
DOUGLAS N HIGGINS
Owner Name; KEY WEST, FL 33040
Mailing Address; 3390 TRAVIS POINTE RD Business Phone: 305-294-3355
Ste A Business Type: CONTRACTOR (UNDERGROUND UTILITY)
ANN ARBOR, MI 48108
Employees 5
STATE LICENSE: CGC060189
Transfer Fee
Collection Cost
fir, �I
i 1
Paid 1 /III /, 070: 013/ 0 0
STATE OF FLORIDA
err -ND PARTMENT PROFESSIONAL REGULATION
A DEOF BUSINESS A
CONSTRUCTION INDUSTRY LICENSING BOARD
1940 NORTH MONROE STREET
TALLAHASSEE FL 32399-0783
HIGGINS, DANIEL NOR -MAN
DOUGLAS N HIGGINS INC
3390 TRAVIS POINTE ROAD
SUITE A
ANNN ARBOR MI 4811
Congratulations! With this license you become one of the nearly one million
Floridians licensed by the Department of Business and Professional Regulation.
Our professionals and businesses range from architects to yacht brokers, from
boxers to barbeque restaurants, and they keep Florida's economy strong.
Every day we work to improve the way we do business in order to serve you betted
For information about our services, please log onto www.myttloridalicense-corn.
There you can find more information about our divisions and the regulations that
impact you, subscribe to department newsletters and learn more about the
Department's initiatives.
Our mission at the Department is: License Efficiently, Regulate Fairly. We
constantly strive to serve you better so that you can serve your customers.
Thank you for doing business in Florida, and congratulations on your new license!
- LICENSE -NB R
DATE BATCH NUMBER
2 9-57415-..4QGC060-1
AC#'.'[� 30 7.0 L S
STME 0if F�O�IPA
PEP TMENT b gUSINE85.AND
PROSS S.VOItFIGU LNTT ON
E
4,12 118 19 57
CGCO66189� q8/2�
-�L C-NTRA
91
-G pg" (�TqR
Q�RTIFTEDJ
DQVG�Ag N- 1111 q
IS-rCERTIFIED undex the PTQVi5jaTkA ot ch. 4 8 9
date. 31, 201-
KEN LAWSON
�
Marc h 25, 2014 SUITE A NAPLES, FL 34104
ANN ARBOR, All 48108 (239) 774-3130
(734) W-9500 FAX: (239) 774-4266
Monroe County Board of County Commissioners FAX: (734) 996-8480
1100 Simonton Street
Re: Blimp Road Boat Ramp Repair
Cudjoe Key, Monroe County, Florida
We are supplying the infori-nation requested in Section 00100, Section 17.
Douglas N. Higgins is the President, Kelly A. Wilkie the Treasurer, Tamara Ludwig,
Sandra Garrison, David Wilkie and Kelly Wilkie are Secretary and Daniel N. Higgins,
Brandy Bartolone and Kelly A. Wilkie are the Vice -President of Douglas N. Higgins, Inc.
-myougias 117tNiggms, me. nas ocen in ousinesg-Tror years ana nas ope omy TTR
the name of Douglas N. Higgins, Inc.
1111 1 1115 11111M 111111 Ili I r!.1' I .
Detail by Entity printout and Annual Report.
ill
Jill I �11111111111lll I lill I
11 iii 11 Ili Ill a
Sincerely,
Douglas N. Hig ns, Inc. g�
� Wt' ' 1 W'tk'-Q)
Kelly A. ilkie
Vice -President
w/attachments
will
. Mt
14i]
•
Douglas N. Higgins - President Kelly A. Wilkie - Vice -President, Secretary, Treasurer
Brandy L. Bartolone- Vice -President Sandra K. Garrison - Secretary
Daniel N. Higgins - Vice -President Tamara J. Ludwig - Secretary
David J. Wilkie - Secretary
Bank Reference:
OMM
to . - : Z EMIEM
Bank of America
54,-LC-t.v*sw*IiL,A-ve-cl-14—,-$K-lite 20*
Detroit, MI 48226
11171 U W, - MULON 11"may
Hartford Plaza
Hartford, CT 06115
Trade References:
Michi
East Jordan Iron Works
5 96 P.O. Box #67000 1%t.
