SEALCOATING AND STRIPING INVITATION TO BID BID #

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1 October 30, 2011 CITY OF PARKLAND SEALCOATING AND STRIPING INVITATION TO BID BID # The City of Parkland is requesting sealed bids for sealcoating and striping at various locations throughout the City. All bids shall be provided in compliance with the specifications in sealed envelopes submitted to the City Clerk on or before 10:00 a.m. December 1, 2011 at Parkland City Hall located at 6600 University Drive, Parkland, Florida at which time bids will be publicly opened.. All bids received after the date and time stated above will be returned unopened to the Bidders. All Bidders are invited to attend the opening. It is the Bidder s responsibility to familiarize himself/herself with the total scope of work within the Bid. Bidders are required to state exactly what they intend to furnish to the City and must indicate any variances to the terms, conditions and specifications of this bid, no matter how slight. If variations are not stated in the bid, it shall be construed that the Bidder s bid fully complies with all conditions identified in this bid. One original and five (5) copies of the bid shall be submitted with the submittal being plainly marked as Bid No. # SEALCOATING AND STRIPING SERVICES on the outside of the envelope. A 5% Bid Bond MUST be submitted with each bid. The City reserves the right to reject all bids, to waive minor irregularities, or take such other actions with regard to acceptance or rejection of bids and bid alternates as it deems, in its sole discretion, will serve the public interest. Any questions regarding the Bid Documents, including plans and specifications should be directed in writing to Esmond K. Scott, Director of Public Works via at: escott@cityofparkland.org Bids shall be awarded by the city commission to the "lowest responsible and responsive bidder" submitting a responsive bid. In determining the lowest responsible and most responsive bidder, in addition to the price, the following may be considered: (a) The ability, capacity, and skill of the bidder to perform the contract. (b) Whether the bidder can perform the contract within the time specified, without delay or interference. (c) The character, integrity, reputation, judgment, experience and efficiency of the bidder. (d) The quality of performance on previous public or private contracts of a similar type. (e) The previous and existing compliance by the bidder with laws and ordinances relating to the contract. (f) The ability of the bidder to provide future maintenance and service. (g) Tie bids. The tie may be broken and the successful vendor selected by the following criteria presented in order of importance and consideration: 1. Quality of the items or services if it is ascertainable 2. Time of delivery if provided in the bid 3. If the above criteria are impossible to determine with any reasonableness or do not resolve the issue, the award will be given to that vendor whose bid was received first as indicated by the time stamp on the envelope containing the bid. The bid will be awarded by the City Commission. All prices, terms and conditions quoted in the submitted bid will be firm for acceptance for sixty (60) days from the date of the bid opening unless otherwise stated by the City. The plans and specifications attached hereto detail the scope of services and contractual requirements which will be imposed. The City reserves the right to make additional contract requirements in accordance with the direction of its City Attorney and the successful firm shall be obligated to execute a contract that provides for those additional requirements. ADVERTISEMENT: Demand Star November 9, 2011 Sun-Sentinel November 9, 2011 City Website November 9, 2011 Page 1

