Collier County Housing Authority

Transcription

1 Request For Proposal (RFP) PEST CONTROL SERVICES RFP No: FY The Collier County (CCHA) will receive sealed proposals for Pest Control Services for Farm Worker Village- Sections C.D.E, & Collier Village, Section A & B and Horizon Village and COCC Main Office until 1:00 p.m. (Eastern Time) on Friday, May, 19, 2017 in the CCHA Conference Room located at 1800 Farm Worker Way, Immokalee Florida 34142, at which time and place all proposals will be publicly opened and read aloud. Pre-Bid site visit is scheduled for Thursday, May 11, 2017 at 10:00 A.M. All interested bidders are encouraged to visit the site to identify boundaries and existing conditions prior to submitting a proposal. Bid packages are available on the website or for pick up at the Administration Department Office located at 1800 Farm Worker Way, Immokalee, FL Sealed Proposals: Contractor will deliver one (1) original and two (2) copies to the following address: Collier County Administration Department 1800 Farm Worker Way Immokalee, Florida By 1:00 p.m. on Friday, May 19, 2017 Please make sure the envelope or package is clearly marked Sealed RFP #FY Questions regarding the RFP or direct technical/procedural questions must be received in writing (fax or acceptable) no later than 1:00 p.m. on May 16, 2017, and addressed to: CCHA Administration Department 1800 Farm Worker Way Immokalee, Florida Fax: (239) lskipper@cchafl.org Proposals may be held by the CCHA for a period not to exceed sixty- (60) calendar days from the date of opening proposals for the purpose of reviewing them and investigating the qualifications of the bidders, prior to awarding the contract. No proposal shall be withdrawn subsequent to the opening of bids without the consent of the CCHA. The CCHA reserves the right to accept or reject any or all proposals, or any part of any proposal, and to waive any informalities or irregularities in the proposal or in the bidding. No member, officer, employee of CCHA shall, during his/her tenure or for one (1) year thereafter, have any interest, direct or indirect, in this contract or the proceeds thereof. The CCHA encourages participation by businesses owned and operated by minorities and women. An Equal Opportunity Employer. By order of the Executive Director of the Collier County. THE COLLIER COUNTY HOUSING AUTHORITY Oscar Hentschel, Executive Director REQUEST FOR PROPOSAL Page 1 of 24

2 PEST CONTROL SERVICES RFP No: FY Instructions to Bidders The Collier County (CCHA) will receive sealed proposals for Pest Control Services for Farm Worker Village-Sections C,D, E & Collier Village, Sections A & B, Horizon Village and COCC Main Office until 1:00 p.m. (Eastern Time) on Friday, May 19, 2017 in the CCHA Conference Room located at 1800 Farm Worker Way, Immokalee Florida 34142, at which time and place all proposals will be publicly opened and read aloud. Proposals received after the above cited time will not be considered. Pre-Bid Site Visit: Pre-Bid site visit will be held on Thursday, May 11, 2017 at 10:00 A.M. All prospective Bidders are strongly encouraged to attend and to visit the site to identify boundaries and existing conditions prior to submitting a proposal. If the Bidder does not attend the pre-site visit, not doing so on the part of the bidder shall not relieve the Bidder of any responsibility for adherence to any of the provisions of the bid documents or any addenda. Proposals may be held by the CCHA for a period not to exceed sixty- (60) calendar days from the date of opening proposals for the purpose of reviewing them and investigating the qualifications of the bidders, prior to awarding the contract. No proposal shall be withdrawn subsequent to the opening of proposals without the consent of the CCHA. The CCHA reserves the right to accept or reject any or all proposals, or any part of any proposal, and to waive any informalities or irregularities in the proposal or in the bidding. Failure to submit a bid properly may result in rejection of the proposal. No member, officer, employee of CCHA shall, during his/her tenure or for one (1) year thereafter, have any interest, direct or indirect, in this contract or the proceeds thereof. The CCHA encourages participation by businesses owned and operated by minorities and women. The price quotations stated in the bidder s proposal will not be subject to any price increase from the date on which the proposal is opened at the CCHA s Conference Room to the mutually agreed to date of contract. Completeness Proposals should be prepared providing a straight forward concise description of the Contractor s ability to meet the requirements of the RFP. Proposals shall be written in ink or typewritten. No erasures are permitted. Mistakes may be crossed out and corrected and must be initialed in ink by the person signing the proposal. Any bidder who fails to submit the following required documents with their proposal, in sufficient detail and completeness, may be declared non-responsive and ineligible for consideration. Documents to be submitted with bid: Page 2 of 24

