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Filing # 23536883 E-Filed 02/09/2015 03:21:06 PM
IN THE CIRCUIT COURT OF THE 17™ JUDICIAL CIRCUIT
IN AND FOR BROWARD COUNTY, FLORIDA
CASE NO: CACE- 14-016655 (02)
DEBRA HINES,
vs.
Plaintiff,
HOMEOWNERS CHOICE PROPERTY &
CASUALTY INSURANCE COMPANY, INC.,
a Florida corporation,
Defendants.
/
PLAINTIFF’S RESPONSE TO DEFENDANT’S REQUEST FOR PRODUCTION
COMES NOW Plaintiffs, DEBRA HINES, by and through her undersigned counsel,
and hereby files her Response to Defendant’s Request for Production as follows:
1.
2.
3.
Object; vague, overly burdensome, and only intended to harass Plaintiff.
Object; vague, overly burdensome, and only intended to harass Plaintiff.
To the extent these documents are in the Plaintiff's possession, custody or control,
please see attached.
To the extent these documents are in the Plaintiff's possession, custody or control,
please see attached.
To the extent these documents are in the Plaintiff's possession, custody or control,
please see attached.
Object; vague, overly burdensome, and only intended to harass Plaintiff.
To the extent these documents are in the Plaintiff's possession, custody or control,
please see attached.
To the extent these documents are in the Plaintiff's possession, custody or control,
please see attached.
To the extent these documents are in the Plaintiff's possession, custody or control,
please see attached.
To the extent these documents are in the Plaintiff's possession, custody or control,
please see attached.
*** FILED: BROWARD COUNTY, FL HOWARD FORMAN, CLERK 2/9/2015 3:21:06 PM.****11.
13.
14.
15.
16.
17.
18.
To the extent these documents are in the Plaintiff's possession, custody or control,
please see attached.
To the extent these documents are in the Plaintiff's possession, custody or control,
please see attached.
Object; vague, overly burdensome, and only intended to harass Plaintiff. Without
waiving said objection, to the extent these documents are in the Plaintiff's
possession, custody or control, please see attached.
Object, vague, overly burdensome, and only intended to harass Plaintiff.
To the extent these documents are in the Plaintiff's possession, custody or control,
please see attached.
Object, vague, overly burdensome, and only intended to harass Plaintiff. Without
waiving said objection, to the extent these documents are in the Plaintiff's
possession, custody or control, please see attached.
To the extent these documents are in the Plaintiff's possession, custody or control,
please see attached.
To the extent these documents are in the Plaintiff's possession, custody or control,
please see attached.CERTIFICATE OF SERVICE
I HEREBY CERTIFY that a true and correct copy of the foregoing instrument was
sent via email this 9" day of February, 2015, to: Jonathan Hall, Esq. and Robert Schulte, Esq.;
GROELLE & SALMON P.A., 11301 Okeechobee Blvd., Second Floor, West Palm Beach,
Florida 33411; Telephone: (561) 963-5500; Fax: (561) 963-2265; — email:
gsweourtdocs@gspalaw.com and gclausen@gspalaw.com.
Sherman Law, P.A.
4000 Hollywood Blvd., #265-S
Hollywood, FL 33021
Office: (954) 894-8000
Direct: (305) 494-6345
Fax: (305) 397-1725
By: /s/ Julio Martinez
RYAN SHERMAN, Esq.
Florida Bar No.: 686271
JULIO MARTINEZ, Esq.
Florida Bar No.: 85128
Eservice: lserviceSLPA@gmail.comCacD
HOMEOWNERS CHOICE
Insurance for Floridians by Floridians
June 25, 2012
James Hines
3816 S. Lake Terrace
Miramar, FL 33023
Re: Insured: James Hines
Claim Number: 821089
Policy Number: 276483-1
Date of Discovery: 2/20/2012
Location of Loss: 3816 S Lake Ter., Miramar, FL 33023
Dear Mr. Hines:
We wish to thank you for allowing us to inspect your property and have an engineering study conducted following
the report of your claim to Homeowners Choice Property & Casualty Company. The investigation was completed
by MCD Engineering.
The report of your claim advised that you found cracking to the exterior and interior of the master bedroom wall.
In response, Homeowners Choice Property & Casualty Insurance Company engaged the services of SDII Global Inc.
to determine the cause of the claim. Following the completion of their studies, SDII Global issued their report. A
signed and sealed copy has been provided to you for your records. The report concluded the following.
It is SDII’s opinion, within reasonable professional probability, that the observed damage to the
main structure is most consistent with either the direct result, or the collateral effect, of
differential foundation movement. The observed conditions are structurally significant, in that
they compromise the load capacity of primary structural members or systems.
The differential movement of the foundation can be attributed to soils within the upper 6 feet
below land surface (bls) that have high organic contents by weight. Historical imagery! of the
area indicates a history of dredging and filling at the location of the house and throughout the
surrounding neighborhood. An historical image from 1957 shows unaltered swamp land in the
vicinity of the house. The current Google Earthe image shows the previously dredged canals.
The spoil materials from these activities are commonly used to level the land surface prior to
construction. Evidence of in-filling includes the limestone gravel that was identified in hand
auger boring HA-3, as well as in the predominantly very loose conditions of the soils within the
upper 10 feet bls across the site.
It is SDII's opinion, within a reasonable professional probability, that sinkhole activity as
defined by §627.706 Florida Statutes does not exist at the Hines residence.
HOMBOWNERS CHOICE PROPERTY & CASUALTY INSURANCE CO., INC.
PO BOX 22967 + IPA, B 33622
CLAIMS PHONE: 877-235-5076 * CLAIMS FAX: 727-412-8305
F-2- September 17, 2014
Please refer to page 6 Of 18, Section | — Perils Insured Against, of your Homeowners 3 Special Form
Policy, HO 00 03 04 91, which states:
SECTION I — PERILS INSURED AGAINST
COVERAGE A — DWELLING and COVERAGE B — OTHER STRUCTURES
We insure against risk of direct loss to property described in Coverages A and B only if that loss is a
physical loss to property. We do not insure, however, for loss:
2. Caused by:
e. Any of the following:
(1) Wear and tear, marring, deterioration;
(6) Settling, shrinking, bulging or expansion, including resultant cracking, of pavements, patios, foundations,
walls, floors, roofs or ceilings;
Please refer to page 8 of 18, Section I — Exclusions, which states:
1. We do not insure for loss caused directly or indirectly by any of the following. Such loss is excluded
regardless of any other cause or event contributing concurrently or in any sequence to the loss.
b, Earth Movement and Settlement, meaning:
(5) Earth sinking, rising or shifting;
(8) Settling, cracking or expansion of foundations; or
2. We do not insure for loss to property described in Coverages A and B caused by any of the following.
However, any ensuing loss to property described in Coverages A and B not excluded or excepted
in this policy is covered.
c. Faulty, inadequate or defective:
(1) Planning, zoning, development, surveying, siting;
(2) Design, specifications, workmanship, repair, construction, renovation, remodeling,
grading, compaction;
(3) Materials used in repair, construction, renovation or remodeling; or
(4) Maintenance;
of part or all of any property whether on or off the "residence premises
Then refer to SINKHOLE LOSS Endorsement, HW 07 07 04 11, PAGE 1 of 3, which states:
We insure the property covered under Section | for a “Sinkhole Loss” that occurs during the policy
period.