2 SEALCOATING AND STRIPING BID # SCOPE OF SERVICES: The work consists of furnishing all labor, materials, equipment, tools, permitting, service, and supervision necessary to properly complete the sealcoating and striping in accordance with the specifications as outlined in Section 4. Construction shall be by a licensed contractor and crew with at least five (5) years of verifiable experience and projects of similar scope and nature. 2.0 GENERAL CONDITIONS: 2.1 Discrepancies In the event of discrepancies, the written specifications shall prevail. No changes in the scope of work shall be performed by Contractor without the expressed written approval of City. 2.2 Bonds Bid Bond: An acceptable Bid Bond, Cashier s Check, or Certified Check payable to the City of Parkland in an amount not less than 5 % (percent) of the total bid price, must accompany the bid. The Bonding must be executed by a surety company authorized to do business in the State of Florida or secured in a manner satisfactory to the City of Parkland. Performance and Payment Bond: Upon award of a contract, Contractor shall furnish a Performance & Payment Bond in an amount equivalent to 100% of the total bid award amount as security for the faithful performance of all of the contractor s obligations under the contract documents. The Performance & Payment Bond shall remain in full force and effect for the entire Contract term and any extensions thereof. Warranty Bond: Upon final acceptance of the project by City, Contractor shall provide a Warranty Bond in an amount equivalent to 25% of the total bid award. The Warranty Bond shall remain in effect for a period of twelve (12) months from the date of final acceptance. If the surety on any bond furnished by the Contractor is declared bankrupt or becomes insolvent or its right to do business is terminated in Florida, the Contractor shall, within seven (7) days thereafter, substitute another bond meeting their requirements outlined in the Contract, which must be accepted by the City. 2.3 Warranty All goods and services furnished by the Contractor, relating to and pursuant to this Bid will be warranted to be free of defects, meet or exceed the Specifications contained herein, and fit for the intended use. In the event of breach, the Contractor will take all necessary action, at Contractor s expense, to correct such breach in the most expeditious manner possible. 2.4 Payments The Contractor shall submit invoices for approval and payment upon completion and acceptance by the City of finished work. Invoices shall bear the project name, bid number and purchase order number. The City has up to thirty (30) days to review, approve and pay all invoices after receipt. October 30, 2011 Page 2

3 2.5 Damage to Public and/or Private Property: Extreme care shall be taken by Contractor to safeguard all existing facilities, site amenities, utilities, irrigation systems, windows, and vehicles on or around the job site. Damage done to public and/or private property by the Contractor, shall be the responsibility of the Contractor and shall be repaired and/or replaced by Contractor at no additional cost to the City. The Contractor shall use all means to protect existing objects, structures and vegetation. In the event of damage, the Contractor shall immediately make all repairs, replacements and dressings to damaged materials, to the approval of the City, at no additional cost to the City. The Contractor shall correct all defective or nonconforming work if the work has been rejected by the City, and replace it with work that is not defective. 2.6 Indemnity: Contractor shall indemnify, defend and hold City, its elected and appointed officials and its employees harmless from any and all liability, claims, causes of action, judgments or penalties in any way related to the actions or omissions, its activities and those of its employees, subcontractors and agents pursuant to, or related to, this agreement. Nothing herein shall constitute a waiver of the City s sovereign immunity. 2.7 Insurance: Contractor shall provide the City with proof of adequate (in the opinion of City) workers compensation insurance. Contractor shall procure and keep in force general liability insurance in the amount of $1, 000,000 per occurrence and $2,000,000 aggregate with the City named as an additional insured.. All vehicles used by Contractor shall have automobile liability insurance in the minimum amount of $500,000 per incident. The City shall receive current copies of the certificate of insurance upon execution of the contract. All insurance companies shall be rated at least A VII per Best s Key Rating Guide and be licensed to do business in Florida. All policies shall be occurrence not claims made. The Bidder shall be responsible for all deductibles. All policies required shall contain a provision or endorsement that the coverage afforded shall not be canceled, materially changed or renewal refused until at least thirty (30) calendar days written notice has been given to the City by certified mail. 2.8 Compliance with Laws: Contractor, its officers, agents, employees, and subcontractors, shall abide by and comply with all Federal, state and local laws. It is agreed and understood that if City calls the attention of Contractor to any such violations on the part of the Contractor, its officers, agents, employees, contractors, then Contractor shall immediately desist from and correct such violation. If Contractor is in violation of any law, Contractor shall be solely responsible for coming into compliance with such law and shall be solely responsible for the payment of any fine charged for such violation. 2.9 Permits and Licenses: The Contractor shall submit copies to the City's Director of Public Works or his designee of all licenses required for this work. Contractor, at his/her own expense shall be responsible for obtaining any permits and licenses that may be required under this Agreement Hours of Operation: All work under this contract shall be performed between the hours of 7:30 am and 5:30 pm, local time, Monday through Friday or on weekends as required by the Director of Public Works. The Director of Public Works has the authority, for convenience and scheduling, to make such modifications in hours of operation. Accordingly, no exceptions to these hours shall be made without the expressed written consent of the City Page 3

