k%l SCHOOLS RE: Bid #3000DG - Roofing Contract Labor Dismct 1 Jim Miller Dlsdrict 2 Rosanne Brandeburg

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1 k%l SCHOOLS Leading our ChiIdmn to Success Purchasing Department CR 561 Tavares - FL (352) Fax: (352) htb3~zlake.kl2.fl.u~ March 7,201 1 Mr. Chris Felix Advanced Roofing, Inc NW 22nd Street Fort Lauderdale, FL RE: Bid #3000DG - Roofing Contract Labor Dear Mr. Felix, Superintendent: Susan Moxley, Ed.D. School Board Members: Dismct 1 Jim Miller Dlsdrict 2 Rosanne Brandeburg Dismct 3 Tod Howard District 4 Debbie Stlvender District 5 Kyleen Fischer The Lake County School Board has accepted your offer to renew your annual contract for the above referenced bid. The contract term in this agreement will be from June 8, through June 7,2012. Per contract specifications, it is your responsibility to provide the Purchasing Department with current copies of your certificate of insurance naming the School Board of Lake County, Florida, as an additional insured and to maintain the required coverages for the duration of the contract term. If you have not already done so, please forward this information as soon as possible. Failure to submit a fully completed original certificate of insurance signed by an authorized representative of the insurer providing such coverage may cause your company to be in default and subject to cancellation of the contract. We look forward to working with you during this contract period. If you have questions, please call me at (352) Sincerely, Deborah Gardner Assistant Purchasing Agent "Equal Opportunity in Hucaffon and EInpl~~Inent"

2 LAKE COUNTY sehools Leading our Chifdrer~ ta Su~cessr,,,, -...,,.- "-", "".-.---,.. -.-,- f)urshasing Dapartrnent CR 561. Tsvnros FL (35%) Fax: (352) &M~~(/lgk&&l&PI,!i$ $up~~nfo?~riuni Susari Moxley, Ed.[) School h~oatd WI.II,/I~Y~; District t JI~II M~llt'r Disfrrct 7 Rosarlfl 3 #rftrlric!bi~rg D~strrc,f 3 foci Howard i~lsfrrcl a l)ebh~u Sl~venrler 01 r;tncl5 Kylsen F~c;ct~er March 3, 201? RENEWAL OPTION -"-....-".-- Mr C:trrrs f-el~x Advaricod I?oof~ng. Inc NW %%nd Street Fort Lairclerdalc, F\_ 3331 I RE: Bid #300QQG -- R ~ofi~g GsnQrecl Labor I tic abovc! rcferericed cor~tract IS eurruntly awarded to you1 cornparly, but unfortnrtately w~il (?xpirc: ofl Jtjrie l 1 I'hc? School Board of i ake County would l~c ~nterested rn rc?ni?wal af tt~is cuntract, POP cur~tract sp~?~ifi~at~or~~, by your company if possible Please complete the form helow to ~rrd~catc whether you wlsh to renew. Please returrr to our office by March 9, 7011 A sworn statr!rrient urider scctror~ (31, (a), Florida Statutes, or1 Ptibiic Ljntrty Crir?ic!s bas also boon lriclirded Please frll out arid relurn slgncd or~gitial before the camrnencernerrt ot coritrilct or1.jurir I T"hank yot~ 111 advance for your ass~star>ce In th~s corrtract renewal Please contact rri@ at , ~f you havn ariy questions /, ' /, /.,/&,,.,i,., tf. Ileborat~ Ciardner, Ass~stant Purcilasing Agent ---."..l.*...-p--- "--~:r~-~~--~:.::"7~~&~~~~~$,7"~~x~~--~.~~-~~~-'~~:-a------~.~,~~~~~:>~~::.~"~~.~.-~:~ nc. is ir~ agreenlent for renewal of tho above refert?nced (:antract at thr? apr~rovetl corltract prices. Period of agreement shall be an additional twelve months, expirirlg or.\ JIF? 7, e: I agree to renew at approved contract prices. Yes L.1 No... ~. "- orized Signature

