private providers 2011 report - miami-dade · last name arocha first name jorge m i l. private...

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Private Providers Report Last Name Alonso First Name Martha M I P. Private Provider Active Name of Organization Hazen and Sawyer, P. C. Insurance Company Continental Casualty Company Florida Company Code 09165 Insurance Expiration 3/29/2012 AM Best Rating "A" Amount of Insurance Per $2,000,000.00 Amount of Insurance in th $4,000,000.00 Standard Inspector License Discipline for Std Inspector Insp Lic Status Std Plans Examiner Licens Discipline for Std Plans Exa BN PX Expiration Date PE License PE69745 PE Lic Status Active Engineer's License Expirati 2/28/2013 Architec's License Arch Lic Status Architectural License Expir Date of Original Registrati 9/29/2009 Date of Last Update 3/30/2011 Wednesday, July 18, 2018 Page 1 of 48

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Private Providers Report

Last Name Alonso

First Name Martha

M I P.

Private Provider

Active

Name of Organization Hazen and Sawyer, P. C.

Insurance Company Continental Casualty Company

Florida Company Code 09165

Insurance Expiration 3/29/2012

AM Best Rating "A"

Amount of Insurance Per $2,000,000.00

Amount of Insurance in th $4,000,000.00

Standard Inspector License

Discipline for Std Inspector

Insp Lic Status

Std Plans Examiner Licens

Discipline for Std Plans Exa

BN PX Expiration Date

PE License PE69745

PE Lic Status Active

Engineer's License Expirati 2/28/2013

Architec's License

Arch Lic Status

Architectural License Expir

Date of Original Registrati 9/29/2009

Date of Last Update 3/30/2011

Wednesday, July 18, 2018 Page 1 of 48

Last Name Ariton

First Name John

M I

Private Provider

Active

Name of Organization MTCI Private Provider Services

Insurance Company Great American E&S Ins.Co.

Florida Company Code 37532

Insurance Expiration 10/3/2018

AM Best Rating "A"

Amount of Insurance Per $10,000,000.00

Amount of Insurance in th $10,000,000.00

Standard Inspector License BN1133

Discipline for Std Inspector

Insp Lic Status Active

Std Plans Examiner Licens PX497

Discipline for Std Plans Exa

BN PX Expiration Date 11/30/2019

PE License PE40859

PE Lic Status Active

Engineer's License Expirati 2/28/2019

Architec's License

Arch Lic Status

Architectural License Expir

Date of Original Registrati 1/12/2015

Date of Last Update 12/11/2017

Wednesday, July 18, 2018 Page 2 of 48

Last Name Arocha

First Name Jorge

M I L.

Private Provider

Active

Name of Organization MEP Consulting Engineers, Inc.

Insurance Company New Hampshire Insurance Co.

Florida Company Code 01530

Insurance Expiration 1/22/2019

AM Best Rating "A"

Amount of Insurance Per $2,000,000.00

Amount of Insurance in th $4,000,000.00

Standard Inspector License

Discipline for Std Inspector

Insp Lic Status

Std Plans Examiner Licens

Discipline for Std Plans Exa

BN PX Expiration Date

PE License PE61606

PE Lic Status Active

Engineer's License Expirati 2/28/2019

Architec's License

Arch Lic Status

Architectural License Expir

Date of Original Registrati 7/18/2018

Date of Last Update 7/18/2018

Wednesday, July 18, 2018 Page 3 of 48

Last Name Avila

First Name Gilberto

M I A.

Private Provider

Active

Name of Organization JEM Inspections and Engineering Serv.

Insurance Company Continental Casualty Co.

Florida Company Code 20443

Insurance Expiration 10/29/2018

AM Best Rating "A"

Amount of Insurance Per $2,000,000.00

Amount of Insurance in th $4,000,000.00

Standard Inspector License

Discipline for Std Inspector

Insp Lic Status

Std Plans Examiner Licens

Discipline for Std Plans Exa

BN PX Expiration Date

PE License PE66376

PE Lic Status Active

Engineer's License Expirati 2/28/2019

Architec's License

Arch Lic Status

Architectural License Expir

Date of Original Registrati 12/19/2016

Date of Last Update 12/19/2016

Wednesday, July 18, 2018 Page 4 of 48

Last Name Black

First Name Steven

M I E.

Private Provider

Active

Name of Organization NV5 Inc.

Insurance Company Berkley Insurance Company

Florida Company Code 32603

Insurance Expiration 5/1/2019

AM Best Rating "A+"

Amount of Insurance Per $10,000,000.00

Amount of Insurance in th $20,000,000.00

Standard Inspector License

Discipline for Std Inspector

Insp Lic Status

Std Plans Examiner Licens

Discipline for Std Plans Exa

BN PX Expiration Date

PE License PE39810

PE Lic Status Active

Engineer's License Expirati 2/28/2019

Architec's License

Arch Lic Status

Architectural License Expir

Date of Original Registrati 1/16/2014

Date of Last Update 4/23/2018

Wednesday, July 18, 2018 Page 5 of 48

Last Name Brunetti

First Name James

M I

Private Provider

Active

Name of Organization NOVA Engineering and Environmental

Insurance Company Allied World Assurance Co.