4 BID FORM 2.11 Time for Completion/Liquidated Damages Contractor must be capable of commencing work within five (5) working days of notification by the City. Failure to commence within five (5) working days on any work order may terminate contract. At that time, The City reserves the right to retain use of another contractor. The project shall be completed within fourteen (14) days from the date of the City issued Notice to Proceed. Upon failure of CONTRACTOR to complete the project within the specified period of time described above, CONTRACTOR shall pay CITY the sum of two hundred and fifty dollars ($250) for each calendar day after the time specified project completion. This amount is not a penalty but liquidated damages to CITY. Liquidated damages are hereby fixed and agreed upon between the parties, recognizing the impossibility of precisely ascertaining the amount of damages that will be sustained by CITY as a consequence of such delay, and both parties desiring to obviate any question of dispute concerning the amount of said damages and the cost and effect of the failure of CONTRACTOR to complete the Contract on time. CITY is authorized to deduct liquidated damage amounts from the monies due CONTRACTOR for work under this Agreement Termination The CITY shall have the right to terminate this Contract or any part of a subsequent award for convenience upon seven (7) days notice to CONTRACTOR. Upon said notice of termination, the Contract shall be terminated and the CONTRACTOR shall be paid, as the sole and exclusive obligation of the CITY, the amount due for services performed to the date of termination Default: In the event that the Bidder defaults on the contract or the contract is terminated for cause due to performance, the City reserves the right to obtain the materials or services from the next lowest Bidder or other source during the remaining term of the contract. Under this arrangement the City will charge the Bidder any excess cost occasioned or incurred thereby and shall apply to any bid bond required Subcontracting Neither this Invitation to Bid or subsequent contract nor any portion thereof shall be subcontracted without approval in writing from The City. Any subcontractor, if approved by The City, must meet the same requirements as the prime contractor and provide licenses and insurance. 3.0 SPECIAL CONDITIONS 3.1 Vehicles and Equipment: Contractor, at its sole cost and expense, shall furnish and maintain all vehicles and equipment as is considered reasonably necessary to perform the work in an acceptable manner to the City and at a satisfactory rate of progress. The vehicles and equipment shall be maintained in a safe and efficient working condition throughout the term of the Contract. Page 4

5 3.2 Products: Manufacturers' name, brand name, model number, or make is used in these specifications for the sole purpose of establishing minimum requirements of quality, performance, and design. APPROVED EQUAL is added to the specifications to avoid ruling out qualified competition. Where equal is bid, the Bidder must submit brochures, specifications in detail and/or samples. The City shall be the sole judge of equality and may reject a bid in its entirety if City determines that products bid are not of equal quality, performance, and/or design with those specified. 3.3 Green Provision: Without being exclusive, The City supports and encourages the purchase of products and services that use recycled post-consumer waste and are energy efficient and/or environmentally friendly. Products that are comparable to the bid specifications stated herein and are reusable, refillable, repairable, more durable, and less toxic may be purchased or used where practicable and cost effective as an alternative at the discretion of The City. The City also encourages and promotes using minimal packaging and the use of recycled/recyclable products in the packaging of commodities purchased. The Proposer shall be responsible for providing packaging that will protect the products shipped and documentation which demonstrates how their products or services meet this provision. 3.4 Samples and Demonstrations: When requested, samples are to be furnished free of charge to the City. If a sample is requested it must be delivered within three days of the request unless otherwise stated in the bid. Each sample must be marked with the bidder's name and manufacturer's brand name. The City will not be responsible for returning samples. The City may request a full demonstration of any product or service before the award of a contract. All demonstrations will be done at the expense of the Bidder. 3.5 Conditions of Materials: All materials and products supplied by the Bidder in conjunction with this bid shall be consistent with industry standards. In the event that any of the products supplied to the City do not conform to the specifications, the City reserves the right to reject the product at no cost to the City. 3.6The Contractor, without exception, shall indemnify and save harmless The City and its employees from liability of any nature or kind, including cost and expenses for, or on account of, any copyrighted, patented, or unpatented invention, process, or article manufactured or used in the performance of the contract, including its use by The City. If the Contractor uses any design, device or materials covered by letters, patent, or copyright, it is mutually understood and agreed, without exception, that the Bid prices shall include all royalties or cost arising from the use of such design, device, or materials in any way involved in the work. 3.7 Safety Standards: The Bidder warrants that the product(s) supplied to the City conforms with all respects to the standards set forth in the Occupational Safety and Health Act and its amendments to any industry standards if applicable. Page 5