This endorsement is subject to the terms and conditions of the policy.
DEFINITIONS
The following definitions are added:-3- September 17, 2014
“Sinkhole activity” means settlement or systematic weakening of the earth supporting property only when settlement
or systematic weakening results from movement or raveling of soils, sediments, or rock materials into subterranean
voids created by the effect of water on limestone or similar rock formation.
“Sinkhole Loss” means “Structural Damage” to the building, including foundation, caused by “sinkhole Activity’.
Contents coverage shall apply only if there is “Structural Damage” to the building caused by “Sinkhole Activity’.
a. The settlement or systematic weakening must result from movement or raveling of soils, sediments, or rock
material into subterranean voids created by the effect of water on limestone or similar rock formations.
2. “Sinkhole loss” means actual physical damage caused by “Sinkhole Activity”.
“Structural Damage “ for purposes of “Sinkhole Loss” coverage means:
1. Damage to a covered building, including the foundation, that prevents the primary structural members and/or
primary structural systems from supporting the loads and forces that they were designed to support; and
2. Atleast one of the following:
a. For buildings utilizing a concrete slab foundation, that horizontal surface mapping of the floor proves there is
a vertical variance within the floor resulting from sinkhole related displacement that is greater than the
maximum allowable vertical variance permitted by the current Florida Building Code of one half inch within a
10 foot horizontal distance; or
b. For buildings utilizing wood floors members, that horizontal surface mapping of the floors proves there is a
vertical variance within the floor resulting from sinkhole related displacement that is greater than the
maximum allowable deflection permitted by current Florida Building Code.
3. “Structural Damage” for purposes of “Sinkhole Loss” coverage exists only if both 1. and 2. Above are satisfied.
Based on the results of our investigation, we must respectfully inform you there is no coverage for your loss. This
letter is not intended to be a full disclosure of all policy coverages, conditions and exclusions. For a full disclosure,
we encourage you to refer to your copy of your insurance policy for complete details.
Homeowners Choice Property & Casualty Insurance Company reserves each and every right that it has under and
pursuant to this policy of insurance. Neither you, nor anyone acting on your behalf, should construe any
statements or actions, either previously or in the future, by Homeowners Choice Property & Casualty Insurance
Company, or any of its agents, attorneys or representatives, to constitute a waiver of any rights given to
Homeowners Choice Property & Casualty Insurance Company under this policy of insurance, nor is it the purpose
of this letter to waive any of the policy terms and/or conditions.
Please be advised that by issuing this declination of coverage for the sinkhole loss, it is not the intent of
Homeowners Choice Property & Casualty Insurance Company to waive any of the rights and privileges afforded to
it under the policy issued to you, and Homeowners Choice Property & Casualty Insurance Company hereby
continues to reserve those rights and privileges-4- September 17, 2014
If you should have any additional questions, or have any other information you would like us to consider in regards
to this claim, please contact the undersigned at the phone number shown below.
Sincerely,
Steven Kelley ChFC
Senior Claims Examiner
813-405-3253
Cc: Bruening Insurance Agency Inc.
If this document contains an excerpt from a Home Owners Choice Property & Casualty Insurance Co. Policy ( “the Policy”) it is
proved here for informational purposes only. This excerpt is not the official version of the policy. The official version of the
policy is the policy issued to the insured on the policy effective date. In the event there is inconsistency between this
document and the Policy, the Policy shall serve as the official version.
F.S. 817.234(1)(b) Any person who knowingly and with intent to injure, defraud, or deceive any insure files a statement of
claim or an application containing any false, incomplete, or misleading information is guilty of a felony of the third degree.7 Fomnownrrs CHOICE
Property & CasuaLry
Insurance Comeany, Inc.
October 28, 2013
James Hines
3816 S. Lake Ter
Miramar, FL 33023
Re: Insured: James Hines
Policy: HCPC-HO3-276483-1
DOL: February 20, 2012
Claim: 821089
Dear Mr. Hines:
We received the Neutral Evaluator’s Report from Darrell Hanecki, P.E.; it appears the
neutral evaluator is in general agreement with the findings and conclusions of the SDII
Global Corporation investigation at the Hines property.
The report received by Darrell Hanecki, P.E. states in part:
It is their opinion that sinkhole activity was not identified at the Hines residence. The
disparity in soil conditions between SDII boring B-3 and HCE boring B-1 may be the result
of high variability in subsurface conditions across the site, or the transposing of boring
designations between SDII’s B-2 and B-3. The SDII conclusions relative to causes of
-——__-——---_damage-are-appropriate-
Based on the findings by SDII Global Corporation and Darrell Hanecki, P.E., we must
respectfully reaffirm our prior denial.
Sincerely,
Asean Sage
Michelle Stroyan
Senior Claims Examiner
Enclosure: SDII Report and Darrell Hanecki, P.E. Report
HOMEOWNERS CHOICE PROPERTY & CASUALTY INSURANCE COMPANY, INC.
Post Office Box 22967 | Tampa, Florida 33622
Claims Phone: 877.235.5076 | Claims Fax: 813.443.0830 | www.hepci.comDecember 12, 2013
Page 2 of 2
If this document contains an excerpt from a Home Owners Choice Property & Casualty Insurance Co. Policy (“the
Policy’) it is proved here for informational purposes only. This excerpt is not the official version of the policy. The
official version of the policy is the policy issued to the insured on the policy effective date. In the event there is
inconsistency between this document and the Policy, the Policy shall serve as the official version.
FS. 817.234(1)(b) Any person who knowingly and with intent to injure, defraud, or deceive any insure files a
statement of claim or an application containing any false, incomplete, or misleading information is guilty of a felony
of the third degree.ATLANTIC COAST CONSULTANTS, LLC.