Florida Company Code S1239

Insurance Expiration 8/31/2018

AM Best Rating "A"

Amount of Insurance Per $2,000,000.00

Amount of Insurance in th $2,000,000.00

Standard Inspector License

Discipline for Std Inspector

Insp Lic Status

Std Plans Examiner Licens

Discipline for Std Plans Exa

BN PX Expiration Date

PE License PE41607

PE Lic Status Active

Engineer's License Expirati 2/28/2017

Architec's License

Arch Lic Status

Architectural License Expir

Date of Original Registrati 4/28/2015

Date of Last Update 4/28/2015

Wednesday, July 18, 2018 Page 6 of 48

Last Name Cabrera

First Name Suramy

M I

Private Provider

Active

Name of Organization SC Private Providers, PA

Insurance Company New Hampshire Insurance Co.

Florida Company Code 23841

Insurance Expiration 3/23/2019

AM Best Rating "A"

Amount of Insurance Per $2,000,000.00

Amount of Insurance in th $4,000,000.00

Standard Inspector License

Discipline for Std Inspector

Insp Lic Status

Std Plans Examiner Licens

Discipline for Std Plans Exa

BN PX Expiration Date

PE License PE56222

PE Lic Status Active

Engineer's License Expirati 2/28/2019

Architec's License

Arch Lic Status

Architectural License Expir

Date of Original Registrati 1/28/2014

Date of Last Update 3/26/2018

Wednesday, July 18, 2018 Page 7 of 48

Last Name Cankat

First Name Mustafa

M I

Private Provider

Active

Name of Organization MTCI Private Provider Services

Insurance Company Great American E&S Ins.Co.

Florida Company Code 37532

Insurance Expiration 10/3/2018

AM Best Rating "A"

Amount of Insurance Per $10,000,000.00

Amount of Insurance in th $10,000,000.00

Standard Inspector License

Discipline for Std Inspector

Insp Lic Status

Std Plans Examiner Licens PX919

Discipline for Std Plans Exa Bldg

BN PX Expiration Date 11/30/2019

PE License PE18632

PE Lic Status Active

Engineer's License Expirati 2/28/2019

Architec's License

Arch Lic Status

Architectural License Expir

Date of Original Registrati

Date of Last Update 12/11/2017

Wednesday, July 18, 2018 Page 8 of 48

Last Name Carroll

First Name John

M I M

Private Provider

Active

Name of Organization Twenty First Century Engineering Corp.

Insurance Company Assurance Company of America

Florida Company Code 01130

Insurance Expiration 2/10/2014

AM Best Rating "A"

Amount of Insurance Per $1,000,000.00

Amount of Insurance in th $2,000,000.00

Standard Inspector License

Discipline for Std Inspector

Insp Lic Status

Std Plans Examiner Licens

Discipline for Std Plans Exa

BN PX Expiration Date

PE License PE41610

PE Lic Status Active

Engineer's License Expirati 2/28/2015

Architec's License

Arch Lic Status

Architectural License Expir

Date of Original Registrati 4/1/2013

Date of Last Update 4/1/2013

Wednesday, July 18, 2018 Page 9 of 48

Last Name Conde

First Name Dulce

M I M

Private Provider

Active

Name of Organization JEM Inspections and Engineering Serv.

Insurance Company Continental Casualty Co.

Florida Company Code 20443

Insurance Expiration 10/29/2018

AM Best Rating "A"

Amount of Insurance Per $2,000,000.00

Amount of Insurance in th $4,000,000.00

Standard Inspector License

Discipline for Std Inspector

Insp Lic Status

Std Plans Examiner Licens

Discipline for Std Plans Exa

BN PX Expiration Date

PE License

PE Lic Status

Engineer's License Expirati

Architec's License AR015803

Arch Lic Status Active

Architectural License Expir 2/28/2017

Date of Original Registrati 12/10/2013

Date of Last Update 12/4/2015

Wednesday, July 18, 2018 Page 10 of 48

Last Name Cuello, Jr.

First Name Francisco

M I

Private Provider

Active

Name of Organization JEM Inspections and Engineering Serv.

Insurance Company Continental Casualty Co.

Florida Company Code 20443

Insurance Expiration 10/29/2018

AM Best Rating "A"

Amount of Insurance Per $2,000,000.00

Amount of Insurance in th $4,000,000.00

Standard Inspector License

Discipline for Std Inspector

Insp Lic Status

Std Plans Examiner Licens

Discipline for Std Plans Exa

BN PX Expiration Date

PE License PE40087

PE Lic Status Active

Engineer's License Expirati 2/28/2019

Architec's License

Arch Lic Status

Architectural License Expir

Date of Original Registrati

Date of Last Update 4/30/2018

Wednesday, July 18, 2018 Page 11 of 48

Last Name Cuenca-Perazzo

First Name Desiree

M I

Private Provider

Active

Name of Organization JEM Inspections and Engineering Serv.