6 BID FORM 3.8 Temporary Construction, Storage, and Support Facilities: Due to the small size, scope, duration, and nature of this project, it is anticipated that a field office or any temporary storage construction will not be required for this job. All other rules and regulations shall be applied as required by State Law and the Occupational Safety and Health Administration (OSHA). 3.9 Site Security & Safety Contractor shall be responsible for securing the site and maintaining safety Contractor shall be solely responsible for securing all equipment, materials, tools, etc. left on the construction site for the duration of the project Weather Conditions: In the event that a severe storm event is imminent (as determined by City), Contractor shall be responsible, to the satisfaction of City, for securing and/or removing all equipment and materials, stored on the job site. City reserves the right to remove any and all materials and equipment, from the job site in the event City determines that Contractor has not prepared the site to the City s satisfaction. Contractor shall be responsible to reimburse City for all costs associated with said removal and storage Project Cleanup: Upon completion of the work and before acceptance and final payment, the Contractor, shall clean and remove from the site, and adjacent property, all surplus and discarded materials, rubbish, and restore in an acceptable manner all property, both public and private, if damaged during the execution of the work; and shall leave the site and vicinity unobstructed and in a neat and presentable condition throughout the entire area or length of the work under contract. The placing of materials of every character, rubbish, or equipment on abutting property shall not constitute satisfactory disposal. If the work is of such character as may be done by sections, the Contractor may be required to remove promptly and dispose of accumulated rubbish, debris, or surplus materials from blocks or sections completed or partially completed. Use of any dumpsters on City property is not permitted for disposal of contractor material. If the contractor fails to clean up at the completion of the work, The City may do so and the cost shall be charged to the contractor. Any costs caused by defective or ill-timed work shall be borne by the contractor Sidewalk Closures: Contractor shall provide the City, in writing, any necessary sidewalk closure plans no less than three (3) days prior to any such closures or obstructions. 4.0 SPECIFICATIONS: Asphalt Seal Coating Seal coat material shall be coal-tar emulsion containing not more than 50% solids, & conforming to (ASTM) D Specifications. The material shall be capable of application and complete coverage, by squeegee, brush, or spray, to the bituminous surface at a spreading rate of 2.0 gallons per 10 square yards in a two coat application. A polymeric latex additive shall be added to the sealer. This additive is to keep the sealer, water, & sand suspended evenly. A ratio of 2-4% is recommended. Sand shall be clean, air dried, hard & irregular silica sand. Standard sand #60/45 will be added to the sealer at the ratio of 2-4 lbs. /gallon. Water shall be clean, not supplied from lakes or wells, within a temperature range of 50-80F & a 20-40% cut is recommended. Primer shall be utilized to address any oil spots as specified. All traffic paint applied on sealer shall be 100% Acrylic based. Page 6