Detroit, MI 482677-056
P - (800) Manhole (626465
F - (248) 546-4612
Account # 39180
Michigan CAT
24800 Novi Road
P.O. Box 918
P - (734) 3494800
F - (248) 348-3201
Account #319072
0MO; IN
13!WIN.".11 M - ---------
Saline, MI 48176
P 429-7179
F - (734) 429-7070
Michigan Pipe &'Talve
3604 Page Avenue
Jackson, MI 49203
P - (517) 764-9750
764-9754
Contact: Mr. Tim Berry
(734) 761-1475 phit
one
(734) 418-0584 cell
(734) 213-2474 fax
NI Ii L9 PM."I toill
Ann Arbor, MI 48106
Florida
HD Supply
501 W. Church Street
P - (305) 418-5115
577-106.....
Account#101780000
Ferguson Enterprises, Inc.
2361 N.W. 22nd Street
P-onariano Beach, FL 33069
973-8 100
F - (954) 917-3134
Account # 584
Triple J of Lee County
P.O. Box #7258
Fort Myers, FL 33911-7258
P - (239) 337-2177
F - (239) 337-7093
Account #DOUOOOO I
U.S. Pipe & Foundry
P.O. Box 10406
P - (205) 254-7076
F - 205) 254-7042
I I
, 11143) 3 01 1114 0100 Niel UM NO
Billie z Address:
'Sff1FI`77`=1s13tn MM7,73=7 �—_7
Ann Arbor, MI 48108
Phone: (734) 996-9500
Fax: (734) 996-8480 1
5662 Glen Oak Ct.
Saline, MI 48176
Kelly A. Wilkie — Vice -President, Secretary, Treasurer
2450 Highridge Circle
Saline, MI 48176
Sandra K. Garrison
wl-_IMMA14• t WWI
Ypsilanti, M1 48198
David J. Wilkie — Secretary
2450 Highridge Circle
Saline, MI 48176
125 West William
.4 Q_1A&,rjV_J.LV"#4
Mank of America
ZW-D
Detroit, MI 48226
1"^Mr
Hartford Plaza
Hartford, CT 0■
6115
Agent: Hylant Group
24 Frank Lloyd Wright Dr.
P.O. Box #541, Ste. J4100
Ann Arbor, MI 48106
Business Started: April 1961f
DUNS # 0 1 -722-2183
#38-1807765
Daniel N, Higgins - Vice -President
632 Ironwood Way
Saline, MI 48176
Brandy L. Bartalone — Vice -President
3690 Is' Avenue SW
Naples, FL 34117
Tamara J. Ludwig
27541 Garrett Street
Bonita St)rings, FL 34135
P - (313) 202-3052
East Jordan Iron Works
P.O. Box #67000, Dept. #596
Detroit, MI 48267-0596
P - (800) Manhole (626-465
Account # 39180 1
Michigan CAT
24800 Novi Road
P.O. Box 918
IMIM-16;
I am
T1171 'IT. MICITpli 1%TCRTE
Saline, MI 48176
P - (734) 429-7179
au
360II 4 Page Avenue
Jackson, MI 49203
P764-9750
4,ccount #DOUOOOO I
mm.
HD Supply
501 W. Church Street
Orlando, Fl, 32805
P - (305) 418-5115
P - (954) 973-8100
I-ceou-tt # 584
Olsen Precast, Inc.
2140 Pondella Road
North Fort Myers- FL 33903
574-8896
Account # 130508
Triple J of Lee County
P.O. Box #7258
, F-v
P - (941) 337-2177
U.S. Pipe & Foundry
P.O. Box 10406
Naples, FL 33942
(239) 434-5050
City of Key West
525 Angela Street
P.O. Box 1409
Key West, FL 33040
0 U MTT.�MIT MM 7 01 = -7 WIM K 70, M M VT'
3575 S. LeJeune Road
Miami, FL 33133
(305) 665-7471 1
Palm Beach Water Utilities Department
2065 Prairie Road
West Palm Beach, FL 33416
Contact: Hassam Hadj imiry (561) 641-3429
City of Ann Arbor
100 N. Fifth Avenue
Ann Arbor, MI 48107
Contact: Homayoon Pirooz (734) 994-2744
Peters Building Company
P.O. Box 577
Saline, MI 48176
Contact: Jim Haeussler (734) 429-4200
Washtenaw County Department of Public Works
t 10 N. Fourth Avenue
Ann Arbor, MI 48107
(734) 994-2398
2777 State Street
Ypsilanti, MI 48197
Contact: Larry Thomas (734) 484-4600
City of Saline
100 Harris Street
Saline, MI 48176
Contact: Gary Roubal (734) 429-4907
DOUGLAS N. HIGGINS, INC.