Insurance Company Continental Casualty Co.

Florida Company Code 20443

Insurance Expiration 10/29/2018

AM Best Rating "A"

Amount of Insurance Per $2,000,000.00

Amount of Insurance in th $4,000,000.00

Standard Inspector License

Discipline for Std Inspector

Insp Lic Status

Std Plans Examiner Licens

Discipline for Std Plans Exa

BN PX Expiration Date

PE License PE63959

PE Lic Status Active

Engineer's License Expirati 2/28/2019

Architec's License

Arch Lic Status

Architectural License Expir

Date of Original Registrati 1/17/2008

Date of Last Update 4/30/2018

Wednesday, July 18, 2018 Page 12 of 48

Last Name Danforth

First Name Paul

M I H.

Private Provider

Active

Name of Organization GFA International Inc.

Insurance Company Continental Casualty Company

Florida Company Code 31127

Insurance Expiration 4/1/2019

AM Best Rating "A"

Amount of Insurance Per $2,000,000.00

Amount of Insurance in th $4,000,000.00

Standard Inspector License

Discipline for Std Inspector

Insp Lic Status

Std Plans Examiner Licens

Discipline for Std Plans Exa

BN PX Expiration Date

PE License PE44653

PE Lic Status Active

Engineer's License Expirati 2/28/2019

Architec's License

Arch Lic Status

Architectural License Expir

Date of Original Registrati 4/25/2008

Date of Last Update 4/5/2018

Wednesday, July 18, 2018 Page 13 of 48

Last Name Derick

First Name Roger

M I K.

Private Provider

Active

Name of Organization Universal Engineering Science Inc

Insurance Company Evanston Insurance Company

Florida Company Code S1082

Insurance Expiration 1/1/2018

AM Best Rating "A"

Amount of Insurance Per $5,000,000.00

Amount of Insurance in th $5,000,000.00

Standard Inspector License

Discipline for Std Inspector

Insp Lic Status

Std Plans Examiner Licens

Discipline for Std Plans Exa

BN PX Expiration Date

PE License PE37711

PE Lic Status Active

Engineer's License Expirati 2/28/2017

Architec's License

Arch Lic Status

Architectural License Expir

Date of Original Registrati 9/18/2008

Date of Last Update 1/3/2017

Wednesday, July 18, 2018 Page 14 of 48

Last Name Desnoyers

First Name Jean-Francois

M I

Private Provider

Active

Name of Organization TICE-Threshold Inspection Consulting En

Insurance Company Admiral Insurance Co.

Florida Company Code 24856

Insurance Expiration 6/1/2019

AM Best Rating "A"

Amount of Insurance Per $2,000,000.00

Amount of Insurance in th $4,000,000.00

Standard Inspector License

Discipline for Std Inspector

Insp Lic Status

Std Plans Examiner Licens

Discipline for Std Plans Exa

BN PX Expiration Date

PE License PE47885

PE Lic Status Active

Engineer's License Expirati 2/28/2019

Architec's License

Arch Lic Status

Architectural License Expir

Date of Original Registrati 12/21/2017

Date of Last Update 6/12/2018

Wednesday, July 18, 2018 Page 15 of 48

Last Name Fernandez

First Name Enrique

M I L.

Private Provider

Active

Name of Organization JEM Inspections and Engineering Serv.

Insurance Company Continental Casualty Co.

Florida Company Code 20443

Insurance Expiration 10/29/2018

AM Best Rating "A"

Amount of Insurance Per $2,000,000.00

Amount of Insurance in th $4,000,000.00

Standard Inspector License

Discipline for Std Inspector

Insp Lic Status

Std Plans Examiner Licens

Discipline for Std Plans Exa

BN PX Expiration Date

PE License PE21218

PE Lic Status Active

Engineer's License Expirati 2/28/2017

Architec's License

Arch Lic Status

Architectural License Expir

Date of Original Registrati

Date of Last Update 12/4/2015

Wednesday, July 18, 2018 Page 16 of 48

Last Name Gonzalez

First Name Julio

M I E.

Private Provider

Active

Name of Organization MTCI Private Provider Services

Insurance Company Great American E&S INs.Co.

Florida Company Code 37532

Insurance Expiration 10/3/2018

AM Best Rating "A"

Amount of Insurance Per $10,000,000.00

Amount of Insurance in th $10,000,000.00

Standard Inspector License

Discipline for Std Inspector

Insp Lic Status

Std Plans Examiner Licens

Discipline for Std Plans Exa

BN PX Expiration Date

PE License PE37275

PE Lic Status Active

Engineer's License Expirati 2/28/2019

Architec's License

Arch Lic Status

Architectural License Expir

Date of Original Registrati 12/22/2015

Date of Last Update 3/3/2017

Wednesday, July 18, 2018 Page 17 of 48

Last Name Gonzalez

First Name Dario

M I

Private Provider

Active

Name of Organization JEM Inspections and Engineering Serv.

Insurance Company Continental Casualty Co.