7 Sweeping, Degreasing and Surface Preparation Cleaning, sweeping and degreasing shall be with the use of mechanical equipment such as a pressure washer or mechanical sweeper for large areas. Degreaser shall be non-toxic, biodegradable environmentally asphalt-safe degreaser to remove any oils, surface dirt, contamination, etc. Cracks in excess of ¼ inch but less than 1 inch in width must be filled prior to application of the sealcoat. Cracks must be cleaned of all weeds and debris prior to crack sealing with crack filler. The crack filler shall be applied per manufacturer s recommendations and must be dry to the touch prior to application of the sealcoat. Cracks that contain weed and other live vegetable matter must be treated with locally approved non-oil based sealant prior to application of crack filler. Prior to the application of the sealcoat, deposits of grease or oil shall be cleaned by scraping and/or the use of approved detergents in order to promote adhesion of the sealcoat. After cleaning the areas described above, the areas shall be sealed with an oil seal. Acrylic Latex Traffic Marking Paint for Temporary Marking Thermoplastic traffic pavement marking shall be per current revision of the State of Florida Department of Transportation, Standard Specifications for Road & Bridge Construction Manual, Section 710 and the Design Standards for Design, Construction, Maintenance and Utility Operations on the State Highway System Manual. Acrylic latex traffic marking paint shall be conventional dry (non-heated application) water based paint intended for use in marking parking lots, airports, and roads. It shall conform to current Volatile Organic Compounds (VOC) regulations. Thermoplastic Traffic Pavement Marking Thermoplastic traffic pavement marking shall be per current revision of the State of Florida Department of Transportation, Standard Specifications for Road & Bridge Construction Manual, Section 711 and the Design Standards for Design, Construction, Maintenance and Utility Operations on the State Highway System Manual. Americans with Disabilities Act All Americans with Disabilities Act related work such as tactile surfaces; signs and pavement markings shall conform to the current Americans with Disabilities Act Standard Specifications and requirements Miscellaneous A. Traffic shall not be allowed on the Asphalt sealcoat until the sealcoat is thoroughly cured which, in warm weather conditions, is approximately 24 hours. The Contractor shall adequately barricade the area to be sealed and re-striped to avoid vehicle and pedestrian intrusion. B. Irrigation watering shall be kept off for at least 24 hours prior to and after the application of Asphalt sealcoat. C. Upon request, the Contractor shall supply The City with scale tags for the project containing the following information: Product name, Project name or location, Gallons supplied for the project. D. The Contractor shall provide all labor, materials, parts, tools, devices, and equipment necessary to complete the project. E. Contractor shall deliver MSDS sheets for all sealcoats, paints, and chemicals used to each location. F. Adequate personnel and equipment shall be provided to permit the timely completion of each project. G. The Contractor shall coordinate his arrival onsite with the Project manager. This shall take place a minimum of 24 hours before work is to begin each day. H. The Contractor shall check in and out of the facility when working at each property by notifying the Project Manager on his/her daily arrival and departure. I. The Contractor shall clean up after EACH DAY S Work, including proper, off-site disposal of job-related materials and trash. Page 7

8 BID FORM 5. STRIPING AND LETTERING A. Re-mark and restripe the parking area or track using a latex acrylic traffic paint meeting Fed. Spec.1952B or an approved Thermoplastic/Hot Tape. If variations from the existing pattern need to occur, those will be agreed upon by DCPS contract manager and Contractor prior to striping. Any handicap parking striping shall be in accordance with federal and state regulations regardless of existing patterns. All striping material and application will be as specified Stencils must be used for all lettering and numbering. Freehand will not be allowed. Re-mark and Restripe to the original layout (unless changed by the SBSC) B. Paint curbs, bollards, and wheel stops as requested using a latex acrylic traffic paint meeting Fed. Spec. 1952B Page 8

9 ---NOTICE--- BEFORE SUBMITTING YOUR BID, MAKE SURE YOU Carefully read the SPECIFICATIONS and then properly fill out the BID FORMS (Pgs. 9-17) 2. Fill out and sign the NON-COLLUSIVE AFFIDAVIT and have it properly notarized. 3. Sign the CERTIFICATION PAGE. Failure to do so will result in your Bid being deemed non-responsive. 4. Fill out BIDDERS QUALIFICATION STATEMENT. 5. Fill out the REFERENCES PAGE. 6. Sign the VENDOR DRUG FREE WORKPLACE FORM. 7. Clearly mark the BID NUMBER AND BID NAME on the outside of the envelope. 8. Submit ONE (1) Original AND TWO (2) Photocopies of your bid. 9. Submit Bid Bond (if required) 10. Make sure your BID is submitted prior to the deadline. Late Bids will not be accepted. 11. Include proof of insurance. 12. Include copies of all licenses and certifications. 13. Include Addendum acknowledgement. FAILURE TO PROVIDE THE REQUESTED ATTACHMENTS MAY RESULT IN YOUR BID BEING DEEMED NON-RESPONSIVE. THIS PAGE AND THE FOLLOWING PAGES ARE TO BE RETURNED WITH YOUR BID. THIS SHOULD BE THE FIRST PAGE OF YOUR BID SUBMITTAL. Page 9