11900 BISCAYNE BLVD, SUITE 502
NORTH MIAMI, FLORIDA 33181
877-561-2524 FAX 305-354-2880
TAX LD. 06-1800691
Insured:
Home
Estimator:
Business:
Claim Number:
James Hines
3816 S. Lake Terrace
Miramar, FL 33023
Carlos A. Nayor
11900 Biscayne Blyd. Ste S02
North Miami, FL 33181
821089 Policy Number: HCPC-1103-276483-1
Cellular:
Celiular:
(954) 243-5726
(305) 979-2673
‘Type of Loss: Other
Coverage Deductible Policy Limit
Dwelling $0.00 $0.00
Other Structures $0.00. $0.00
Contents $0.00 $0.00
Date of Loss
Date Inspected:
Price List:
Estimate:
2/20/2012 Date Received:
Date Entered:
FLMISB_AUGII
Restoration/Service/Remodel
2012-05-08-2055
1/6/2015 8:55 PM.ATLANTIC COAST CONSULTANTS, LLC.
11900 BISCAYNE BLVD, SUITE 502
NORTH MIAMI, FLORIDA 33181
877-561-2524 FAX 305-354-2880
TAX L.D. 06-1800691
2012-005-08-2055
Exterior East Wall
DESCRIPTION QNTY UNIT COST TOTAL
1. Detach & Reset House numbers/letters - plastic or metal - up to 4” 4.00 EA @ 10.50= 42.00
2. Detach & Reset Wall mount mailbox 1.00 EA @ 19.68 = 19.68
3. Detach & Reset Exterior light fixture 2.00 FA @ 53.00= 106.00
4. Clean with pressure/chemical spray - Heavy 413.00 SF @ 115.64
5. Epoxy injection - concrete repair (per LF of crack) 9.80 LF@ 263.33
6. Stucco Plasterer - per hour 2.00 HR @ 93.48
7. Mask and ptep for paint - paper and tape (per LF) 51.00 LF @ . 25,50
&. Exterior - seal or prime then paint with two finish coats 413.00 Sk @ 1 26
Exterior North Wall
DESCRIPTION QNTY UNIT COST TOTAL
9. Aluminum window - Detach & reset 2.00 EA@ 144,32
10, Detach & Reset Exterior light fixture 1.00 EA @ 53.00
11. Clean with pressure/chemical spray - Heavy 610.00 SF @ 170.80
12. Epoxy injection - concrete repair (per LF of crack) 73.00 LF @ 1,961.51
13. R&R Synthetic stucco repair 610.00 SK@ 3,190.30
14, Mask and prep for paint - paper and tape (per LF) 61.00 LF @ 30.50
15, Exterior - seal or prime then paint with two finish coats
610.00 SF @
Exterior West Wall
DESCRIPTION QNTY UNIT COST TOTAL
16. Speakers- Detach & reset 2.00 EA @ 9.14
17. Detach & Reset Exterior light fixture 1.00 EA @ 53.00
18. Clean with pressure/chemical spray - Heavy 785.00 SF @ 219.80
39. Epoxy injection - concrete repair (per LF of erack) 7.50 LE @ 201,53
20. Stucco Plasterer - per hour 00 HR @ 93.48
21, Mask and prep for paint - paper and tape (per LF) 92.00 LF @ 46.00
785.00 SF @ 800.70
22. Fxterior - seal or prime then paint with two finish coats
Exterior South Wall
2012-05-08-2055
1/7/2015
PageATLANTIC COAST CONSULTANTS, LLC.
11900 BISCAYNE BLVD, SUTTE 502
NORTH MIAMI, FLORIDA 33181
877-561-2524 FAX 305-354-2820
TAX LD. 06-1300691
DESCRIPTION QNTY UNIT COST TOTAL
23. Clean with pressure/chemical spray - Heavy 370.00 SF @ 103.60
24, Epoxy injection - concrete repair (per LF of crack) 31.00 LF @ 832.97
25. Stucco Plasterer - per hour 2.00 HR @ 93.48
26. Mask and prep for paint - paper and tape (per LF) 37.00 LF @ 18.50
27. Exterior - seal or prime then paint with two finish coats 370.00 SF @ 377.40
POOL DECK
DESCRIPTION TY UNIT COST TOTAL
28. Clean with preasure/chemical spray - Heavy 717.00 SF@ 0.28 = 200.76
29. Epoxy injection - concrete repair (per LF of crack) 18.00 LF @ 26.87 = 483.66
30. R&R Overlay for exterior decking - concrete 717.00 SF @ 11.87 8,510.79
31. Paint pool deck with epoxy pai 717.00 SF @ 241 1,727.97
DRIVEWAY
DESCRIPTION QNTY UNIT COST TOTAL
32. R&R Concrete slab reinforcement - #3 (3/8") - grid, 24" ea way 1,105.00 SF @ L6y= 1,867.45
33. R&R Concrete slab on grade - 6" - finished in place 1,105.00 SF @ 91S= 10,110.75
34. Epoxy finish - one coat over concrete Moor 1,105.00 SF @ 2.67 = 2,950.35
Living Room
LxWxH 20' 9" x 1455" x 8"
DESCRIPTION QNTY UNIT COST TOTAL
35. Detach & Reset Cold air retum cover 1.00 EA @ 14.61 14.61
36. Detach & Reset Window blind - fabricAwoven - up to 7 SF 1.00 EA @ 29.21 = 29.21
37. Window blind - horizontal or vertical - Detach & reset 1.00 EA @ 29.21 29.21
38. Alarm Sensor - Detach & reset 1.00 EA@ 34.57 = 34.57
39, Floor protection - self-adhesive plastic film 299.15 SF@ 110.69
40. R&R Two coat plaster over 5/8" gypsum core blucboard 64.00 SF @ 454.40
AL, Texture drywall - heavy hand texture 299.15 SF@ 215.39
42. Mask and prep for paint - paper and tape (per LF) 70.33 LF@ 38.17
43. Paint crown molding - one coat 70.33 LF@ 45.71
44, Seal then paint the walls and ceiting (2 coats) 861.81 SF@ 603.27
45. Paint baseboard - two coats 70.33 LF@ 66.11
2012-05-08-2055
1/7/2015 Page: 3ATLANTIC COAST CONSULTANTS, LLC.
11900 BISCAYNE BLVD, SUITE 502
NORTH MIAMI, FLORIDA 33181
877-561-2524 FAX 305-354-2880
TAX LD. 06-1800691
CONTINUED -
ing Room:
DESCRIPTION QNTY UNIT COST TOTAL
46. Contents - move oul then reset - Extra large room 1.00 EA @ 123.94 = 123.94
47, Clean floor 299.15 SF@ 0.27 80.77
Entry/Foyer LxWxH 5!5" x 5" 7!