3 Completed Bid Form. Completed Non-Collusive Affidavit. Proposal should include all the following information: A. Contractor s Qualifications, to include Degrees or Certifications, years in business, experience in providing the level and type of service specified in the proposal. List your current and past projects. B. Current bank reference with name and phone number of contact person. C. At least three (3) current references of pest control services agreements covering similar services listed in the proposal. Include name, contact name and phone number. Additional Information: 1. Submit a certified Statement that the company is registered in the State of Florida and actively licensed to perform the above services. 2. Submit a Statement certifying an understanding of the government requirements and agreement to comply. 3. Submit a certified statement that the contractor or any of its subcontractors are not disbarred, suspended, or otherwise prohibited from practice by any Federal, State and Local agency. Proposal shall be made on unaltered bid forms, which are incorporated within the proposal documents. Proposals shall be signed with name typed below signature. When bidder is a corporation, proposals shall be signed with the legal name of the corporation followed by the name of the state of incorporation and the legal signature of an officer authorized to bind the corporation to a contract. CCHA reserves the right to reject any and all proposals received as a result of this RFP. If a proposal is selected it will be the most advantageous regarding price, quality of service, the Contractor s qualifications and capabilities to provide the specified service and other factors which CCHA may consider. The CCHA does not intend to award a contract fully on the basis of any response made to the proposal; the CCHA reserves the right to consider proposals for modifications at any time before a contract would be awarded, and negotiations would be undertaken with that contractor whose proposal is deemed to best meet the CCHA s specifications and needs. In the event it becomes necessary to revise any part of the RFP, an addendum will be provided. Deadlines for submission of RFP s may be adjusted to allow for revisions. The entire proposal document with any addendums should be returned in triplicate. To be considered, original proposal and two copies must be at the CCHA s Administration Department on or before the date and time specified. Proposed Bid Schedule: (Subject to Change): Invitation For Bids Open April 27,2017 Pre-Bid Conference May 11, :00 A. M. Bid Due Date and Time May 19, :00 P.M. Evaluation of Bids May 22, 2017 Award of Contract June 1, 2017 Page 3 of 24

4 GENERAL SPECIFICATIONS The Contractors are hereby notified that the Collier County (CCHA) is soliciting Sealed Proposals for Pest Control Services for several of its public housing properties. The Contractor is further notified that the CCHA shall only be responsible to pay the Contractor for the work listed herein as part of the specifications for this Request. The Contractor shall perform the services for the CCHA pursuant to the required specifications during the term of this Agreement. The Contractors shall develop complete quote for these services: A. Pest Control Services: For each unit the Contractor shall provide an adequate staff to provide pest control services. The pest control services must provide the labor and equipment for pest control for all properties owned and managed by the Collier County. The Bid requires pest control to include: cockroaches, ants/fireants, silverfish, rats, mice and all treatments are to include occupied and any vacant units. The Contractor s proposal shall be considered responsive when it includes provisions to provide these pest control services. A separate listing of services and associated cost, offered by the company submitting this proposal that may not be listed is encouraged such as bees, bed bugs, termites etc. B. Chemical MSDS sheets should be provided to the Collier County for the proposed treatments for the interior and exterior of the properties. 1. USDA-: 315 Units of Farm Labor Housing. a. 27 One Bedroom -707 Square footage for Section C b. 19 Two Bedroom Units square footage for Section C c. 58 Three Bedroom Units 912 square footage for Section C d. 68 Four Bedroom Units 1115 square footage for Section C e. 14 Two Bedrooms 800 square footage for Section D f. 29 Three Bedroom Units 987 square footage for Section D g. 54 Two Bedrooms 800 square footage for Section E h. 15 Three bedrooms 978 square footage for Section E i. 1 Four Bedroom 1028 square footage for section E 2. Collier Village: 30 Units of Farm Labor Housing a. 6 One Bedrooms Units 658 square footage b. 12Two Bedroom Units 800 square footage c. One Property Managers Unit 987 square footage 3. Section A & B: 276 units of low income housing Page 4 of 24