10 CITY OF PARKLAND BID FORM To: Director of Public Works, City of Parkland: We propose to furnish the following in conformity with the plans and specifications and at the below bid prices. The bid prices quoted have been checked and certified to be correct. Said prices are fixed and firm and shall be paid to Bidder for the successful completion of its obligation as specified in the contract documents. The contractor shall provide an itemized bid identifying unit rates for all costs associated with the contract documents so the City may, at its sole discretion, exercise the option to add or delete specific items from the contract as they so desire. The contractor will NOT be paid for any items that are not installed or required. Contractor may add additional line items they deem necessary that may not be included on this breakdown on a separate page. Item # Description Unit SEALCOATING INCLUDING SWEEPING & DEGREASING 01 Minimum Job up to 3,125 sq. ft. Sq. Ft. 02 3,126 Sq. ft. to 10,000 sq. ft. Sq. Ft ,001 Sq. ft. to 20,000 sq. ft. Sq. Ft ,001 Sq. ft. to 50,000 sq. ft. Sq. Ft ,000 Sq. ft. or more Sq. Ft. LATEX STRIPING 06 Baby Carriage Sign & Post (Asphalt) Ea. 07 Baby Carriage Sign & Post (Concrete) Ea. 08 Car stops Remove Ea. 09 Curbing Painting Ea. 10 Handicap Blue Square (4 x 4) Ea. 11 Handicap Sign and Post (Asphalt) Ea. 12 Handicap Sign and Post (Concrete) Ea. 13 Handicap - Symbol Ea. 14 Job Minimum Ea Line (Yellow, white, green or blue) Lin. Ft Line (Yellow, white, green or blue) Lin. Ft Line (Yellow, white, green or blue) Lin. Ft Line (Yellow, white, green or blue) Lin. Ft Line (Yellow, white, green or blue) Lin. Ft Line (Yellow, white, green or blue) Lin. Ft. 21 Arrows Ea. 22 Lettering (per letter) Ea. 23 Reflectors Ea. THERMOPLASTIC STRIPING 24 Line (Yellow or White) Lin. Ft. 25 Line (Yellow or White) Lin. Ft. 26 Line (Yellow or White) Lin. Ft. 27 Line (Yellow or White) Lin. Ft. Unit Price October 30, 2011 Page 10

11 CITY OF PARKLAND BID FORM THERMOPLASTIC STRIPING (CONT D) 28 Line (Yellow or White) Lin. Ft. 29 Line (Yellow or White) Lin. Ft. 30 Arrows (Yellow or White) Lin. Ft. 31 Lettering (per letter) Ea. 32 Reflectors Ea. 33 Job Minimum Ea. The undersigned declare to have specific and legal authorization to obligate their firm to the terms of this bid, and further, that they have examined the Invitation to Bid, the instructions to Bidders, the Specifications, and other documents included in this bid request, and hereby promises and agrees that, if this bid is accepted, they will faithfully fulfill the terms of this bid together with all guarantees and warranties thereto. The undersigned bidding firm further certifies the product and/or equipment meets or exceeds the specification as stated in the bid package; and also agrees that products and/or equipment to be delivered which fail to meet bid specifications will be rejected by the City within thirty (30) days of delivery. Return of rejection will be at the expense of the bidder. Company Name Authorized Signature Address Typed/Printed Name City, State, ZIP Telephone & Fax Number Contractor s License Number Federal Tax ID# October 30, 2011 Page 11