Florida Company Code 20443

Insurance Expiration 10/29/2018

AM Best Rating "A"

Amount of Insurance Per $2,000,000.00

Amount of Insurance in th $4,000,000.00

Standard Inspector License BN2023

Discipline for Std Inspector

Insp Lic Status Active

Std Plans Examiner Licens PX699

Discipline for Std Plans Exa

BN PX Expiration Date

PE License PE34876

PE Lic Status Active

Engineer's License Expirati 2/28/2017

Architec's License

Arch Lic Status

Architectural License Expir

Date of Original Registrati

Date of Last Update 12/4/2015

Wednesday, July 18, 2018 Page 18 of 48

Last Name Hernandez-Capote

First Name Rick

M I L.

Private Provider

Active

Name of Organization ARCBUILDERS & Group Inc.

Insurance Company Atlantic Specialty Insurance Company

Florida Company Code 27154

Insurance Expiration 10/4/2018

AM Best Rating "A"

Amount of Insurance Per $1,000,000.00

Amount of Insurance in th $2,000,000.00

Standard Inspector License BN2418

Discipline for Std Inspector Bldg.

Insp Lic Status Active

Std Plans Examiner Licens

Discipline for Std Plans Exa

BN PX Expiration Date 11/30/2019

PE License

PE Lic Status

Engineer's License Expirati

Architec's License AR013379

Arch Lic Status Active

Architectural License Expir 2/28/2019

Date of Original Registrati 11/1/2011

Date of Last Update 11/3/2017

Wednesday, July 18, 2018 Page 19 of 48

Last Name Hudson

First Name Joshua

M I

Private Provider

Active

Name of Organization NOVA Engineering and Environmental

Insurance Company Allied World Assurance Co.

Florida Company Code S1239

Insurance Expiration 8/31/2018

AM Best Rating "A"

Amount of Insurance Per $2,000,000.00

Amount of Insurance in th $2,000,000.00

Standard Inspector License

Discipline for Std Inspector

Insp Lic Status

Std Plans Examiner Licens

Discipline for Std Plans Exa

BN PX Expiration Date

PE License PE69752

PE Lic Status Active

Engineer's License Expirati 2/28/2017

Architec's License

Arch Lic Status

Architectural License Expir

Date of Original Registrati 4/28/2015

Date of Last Update 9/10/2014

Wednesday, July 18, 2018 Page 20 of 48

Last Name Iqbal

First Name Tahir

M I

Private Provider

Active

Name of Organization MTCI Private Provider Services

Insurance Company Great American E&S INs.Co.

Florida Company Code 37532

Insurance Expiration 10/3/2018

AM Best Rating "A"

Amount of Insurance Per $10,000,000.00

Amount of Insurance in th $10,000,000.00

Standard Inspector License

Discipline for Std Inspector

Insp Lic Status

Std Plans Examiner Licens

Discipline for Std Plans Exa

BN PX Expiration Date

PE License PE48061

PE Lic Status Active

Engineer's License Expirati 2/28/2019

Architec's License

Arch Lic Status

Architectural License Expir

Date of Original Registrati 12/13/2013

Date of Last Update 3/3/2017

Wednesday, July 18, 2018 Page 21 of 48

Last Name Jaramillo

First Name Jaime

M I H.

Private Provider

Active

Name of Organization JEM Inspections and Engineering Serv.

Insurance Company Continental Casualty Co.

Florida Company Code 20443

Insurance Expiration 10/29/2018

AM Best Rating "A"

Amount of Insurance Per $2,000,000.00

Amount of Insurance in th $4,000,000.00

Standard Inspector License

Discipline for Std Inspector

Insp Lic Status

Std Plans Examiner Licens

Discipline for Std Plans Exa

BN PX Expiration Date

PE License PE60792

PE Lic Status Active

Engineer's License Expirati 2/28/2017

Architec's License

Arch Lic Status

Architectural License Expir

Date of Original Registrati 11/1/2012

Date of Last Update 12/4/2015

Wednesday, July 18, 2018 Page 22 of 48

Last Name Jimenez

First Name Javier

M I E

Private Provider

Active

Name of Organization NOVA Engineering and Environmental

Insurance Company Allied World Assurance Co.

Florida Company Code S1239

Insurance Expiration 8/31/2018

AM Best Rating A

Amount of Insurance Per $2,000,000.00

Amount of Insurance in th $2,000,000.00

Standard Inspector License

Discipline for Std Inspector Bldg

Insp Lic Status Active

Std Plans Examiner Licens

Discipline for Std Plans Exa

BN PX Expiration Date

PE License PE62162

PE Lic Status Active

Engineer's License Expirati 2/28/2019

Architec's License

Arch Lic Status

Architectural License Expir

Date of Original Registrati 2/16/2017

Date of Last Update 5/24/2017

Wednesday, July 18, 2018 Page 23 of 48

Last Name Joykutty

First Name Shajan

M I

Private Provider

Active

Name of Organization Hazen and Sawyer, P. C.