5 Section A a. 60 One Bedroom Units 401 square feet b. 44 Two Bedroom Units 600 square feet c. 23 Three bedroom Units 792 square feet d. 23 Four bedroom Units 968 square feet Section B e. 0 One Bedroom Units f. 30 Two Bedroom Units -672 square feet g. 51 Three Bedroom Units -864 square feet h. 45 Four Bedroom Units square feet i. Resident Services Unit-968 sq. ft. j. Maintenance Shop sq. ft. k. Warehouse 3456 sq. ft. l. Community Center 2380 sq. ft m. Property Manager s Unit 1008 sq. ft. n. Store/Laundry 3796 sq. ft. o. Daycare Center 1920 sq. ft. p. Grounds 4. Horizon Village: 24 units a.192 bed dormitory A,B & C Buildings-8 apts each-1,050 square ft. b.main Office 1229 square feet c.laundry Facility square feet d.generator Room 1138 square feet e.offices 1138 square feet f.meeting Room 1222 square feet g.storage Building 700 square feet 5. COCC: a. Main Office Building Page 5 of 24

6 GENERAL TERMS AND CONDITIONS Award and Selection Procedure. CCHA reserves the right to reject any and all proposals received as a result of this RFP. If a proposal is selected it will be the most advantageous regarding price, quality of service, the Contractor s qualifications and capabilities to provide the specified service and other factors which CCHA may consider. The CCHA does not intend to award a contract fully on the basis of any response made to the proposal; the CCHA reserves the right to consider proposals for modifications at any time before a contract would be awarded, and negotiations would be undertaken with that contractor whose proposal is deemed to best meet the CCHA s specifications and needs. The submitted proposals will be evaluated by a review committee. The evaluation will be based on the following factors and weighting: a. Price 60 points b. Qualifications 5 points c. Prior experience 5 points d. References 5 points e. General response and timely submission - 5 points f. Contractor attended the Pre-Bid Meeting 5 points g. Demonstrates understanding of CCHA needs-15 points h. Maximum Points Low Bid. Low bid will be determined by response given on the Bid Form to the lowest total bidder or awards may be issued based on the lowest bid per location. Collier County Housing Authority reserves the right to reject low bids, to waive irregularities and/or infirmities in any bid, and to make the award in a manner deemed in the best interest of CCHA. Conflict of Interest. The Contractor certifies by acceptance of an order that no related official, during his or her tenure or for one (1) year thereafter, shall have any interest, direct or indirect, in the order or the proceeds thereof. The term Related official means any: a. Member, officer or employee of the CCHA; b. Member of the governing body of the locality in which the CCHA was activated; c. Member of the governing body of the locality in which the project is situated; and, d. Other public officials of such locality(ies) who exercise any functions or responsibilities with CCHA. Scope Of Work. The Contractor shall furnish all necessary labor, materials, tools, equipment, water, light, heat, power, transportation and supervision necessary for the performance of all work in strict accordance with the specifications. Successful bidder(s) shall maintain on-site supervision at each location where services are to be performed. During the anticipated contract period, CCHA anticipates available funding for Pest Control Services at selected developments. The successful bidder(s) shall be responsible for maintaining such Pest Control Services during the term of his/her agreement. Insurance. As a condition precedent to the consideration of any bid proposal, the Contractor must show evidence of current coverage for the following: 1) Fleet Auto/truck Insurance covering owned, non-owned, and hired vehicles 2) Comprehensive General Liability Insurance in the amount of one million per occurrence, and 3) Workers Compensation Insurance. Upon acceptance of a bid proposal and prior to commencement of work, the successful bidder will provide the CCHA with endorsements for all the above naming the Collier County Housing Authority as an additional insured entity with respect to the services provided under this contract. A copy of the certificate of insurance with additional insured must be provided to the CCHA. Page 6 of 24