12 CITY OF PARKLAND BID FORM CONTINUED Bidders Name: NOTES: Bid submittals without the manual signature of an authorized agent of the Bidder shall be deemed non-responsive and ineligible for award. To be considered eligible for award, ONE (1) ORIGINAL AND TWO (2) COPIES OF THIS BID FORM must be submitted with the Bid. IF "NO BID" IS OFFERED, PLEASE PROVIDE THE FOLLOWING INFORMATION: Please indicate reason(s) why a Bid Proposal is not being submitted at this time (return the Bid Form to avoid removal of Bidder from the City of Parkland s vendor listing): Variations: The Bidder shall identify all variations and exceptions taken to the Instructions to Bidders, the Special Conditions and any Technical Specifications in the space provided below; provided, however, that such variations are not expressly prohibited in the bid documents. For each variation listed, reference the applicable section of the bid document. If no variations are listed here, it is understood that the Bidder s Proposal fully complies with all terms and conditions. It is further understood that such variations may be cause for determining that the Bid Proposal is non-responsive and ineligible for award: Section Variance Section Variance Section Variance Section Variance Attach additional sheets if necessary. Page 12

13 State of ) ) ss. County of ) NON-COLLUSIVE AFFIDAVIT being first duly sworn, deposes and says that: (1) He/she is the, (Owner, Partner, Officer, Representative or Agent) of the Bidder that has submitted the attached Bid; (2) He/she is fully informed respecting the preparation and contents of the attached Bid and of all pertinent circumstances respecting such Bid: (3) Such Bid is genuine and is not a collusive or sham Bid; (4) Neither the said Bidder nor any of its officers, partners, owners, agents, representatives, employees or parties in interest, including this affiant, have in any way colluded, conspired, connived or agreed, directly or indirectly, with any other Bidder, firm, or person to submit a collusive or sham Bid in connection with the Work for which the attached Bid has been submitted; or to refrain from bidding in connection with such work; or have in any manner, directly or indirectly, sought by person to fix the price or prices in the attached Bid or of any other Bidder, or to fix any overhead, profit, or cost elements of the Bid price or the Bid price of any other Bidder, or to secure through any collusion, conspiracy, connivance, or unlawful agreement any advantage against (Recipient), or any person interested in the proposed work; (5) The price or prices quoted in the attached Bid are fair and proper and are not tainted by any collusion, conspiracy, connivance, or unlawful agreement on the part of the Bidder or any other of its agents, representatives, owners, employees or parties in interest, including this affiant. Signed, sealed and delivered in the presence of: Witness Witness By: Printed Name: Title: State of ) County of ) ) ss. ACKNOWLEDGMET BEFORE ME, the undersigned authority, personally appeared to me well known and known by me to be the person described herein and who executed the foregoing Affidavit and acknowledged to and before me that executed said Affidavit for the purpose therein expressed. WITNESS my hand and official seal this day of, NOTARY PUBLIC, State of Florida at Large (Signature of Notary Public: Print, Stamp, or Type as Commissioned) ( ) Personally known to me or ( ) Produced identification Type of I.D. Produced ( ) DID not take an oath, or ( ) DID NOT take an oath. Page 13

14 BID FORM CERTIFICATION THIS DOCUMENT MUST BE SUBMITTED WITH THE BID We (I), the undersigned, hereby agree to furnish the item(s)/service(s) described in the Invitation to Bid. We(I) certify that we(i) have read the entire document, including the Specifications, Additional Requirements, Supplemental Attachments, Instructions to Bidders, Terms and Conditions, and any addenda issued. We agree to comply with all of the requirements of the entire Invitation to Bid. Indicate which type of organization below: INDIVIDUAL ~ PARTNERSHIP ~ CORPORATION ~ OTHER ~ IF OTHER, EXPLAIN: AUTHORIZED SIGNATURE: AUTHORIZED SIGNATURE (PRINTED OR TYPED) TITLE FEDERAL EMPLOYER I.D. OR SOCIAL SECURITY NO COMPANY NAME: ADDRESS: CITY: STATE: ZIP: TELEPHONE NO.: FAX NO.: CONTACT PERSON: ADDRESS: Page 14