Insurance Company Continental Casualty Company

Florida Company Code 09165

Insurance Expiration 3/29/2012

AM Best Rating "A"

Amount of Insurance Per $2,000,000.00

Amount of Insurance in th $4,000,000.00

Standard Inspector License

Discipline for Std Inspector

Insp Lic Status

Std Plans Examiner Licens

Discipline for Std Plans Exa

BN PX Expiration Date

PE License PE43323

PE Lic Status Active

Engineer's License Expirati 2/28/2013

Architec's License

Arch Lic Status

Architectural License Expir

Date of Original Registrati 9/29/2009

Date of Last Update 3/30/2011

Wednesday, July 18, 2018 Page 24 of 48

Last Name Khirsukhani

First Name Roop

M I

Private Provider

Active

Name of Organization MTCI Private Provider Services

Insurance Company Great American E&S INs.Co.

Florida Company Code 37532

Insurance Expiration 10/3/2018

AM Best Rating "A"

Amount of Insurance Per $10,000,000.00

Amount of Insurance in th $10,000,000.00

Standard Inspector License

Discipline for Std Inspector

Insp Lic Status

Std Plans Examiner Licens

Discipline for Std Plans Exa

BN PX Expiration Date

PE License PE42242

PE Lic Status Active

Engineer's License Expirati 2/28/2019

Architec's License

Arch Lic Status

Architectural License Expir

Date of Original Registrati 9/21/2017

Date of Last Update 10/2/2017

Wednesday, July 18, 2018 Page 25 of 48

Last Name Khirsukhani

First Name Roop

M I

Private Provider

Active

Name of Organization Bureau Vertitas North America Inc

Insurance Company Allianz Global Risk US Insurance Compa

Florida Company Code 09015

Insurance Expiration 1/1/2016

AM Best Rating "A"

Amount of Insurance Per $5,000,000.00

Amount of Insurance in th $4,000,000.00

Standard Inspector License

Discipline for Std Inspector

Insp Lic Status

Std Plans Examiner Licens

Discipline for Std Plans Exa

BN PX Expiration Date

PE License PE42242

PE Lic Status Active

Engineer's License Expirati 2/28/2017

Architec's License

Arch Lic Status

Architectural License Expir

Date of Original Registrati 9/17/2013

Date of Last Update 5/19/2015

Wednesday, July 18, 2018 Page 26 of 48

Last Name LeBlanc

First Name Mark

M I D.

Private Provider

Active

Name of Organization Specialty Engineering Consultans Inc.

Insurance Company Security National Insurance Company

Florida Company Code S1255

Insurance Expiration 10/14/2018

AM Best Rating "A"

Amount of Insurance Per $1,000,000.00

Amount of Insurance in th $2,000,000.00

Standard Inspector License

Discipline for Std Inspector

Insp Lic Status

Std Plans Examiner Licens

Discipline for Std Plans Exa

BN PX Expiration Date

PE License PE35683

PE Lic Status Active

Engineer's License Expirati 2/28/2019

Architec's License

Arch Lic Status

Architectural License Expir

Date of Original Registrati 7/17/2017

Date of Last Update 10/19/2017

Wednesday, July 18, 2018 Page 27 of 48

Last Name Maldonado

First Name Sandro

M I

Private Provider

Active

Name of Organization NOVA Engineering and Environmental

Insurance Company Allied World Assurance Co.

Florida Company Code S1239

Insurance Expiration 8/31/2018

AM Best Rating A

Amount of Insurance Per $2,000,000.00

Amount of Insurance in th $2,000,000.00

Standard Inspector License BN6215

Discipline for Std Inspector Bldg.

Insp Lic Status Active

Std Plans Examiner Licens

Discipline for Std Plans Exa

BN PX Expiration Date

PE License PE73057

PE Lic Status Active

Engineer's License Expirati 2/28/2019

Architec's License

Arch Lic Status

Architectural License Expir

Date of Original Registrati 4/28/2015

Date of Last Update 5/24/2017

Wednesday, July 18, 2018 Page 28 of 48

Last Name Maqueria

First Name Rolando

M I

Private Provider

Active

Name of Organization Maqueria Engineering Consultant Inc.

Insurance Company General Star Indemnity Co

Florida Company Code S1099

Insurance Expiration 1/12/2013

AM Best Rating "A"

Amount of Insurance Per $1,000,000.00

Amount of Insurance in th $2,000,000.00

Standard Inspector License

Discipline for Std Inspector

Insp Lic Status

Std Plans Examiner Licens

Discipline for Std Plans Exa

BN PX Expiration Date

PE License PE55482

PE Lic Status Active

Engineer's License Expirati 2/28/2013

Architec's License

Arch Lic Status

Architectural License Expir

Date of Original Registrati 1/18/2012

Date of Last Update

Wednesday, July 18, 2018 Page 29 of 48

Last Name Medrano

First Name Leonel

M I A.

Private Provider

Active

Name of Organization MTCI Private Provider Services

Insurance Company Great American E&S INs.Co.

