Polk County Workforce Development Board, Inc.

Transcription

1 Polk County Workforce Development Board, Inc. Request for Proposal For Furniture Purchase & Installation including Carpet and Paint RFP PWDB-14-YLWH-01 ISSUE DATE: September 15, 2014 PROPOSALS DUE: September 29, 2014, 12:00 noon CONTACT: Luz M. Heredia, Vice President Operations 600 N. Broadway Avenue, Suite B Bartow, Florida Phone: (863) Fax: (863) luz.heredia@careersourcepolk.com RFP PWDB-14-YLWH-01 Page 1 of 24

2 1.0 PURPOSE The purpose of this Request for Proposals (RFP) is to solicit proposals from qualified organizations interested in contracting with Polk County Workforce Development Board, Inc. dba CareerSource Polk, to provide quotes on: Specified office furniture and installation of new carpet as specified by designer removal and disposal of existing carpet installation of a storefront door with appropriate electronic locks for controlled access new paint and molding All work to be performed for the Young Leaders office at 500 E. Lake Howard Drive, Winter Haven, Florida 4 th floor. 2.0 BACKGROUND Polk County Workforce Development Board, Inc. (CAREERSOURCE POLK) is a not-for-profit corporation designated as the administrative entity and grant recipient for workforce investment programs in Polk County, FL, that seeks to develop and maintain a highly competitive workforce for the county. Its mission is to facilitate and serve as the catalyst for workforce development services that are responsive to employer/employee needs of Polk County. As a result, CAREERSOURCE POLK is undertaking several initiatives to provide timely and relevant workforce services and short term training through a variety of employer outlets. CareerSource Polk will make available quality employment work experiences with public, private and non-profit organizations in the community that will provide both immediate income to participants and long-term benefit in skills obtained. 3.0 SCOPE OF WORK CAREERSOURCE POLK is seeking to contract with qualified companies, preferably as an all in one project to quote on office furniture and equipment as specified by the designer in Exhibit A and B. In the event the project is not awarded as an all in one project and is awarded to separate vendors or contractors, then the Scope of Work will have two project managers that will adhere to the scope of work specified to their particular field of work in this RFP. 3.1 Site of Work: Project Manager(s) will provide the removal of existing carpet and base boarding. Install new carpet and base boarding as specified in relation to colors, in Exhibit A furnished by designer. Project Manager(s) will complete all interior painting as specified in Exhibit A. RFP-PWDB-14-YLWH-01 Page 2 of 24

3 Furnish all equipment and labor to complete the site work relating to this project, and as outlined below Preparation and Protection: Will provide protection to all existing permanent or semi-permanent existing fixtures. 3.2 Demolition: Will demolish and dispose of all materials relating to the deconstruction of the existing structure required to complete project. (In this case existing carpet and any subflooring, base boarding). Materials will be reused, recycled or disposed of to comply with all local regulations and authorities. 3.3 Permits: All applicable permits required by State, County or local Municipalities will be supplied by the Project Manager including, but not limited to, Fire Marshall Inspections and review of project. 3.4 Project Manager(s) will provide control and insurance of all contents in Sub Contractor designated containers in shipment of products. 3.5 Project Manager(s) will coordinate a timeline as established in post vendor/contractor awarded meetings to ensure proper coordination of delivery of products as to not incur additional storage charges. 3.6 Vendors, Contractors and Sub-Contractors, shall be an Equal Opportunity Employer and adhere to all federal, state and local laws in relation to its hiring process. 3.7 The Project Manager(s) will ensure that all sub-contractors will adhere and comply with the Davis - Bacon Act. Project Manager(s), Contractors and sub-contractors will make available all payroll records to the Polk County Workforce Development Board Inc. upon request. The scope of the Vendors/Project Manager(s)/Contractors work includes all items required for the completion and proper delivery, execution and completion of the work set forth above, including without limitation, all items incidental to or reasonably inferable from such work, whether or not expressly shown on the drawings, equipment layouts, or expressly set forth in the specifications. 4.0 INSURANCE The successful Proposer shall, at its sole expense, maintain the following insurance. A certificate of insurance satisfactory to CAREERSOURCE POLK and evidencing the coverage must be presented to CAREERSOURCE POLK prior to commencement of services. All policies of insurance referenced herein will be primary and will include CAREERSOURCE POLK as an additional insured. RFP-PWDB-14-YLWH-01 Page 3 of 24