DESCRIPTION QNTY UNIT COST TOTAL
48. Window blind - horizontal or vertical - Detach & reset 1.00 EA@ 29.21 29.21
49. Mask and prep for paint - plastic, paper, tape (per LF) 20.83 LE@ 0,90 18.75
50. Seal then paint part of the walls (2 coats) 109.37 SF@ 0.70= 76.56
51. Paint casing - wo couts 17.00 LE @ 0.94 = 15.98
52. Paint door/window trim & jamb - 2 coats (per side) 1.00 EA@ 20.46 = 20.46
53, Paint baseboard - two coats 13.00 LF@ 0.94 12.22
$4, Content Manipulation charge - per hour 1.00 HR @ 38.59 38.59
55. Clean floor 27.08 SF@ 0.27 = 731
Dining Room LxWxH 10' 7" x 9' 4" x 8"
DESCRIPTION QNTY UNIT COST TOTAL
56. Detach & Reset Cold air return cover 1.00 EA @ 14.61= 14.61
57. Detach & Reset Ceiling fan & light Loo EA @ 158.75 = 158,75
58. Alarm Pad - Detach & reset 1.00 EA@ 34.57 34.57
59, Detach & Reset Thermostat 1.00 EA@ 35.77 35.77
60. Window blind - horizontal or vertical - Detach & reset 1.00 EA@ 34.47 34.47
61, Floor protection - self-adhesive plastie film 98.78 SF@ 037= 36.55
62. Texture drywall - heavy hand texture 98.78 SF@ 0.72 TAD
63. Mask and prep for paint - plastic, paper, tape (per LF) 39.83 LF@ 0.90 35.85
64. Paint crown molding - one cout 39.83 LF @ 0.65 25,89,
65. Seal then paint the ceiling (2 coats) 98.78 SF @ 0.70 69.15
66. Seal then paint part of the walls (2 coats) 239.00 SF@ 0.70 167.30
67. Paint baseboard - two coats 30.00 LF @ 0.94 = 28.20
68. Contents - move out then reset - Large room 1.00 EA@ 61.98 = 61.98
2012-05-08-2055
1/7/2015 Page: 4ATLANTIC COAST CONSULTANTS, LLC.
11900 BISCAYNE BLVD, SUITE 502
NORTH MIAMI, FLORIDA 33181
877-561-2524 FAX 305-354-2880,
TAX LD. 06-1800691
CON
D- Dining Room
DESCRIPTION QNTY UNIT COST TOTAL
69. Clean floor 98.18 SF@ 0.27= 26.67
Hallway LxWxH 4! 10" x 3° 1 x 8°
DESCRIPTION QNTY —_-UNIT.COST TOTAL
70. Smoke detector - Detach & reset 1.00 EA @ 34.57 = 34.57
71. Mask and prep for paint - plastic, paper, tape (per LF) 15.83 0.90 14.25
72. Seal then paint part of the walls (2 coats) 94,99 0.70 66.49
73. Paint casing - ewo coats 34,00 1a® 40.12
74, Paint door/window trim & jamb - 2 coats (per side) 2.00 25.515 51.02
75. Content Manipulation charge - per hour 1.00 38,59 38.59
76. Clean floor 14.90 0275 4.02
MASTERBED LxWxH 15' x 10° 4" x8"
Subroom 1: OFFSET LxWxH 6° 10" x S15" x8"
DESCRIPTION QNTY UNIT COST TOTAL
77. Detach & Reset Cold air return cover 1.00 EA @ 14.61 = 1461
78, Detach & Reset Ceiling fan & light 1.00 FA @ 158.75 158.75
79. Light fixture - Detach & reset 1.00 EA @ 35.69 35.69
80, Detach & Reset Window blind - fabric/woven - up to 7 SF 2.00 EA @ 29.21 = 58.42
81. Window blind - horizontal or vertical - Detach & reset 2.00 EA @ 29.215 58.42
82. Alarm Sensor - Detach & reset 1.00 EA @ 34.57 34.57
83. Floor protection - selCadhesive plastic (lm 192.01 SF@ 71.04
84, R&R Wallpaper border 75.17 LF@ 178.15
85. Prep wall for wallpaper 7517 SF@ 24.05
86. Floor protection - self-adhesive plastic film 192.01 SsF@ 71.04
87. R&R Two cout pluster over 5/8” gypsum core blueboard 32.00 SE 227.20
88. R&R Acoustic ceiling (popcom) texture 192.01 SF @ 224.65
89. Glitter application to acoustic ceiling 192.01 SE ¢ 26.88
90. R&R Two coat plaster over 1/2” gypsum core blueboard 64.00 SF @ 444.80
2012-05-08-2055 1/7/2015 Page: 5ATLANTIC COAST CONSULTANTS, LLC.
11900 BISCAYNE BLVD, SUITE 502
NORTH MIAMI, FLORIDA 33181
877-561-2524 FAX 305-354-2880,
TAX LD. 06-1800691
CONTINUED - MASTERBED
DESCRIPTION QNTY UNIT COST TOTAL
91. Texture drywall - smooth / skim coat (21.00 SF@ Lis 135.52
92. R&R Baseboard - 3 1/4" 59.00 LE@ 2.95 174.05
93. R&R Ceramic tile 192.01 SF@ © 10.25 1,968.11
94, R&R Mortar bed for tile 192.01 SF@ 4.83 927.41
95. Remove Additional labor to remove tile from concrete slab 192.01 ) 1.40 268.81
96. Floor leveling cement - Heavy 192.01 414.74
97. Dust control batrier per square foot 48.00 24.00
98. Mask and prep for paint - plastic, paper, tape (per LF) 78.17 67.65
99. Seal/prime the ceiling - one coat (white pigmented shellac) 192.01 0.45 = 86.40
100. Seal then paint the walls (2 coats) 601.33 0.70 420.93
101. Paint casing - two coats 34.00 LAB 40.12
102. Paint door/window trim & jamb - 2 coats (per side) 2.00 25.51 = 51.02
103. Contents - move out then reset - Large room 1.00 E 61.98 = 61.98
104. Clean floor 192.01 0.275 51.84
MASTERBATIL LxWxH 10! 3" x 5'2" x 8"
DESCRIPTION QNTY UNIT COST TOTAL
10S. Interior door - Detach & reset - slab only 2.00 FA @ 15.08 30.16
106. Detach & Reset Light bar - 8 lights 1.00 EA@ 65.64 65.64
107. Window blind - horizontal or vertical - Detach & reset 1.00 EA@ 34.47 = 34.47
108. Recessed light fixture - Detach & reset trim only 1.00 EA@ 2.36= 2.36
109, Detach & Reset Shower curtain rod 1.00 EA @ 13.66 = 13.66
110, Detach & Reset Medicine cabinet 1.00 EA @ 35.00 35.00
LLL. Shelving - Detach & reset 1.00 LF 8.00 8.00
112. Light fixture - Detach & reset 1.00 EA @ 35.69 35.69
113. Detach & Reset Sink faucet - Bathroom 1.00 EA @ 82.24 = 82.24
114. Detach & Reset Sink - single 1.00 EA @ 103.97 103.97
115. R&R Countertop - Tile 8.00 SF@ 19.49 = 155.92
116, R&R 1/4" Cement board 8.00 SF@ 3.49 27.92
117. R&R Underlayment - 5/8" BC plywood 8.00 SF @ 254= 20.32
118. Waterproof membrane - tile underlayment 8.00 SF@ 3.00= 24.00
119. Detach & Reset Vanity 4.17 LE@ 39. 166.47
120, P-trap assembly ~ Detach & reset 1.00 EA @ 28.33 = 28.33
2012-05-08-2055 1/7/2015 Page: 6ATLANTIC COAST CONSULTANTS, LLC.