Florida Company Code 37532

Insurance Expiration 10/3/2018

AM Best Rating "A"

Amount of Insurance Per $10,000,000.00

Amount of Insurance in th $10,000,000.00

Standard Inspector License BN2989

Discipline for Std Inspector Bldg

Insp Lic Status Active

Std Plans Examiner Licens PX1517

Discipline for Std Plans Exa Bldg

BN PX Expiration Date 11/30/2017

PE License PE49338

PE Lic Status Active

Engineer's License Expirati 2/28/2019

Architec's License

Arch Lic Status

Architectural License Expir

Date of Original Registrati 6/24/2016

Date of Last Update 3/3/2017

Wednesday, July 18, 2018 Page 30 of 48

Last Name Mendez

First Name Jose

M I A.

Private Provider

Active

Name of Organization MTCI Private Provider Services

Insurance Company Great American E&S INs.Co.

Florida Company Code 37532

Insurance Expiration 10/3/2018

AM Best Rating "A"

Amount of Insurance Per $10,000,000.00

Amount of Insurance in th $10,000,000.00

Standard Inspector License

Discipline for Std Inspector

Insp Lic Status

Std Plans Examiner Licens

Discipline for Std Plans Exa

BN PX Expiration Date

PE License PE53288

PE Lic Status Active

Engineer's License Expirati 2/28/2019

Architec's License

Arch Lic Status

Architectural License Expir

Date of Original Registrati 1/12/2015

Date of Last Update 3/3/2017

Wednesday, July 18, 2018 Page 31 of 48

Last Name Mladenovic

First Name Miroslav

M I M.

Private Provider

Active

Name of Organization M2E Consulting Engineers, LLC

Insurance Company Travelers Property Casualty Insurance

Florida Company Code 02006

Insurance Expiration 9/14/2014

AM Best Rating "A+"

Amount of Insurance Per $1,000,000.00

Amount of Insurance in th $1,000,000.00

Standard Inspector License

Discipline for Std Inspector

Insp Lic Status

Std Plans Examiner Licens

Discipline for Std Plans Exa

BN PX Expiration Date

PE License PE41106

PE Lic Status Active

Engineer's License Expirati 2/28/2015

Architec's License

Arch Lic Status

Architectural License Expir

Date of Original Registrati 12/22/2009

Date of Last Update 6/6/2014

Wednesday, July 18, 2018 Page 32 of 48

Last Name Ornarli

First Name Fuat

M I

Private Provider

Active

Name of Organization MTCI Private Provider Services

Insurance Company Great American E&S INs.Co.

Florida Company Code 37532

Insurance Expiration 10/3/2018

AM Best Rating "A"

Amount of Insurance Per $10,000,000.00

Amount of Insurance in th $10,000,000.00

Standard Inspector License

Discipline for Std Inspector

Insp Lic Status

Std Plans Examiner Licens

Discipline for Std Plans Exa

BN PX Expiration Date

PE License PE60795

PE Lic Status Active

Engineer's License Expirati 2/28/2019

Architec's License

Arch Lic Status

Architectural License Expir

Date of Original Registrati 1/12/2015

Date of Last Update 3/3/2017

Wednesday, July 18, 2018 Page 33 of 48

Last Name Penin

First Name Carlos

M I A

Private Provider

Active

Name of Organization C.A.P. Government Inc.

Insurance Company Endurance American Specialty Insuranc

Florida Company Code S1226

Insurance Expiration 9/25/2018

AM Best Rating "A"

Amount of Insurance Per $1,000,000.00

Amount of Insurance in th $2,000,000.00

Standard Inspector License

Discipline for Std Inspector

Insp Lic Status

Std Plans Examiner Licens

Discipline for Std Plans Exa

BN PX Expiration Date

PE License PE33216

PE Lic Status Active

Engineer's License Expirati 2/28/2019

Architec's License

Arch Lic Status

Architectural License Expir

Date of Original Registrati 1/16/2018

Date of Last Update 1/16/2018

Wednesday, July 18, 2018 Page 34 of 48

Last Name Plasencia

First Name William

M I

Private Provider

Active

Name of Organization MTCI Private Provider Services

Insurance Company Great American E&S Ins. Co..

Florida Company Code 37532

Insurance Expiration 10/3/2018

AM Best Rating "A"

Amount of Insurance Per $10,000,000.00

Amount of Insurance in th $10,000,000.00

Standard Inspector License

Discipline for Std Inspector Bldg.

Insp Lic Status

Std Plans Examiner Licens

Discipline for Std Plans Exa

BN PX Expiration Date

PE License

PE Lic Status

Engineer's License Expirati

Architec's License AR9693

Arch Lic Status Active

Architectural License Expir 2/28/2019

Date of Original Registrati 11/27/2017

Date of Last Update 5/3/2018

Wednesday, July 18, 2018 Page 35 of 48

Last Name Prieto

First Name Frank

M I

Private Provider

Active

Name of Organization JEM Inspections and Engineering Serv.

Insurance Company Continental Casualty Co.