15 BID FORM BIDDERS QUALIFICATION STATEMENT The undersigned certifies under oath the truth and correctness of all statements and all answers to questions made hereinafter: Name of Company: Address: Street City State Zip Telephone No: ( ) Fax No: ( ) How many years has your organization been in business under its present name? years If Bidder is operating under Fictitious Name, submit evidence of compliance with Florida Fictitious Name At what address was that business located? Are you Certified? Yes ~ No ~ If Yes, ATTACH A COPY OF CERTIFICATION Are you Licensed? Yes ~ No ~ If Yes, ATTACH A COPY OF LICENSE Has your company or you personally ever declared bankruptcy? Yes ~ No ~ If Yes, explain: Are you a sales representative ~ distributor ~ broker ~ or manufacturer ~ of the commodities/services bid upon? Have you ever received a contract or a purchase order from the City of Parkland or other governmental entity? Yes ~ No ~ Have you ever received a complaint on a contract or bid awarded to you by any governmental entity? Yes ~ No ~ If yes, explain: Have you ever been debarred or suspended from doing business with any governmental entity? Yes ~ No ~ If yes, explain: Page 15

16 CITY OF PARKLAND BID FORM REFERENCES Please list name of government agencies or private firms with whom you have done business within the past five years: Agency/Firm Name: Agency/Firm Name: Address City/State/Zip Phone: Fax: Contact: Agency/Firm Name: Address City/State/Zip Phone: Fax: Contact: Agency/Firm Name: Address City/State/Zip Phone: Fax: Contact: Agency/Firm Name: Address City/State/Zip Phone: Fax: Contact: Address: City/State/Zip Phone: Phone: Fax: Contact: Agency/Firm Name: Address: City/State/Zip Phone: Phone: Fax: Contact: Agency/Firm Name: Address: City/State/Zip Phone: Phone: Fax: Contact: Agency/Firm Name: Address: City/State/Zip Phone: Phone: Fax: Contact: YOUR COMPANY NAME: ADDRESS PHONE: FAX: Page 16

17 VENDOR DRUG-FREE WORKPLACE Preference may be given to vendors submitting a certification with their bid/proposal certifying they have a drug-free workplace in accordance with Section , Florida Statutes. This requirement affects all public entities of the State and becomes effective January 1, The special condition is as follows: IDENTICAL TIE BIDS - Preference may be given to businesses with drug-free workplace programs. Whenever two or more bids which are equal with respect to price, quality, and service are received by the State or by any political subdivision for the procurement of commodities or contractual services, a bid received from a business that certifies that it has implemented a drug-free workplace program shall be given preference in the award process. Established procedures for processing tie bids will be followed if none of the tied vendors have a drug-free workplace program. In order to have a drug-free workplace program, a business shall: 1. Publish a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance is prohibited in the workplace and specifying the actions that will be taken against employees for violations of such prohibition. 2. Inform employees about the dangers of drug abuse in the workplace, the business s policy of maintaining a drug-free workplace, any available drug counseling, rehabilitation, and employee assistance programs, and the penalties that may be imposed upon employees for drug abuse violations. 3. Give each employee engaged in providing the commodities or contractual services that are under bid a copy of the statement specified in subsection (1). 4. In the statement specified in subsection (1), notify the employees that, as a condition of working on the commodities or contractual services that are under bid, the employee will abide by the terms of the statement and will notify the employer of any conviction of, or plea of guilty or nolo contendere to, any violation of chapter 893 or of any controlled substance law of the United States or any state, for a violation occurring in the workplace no later than five (5) days after each conviction. 5. Impose a section on, or require the satisfactory participation in a drug abuse assistance or rehabilitation program if such is available in the employee's community, by any employee who is so convicted. 6. Make a good faith effort to continue to maintain a drug-free workplace through implementation of this section. As the person authorized to sign the statement, I certify that this form complies fully with the above requirements. Authorized Signature Company Name Date: Print Name Title Page 17