11900 BISCAYNE BLVD, SUITE 502
NORTH MIAMI, FLORIDA 33181
877-561-2524 FAX 305-354-280
TAX LD. 06-1800691
CONTINUED - MASTERBATH
DESCRIPTION QNTY UNIT COST TOTAL
121, R&R Angle stop 2.00 EA @ 59.86
122, Detach & Reset Shower faucet 1.00 EA @ 54.59
123. Detach & Reset Toilet 1.00 EA @ 170.35
124, R&R Towel bar - Ceramic 1.00 EA @ 53.78
125. R&R Soap dish - surface mounted - Ceramic 1.00 EA @ 45.71
126. R&R Casing - 21/4" 34.00 LF @ 66.64
127. R&R Ceramic tile - bullnose - 2" x 6" 18.17 LF @ 8.36= 151.91
128. R&R Tile shower - up to 60 SF 1.00 EA@ 845.80 = 845.80
129. R&R 1/2" Cement board 52.00 SF@ 342= 177.84
130. R&R Ceramic tile for wall 26.00 SF @ 260.50
131. R&R U2" Cement board 26.00 SF @ 88.92
132. R&R Ceramic tite floors 52.96 SF @ $42.84
133. R&R Mortar bed for tile floors 52.96 SF@ 215.02
134. Remove Additional labor to remove tile from concrete slab 52.96 SF@ 74.14
135. Floor leveling cement - Heavy 52.96 SF @ 102.21
136, Mask and prep for paint - plastic, paper, tape (per LF) 30.83 LF@ 27.78
37, Seal then paint the surface area (2 coats) 194.00 SF @ 135,80
138. Paint casing - two coats 34.00 LE @ 40.12
139. Paint door/window trim & jamb - 2 coats (per side) 2.00 EA@ 51,02
140. Content Manipulation charge - per hour 1.00 HR @ 38.59
MASTICLOSET LxWxH 10° 9" 81 x78"
DESCRIPTION QNTY UNIT COST TOTAL
141, Closet shelf and rod package - Detach & reset 18.80 LF @ 227.74
142. Detach & Reset Closet Organizer - Melamine 5.67 271.03
143. Detach & Reset Carpet 86.90 57.35
144. Remove Carpet pad 36.90 7.82
145. (Install) Carpet pad 86.90 6.08
146. Floor leveting cement - Heavy 26.90 187.70
147, R&R Ceramic tile 8.00 82.00
148. R&R Mortar bed for tile Noors 8.00 32.48
149. Remove Additional labor to remove tile from conerete slab 8.00 SF @ 11.20
150, Dust control barrier per square foot 48.00 SF @ 0.50= 24.00
2012-05-08-2055
V7/2015 Page: 7ATLANTIC COAST CONSULTANTS, LLC.
11900 BISCAYNE BLVD, SUITE $02
NORTH MIAMI, FLORIDA 33181
877-561-2524 FAX 305-354-2880
TAX LD. 06-1800691
ED - MAST/CLOSET
DESCRIPTION QNTY UNIT COST TOTAL
151. Mask and prep for paint - plastic, paper, tape (per LF) 37.67 LF@ 0.90= 33.90
152, Seal then paint the walls (2 cv: 288.75 SF@ 0.70 202.13
153. Contents - move out then reset - Extra large room 1.00 EA @ 115.76 = 115.76
FOUNDATION
DESCRIPTION QNTY UNIT COST TOTAL
154. Foundation Repair 4 1.00 EA@ 64,160.00 64,160.00
Foundation proposal was provided by Sinkhole Geotech, Inc
GENERALS,
DESCRIPTION QNTY UNIT COST TOTAL
155. Packaging, Handling, Storage (Bid Item) 2.00 EA @ 284.02 = 568.04
156, Dumpster load - Approx. 20 yards, 4 tons of debris 1.00 EA@ 516.69
157. Taxes, insurance, permits & fees (Bid item) 2.00 EA @ 1,000.00
158, General Laborer - per hour for final clean 25.00 HR @ 765.50
Adjustments for Base Service Charges. Adjustment
Carpenter - Finish, Trim/Cabinet 126.36
Coverage Dwelling @ 190.00 % = 126.36
Carpenter - Mechanic 123.62
Coverage Dwelling @ 100.00 % = 123.62
Cleaning Technician 46.66
Coverage Dwelling @ 100.00% = 46.66
Floor Cleaning Technician 64.32
Coverage Dwelling @ 100.00 % = 64.32
Cleaning Remediation Technician 97.84
2012-05-08-2055,
1/7/2015 Page: 8ATLANTIC COAST CONSULTANTS, LLC.
11900 BISCAYNE BLVD, SUITE 502
NORTH MIAM
877-561-2524 FA
LORIDA 33181
305-354-2880
TAX LD. 06-1800691
Adjustments for Base Service Charges Adjustment
Coverage ‘Dwelling @ 100.00%= 97.84
Concrete Mason 126.18
Coverage Dwelling @ 100,00%= 126.18
Drywall Installer/Finisher 291,20
Coverage Dwelling @ 10.00% = 291.20
Electrician 158.54
Coverage Dwelling @ 100.00 % = 158.54
Flooring Installer 110.30
Coverage Dwelling @ = 100.00%= 110.30
Wood Flooring Installer 128.16
Coverage Dwelling @ 100.00% = 128.16
116.60
Coverage Dwelling @ 100.00%= 116.60
Heating / A.C. Mechanic 170.08
Coverage Dwelling @ 100.00 % = 170.08
General Laborer 30.62
Coverage Dwelling @ 100.00%= 30.62
Plasterer 308.68
Coverage Dwelling @ — 100.00%= 308.68
Plumber 186.52
Coverage Dwelling @ 100.00 186.52
Painter 106.36
Coverage Dwelling @ 100.00%= 106.36
Stucco Installer 186.96
Coverage Dwelling @ 100.00%= 186.96
Tile/Cultired Marble Installer 84.52
Coverage Dwelling @ 100.00 %= 34.52
Wallpaper Hanger 84.42
Coverage Dwelling @ 100.0% = 84.42
Total Adjustments for Base Service Charges: 2,547.94
120,314.67
Line Item Totals: 2012-05-08-2055
2012-05-08-2055
1/7/2015 Page: 9ATLANTIC COAST CONSULTANTS, LLC.