Florida Company Code 20443

Insurance Expiration 10/29/2018

AM Best Rating "A"

Amount of Insurance Per $2,000,000.00

Amount of Insurance in th $4,000,000.00

Standard Inspector License

Discipline for Std Inspector

Insp Lic Status

Std Plans Examiner Licens

Discipline for Std Plans Exa

BN PX Expiration Date

PE License PE60796

PE Lic Status Active

Engineer's License Expirati 2/28/2017

Architec's License

Arch Lic Status

Architectural License Expir

Date of Original Registrati 11/1/2012

Date of Last Update 12/4/2015

Wednesday, July 18, 2018 Page 36 of 48

Last Name Quintana

First Name Osiris

M I

Private Provider

Active

Name of Organization Triangle Associates Inc.

Insurance Company Hartford Casualty Ins. Company

Florida Company Code 09263

Insurance Expiration 6/13/2012

AM Best Rating "A"

Amount of Insurance Per $1,000,000.00

Amount of Insurance in th $2,000,000.00

Standard Inspector License

Discipline for Std Inspector

Insp Lic Status

Std Plans Examiner Licens

Discipline for Std Plans Exa

BN PX Expiration Date

PE License PE40213

PE Lic Status Active

Engineer's License Expirati 2/28/2013

Architec's License

Arch Lic Status

Architectural License Expir

Date of Original Registrati 6/23/2011

Date of Last Update

Wednesday, July 18, 2018 Page 37 of 48

Last Name Ramos

First Name Jose

M I

Private Provider

Active

Name of Organization ARC Private Provider Service

Insurance Company Hiscox Insurance Company INC

Florida Company Code 10200

Insurance Expiration 8/15/2018

AM Best Rating "A"

Amount of Insurance Per $3,000,000.00

Amount of Insurance in th $3,000,000.00

Standard Inspector License

Discipline for Std Inspector

Insp Lic Status

Std Plans Examiner Licens

Discipline for Std Plans Exa

BN PX Expiration Date

PE License

PE Lic Status

Engineer's License Expirati

Architec's License AR0011115

Arch Lic Status Active

Architectural License Expir 2/28/2019

Date of Original Registrati 6/7/2017

Date of Last Update 10/11/2017

Wednesday, July 18, 2018 Page 38 of 48

Last Name Reczek

First Name Dariuz

M I R

Private Provider

Active

Name of Organization JEM Inspections and Engineering Serv.

Insurance Company Continental Casualty Co.

Florida Company Code 20443

Insurance Expiration 10/29/2018

AM Best Rating "A"

Amount of Insurance Per $2,000,000.00

Amount of Insurance in th $4,000,000.00

Standard Inspector License

Discipline for Std Inspector

Insp Lic Status

Std Plans Examiner Licens

Discipline for Std Plans Exa

BN PX Expiration Date

PE License PE50075

PE Lic Status Active

Engineer's License Expirati 2/28/2017

Architec's License

Arch Lic Status

Architectural License Expir

Date of Original Registrati

Date of Last Update 12/4/2015

Wednesday, July 18, 2018 Page 39 of 48

Last Name Rodriguez

First Name Luis

M I M.

Private Provider

Active

Name of Organization JEM Inspections and Engineering Serv.

Insurance Company Continental Casualty Co.

Florida Company Code 20443

Insurance Expiration 10/29/2018

AM Best Rating "A"

Amount of Insurance Per $2,000,000.00

Amount of Insurance in th $4,000,000.00

Standard Inspector License

Discipline for Std Inspector

Insp Lic Status

Std Plans Examiner Licens

Discipline for Std Plans Exa

BN PX Expiration Date

PE License PE22132

PE Lic Status Active

Engineer's License Expirati 2/28/2017

Architec's License

Arch Lic Status

Architectural License Expir

Date of Original Registrati

Date of Last Update 12/4/2015

Wednesday, July 18, 2018 Page 40 of 48

Last Name Rodriguez

First Name Carlos

M I

Private Provider

Active

Name of Organization MTCI Private Provider Services

Insurance Company Great American E&S INs.Co.

Florida Company Code 37532

Insurance Expiration 10/3/2018

AM Best Rating "A"

Amount of Insurance Per $10,000,000.00

Amount of Insurance in th $10,000,000.00

Standard Inspector License

Discipline for Std Inspector

Insp Lic Status

Std Plans Examiner Licens

Discipline for Std Plans Exa

BN PX Expiration Date

PE License PE65687

PE Lic Status Active

Engineer's License Expirati 2/28/2019

Architec's License

Arch Lic Status

Architectural License Expir

Date of Original Registrati 5/5/2017

Date of Last Update 12/12/2017

Wednesday, July 18, 2018 Page 41 of 48

Last Name Rodriguez, Jr.

First Name Eduardo

M I

Private Provider

Active

Name of Organization JEM Inspections and Engineering Serv.

Insurance Company Continental Casualty Co.

Florida Company Code 20443

Insurance Expiration 10/29/2018

AM Best Rating "A"

Amount of Insurance Per $2,000,000.00

Amount of Insurance in th $4,000,000.00

Standard Inspector License

Discipline for Std Inspector

Insp Lic Status

Std Plans Examiner Licens

Discipline for Std Plans Exa

BN PX Expiration Date

PE License PE56197

PE Lic Status Active

Engineer's License Expirati 2/28/2019

Architec's License

Arch Lic Status

Architectural License Expir

Date of Original Registrati

Date of Last Update 8/14/2017

Wednesday, July 18, 2018 Page 42 of 48

Last Name Salas

First Name Gladys

M I N.