3 SWORN STATEMENT UNDER SECTION (3)(a), FLORIDA STATUTES, ON PUBLIC ENTITY CRIMES This form must be signed and sworn to in the presence of a notary public or other officer authorized to administer oaths. 1. This sworn statement is submitted to Lake Countv Schools by Christopher FelixNice President for Advanced Roofing, Inc. Whose business address is: 1950 NW 2znd Street, Ft. Lauderdale, FL (If applicable) its Federal Employer Identification Number (FEIN) is: (If the entity has no FEIN, include the Social Security Number of the individual signing this sworn statement on the attached sheet.) Required as per IRS Form W I understand that a "public entity crime" as defined in Paragraph (1)(g), Florida Statutes, means a violation of any state or federal law by a person with respect to and directly related to the transaction of business with any public entity or with an agency or political subdivision of any other state or with the United States, including but not limited to, and bid or contract for goods or services to be provided to any public entity or agency or political subdivision or any other state or of the Unites States, and involving antitrust, fraud, theft, bribery, collusion, racketeering, conspiracy, or material misrepresentation. 3. I understate that "convicted" or "conviction" as defined in Paragraph (1)(b), Florida Statutes, means a finding of guilt or a conviction of a public entity crime, with or without an adjudication of guilt, in any federal or state trial court of record relating to charges brought by indictment or information after July 1, 1989, as a result of a jury verdict, nonjury trial, or entry of a plea of guilty or nolo contendere. 4. I understand that "affiliate" as defined in Paragraph (1)(a), Florida Statutes means: A. A predecessor or successor of a person convicted of a public entity crime or; 6. ~n entity under the control of any natural person who is active in ihe management of the entity and who has been convicted of a public entity crime. The term "affiliate" includes those offices, directors, executives, partners, shareholders, employees, members, and agents who are active in the management of the affiliate. The ownership by one person of shares constituting a controlling interest in another person, or a pooling of equipment or income amoqg persons when not fair market value under an arm's length agreement, shall be a facie case that one person controls another person. A person who knowingly enters into a join venture with a person who has been convicted of a public entity crime in Florida during the proceeding 36 months shall be considered an affiliate. 5. I understand that a "person" as defined in Paragraph (1)(~), Florida Statutes, means any natural person or entity organized under the laws of any state or of the United States with the legal power to enter a binding contract and which bids or applies to bid on contracts for the provision of goods or services let by a public entity, or which otherwise transacts or applies to transact business with a public entity. The term "person" includes those officers, directors, executives, partners, shareholders, employees, members, and agents who are active in management of the entity. 6. Based on information and belief, the statement, which I have marked below, is true in relation to the entity submitting those sworn statements. (Please indicate which statement applies.)

4 Neither the entity submitted this sworn statement, nor any officers, directors, executives, partners, shareholders, employees, members, and agents who are active in management of an entity nor affiliate of the entity have been charged with and convicted of a public entity crime subsequent to July 1, 1989 C] The entity submitting this sworn statement, or one or more of the officers, directors, executives, partners, shareholders, employees, member, or agents who are active in management of the entity, or an affiliate of the entily have been charged with and convicted of a public entity crime subsequent to July 1, The entity submitting this sworn statement, or one or more of its officers, directors, executives, partners, shareholders, employees, member, or agents who are active in management of the entity, or an affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, However, there has been subsequent proceeding before a Hearing Officer of the State of Florida, Division of Administrative Hearing and the Final Order entered by the Hearing Officer determined that it was not in the public interest to place the entity submitting this sworn statement on the convicted vendor list. (Attach a copy of the final order) I UNDERSTAND THAT THE SUBMISSION OF THIS FORM TO THE CONTRACTING OFFICER FOR THE PUBLIC ENTITY IDENTIFIED IN PARAGRAPH 1 (ONE) ABOVE IS FOR THAT PUBLIC ENTITY ONLY AND, THAT THIS FORM IS VALID 'THROUGH DECEMBER 31 OF "THE CALENDAR YEAR IN WHICH IS FILED. I ALSO UNDERSTAND THAT I AM REQUIRED TO INFORM THE PUBLIC ENTITY PRIOR TO ENTERING INTO A CONTRACT IN EXCESS OF THE THRESHOLD AMOUNT PROVIDED IN SECTION , FLORIDA STATUTES, FOR CATEGORY TWO 0 ANGE IN THE INFORMA'TION CONTAINED IN THIS FORM. STATE OF COUNTY OF w (Signature) March 2,2011 (Date) FLORIDA SEMINOLE PERSONALLY APPEARED BEFORE ME, the undersigned authority, Christopher Felix (Name of individual signing) who, after first being sworn by me, affixed hislher signature in the space provided above on this 2nd day of March,201 1 My Commission Expires:

5 LAKE COUNTY SCHOOLS Leading our Children to Success Purchasing Department CR 561. Tavares a FL (352) Fax: (352) Superintendent: School Board Members: Susan Moxley, Ed.D. District 1 Larry Metz Disttfct 2 Rosanne Brandeburg District 3 Cindy Barrow District 4 Debbie Stivender District 5 Kyleen Fischer May 6,201 0 Mr. Chris Felix Advanced Roofi~g, Inc NW 22nd Street Fort Lauderdale, FL RE: Bid #3000DG - Roofing Contract Labor Dear Mr. Felix, The Lake County School Board has accepted your offer to renew your annual contract for the above referenced bid. The contract term in this agreement will be from June 8, 2010 through Julie 7, Per contract specifications, it is your responsibility to provide the Purchasing Department with current copies of your certificate of insurance naming the School Board of Lake County, Florida, as an additional insured and to maintain the required coverages for the duration of the contract term. If you have not already done so, please forward this information as soon as possible. Failure to submit a fully completed original certificate of insurance signed by an authorized representative of the insurer providing such coverage may cause your company to be in default and subject to cancellation of the contract. We look forward to working with you during this contract period. If you have questions, please call me at (352) Sincerely, A Deborah Gardner Assistant Purchasing Agent "Equal Opportunity in Education and Employment"

6 LAKE COUNTY SCHOOLS f eading our Chifdren to Success Purchasing Department CR 561, Tavares FL (352) Fax: (352) h~://lake.kl2.fl.us Superintendent: Susan Moxley, Ed.D. School Board Members: District I Larry Meu District 2 Rosanne Brandeburg District 3 Cindy Barrow District 4 Debbie Stivender District 5 Kyleen Fischer April 27, 2010 RENEWAL OPTION Mr. Chris Felix Advanced Roofing, Inc NW 22nd Street Fort Lauderdale, FL RE: Bid #3000DG - Roofing Contract Labor Dear Mr. Felix, The above referenced contract is currently awarded to your company, but unfortunately will expire on June 7, The School Board of Lake County would be interested in renewal of this contract, per contract specifications, by your company if possible. Please complete the form below to indicate whether you wish to renew. Please return to our office by May 3, A sworn statement under section (3), (a), Florida Statutes, on Public Entity Crimes has also been included. Please fill out and return signed original before the commencement of contract on June 8, Thank you in advance for your assistance in this contract renewal. Please contact me at , if you have any questions. Sincerely, &&- Deborah Gardner, Assistant Purchasing Agent e Advanced Roofing, Inc. is in agreement for renewal of the above referenced contract at the approved contract prices. Period of agreement shall be an additional twelve months, expiring on June 7, e; I agree to renew at approved contract prices. yes NO 5/3h Date "Equal Opportunity In Education end Employment"

7 SWORN STATEMENT UNDER SECTION (3)(a), FLORIDA STATUTES, ON PUBLIC ENTITY CRIMES This form must be signed and sworn to in the presence of a notary public or other officer authorized to administer oaths. 1. This sworn statement is submitted to Lake Countv Schools by Chris FelixNice President for Advanced Roofing, Inc. Whose business address is: 3551 West First Street, Sanford, FL (If applicable) its Federal Employer Identification Number (FEIN) is: (If the entity has no FEIN, include the Social Security Number of the individual signing this sworn statement on the attached sheet.) Required as per 1RS Form W I understand that a "public entity crime" as defined in Paragraph (1)(g), Florida Statutes. means a violation of any state or federal law by a person with respect to and directly related to the transaction of business with any public entity or with an agency or political subdivision of any other state or with the United States, including but not limited to, and bid or contract for goods or services to be provided to any public entity or agency or political subdivision or any other state or of the Unites States, and involving antitrust, fraud, theft, bribery, collusion, racketeering, conspiracy, or material misrepresentation. 3. I understate that "convicted" or "conviction" as defined in Paragraph (1)(b), Florida Statutes, means a finding of guilt or a conviction of a public entity crime, with or without an adjudication of guilt, in any federal or state trial court of record relating to charges brought by indictment or information after July 1, 1989, as a result of a jury verdict, nonjury trial, or entry of a plea of guilty or nolo contendere. 4. I understand that "affiliate" as defined in Paragraph (1)(a), Florida Statutes means: A. A predecessor or successor of a person convicted of a public entity crime or; 6. ~n entity under the control of any natural person who is active in ihe management of the entity and who has been convicted of a public entity crime. The term "affiliate" includes those offices, directors, executives, partners, shareholders, employees, members, and agents who are active in the management of the affiliate. The ownership by one person of shares constituting a controlling interest in another person, or a pooling of equipment or income among persons when not fair market value under an arm's length agreement, shall be a facie case that one person controls another person. A person who knowingly enters into a join venture with a person who has been convicted of a public entity crime in Florida during the proceeding 36 months shall be considered an affiliate. 5. I understand that a "person" as defined in Paragraph (1)(~), Florida Statutes, means any natural person or entity organized under the laws of any state or of the United States with the legal power to enter a binding contract and which bids or applies to bid on contracts for the provision of goods or services let by a public entity, or which otherwise transacts or applies to transact business with a public entity. The term "person" includes those officers, directors, executives, partners, shareholders, employees, members, and agents who are active in management of the entity. 6. Based on information and belief, the statement, which I have marked below, is true in relation to the entity submitting those sworn statements. (Please indicate which statement applies.)