4 4.1 Bonding: Proposers will disclose to CareerSource Polk proof of Surety and fidelity bonds. 5.0 SOLICITATION Responses to this Request for Proposals (RFP) must be submitted by 12:00 pm (noon), Eastern Time, on September 29, Proposals are to be submitted on paper and delivered to our office to: Luz Heredia, Vice President of Operations CareerSource Polk 600 N. Broadway Avenue, Suite B Bartow, Florida Phone: (863) Fax: (863) luz.heredia@careersourcepolk.com Electronic submissions in response to this Request for Proposal will not be accepted. Proposals received after the specified time and date will not be considered for any reason. The respondent is solely responsible for assuring that the proposal is submitted in accordance with this RFP by the time designated. Similarly, the respondent assumes the responsibility that its proposal meets all the requirements as set forth in this RFP. Incomplete proposals are considered not responsive and will be disqualified. September 19, 2014 September 19, 2014 September 29, 2014 Mandatory RFP pre-proposal conference. The pre-proposal conference starts at 2:00 p.m. and will be held at 500 E. Lake Howard Drive, (Lake Room 2 nd. Floor), Winter Haven, Florida, Additional questions/clarifications must be in writing to address below or to: rfp_questions@careersourcepolk.com Proposals due by 12:00 noon 5.1 Any contract awarded under this RFP is subject to available funding. 5.2 The specific method of payment for services will be invoiced in twofold: Furniture and equipment related services, including shipment and installation Construction related costs i.e. carpet, paint, base board and storefront door installation. 5.3 All individuals, public or private not-for-profit corporations, governmental contractors, public organizations, or private-for-profit corporations and businesses, not otherwise excluded, and properly organized in accordance with State and Federal law and in business may submit a proposal. Minority RFP-PWDB-14-YLWH-01 Page 4 of 24

5 and women-owned and operated businesses are encouraged to submit a proposal. 5.4 Acceptable proposals shall, at a minimum, meet the specifications contained in this RFP. Proposers are responsible for determining all factors necessary for the preparation of informative, responsive proposals. The contents of the proposals should be clear, concise and easy to understand. Proposals will demonstrate proven experience and knowledge of the activities, services and solutions that have been provided in situations similar to those described in the Scope of Work, above. Proposers should document and list any assumptions, qualifying information, other criteria or comments pertinent to their proposal. Proposals should demonstrate methods, strategies and expertise to accomplish the tasks identified in the Scope of Work. 5.5 No entity may compete for funds if: (1) the entity has been debarred or suspended or otherwise determined to be ineligible to receive federal funds by an action of any governmental organization; (2) the entity's previous contract(s) with CAREERSOURCE POLK have been terminated for cause; (3) the entity has not complied with an official order to repay disallowed costs incurred during its conduct of services under any contract; (4) the entity or its parent organization have filed for bankruptcy during the past 5 years; or (5) the entity has been convicted of a public entity crime pursuant to SECTION (1)(a) FLORIDA STATUTES, ON PUBLIC ENTITY CRIMES. All bidders are required to submit Attachment B Certifications regarding Debarment and Suspension with their proposals. 5.6 No entity may compete for funds if (1) the entity developed or drafted work requirements, or (2) statements of work for this RFP. 5.7 All proposals shall be reviewed for a perceived conflict of interest. 5.8 Time is of the essence with respect to performance of the services to be provided in the final agreement. 5.9 Proposers are required to submit a Cover Sheet using the format provided in Exhibit A to this RFP. All proposals received will be recorded with the date and time of receipt. Proposals received after the deadline will not be considered. The timely delivery of a proposal is entirely the responsibility of the Bidder. Proposals postmarked on or before the proposal due date, but delivered after the due date or time, will be considered non-responsive. Proposals hand delivered after the due date or time will be considered non-responsive Experience and Qualifications: A description of the organization s services that should include experience with providing services of a similar nature to other RFP-PWDB-14-YLWH-01 Page 5 of 24