7 No payments will be made to the Contractor until the certificates of insurance have been received and approved by the Contract Officer. If the insurance as evidenced by certificates furnished by the Contractor, expires or is canceled during the term of the contract, services and related payments will be suspended. Contractor shall furnish the Administration Department with certification of insurance evidencing such coverage s and endorsements at least five (5) working days prior to commencement of services under this Contract. Certificates of Insurance shall be addressed to the Administration Department, 1800 Farm Worker Way, Immokalee, Florida and shall provide for 30 day written notice to the certificate holder of cancellation of coverage. Permits, Fees and Licenses. The Contractor shall secure, maintain and pay all permits, fees and licenses necessary for the proper execution and completion of work. Cleaning. The Contractor shall keep the premises clean and clear of debris resulting from his/her contract work and the work of any and all subcontractors. Storage Materials. The Contractor shall store all materials off site. He or she shall not unreasonably encumber the premises with materials. Equipment: The Contractor shall maintain their own inventory of required tools and equipment to perform all requested duties. Subcontracting. The CCHA encourages the participation of minority and women owned businesses. The Contractor will make every effort to utilize minority and women owned subcontractors in work performed under this contract. The Contactor will be asked to submit a list of subcontractors to be used in the performance of this contract. All subcontractors must be approved by the CCHA in advance. Equal Employment Opportunity. The Contractors shall not discriminate against any employee or applicant for employment or promotion because of race, color, creed, religion, sexual orientation, national origin, marital status, physical handicap, age or sex. Security. The Contractor shall protect and secure all materials, vehicles and equipment, and shall assume full responsibility for loss, theft, vandalism and any other damage for the duration of the contract. Live Utilities. Contractor shall be responsible for and shall hold the CCHA harmless from any damage, caused by Contractor, to any live utility passing through or serving the project area. The repair of such damage shall be completed by the utility involved at the Contractor s expense. The contractor shall be responsible for locating all utilities and verifying the location(s) before starting work. Warranty. The Contractor warrants that work performed conforms to proposal requirements, including specifications and these general requirements. Disclaimer. For the existing contract period, the CCHA will assume NO responsibility for vandalism, theft, fire and/or personal injury claims arising from or relating to the work to be performed. The Contractor and all assigned employees must exercise extreme caution and safety at all times. The Contractor is expected to take every precaution necessary to protect the work area and to eliminate accidents occurring at the work site. Resolving Disputes. All claims, disputes and other matters or questions arising out of or relating to Page 7 of 24

8 this Agreement shall be decided by arbitration in accordance with the Industry Arbitration Rules of the American Arbitration Association in force unless the parties mutually agree otherwise. This agreement to arbitration will be specifically enforceable under the prevailing arbitration law. The award rendered by the arbitrator shall be final and judgment may be entered upon it in accordance with applicable law in any courts have jurisdiction thereof. The prevailing party in any such arbitration shall be entitled to attorney's fees and cost incurred with such action. In the event any litigation arises out of this Agreement, the prevailing party in such litigation shall be entitled to recover attorney's fees and court costs. Indemnification. To the extent authorized by law, in the course of performing the services outlined herein, the Contractor shall assume full liability for any and all claims, liens, fines, demands and costs, including legal fees for injury or death to any persons, including the Contractor s own employees, and for loss or damage to any property, including property owned or in the care, custody or control of Collier County in connection with or in any way incident to or arising out of the occupancy, use, service, operations, performance or nonperformance of work in connection with this contract resulting in whole or in part from negligent acts or omissions of Contractor, any sub-contractor, or any employee, agent or representative of the Contractor or any sub-contractor. Project Management. On-site oversight, coordination and inspection of the work will be conducted by the Property Managers or the Maintenance Supervisor. The CCHA Property Managers: Maintenance Supervisor: Collier County Collier County 1800 Farm Workers Way 1800 Farm Worker Way Immokalee, Florida Immokalee, Florida Phone: (239) Phone: (239) Fax: (239) Fax (239) The Contractor will assure that all employees, sub-contractors and their employees are appropriately attired for their profession and conduct themselves in a courteous and orderly manner at all times. The CCHA strongly discourages any interaction between the Residents that live on the Authority properties where services are being performed and the Contractor and their employees, the Subcontractor and their employees. Any and all communication should be through CCHA Property Project Manager/ Maintenance Supervisor. Review and Inspection. The CCHA may at its sole discretion, review and inspect services provided herein. i. The Contractor must provide a schedule of work at the end of the prior month for work to be completed in the preceding month to the Property Manager each month. The Contractor will notify the Property Manager or Maintenance Supervisor one (1) working day in advance before any work begins. j. Appearance will be the governing factor at all times. At completion of service at each Community, the Property Manager and Contractor or their delegated supervisor, will inspect the complex grounds for acceptability. k. Inspection Report will be used for this purpose. Payment. Payment shall be made on the basis of timely submission of separate invoices for each Page 8 of 24