11900 BISCAYNE BLVD, SUITE 502
NORTH MIAMI, FLORIDA 33181
877-S61-2524 FAX 305-354-2880
TAX LD. 06-1800691
Grand Total Areas:
2,290.58 SF Walls TI1.77 SF Ceiling 3,062.35 lls and Ceiling
771.77 SF Floor 8. SY Flooring, 290.50 LF Floor Perimeter
666.33 SF Long Wall 478.96 SF Short Wall 290.50 LF Ceil. Perimeter
0.00 Floor Arca 0.00 Total Area 0.00 Interior Wall Area
0.00 Exterior Wall Area 0,00 Exterior Perimeter of
Walls
0.00 Surface Area 0,00 Number of Squares 0.00 Total Perimeter Length
0.00 Total Ridge Length 0.00 Total Hip Length
Coverage Amount % Grand Total %
Dwelling 117,198.69, 99.52% 144,667.01 99.53%
Other Structures 0.00 0.00% 0.00 9.00%
Contents 568.04 0.48% 684.03 047%
Total 117,766.73 100.00% 145,351.04 100.00%
2012-05-08-2055 V7/2015 Page: 10Line Item Total
ATLANTIC COAST CONSULTANTS, LLC.
11900 BISCAYNE BLVD, SUITE 502
NORTH MIAMI, FLORIDA 33181
877-561-2524 F 305-354-2880
TAX LD, 06-1800691
Summary for Dwelling
Total Adjustments for Base Service Charges.
Material Sales.
Subtotal
Overhead
Profit
@ 7.000% x
@ 10.0% x
@ 10.0% x
Replacement Cost Value
Net Claim
2012-05-08-2055
Carlos A. Nayor
11,560.24
120,555.85
120,585.85
1/7/2015
117,198.69
2,547.94
809.22
120,555.85
12,055.58
12,055.58
$144,667.01
$144,667.01
Page: 11Line Item Total
Material Sales Tax
Subtotal
Overhead
Profit
ATLANTIC COAST CONSULTANTS, LLC.
11900 BISCAYNE BLVD, SUITE $02
NORTH MIAMI, FLORIDA 33181
877-561-2524 FAX 305-354-2880,
TAX LD. 06-180069L
Summary for Contents
©
7.000% x
@ 10.0% x
@ 10.0% x
Replacement Cost Value
Net Clait
2012-05-08-2055
Carlos Av Nayor
28.40
570.03
570.03
V/7/2015
568.04
1.99
Page: 12ATLANTIC COAST CONSULTANTS, LLC.
Public Adjusters
Letter of Representation
February 1, 2013
Home Owners Choice Insurance
Insured: James Hines
Policy Number: 276483=1
Claim Number: 821089
Type of Loss: Sinkhole
Date of Loss: 02/20/2012
Insured Location: 3816 S. Lake Terrace, Miramar Florida 33023
whom it may concern:
On behalf of the insured, the Adjusters at Atlantic Coast Consultants, LLC, we request to reopen a claim
regarding damage at the property address, 3816 S. Lake Terrace, Miramar Florida 33023 due to a
Sinkhole that occurred on 02/20/2012. The adjuster who will be handling this claim is Carlos Nayor. His
license number is P162993. If you have any questions, please contact us at your convenience.
Thank you,
Cater
Carlos Nayor (305) 979-2673
Atlantic Coast Consultants, LLC.
13899 Biscayne Boulevard Suite 149, North Miami Beach, Florida33181
Office 305-354-2881 Fax 305-354-2880ATLANTIC COAST CONSULTANTS, LLC. Public Adjusters
13899 Biscayne Bivd. Ste 149, N. Miami Beach, FL 33181 / Toll Free 877-561-2524 / Fax 305-354-2880
, / 4
This Contract for Public Adjusting Services is nereby entered into this a . » 20, ! 3 between Atlantic Coast
Consultants, LLC ("Adjuster") and __. bene L (‘Client(s)"), whose address is
33h
4
occurred on or about 2 f Av (fit in the date), at the following address, ‘ {fill in. the
address of the loss). Generally, the Joss occurred as the result of:
f in cause of loss, whether storm, fire, flood, etc.) and involved damage to the
: L
following types of property: (ill description of property damaged,
such as the Dwelling, Other Structures, Personal Property, Loss of Use, Business Interruption, etc.
The foltowing insurance policy affords coverage for the loss described above,
Insurance Company: Pee Ee 2. Effective date:
Poticy Number ji4 Deductible:
Claim Number: _°S=
In connection with these services, Client will execute a Limited Power of Attorney for purposes of allowing Adjuster to act as youritheir agent in
attempting to effectuate a settlement under the policies of insurance identified herein or later discovered (“Insurance Coverage") 10 cover the losses
described above.
4. In connection with these services, Client wilt execute a Limited Power of Attorney for purposes of allowing Adjuster to act as your/their agent in
attempting to discuss matters pertaining to the ioss described above with Agent's Mortgage Company or other Financial Lending Institution.
5. The Parties agree that in consideration for the Services provided by Adjuster, Client(s) agree that Adjuster will be entitled to compensation which is,
atee of AL’ % of the Gross Proceeds collected through the insurance Coverage. (Gross Proceeds includes the applicable insurance deductible.)
This fee is due and owing whether the Gross Proceeds are received directly by Client(s) or are secured by Client(s) efforts after the execution of this
Contract. It is the obligation of the client to pay Atlantic Coast Consultants, LLC their fee upon issuance of settlement by the insurance company. !f
Atlantic Coast Consuttants, LLC is unable to effectuate a settlement, there will be no fee to Ciient(s). Adjuster may not charge, agree to or accept any
compensation, payment, commission, fee or any other thing of value in excess of:
‘A. Ten percent of the amount of the insurance claim payments by the insurer for claims based on events that are the subject of declaration of
State of Emergency by the Governor. This provision applies to claims made during the period of one year after declaration of emergency.
B. Twenty percent of the amount of all other insurance claim payments.
6. It Adjuster enters into a contract with Client(s) to reopen a claim or to file a supplemental claim that seeks additional payments for a claim that has
been previously paid in part or in full or settled by the insurer, Adjuster may not charge, agree to, ar accept any compensation, payment, commission.
fee, or other thing of value based on a previous settlement or previous claim payments by the insurer for the same cause of loss. The charge
compensation, payment, commission, fee, or other thing of value may be based only on the claim payments or settlement obtained through the work of
Adjuster after entering into the contract with Clients).