6 entities or organizations. The successful Proposer will have provided evidence that the organization shows capability of performing the work when time is of the essence as well as a description of the firm s size, structure, and number of years of providing services of a similar scope Information on experience in the specific fields and scope of work. Submit recommendations and/or any other documents of a proven track record from other organizations and companies, including Industry Certifications Geographic areas of the United States serviced and all locations in the State of Florida Location of a centralized Florida reporting operation List of clients currently serviced in Florida Location of Florida network offices Costs Proposals should clearly identify reasonable fees and other costs directly related to services requested in this RFP. 6.0 PROPOSAL PREPARATION To be considered responsive, proposals must meet the following minimum criteria: One original hard copy proposal clearly marked Original and 3 copies, must be received in the CAREERSOURCE POLK administration offices no later than the due date and time shown in the Procurement Timetable below. Faxed or ed proposals will not be accepted. The following schedule represents CAREERSOURCE POLK s best estimate of the schedule that shall be followed. CAREERSOURCE POLK reserves the right, at its sole discretion, to adjust this schedule as it deems necessary. Any schedule changes will be noted on the CAREERSOURCE POLK website at Signature The proposal shall be signed in blue ink by a duly authorized individual or official of the organization. For proposals from organizations, the proposal shall also provide the following information: name, title, address, and telephone number of individual(s) with authority to negotiate and contractually bind the Proposer, and the name of the person who may be contacted during the period of proposal evaluation if different from the signatory official. 6.2 Format for Preparing the Proposal RFP-PWDB-14-YLWH-01 Page 6 of 24

7 Unnecessarily elaborate brochures or other presentations beyond that sufficient to present a complete and effective proposal are not desired. Elaborate artwork, expensive paper, and bindings are neither necessary, nor wanted. It is generally preferred that written material be singlespaced, except where there is a reason for double spacing. An outline form using major headings is preferred. Legibility, clarity, and completeness are essential. Outline: All proposals must be assembled according to the following outline with all pages numbered in sequential order and must demonstrate understanding of the proposed scope of work. Cover letter This will serve as the official letter of transmittal signed by an owner, officer or authorized agent of the firm, acknowledging and accepting the terms and conditions of this RFP and tendering an offer to CAREERSOURCE POLK Exhibit A Cover Sheet A) Experience and Qualifications of the Firm. Include Minority or Women Owned Business certification. (Not to exceed 5 pages) B) Cost Proposal Must be inclusive of all costs 1) Attachment A - Statement on Florida Public Entity Crimes 2) Attachment B - Certifications regarding Debarment, Suspension and other Responsibility Matters 3) Attachment C - Certification regarding Conflict of Interest 4) Attachment D - Non-Discrimination Certification Attachments A, B, C and D must be signed and submitted with proposal. No proposal will be considered that is not: 1) Complete - If sections or mandated attachments are missing, the proposal will not be considered. 2) Compatible - The proposal must be compatible with the goals and objectives of this request. Print all narratives on 8 1/2 x 11" plain white paper with margins of 1" on each side. All narratives must be printed in Arial 12-point font size. Double sided printing of pages is preferable, but not required. Each page of the proposal should be numbered sequentially at the bottom of the page. The Cover Letter, and Attachments A, B and C are not numbered. RFP-PWDB-14-YLWH-01 Page 7 of 24

8 Each proposal is limited to 12 pages (Excluding Cover Letter and Attachments A, B, C and D and Exhibits) and should be prepared simply and economically, providing a straightforward response to this RFP. 6.3 Proposal Review and Contract Award CAREERSOURCE POLK will award the contract based on what is in the best interests of CAREERSOURCE POLK. The contract will be awarded based on offers received considering price, experience, and negotiation of such contract with the successful Proposer. The assessment of experience will take into account such factors as understanding of the services needed, demonstrated skills, experience and ability to provide high quality service on time, and experience with local, state and/or federal regulations. The assessment of price will take into account that fees are reasonable in relation to the services provided; detailed; and that assumptions by the Proposer regarding calculation of the fees are relevant. Each offer should, therefore, be submitted in the most favorable terms from a price and technical standpoint. Final award of a contract will be contingent upon: Successful negotiation of a contract. Acceptance by the Proposer of the contract terms and conditions. RFP-PWDB-14-YLWH-01 Page 8 of 24