8 d Neither the entity submitted this sworn statement, nor any officers, directors, executives, partners, shareholders, employees, members, and agents who are active in management of an entity nor affiliate of the entity have been charged with and convicted of a publlc entity crime subsequent to July 1, The entity submitting this sworn statement, or one or more of the officers, directors, executives, partners, shareholders, employees, member, or agents who are active in management of the entity, or an affiliate of the entity have been charged with and convicted of a public entity crime subsequent to July 1, The entlty submitting th~s sworn statement, or one or more of its officers, directors, executives, partners, shareholders, employees, member, or agents who are active in management of the entity, or an affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, However, there has been subsequent proceeding before a Hearing Officer of the State of Florida, Division of Administrative Hearing and the Final Order entered by the Hearing Officer determined that it was not in the public interest to place the entity submitting thls sworn statement on the convicted vendor list. (Attach a copy of the final order) I UNDERSTAND THAT THE SUBMISSION OF THlS FORM TO THE CONTRACTING OFFICER FOR THE PUBLIC ENTITY IDENTIFIED IN PARAGRAPH 1 (ONE) ABOVE IS FOR THAT PUBLIC ENTITY ONLY AND, THAT THlS FORM IS VALID THROUGH DECEMBER 31 OF THE CALENDAR YEAR IN WHICH IS FILED. I ALSO UNDERSTAND THAT I AM REQUIRED TO INFORM THE PUBLIC ENTITY PRIOR TO ENTERING INTO A CONTRACT IN EXCESS OF THE THRESHOLD A 0 NT PROVIDED IN SECTION , FLORIDA STATUTES, FOR CATEGORY Two #kcx in THE NFoRNATIoN CONTAINED N THIS FORM n I - STATE OF COUNTY OF fbrfd& SomnoI~ PERSONALLY APPEARED BEFORE ME, the undersigned authority, Chci~ Felif (Name of individual signing) who, after first being sworn by me, affixed hislher signature in the space provided My Commission Expires: T4nuw 16,

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64 u CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 12/22/2010 THlS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THlS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THlS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED - REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER *' - $EACT Cheryl Stipp Frank H. Furman, Inc. ZgNkE&954) ( E, No,: (954) East Atlantic Blvd. Eb5f&ss: cheryl@furmaninsurance. corn P. 0. Box 1927 ~ Pompano Beach FL INSURER(~) AFFORDING COVERAGE NAIC # INSURED INSURERA. C m & Forster Specialty Ins IWURER B :North Rive5 Insur ance Company Advanced Roofing 1nc;Advanced Lesing Inc N W 22 St I Ft Lauderdale FL INSURER c Steadfast Insurance Co (hl) INSURER D :Bridgef ield eployers I n s o INSURER E :Continental Casualty Co INSURER F : COVERAGES CERTIFICATE NUMBER;WC all lines REVISION NUMBER:- ALL OWNED AUTOS SCHEDULED AUTOS overages incl WC ANY PROPRIETOWPARTNEW XECUTlVE ( OFFICER/MEMBER EXCLUDED? A 1 5% wind/hail ded S~OOOAOP I I Anv One LOSS S l DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101. Additional Remarks Schedule, if more space is required) Re: Lake County School Projects. The Lake County School Board, its officers, agents, employees and affiliates are named as Additional Insured with respect to General Liability as required by written contract as per form CG CG , Automobile Liability as per form CA , and Excess Liability policies. Insurance is primary and non-contributory. Umbrella is excess of all coverages including Workers Compensation. Thirty (30) days notice of CERTIFICATE HOLDER CANCELLATION E.L. EACH ACCIDENT 1 f 1, 000,000~ (Mandatory in NH) '1/2012 E.L. DISEASE - EA EMPLOYEE/ $ 1,000,OOO- If es describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ I, 000, 000 E,Installation Floater /1/2010 4/1/2011 ~ = ~ ~ h ~ i t ~ $500,000 Lake County School Board Attn: pamela Hayes, Purchasing Director CR 561 Tavares. FL I 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE I I I THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Frank firman, Jr/CS &--nn+.*-~ I I I ACORD 25 ( ) INS025 (200909) AUTHORIZED REPRESENTATIVE O ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD I I