7. Pursuant to s, 817.234 Florida Statues, any person who, with the intent to injure, defraud, or deceive any insurer or insured, prepares, presents, or
causes to be presented a proof of loss or estimate of cost or repair of damaged property in support of a claim under an insurance policy knowing that the
proof of loss or estimate of claim or repairs contains any false, incomplete, or misleading information concerning any fact or thing material to the claim
commits a felony of the third degree, punishable as provided in s.775.082, 8. 775.803, of 8.775.804, Florida Statutes.
8. Our services will include but are not limited to providing a written estimate of the foss, assisting in preparation and submission of inventories, proof
of loss, discuss, meet and take all necessary steps to negotiate a settlement with your insurance company. Adjuster shall retain such written estimate
for at least 5 years and shall make such estimate available to Client(s) and the Florida Department of Financial Services upon request.
9. Client(s) acknowledges that they will be responsible to reimburse Adjuster for alt out of pockets costs incurred by Adjuster, with those costs being
deducted from the Gross Proceeds after Adjuster’s contingent fee is calculated. These costs include but, are not limited to, express mail, contractors,
appraisa! costs and all other expenses incurred and associated with the settlement of Client(s) claim.
10. No modification to this agreement can be made by either Party unless the changes are agreed to by bath Parties in writing by way of amendment to
this agreement. In the event that any one paragraph in this agreement is deemed null and void, the remaining paragraphs of this contract will survive
and be controlling on the Partiesof the American Arbitation aaeeeange” tnis agreement, the Parties agree to be bound by the Commercial Arbitration Ftules and Mediation Procedures
of the American Arbitration Association in effact as of the date of the execution of this agreement. The Parties agree that mediation will be a condition
precedent to any Party filing for arbitration. Venue for any such proceeding shall be in Florida, In the aeons there is a dispute arising under this
Contract. the prevailing party to any such dispute shall be entitled to recover a reasonable attomeys' tee from the non-provailing Party. Interest on any
sums due hereunder shall accrue at the fate of 1.5% per month.
[2.__| have read and understand all of the terms of this agreement. Further. upon execution of this agreement, | will be legally bound by all of its terms. |
have received a carbon copy of this agreement for my records. - ____ (tnitials)
The Parties hereby execute this Contract as follows:
Atlantic Coast Consultants, LLC
j
Client /Print:
Sign.___01/11/2013 11: 124M FAX 3058356992 EVERGREEN TRANSPORT Bo002/0002
ae Woiewe only the tntorast of aun clients EAST COAST
November 15, 2012
James Hines
3816S. Lake Terrace
Miramar, Fl 33023
Insured: James Hines
Polley No.: 276483-1
Claim No. 821089
Date of Loss: 02/20/2012
Property Location: 3816 S. Lake Terr, Miramar, Fl 33023
Dear Sir / Madam,
As per your request, East Coast Public Adjusters, Inc. hereby releases you from any obligations
with our company regarding the above mentioned file/claim and you are In turn releasing East
Coast Publle Adlusters, Inc. from any obligations. Upon receiving this letter you will be/free to
contact the Insurance Company and proceed with the claim upon your desire.
Regard:
Amy Qunlan
Office Administrator
224 Palermo Avenue. Coral Gables, Florida 33134
Office: 305.441.0882 »° Fax: 305.444.6154 + Toll Free: 800.264.6541
&1 info@ecpaclains.com @ www.ecpaclaims.comDEPARTMENT OF FINANCIAL SERVICES.
Division of Consumer Services ~ Bureau of Education, Advocacy & Research
SINKHOLE INSURANCE CLAIMS REQUEST
FOR NEUTRAL EVALUATION
Section 627.7074 F.S. and Chapter 69J-8 F.A.C.
To be completed by the policyholder or insurance company representative.
Insured(s) Name: Tames Inés
Insurance Company Name: _ Hom @ Own ers Cho i ce
PolicyNumber: Q 7/64 93-4} ClaimNumber; 921099
Insured Contact Information:
Home Phone: (I5% YS3-OS2/ Work Phone: _( )
CellPhone: (484) 6/S-7T77F Email Address:
insured Property Address:
street 38/6 S. Lake Terrace
City. Miramar State: FL Zip. 2303 - County: re ward
Mailing Address (if different):
Is the insured represented by: [_] Attorney Public Adjuster PA License #: 2
PI€AI43
if yes:
Representative Name: Cael of A. Nayo vr Atl antic Gis ast Gs AS [tants L240
street: {289% Bircayne Lud (Suite F199
Ciy: Ne Niiams Beadh State: _[Jorida Zip: 33/91 -
Phone# (30S) 4779-2673 Email Address: carloshayer & accadyystersscom
Insurance Company Contact Information:
Representative Name:
Street:
City: : Zip:
Phone #: Email Address:
Party Making Request: C1 Insurer or its Representative insured or their Representative
Reason for Request: Sinkhole Claim Denial C Sinkhole Remediation Method
Sinkhole Report Issued?: Yes [CNo
Name of Individual and Firm that Issued the Report: S PIT Gyo La | Guns Q cat on
Issues in Dispute:
Project He BOllb6SA done by Mr Sam Upchurch C spate =
veotly graded Sand. water tohle. Please nate thet “smal!
Seana'l ~cuns 30 €c0et Lehind +e property, Home Kas Severe
damage, alony @x terior wall poel deck ard jatevor Floors aad ceihags:
Important Notice: You are entitled to Neutral Evaluation pursuant to Section 627.7074, F.S., which sets forth a procedure promoted by the critical
need for effective, fair and timely handling of sinkhole insurance disputes. The procedure is available to those first party claimants who have
unresolved sinkhole insurance claims resulting from damage to property located in Florida. This procedure does not apply to private passenger motor
vehicle insurance or to liability coverage contained in property insurance policies, as weil as National Flood insurance Program policies.
Requesting Party Name: Car log A - Never Date: O { lap [13
DFS-I4-1784
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} 4334 Memory TX 3054446 154Subsidence Investigation
Hines Residence -- Miramar, Florida
STANDARD PENETRATI
} TeerDESCRIPTION
|
|
PENETRATION | BLOW
blows per foot eee
COMMENTS
: Water Table
Drilling Fluid Losses
ft. = ft. bls (typical)
POORLY GRADEDISAND WITH
SILT (SP-SM): Gray,(10YR: 6/1) fine
N to medium quartz sand.with'silt
SILTY SAND WITH ORGANICS:
(GM-PT): Blacki(10YR 2/1) silty fine
to medium quartz sand’ vas!
{approximately 85:5% organics)
POORLY GRADED|SAND (SP):
Very loose to medium dense:
Very-pale-brown (10YR'8/2)fine to
medium quartz sand
i
LIMESTONE: Strong to extremely
Lj strong
‘White (10YR 8/1) limestone gravel
[| and granules, with calcareous clay
1Ni2t7
TTI7I6
WOHMWOH/N/1
Bit
Was
20/30/50+
17121130
Hand auger boring from 0-4 ft. cd
|
ppt resistances @ 1,2.3,4 ft
47/14/918 kgisqem. |
NoEV from 4-8 ft.