9 7.0 EVALUATION CRITERIA All proposals will be evaluated using weighted scoring criteria based on the following categories: 7.1 Experience/Qualifications of the firm 20 points 7.2 Proposing an all in one project 30 points 7.3 Cost/Price 50 points 8.0 CONDITIONS AND LIMITATIONS OF THIS RFP The following conditions are applicable to all proposals: This RFP does not commit or obligate CAREERSOURCE POLK to award a contract, to commit any funds identified in this RFP document, to pay any costs incurred in the preparation or presentation of a proposal to this RFP, to pay for any costs incurred in advance of the execution of a contract, or to procure or contract for services or supplies. CAREERSOURCE POLK reserves the right to reject any and all proposals in whole or in part, to waive any informalities or irregularities in the proposals received, and to accept any proposal that is deemed most favorable to CAREERSOURCE POLK at the time and under the conditions stipulated in the specifications of this request. Non-conforming proposals will be considered non-responsive and are subject to return without review; however, CAREERSOURCE POLK reserves the right to waive informalities and minor irregularities in proposals received. CAREERSOURCE POLK reserves the right to request additional information for clarification from potential candidates, or to allow corrections for errors or omissions. All proposals are subject to negotiation by CAREERSOURCE POLK. CAREERSOURCE POLK reserves the right to retain all proposals submitted and to use any ideas in a proposal regardless of whether that proposal is selected. Submission of a proposal indicates acceptance by the individual or firm of the conditions contained in this request for proposals, unless clearly and specifically noted in the proposal submitted and confirmed in the contract between CAREERSOURCE POLK and the individual or firm selected. CAREERSOURCE POLK may require the selected Proposer to participate in negotiations and to submit price, technical, or other revisions of their proposals in writing which may result from negotiations. RFP-PWDB-14-YLWH-01 Page 9 of 24

10 9.0 APPEAL PROCEDURE FOR PROCUREMENT ACTIONS Any entity/proposer that submits a proposal in response to this RFP will receive fair and unbiased consideration. Should such an entity/proposer not be funded for these services and contends that the procurement process was flawed, then that entity/proposer may protest the funding decision in writing to the Board s President/CEO within ten (10) days of the Board s decision. The President/CEO will attempt to resolve the protest in a reasonable manner and time frame. If the dispute cannot be resolved with the President/CEO, then the protesting entity/proposer can seek and may be granted an opportunity to appeal to the Executive Committee of the CareerSource Polk Board. The Executive Committee decision on all such matters is final. RFP-PWDB-14-YLWH-01 Page 10 of 24

11 Attachment A Statement of Public Entity Crimes CAREERSOURCE POLK Request for Proposal Young Leaders Winter Haven Project RFP-PWDB-14-YLWH-01 Sworn Statement Pursuant to Section (3) (a), Florida Statutes on Public Entity Crimes THIS FORM MUST BE SIGNED AND SWORN TO IN THE PRESENCE OF A NOTARY PUBLIC OR OTHER OFFICIAL AUTHORIZED TO ADMINISTER OATHS. 1. This sworn statement is submitted to: CareerSource Polk by (print individual's name and title)for (print name of entity submitting sworn statement) whose business address is and (if applicable) its Federal Employer Identification Number (FEIN) is (if the entity has no FEIN, include the Social Security Number of the individual signing this sworn statement.) 2. I understand that a "public entity crime" as defined in Paragraph (1) (g), Florida Statutes, means a violation of any state or federal law by a person with respect to and directly related to the transaction of business with any public entity or with an agency or political subdivision of any other state or of the United States, including, but not limited to, any bid or contract for goods or services to be provided to any public entity or an agency or political subdivision of any other state or of the United States and involving antitrust, fraud, theft, bribery, collusion, racketeering, conspiracy, or material misrepresentation. 3. I understand that "convicted" or "conviction" as defined in Paragraph (1) (b), Florida Statutes, means a finding of guilt or a conviction of a public entity crime, with or without an adjudication of guilt, in any federal or state trial court of record relating to charges brought by indictment or information after July 1, 1989, as result of a jury verdict, nonjury trial, or entry of a plea of guilty or nolo contendere. 4. I understand that an "affiliate" as defined in Paragraph (1) (a), Florida Statutes, means: a. A predecessor or successor of a person convicted of a public entity crime; or b. An entity under the control of any natural person who is active in the management of the entity and who has been convicted of a public entity crime. The term "affiliate" includes those officers, directors, executives, partners, shareholders, employees, members, and agents who are active in the management of an affiliate. The ownership by one person of shares constituting a controlling interest in another person, or a pooling of equipment or income among persons when not for fair market value under an arm's length agreement, shall be a prima facie case that one person controls another person. A person who knowingly enters into a joint venture with a person who has been convicted of a public entity crime in Florida during the preceding 36 months shall be considered an affiliate. 5. I understand that a "person" as defined in Paragraph (1) (e), Florida Statutes, means any natural person or entity organized under the laws of any state or of the United States with the legal power to enter into a binding contract and which bids or applies to bid on contracts for the provision of goods or services let by a public entity, or which otherwise transacts or applies to transact business RFP-PWDB-14-YLWH-01 Page 11 of 24