9 program to the CCHA Administration Department for review and approval. Payment shall be made within thirty (30) days from receipt of the Contractor s invoice. All payments are subject to CCHA inspection and inspection report requires the signature of the vendor and property manger. Term. The services to be performed shall be for a contract period of twelve (12) months beginning June 1, 2017 and with the option to extend for an additional twelve (12) months with the same terms and conditions if CCHA and Contractor agree. Notice of intent to renew would be issued in writing by CCHA Administration Department 30 days prior to the expiration date of the contract. Termination of Contract. Either party may terminate the contract by giving thirty (30) days written notice to the other party. Compliance with Laws and Regulations. The Contractor will comply with all federal, state and local regulations, including, but not limited to, all applicable OSHA requirements and the Americans with Disabilities Act. Governing Law. All questions concerning the meaning, execution, construction, effect, validity and enforcement of the Agreement shall be determined pursuant to the Laws of the State of Florida. Practice and Ethics. The parties will conform to the code of ethics of their respective national professional associations. Drug Free Workplace. The Collier County is a Drug-Free Workplace in accordance with the Drug-Free Workplace Act of Evidence of consumption of alcoholic beverages or drug use on job sites and/or evidence that work is being performed while under the influence of drugs or alcohol by the Contractor and their employees, the Subcontractor and Subsubcontractors and their employees shall be grounds for immediate removal from property and for denial of further participation in future projects. Miscellaneous: A. All time limits stated in the Agreement are of the essence. B. All obligations imposed by this Agreement and the rights and remedies available hereunder shall be in addition to and not in limitation of any duties, obligations, rights, and remedies otherwise imposed available by law. C. The provisions and general specifications included in this Agreement are severable. The excuse of or nonperformance of a portion of this Agreement shall not excuse the Contractor from further performance or completion of the contract. D. Should any provision of this Agreement conflict with any other specifications or provisions included or incorporated by reference, the provision of the Agreement shall control. E. The terms of this Agreement void and nullify any and all other agreements between the parties hereto pertaining to the work, or any previous understanding, contracts or course of dealings. F. This Agreement shall be binding upon and shall inure to the benefit of all of the parties hereto, their beneficiaries, successors and permitted assigns. G. Changes mutually agreed upon by the CCHA and the Contractor will be incorporated into this contract by written amendments signed by both parties. H. The Contractor is responsive for all applicable state and federal social security benefits and unemployment taxes and agrees to indemnify and protect the CCHA against such liability. I. All notices under this Agreement shall be effective upon personal delivery to the Collier County, 1800 Farm Worker Way, Immokalee, Florida, or to Contractor Name, Contractor s Address, as the case may be, or 24 hours after deposit in the United Page 9 of 24