65 ~ I G!~AI~L Acorn CERTIFICATE OF LIABILITY INSURANCE (954) FAX: (954) Frank H. Furman, Inc East Atlantic Blvd. P. 0. Box 1927 Pomgano Beach FL INSURED Advanced Roofing 1nc;Advanced Leasing Inc N W 22 St Ft Lauderdale FL "_LIABILITY X COMMERCIAL GENERAL LIABILITY I A X CLAIMS MADE OCCUR GL AUTOMOBILE LlABlLlN ALL OWED AUTOS SCHEDULEDAUTOS DATE (MMIDDIYYW) 3/31/2010 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THlS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. I INSURERS AFFORDING COVERAGE INSURERA Cr~m & Forster Specialty INSURER B: North River Insurance INSURER C: Steadfast Insurance Co INSURER D: Bridgefield -10yers Ins INSURER E: Continental Casualty Co. FS 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 THlS 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 POLICY EFFECTIVE POLICY EXPIRATION TYPE OF INSURANCE POLICY NUMBER DATE (MMIDDPIY) DATE IMMIDDIYY) LIMITS x MIL PER PROJ AGO X ( CoNTRACTuA.. 1 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY I XFti ) Loc GARAGE LlABlLlN ANY AUTO EXCESSIUMBRELLA LIABILITY 3 OCCUR CLAIMS MADE DEDUCTIBLE.~h-+- - WORKERS COMPENSATION AND EMPLOYERS LlABlLlN ANY PROPRIETOWPARTNERIEXECUTIVE OFFICEWMEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below OTHER Installation Floater PERSONAL&ADVINJURY. GENERAL AGGREGATE PRODUCTS - COMPlOP AGG COMBINED SINGLE LIMIT (Ea acc~dent) BODILY INJURY (Per person) BODILY INJURY I (Per acadent) PROPERTY DAMAGE I (Per accident] W STATU- NAlC # OTH- $ lr000r000 $ 2 ~ $ 2, 0 0 0, 000 E L EACH ACCIDENT $ 1,000,000 ELDISEASE-EAEMPLOYEE$ l,ooo,ooo Each site 1 I I I Any One Loss $~,OOO,OOO( I 5% wind/hail ded $1000. AOP CERTIFICATE HOLDER ~ AUTO ONLY - EA ACCIDENT OTHER THAN EAACC AUTO ONLY AGG AGGREGATE CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Lake County school Board I EXPIRATION DATE THEREOF. THE ISSUING INSURER WILL ENDEAVOR TO MAIL I $ $ $ $ $ ~0,000,000 $ ~o~oooiooo DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTlSPEClAL PROVISIONS Re: Lake County School Projects. The Lake County School Board, its officers, agents, employees and affiliates are named as Additional Insured with respect to General Liability as required by written contract as per form CG & CG , Automobile Liability as per form CA , and Excess Liability policies. Insurance is primary and non-contributory. Umbrella is excess of all coverages including Workers Compensation. Thirty (30) Uays notice of cancellation applies, except *10 days notice of cancellation for non-payment of premium. CD Attn: ~ameia Hayes, Purchasing Director CR 561 Tavares, FL *30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Frank Furman, J ~/CS /IrK >-w---*-= --- A- 25 (2001l08) O ACORD CORPORATION 1988 US025 (0108) 08a Page 1 of 2 NCE i

66

Enclosed, for your records, is an executed copy of your agreement with the Lake County School Board.

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