12 with a public entity. The term "person" includes those officers, directors, executives, partners, shareholders, employees, members, and agents who are active in management of an entity. 6. Based on information and belief, the applicable statement which I have marked below is true in relation to the entity submitting this sworn statement. a. Neither the entity submitting this sworn statement, nor any of its officers, directors, executives, partners, shareholders, employees, members, or agents who are active in the management of the entity, nor any affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, b. The entity submitting this sworn statement, or one or more of its officers, directors, executives, partners, shareholders, employees, members, or agents who are active in the management of the entity or an affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, c. The entity submitting this sworn statement, or one or more of its officers, directors, executives, partners, shareholders, employees, members, or agents who are active in the management of the entity, or an affiliate of the entity has been charged with and convicted of a public entity crime subsequent to July 1, 1989; however, there has been a subsequent proceeding before a Hearing Officer of the State of Florida, Division of Administrative Hearings and the Final Order entered by the Hearing Officer determined that it was not in the public interest to place the entity submitting this sworn statement on the convicted vendor list. Attached is a copy of the final order. Polk Works I UNDERSTAND THAT THE SUBMISSION OF THIS FORM TO THE CONTRACTING OFFICER FOR THE PUBLIC ENTITY IDENTIFIED IN PARAGRAPH 1 (ONE) ABOVE IS FOR THAT PUBLIC ENTITY ONLY AND, THAT THIS FORM IS VALID THROUGH DECEMBER 31 OF THE CALENDAR YEAR IN WHICH IT IS FILED, OR THROUGH THE END OF THE CONTRACT FOR WHICH IT IS BEING SIGNED. I ALSO UNDERSTAND THAT I AM REQUIRED TO INFORM THE PUBLIC ENTITY PRIOR TO ENTERING INTO A CONTRACT IN EXCESS OF THE THRESHOLD AMOUNT PROVIDED IN SECTION , FLORIDA STATUES FOR CATEGORY TWO OF ANY CHANGE IN THE INFORMATION CONTAINED IN THIS FORM. Signature Date STATE OF COUNTY OF PERSONALLY APPEARED BEFORE ME, the undersigned authority, (name of individual signing) who, after first being sworn by me, affixed his/her signature in the space provided above on this day of, NOTARY PUBLIC My commission expires: RFP-PWDB-14-YLWH-01 Page 12 of 24