Calvin
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Hollywood, FL 33020
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2M Hill
800 Fairway
Drive,
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Deerfield Beach, FL 33441
a r a118
715 Tenth Street South
Naples, FL 339
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#a262-4617
7 2158 Johnston Street
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ra 10•
000 W. Central Avenue
Toledo, OH 43606
. r 473-9611
Tetra Tech -- yy !
1 Avis Drive
a r• #1i0
Miami ter & SewerDepartment
4200 Salzedo
Coral Gables, FL 316
(30 ) 669-5751
I r 1/ Ii
3815
Plaza Drive
Ann Arbor, MI 48108
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Orchard, Ailtz ti McCliment, Inc.
Livonia,48150
! I s I
Fort Myers, 1 33919
#. r # 46
PI I
2131 Hollywood Blvd., Suite 400
Hollywood, FL 33020-6786
1 921-7275
Hicks,Atwell Inc.
Ann Arbor, MI 540 Avis Drive
a r•. .000
a*j1k&60j;U* MZ1 flolzr-U11,101-11
DOCUMENT# 830666
Current Principal Place of Business:
3390 TRAVIS POINTE RD.
SUITE A
ANN ARBOR MI 48108
Current Mailing Address:
3390 TRAVIS POINTE RD.
SUITE A
ANN ARBOR, MI 48108 US
FEI Number: 38-1807765
FILED
Jan 07, 2014
.......... - P - -1 . .
P 1. M11,
[q=rLUiF=&_1r1M1
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
Officer/Director Detail
Title VP
Name BARTOLONE,BRANDY L
Address 4465 ENTERPRISE AVENUE
City -State -Zip: NAPLES FL 34104
Title PD
Name HIGGINS, DOUGLAS N
Address 3390 TRAVIS POINTE RD., SUITE A
City -State -Zip: ANN ARBOR Mi 48108
Title VP
Name HIGGINS, DANIEL N
Address 3390 TRAVIS POINT E RD. SUITE A
City -State -Zip: ANN ARBOR MI 48108
Title
SECRETARY
Name
WILKIE, DAVID J
Address
3390 TRAVIS POINTE RD,
SUITE A
City -State -Zip:
ANN ARBOR Ml 48108
Title
ASST. SECRETARY
Name
LUDWIG, TAMARA J
Address
4465 ENTERPRISE AVENUE
City -State -Zip:
NAPLES FL 34104
Title
VP, EXECUTIVE SECRETARY,
TREASURER
Name
WILKIE, KELLY A
Address
3390 TRAVIS POINTE RD SUITE #A
City -State -ZIP:
ANN ARBOR MI 48108
Title
ASST, SECRETAR',"
Name
GARRISON, SANDRA K
Address
3390 TRAVIS POINTE RD.
SUITE A
City -State -Zip:
ANN ARBOR MI 48108
ME
I hereby ceriffy that the Information indicated on this report or supplemental report is true and accurate and that my afectronic signature shall have the some legal effect as It made under
at that I am an officer or director of the coToration or the receiver or trustee empowered to execute this report as required by Chapter 607, Florida Statute&: and that my name appears
above, or an an attachment with all other like empowered.
SIGNATURE: KELLY A. WILKIE VICE-PRESIDENT 01/07/201...
Electronic Signature of Signing Officer/Director Detail Date
State of Florida
Department of State
I certify from the records of this office that DOUGLAS N. HIGGINS INC. is ;Z,
Michigan corporation authorized to transact business in the State of Florida
qualified on August 1, 1973.
I further certify that said corporation has paid all fees due this office through
December 31, 2014, that its most recent annual report/uniform business report
was filed on January 7, 2014, and its status is active.
Given under my hand and the
at Tallahassee, the Capital, this
the Semi . 1 0 2 'P 1A
III
To authenticate this certificate,visit the following site,enter this
ID, and then follow the instructions displayed.
https://erile.sunbiz.org/certauthver.htmi