CN-550000-CAH80-00020000.pdf

Florida Department of Transportation www.fdot.gov

375-030-98

PROCUREMENT

1/19

RON DESANTIS

GOVERNOR

1109 South Marion Avenue Lake City, Florida 32025-5874

KEVIN J. THIBAULT, P.E.

SECRETARY

February 11, 2022

Constructive Engineering, Inc.

Kashif Iftikhar, PE

8461 Lake Worth Road, Suite 121

Lake Worth, Florida 33467

RE: Contract No. CAH80

Financial Project ID No. 447127-1-32-01

Design: SR 21

NOTICE TO PROCEED

Dear Mr. Iftikhar:

In accordance with the provisions of the referenced Agreement, your firm is hereby authorized to proceed with work beginning February 11, 2022, with services ending on or before February 10, 2024 for Contract

CAH80.

The terms also require that work performed out of scope or beyond the contract service period, which is not covered by an approved supplemental agreement or time extension, will not be eligible for payment by the FDOT. We look forward to working with you and your firm on this important project. The

Department’s Project Manager is Wayne Tooker, Jr., and can be reached at 386-961-7584 or wayne.tookerjr@dot.state.fl.us.

Sincerely, Robert Williams cc: Financial Services Office

Procurement Office

Wayne Tooker, Jr.

DocuSign Envelope ID: 091EF6FF-A854-450A-9F62-8659DE703287

CAH80

2/11/2022 | 1:06 PM EST

Kashif Iftikhar

President

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-MAIL

ADDRESS:

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

ER

OTH-

STATUTE

PER

LIMITS(MM/DD/YYYY)

POLICY EXP

(MM/DD/YYYY)

POLICY EFF

POLICY NUMBERTYPE OF INSURANCELTR

INSR

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

P.O. Box 661628 Collinsworth Ins & Risk Mgmt Services In

Cert ID 8666

1109 South Marion Avenue

The Phoenix Insurance Company 25623

Continental Casualty Company 20443

11/18/2021

8461 Lake Worth Road

A

Professional Liability erinn@collinsworthinsurance.com

03/13/2021 03/13/2022660-7K695260

A

B

X

X

Erinn E Collinsworth

Miami Springs FL 33266

Lake City FL 33025

Lake Worth FL 33467

(786) 930-4795

(786) 338-5452

(786) 930-4794

X X

X

100,000

1,000,000

5,000

500,000

03/13/2021 03/13/2022660-7K695260

2,000,000

2,000,000

Florida Department of Transportation District 2

Project: SR 21/Blanding Blvd RRR Project From SR 208/Wilson Blvd (MP 5.717) to north of Roosevelt Blvd. (MP 8.000)

Constructive Engineering, Inc.

Each Claim12/07/202112/07/2020AEH591945083

Claims Made Basis Policy Aggregate 500,000

FLORIDA DEPARTMENT OF TRANSPORTATION

FUNDS APPROVAL

CAH80

2/9/2022

CONTRACT INFORMATION

FUNDS APPROVAL INFORMATION

FUNDS APPROVED/REVIEWED FOR ROBIN M. NAITOVE, CPA, COMPTROLLER ON 2/9/2022

Action: Original

Reviewed or Approved: APPROVED

Organization Code: 55023010248

Expansion Option: A9

Object Code: 131500

Amount: $888,128.00

Financial Project: 44712713201

Work Activity (FCT): 011

CFDA:

Fiscal Year: 2022

Budget Entity: 55100100

Category/Category Year: 088849/22

Amendment ID: O001

Sequence: 00

User Assigned ID:

Enc Line (6s)/Status: 0001/04

Total Amount: $888,128.00

Contract: CAH80

Contract Type: CJ - DESIGN BUILD PROPOSAL COMPENSATION (D/B PRO)

Vendor Name: CONSTRUCTIVE ENGINEERING, INC.

Vendor ID: F814232103001

Beginning Date of This Agreement: 02/08/2022

Ending Date of This Agreement: 02/07/2032

Contract Total/Budgetary Ceiling: ct = $888,128.00

Method of Procurement: C - REQUEST FOR PROPOSAL (287.55,F. S.)

Description: Design: SR 21

Page1 of 1

To: Lynne.Crawford@dot.state.fl.us

Florida Department of Transportation www.fdot.gov

375-030-98

PROCUREMENT

1/19

RON DESANTIS

GOVERNOR

1109 South Marion Avenue Lake City, Florida 32025-5874

KEVIN J. THIBAULT, P.E.

SECRETARY

February 11, 2022

Constructive Engineering, Inc.

Kashif Iftikhar, PE

8461 Lake Worth Road, Suite 121

Lake Worth, Florida 33467

RE: Contract No. CAH80

Financial Project ID No. 447127-1-32-01

Design: SR 21

NOTICE TO PROCEED

Dear Mr. Iftikhar:

In accordance with the provisions of the referenced Agreement, your firm is hereby authorized to proceed with work beginning February 11, 2022, with services ending on or before February 10, 2024 for Contract

CAH80.

The terms also require that work performed out of scope or beyond the contract service period, which is not covered by an approved supplemental agreement or time extension, will not be eligible for payment by the FDOT. We look forward to working with you and your firm on this important project. The

Department’s Project Manager is Wayne Tooker, Jr., and can be reached at 386-961-7584 or wayne.tookerjr@dot.state.fl.us.

Sincerely, Robert Williams cc: Financial Services Office

Procurement Office

Wayne Tooker, Jr.