MODMWOH from 8-9 ft
EFR @ Sit. @ 15;99m
NoEV from 13.5 ft. to end of boring
RLOC @ 42.5 ft.
Drilled hard from 46.5 ft. to end of .
boring
50 blows for 5 inches of penetration
@aastt
TOB @ 55 ft. bis.
Grouted borehole
Et
ROL Insurance Consulting
Tampa, Florida
SPT BORING LOG
‘S(TE NAME: Hines Residence
SITE LOCATION: Miramar, Florida
DESIGNED BY: ; JMW
CHECKED BY: ; MLF
DRAWN BY: MVK
PROJECT NO: 80116654 BORING
BORING DATE: 05/24/12 B-1
PAGE NO:..1.0f 1 |DEPTH (ft)
BLS
DESCRIPTION
BLOW
COUNTS
PENETRATION
blows per foot!
N VALUE
COMMENTS
Water, Table
* Drilling Fluid Losses
ft. =.ft. bis:(typical)
POORLY, GRADED SAND (SP):
White (10YR 8/1) fine to.medium
quartz sand i , 7
(SM-PT): Very loose
Dark-broiwn (10YR 3/3) fi
POORLY GRADED SAND (SP):
Very loose toimedium dense
| medium quartz sand
SILTY SAND \WITH ORGANICS,
,|, Very-pale-brown (10YR'8/2) fine to
48/217
TI8I718
WOR/1/1/WOH
=] LIMESTONE: Moderately strong to :
strong eee
White (10YR 8/1) limestone gravel «
and granules, with calcareous clay
1314
Hand auger boring from 0-4 fl. -
ppt resistances @ 1.2.9.4 ft:
30/20/30/10 kg/sq.cm:
NoEV from 4-8 ft :
EFR @8ft. @ 15gpm
MODMWOR from 8-8.5 A, then 1/1,
then MODWOH from 9.5-10
NoEV from 13.54
RLOC @:37.5. :
f
Drilled hard from 38 f.:to end of
boring. 5
NoEV from ’38.5 ft: to end of boring
TOB @ 50 ft. bls. « *
Grouted borehole
ROL Insurance Consulting
Tampa, Florida’
SPT BORING LOG
. SITE NAME: | Hines Residence
SITE LOCATION: Miramar, Florida : -
uMw "
MLF
ORAWNBY: = MVK
PROJECT NO
BORING DAT!
BORING
B-2
8011665A
0512412
4oft:
PAGE NIDESCRIPTION
PENETRATION
blows per foot
BLOW
COUNTS
COMMENTS
Water Table
Drilling Fluid Losses
” ft. = ft. bls! (typical)
N VALUE
"POORLY GRADED SAND (SP)
White (10YR 8/1) fine to mediurn
'{\ quartz sand ‘ *:
|} POORLY GRADED SANO WITH
SILT (SP-SM): Very loose
Dark-brown (10YR 3/3) fine to
medium quarizisand with silt and.”
race organics |
POORLY GRADED SAND (SP):
Loose to medium dense
Very-pale-brown (10YR 8/2) fine to
medium quartz sand
LIMESTONE: Moderately strong to
very strong
‘White (10YR 8/1) limestone gravel
and granules, with caleareaus’clay
22/218
TG
3141414
WOR/2/4
10215
18/20/24
Hand auger boring from 0-4 ft
ppt resistances @ 1,2.3.4 ft:
30/25/8/7 kg/sq.cm
NoEV from 4-33.5 ft
EFR @6 ft. @ 15 gpm
RLOC @ 33 f.
MODMWOR fromi33.5-34 ft.
NoEV from 38.5 ft. to end of boring
TOB @ 50 ft. bis.
Grouted borehole
ROL Insurance Consulting
Tampa, Florida
SPT BORING LOG
7 SITE NAME: Hines Residence
SITE LOCATION: Miramar, Florida
DESIGNED BY: JMW
CHECKED BY:) MILF
DRAWN BY:
MVK
PROJECT NO: 80116658 BORING
BORING DATE: 08/24/12
PAGE NO:. 1 of 1 B-3ce Investigation SDH Project Number: 8011665A.
esidence — Miramar, Florida :
PENDIX D
(ORATORY SOIL ANALYSISz cL ee.
Global Corporation
ERCENT, PASSING.No.3
ei
tae TER BRA
BASSAS
D421, D4.
22, 0653, 0698, D864,D1140, D2216,'02974; D4318; D475:
‘€xpansion|
Index
Sam Upchurch, P.G.
Florida Registration Number 4ATLANTIC COAST CONSULTANTS, LLC. Public Adjusters
13899 Biscayne Blvd. Ste 149, N. Miami Beach, FL 33181 / Toll Free 877-561-2524 / Fax 305-354-2880
This Contract for Public Adjusting Services is hereby entered into this az day of December , 20 b a ) 2 between Atlantic Coast
Consultants, LLC (’Adjuster’) and Tame es Hi nest (Client(s)"), whose address is
3316 S, Lake Terrace Miramar, FL 22023
1. Adjuster and Client(s), (collectively “the Parties") hereby agree that Adjuster will provide Public oi (‘Services’) to Client(s) for a loss that
occurred on or about ORS ADITA (ill in the date), at the following address, _449~2 fil in the
address of the loss). Generally, the lass occurred as the result of:
i i
Sink hele fill in, cause of loss, ane storm, fire, flood, etc.) and involved damage to the
following types of property: Ma titer Bedroom i Closet | Pool Deck tn descipion of property damaged,
‘such as the Dwelling, Other Structures, Personal Property, Loss of Use, Business Interruption, etc.
1
The following insurance policy affords coverage for the loss described above.
|
insurance Company: Ht me Owners Choice Etfective date:
i
Policy Number: 1483-1 Deductible:
Claim Number: & ol lo 8
In connection with these laren, Client will execute a Limited Power of Attorney for purposes of allowing Adjuster to act as your/their agent in
attempting to effectuate a settlement under the policies of insurance identified herein or later discovered ("Insurance Coverage") to covar the losses
described above. |
4. in connection with these services, Client will execute a Limited Power of Attorney for purposes of allowing Adjuster to act as your/their agent in
attempting to discuss matters pertaining to the loss described above with Agent's Mortgage Company or other Financial Lending Institution.
5. The Parties agree that in consideration for the Services provided by Adjuster, Client(s) agree that Adjuster will be entitled to compensation which is,
afee of % of the Gross Proceeds collected through the Insurance Coverage. {Gross Proceeds includes the applicable insurance deductible.)
This fee is due and owing whether the Gross Proceeds are received directly by Cl