10 States mail, postage fully prepaid and addressed to the respective party at the address contained in this Agreement or to such other address as the parties may from time to time designate in writing. Properties: In accordance with the CCHA s management plan, bids will be accepted for the following properties: COCC Group: 1. CCHA Main Office Section A & B Group: 1. CCHA Main Office 2. Maintenance Shop 3. Resident Services Office 4. Village Community Center 5. Daycare A (inside and outside parameters) 6. Daycare B (outside parameters) 7. Village Store and Laundromat 8. Playground between A & B Section 9. Section A dwelling units 10. Section B dwelling units 11. Exterior perimeter of all buildings. USDA Group: 1. Daycare C/Office Building 2. Maintenance Warehouse 3. Section C dwelling units 4. Section D dwelling units 5. Section E dwelling units 6. Collier Village 7. Common Areas 8. Exterior perimeter of all buildings.. Horizon Village Group: 1. Buildings A-C 2. Office Area 3. Laundry Area 4. Common Areas 5. Exterior Perimeter of all buildings. Property Site Map. Attached on Page ( will add maps of each section) Page 10 of 24

11 BID FORM For PEST CONTROL SERVICES Attention: The undersigned, having familiarized (him/herself) (themselves) with the General Specifications including in the Request for Proposal; Instructions to Bidders, this Bid Form, the form of the Non- Collusive Affidavit; and any other associated forms or documents thereto, on file in the Office of the Page 11 of 24

12 , hereby proposes to furnish all labor, equipment, services, licenses, and permits for the Collier County to secure Pest Control Services. The following principles shall govern the competitive bidding process: 1. CCHA reserves the right to reject any and all proposals received as a result of this RFP. If a proposal is selected it will be the most advantageous regarding price, quality of service, the Contractor s qualifications and capabilities to provide the specified service and other factors which CCHA may consider. The CCHA does not intend to award a contract fully on the basis of any response made to the proposal; the CCHA reserves the right to consider proposals for modifications at any time before a contract would be awarded, and negotiations would be undertaken with that contractor whose proposal is deemed to best meet the CCHA s specifications and needs. 2. Low bid will be determined by response given on the Bid Form to the lowest total bidder or awards may be issued based on the lowest bid per location. Collier County reserves the right to reject low bids, to waive irregularities and/or infirmities in any bid, and to make the award in a manner deemed in the best interest of CCHA. 3. All prices and information required on the Bid Form must be typewritten or written legibly in ink. 4. Any stipulations made as to the bidder s bid shall subject the proposal to rejection. If bidder wishes to include additional information, bidder may do so with attachments. However, alternate proposals will not be considered unless specifically requested in these specifications. 5. Any bidder having a complaint or protest regarding a proposal must submit the complaint or protest in writing to the 's Contracting Officer eight (8) or more days prior to the date set for opening of bid proposals. Any bidder protesting a bid opening must submit the protest in writing to the Contracting Officer no later than three (3) days after bid opening for the protest to be considered. Pricing includes all general specifications listed. BID FORM For PEST CONTROL SERVICES Page 12 of 24

13 Property Name/Group COCC Main Office Section A & B ADDRESS Total Bid for Annual Fee Section A & Section B including offices buildings, community center, daycares and grounds. $ USDA Sections C, D, E and Collier Village, including office buildings, day care/ community center, common areas and grounds. Horizon Village Buildings A, B, & C, Laundry, Office Area, Common Areas and Grounds. ADDENDUMS: Bidder hereby acknowledges the following addendums issued during the proposal period: Addendum #1 Addendum #2 Issued Issued Submittal Statement: 1. The undersigned certifies that this Proposal is made in good faith, without collusion or connection with any other person or entity proposing on this work. 2. The undersigned Proposer has examined and read all General Specifications, General Terms and Conditions, maps and other Contract Documents, and all Addendums thereto; and is acquainted with and fully understands the extent and character of the work covered by this Proposal and the specified requirements for the proposed work. 3. The undersigned Proposer certifies that no officer or agent of the Collier County Housing Authority will directly or indirectly benefit from this Proposal. 4. The undersigned Proposer states that this proposal is made in conformity with the specifications, and agrees that in case of any discrepancy or differences between its Proposal and the specifications, the provisions of the latter shall prevail. 5. The undersigned Proposer certifies that it has carefully examined the foregoing Proposal after the same was completed and has verified every item placed thereon; and agrees to indemnify, defend and save harmless the Collier County against any cost, damage or expense Page 13 of 24