Private Provider

Active

Name of Organization MTCI Private Provider Services

Insurance Company Great American E&S INs.Co.

Florida Company Code 37532

Insurance Expiration 10/3/2018

AM Best Rating "A"

Amount of Insurance Per $10,000,000.00

Amount of Insurance in th $10,000,000.00

Standard Inspector License

Discipline for Std Inspector

Insp Lic Status

Std Plans Examiner Licens

Discipline for Std Plans Exa

BN PX Expiration Date

PE License PE50648

PE Lic Status Active

Engineer's License Expirati 2/28/2019

Architec's License

Arch Lic Status

Architectural License Expir

Date of Original Registrati 12/22/2015

Date of Last Update 3/3/2017

Wednesday, July 18, 2018 Page 43 of 48

Last Name Salas

First Name Armando

M I

Private Provider

Active

Name of Organization JEM Inspections and Engineering Serv.

Insurance Company Continental Casualty Co.

Florida Company Code 20443

Insurance Expiration 10/29/2018

AM Best Rating "A"

Amount of Insurance Per $2,000,000.00

Amount of Insurance in th $4,000,000.00

Standard Inspector License

Discipline for Std Inspector

Insp Lic Status

Std Plans Examiner Licens

Discipline for Std Plans Exa

BN PX Expiration Date

PE License PE38007

PE Lic Status Active

Engineer's License Expirati 2/28/2017

Architec's License

Arch Lic Status

Architectural License Expir

Date of Original Registrati

Date of Last Update 12/4/2015

Wednesday, July 18, 2018 Page 44 of 48

Last Name Santiago

First Name Eugenio

M I M.

Private Provider

Active

Name of Organization JEM Inspections and Engineering Serv.

Insurance Company Continental Casualty Co.

Florida Company Code 20443

Insurance Expiration 10/29/2018

AM Best Rating "A"

Amount of Insurance Per $2,000,000.00

Amount of Insurance in th $4,000,000.00

Standard Inspector License

Discipline for Std Inspector

Insp Lic Status

Std Plans Examiner Licens

Discipline for Std Plans Exa

BN PX Expiration Date

PE License PE19673

PE Lic Status Active

Engineer's License Expirati 2/28/2017

Architec's License

Arch Lic Status

Architectural License Expir

Date of Original Registrati

Date of Last Update 12/4/2015

Wednesday, July 18, 2018 Page 45 of 48

Last Name Sutherland

First Name Wayne

M I A

Private Provider

Active

Name of Organization MTCI Private Provider Services

Insurance Company Great American E&S INs.Co.

Florida Company Code 37532

Insurance Expiration 10/3/2018

AM Best Rating "A"

Amount of Insurance Per $10,000,000.00

Amount of Insurance in th $10,000,000.00

Standard Inspector License

Discipline for Std Inspector

Insp Lic Status

Std Plans Examiner Licens

Discipline for Std Plans Exa

BN PX Expiration Date

PE License PE44353

PE Lic Status Active

Engineer's License Expirati 2/28/2019

Architec's License

Arch Lic Status

Architectural License Expir

Date of Original Registrati 1/8/2014

Date of Last Update 3/2/2017

Wednesday, July 18, 2018 Page 46 of 48

Last Name Torres

First Name Elvis

M I

Private Provider

Active

Name of Organization Ortus Engineering PA

Insurance Company Sentinel Insurance Co. Ltd

Florida Company Code 11000

Insurance Expiration 9/16/2017

AM Best Rating "A+"

Amount of Insurance Per $1,000,000.00

Amount of Insurance in th $2,000,000.00

Standard Inspector License

Discipline for Std Inspector

Insp Lic Status

Std Plans Examiner Licens

Discipline for Std Plans Exa

BN PX Expiration Date

PE License PE80050

PE Lic Status Active

Engineer's License Expirati 2/28/2019

Architec's License

Arch Lic Status

Architectural License Expir

Date of Original Registrati 3/6/2017

Date of Last Update 3/6/2017

Wednesday, July 18, 2018 Page 47 of 48

Last Name Webb

First Name Wayne

M I

Private Provider

Active

Name of Organization Absolute Civil Engineering Solutions LLC

Insurance Company Admiral Insurance Co.

Florida Company Code 24856

Insurance Expiration 1/28/2019

AM Best Rating "A"

Amount of Insurance Per $2,000,000.00

Amount of Insurance in th $4,000,000.00

Standard Inspector License

Discipline for Std Inspector

Insp Lic Status

Std Plans Examiner Licens

Discipline for Std Plans Exa

BN PX Expiration Date

PE License PE56701

PE Lic Status Active

Engineer's License Expirati 2/28/2019

Architec's License

Arch Lic Status

Architectural License Expir

Date of Original Registrati 10/10/2014

Date of Last Update 3/9/2018

Wednesday, July 18, 2018 Page 48 of 48