14 which may be incurred or caused by any error in its preparation of same. 6. The undersigned Proposer agrees that if this Proposal is accepted by Collier County Housing Authority, it will keep its Proposal in effect for 60 (sixty) calendar days thereafter. This time period begins at the time Proposals are opened and ends upon the signing of the award by the Executive Director. The Contract will follow thereafter. Approval by the Contracting Officer constitutes acceptance of the Proposal by the Collier County. D a t e Signature Print Name Company Name Company Address Title City State Zip Telephone # Fax # Federal Tax ID # Address The above individual must be authorized to sign on behalf of the company submitting the proposal. Proposals must be signed by an official authorized to bind the provider to its provisions for at least a period of 60 days. THE COLLIER COUNTY HOUSING AUTHORITY Oscar Hentschel, Executive Director INSPECTION REPORT NAME of PROPERTY: Inspection Date Pest Control Services: Roaches: Ants: Silverfish Poor Poor Poor Satisfactory Satisfactory Satisfactory Excellent Excellent Excellent Page 14 of 24

15 N/A N/A N/A Rats Mice Other Poor Poor Poor Satisfactory Satisfactory Satisfactory Excellent Excellent Excellent N/A N/A N/A Communication w/ CCHA staff Poor Satisfactory Excellent N/A Comments (Property Manager/Maintenance Supervisor/Contractor) Overall Appearance Poor, Satisfactory, Excellent Contractor Signature Required For Payment Date Management Signature Date NOTE: No payment will be issued until a minimum of a satisfactory is given by the Management. The Property Manager/Maintenance Supervisor will also observe that safety practices are being followed. NON-COLLUSIVE AFFIDAVIT STATE OF COUNTY OF, being first dully sworn, deposes and says; That he/she is, (a partner or officer of the firm, corporation, etc.) the party making the foregoing proposal or bid an attest to the following: Page 15 of 24

16 (1) that affiant employed no person, corporation, firm, association, or other organization, either directly or indirectly, to secure the public contract under which he received payment, other than person regularly employed by the affiant whose services in connection with the construction of the public building or project or in securing the public contract were in the regular course of their duties for affiant; and (2) that no part of the contract price received by the affiant was paid or will be paid to any persons, corporations, firm, association, or other organization for soliciting the contract, other than the payment of their normal compensation to persons regularly employed by the affiant whose services in connection with the construction of the public building or project were in the regular course of their duties for affiant; (3) that such proposal or bid is genuine and not collusive or sham; that said bidder has not colluded, conspired, connived or agreed, directly or indirectly, with any bidder or person, to put in a sham bid or to refrain from bidding, and has not in any manner, directly or indirectly, sought by agreement or collusion, or communication or conference, with any person to fix the bid price of affiant or of any other bidder, or to fix any overheard, profit or cost element of said bid price, or of that of any other bidder, or to secure any advantage against the Collier County Housing Authority, or any person interested in the proposed contract; and that all statements in said proposal or bid are true. Signature Subscribed and sworn before me this day of, NOTARY PUBLIC My Commission expires CERTIFIED STATEMENT Before me this day of, 20, personally appeared, who duly sworn, deposes and says: 1. I would like to submit a certified statement that my company is registered in the State of Florida and is actively licensed to perform the services stated in this contract. Page 16 of 24

17 2. I would like to submit a statement that we have an understanding of the Government Requirements and are in agreement to comply. 3. I would like to submit the statement that I, the Contractor and any of my Sub- Contractors are not disbarred, suspended, or otherwise prohibited from practice by any Federal, State, or Local Agency. Signature of Bidder State of Florida County of SWORN TO AND SUBSCRIBED before me this day of 20, appeared who did take an oath and who is either personally known to the undersigned or has produced the following form of identification:. Notary Public Signature Notary Name: Commission Number: Commission Expiration Date: Page 17 of 24

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