13 ATTACHMENT B Debarment & Suspension Instructions & Certification CAREERSOURCE POLK Request for Proposal Young Leaders Winter Haven Project RFP-PWDB-14-YLWH-01 Debarment & Suspension Instructions & Certification Instructions for Certification Regarding Debarment, Suspension, and Other Responsibility Matters, Primary Covered Transactions 1. By signing and submitting this certificate, the prospective primary participant is providing the certification set out below. 2. The inability of a person to provide the certification required below will not necessarily result in denial of participation in this covered transaction. The prospective participant shall submit the explanation of why it cannot provide the certification set out below. The certification or explanation will be considered in connection with the Board s determination whether to enter into this transaction. However, failure of the prospective primary participant to furnish a certification or an explanation shall disqualify such person from participation in this transaction. 3. The certification in this clause is a material representation of fact upon which reliance was placed when the Board determined to enter into this transaction. If it is later determined that the prospective primary participant knowingly rendered an erroneous certification, in addition to other remedies available, the Board may terminate this transaction for cause or default. 4. The prospective primary participant shall provide immediate written notice to the Board if at any time the prospective primary participant learns its certification was erroneous when submitted or has become erroneous by reason of changed circumstances. 5. The terms "covered transaction," "debarred," "suspended," "ineligible," "lower tier covered transaction," "participant," "person," "primary covered transaction," "principal," "proposal," and "voluntarily excluded," as used in this clause, have the meanings set out in the Definitions and Coverage sections of the rules implementing Federal Executive Order You may contact the Board for assistance in obtaining a copy of those regulations. 6. The prospective primary participant agrees by submitting this certificate that, should the proposed covered transaction be entered into, it shall not knowingly enter into any lower tier covered transaction with a person who is debarred, suspended, declared ineligible, or voluntarily excluded from participation in this covered transaction, unless authorized by the Board. 7. The prospective primary participant further agrees by submitting this proposal that it will include the clause titled "Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion- Lower Tier Covered Transactions," provided by the Board, without modification, in all lower tier covered transactions and in all solicitations for lower tier covered transactions. 8. A participant in a covered transaction may rely upon a certification of a prospective participant in a lower tier covered transaction that it is not debarred, suspended, ineligible, or voluntarily excluded from the covered transaction, unless it knows that the certification is erroneous. A participant may decide the method and frequency by which it determines the eligibility of its principals. Each participant may, but is not required to, check the List of Parties Excluded from Procurement/Non Procurement Programs RFP-PWDB-14-YLWH-01 Page 13 of 24

14 9. Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to render in good faith the certification required by this clause. The knowledge and information of a participant is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings. 10. Except for transactions authorized under paragraph 6 of these instructions, if a participant in a covered transaction knowingly entered into a lower tier covered transaction with a person who is suspended, debarred, ineligible, or voluntarily excluded from participation in this transaction, in addition to other remedies available, the Board may terminate this transaction for cause or default. RFP-PWDB-14-YLWH-01 Page 14 of 24

15 CAREERSOURCE POLK Request for Proposal Young Leaders Winter Haven Project RFP-PWDB-14-YLWH-01 Certification Regarding Debarment, Suspension, and Other Responsibility Matters Primary Covered Transactions This certification is required by the regulations implementing Executive Order 12549, Debarment and Suspension, 29 CFR Part 98, Section , Participants responsibilities. The regulations were published as Part VII of the May 26, 1988 Federal Register (pages ). (BEFORE SIGNING CERTIFICATION, READ ATTACHED INSTRUCTIONS WHICH ARE AN INTEGRAL PART OF THE CERTIFICATION) 1. The prospective primary participant certifies to the best of its knowledge and belief, that it and its officers / principals: a. Are not presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by any Federal, state or local governmental department or agency; b. Have not been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State, or local) transaction or contract under a public transaction; violation of Federal or State antitrust statutes or commission or embezzlement, theft, forgery, bribery, falsification or destruction of statutes or commission or embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property; c. Are not presently indicted for or otherwise criminally or civilly charged by a government entity (Federal, State, or local) with commission of any of the offenses enumerated in paragraph (1) (b) of this certification; and d. Have not had one or more public transactions (Federal, State, or local) terminated for cause or default. 2. Where the prospective primary participant is unable to certify to any of the statements in this certification, such prospective participant shall attach an explanation to this proposal. Organization Name of Certifying Official Signature Date RFP-PWDB-14-YLWH-01 Page 15 of 24

16 ATTACHMENT C - Conflict of Interest Statement CAREERSOURCE POLK Request for Proposal Young Leaders Winter Haven Project RFP-PWDB-14-YLWH-01 The Proposer must execute either Section 1 or Section 2 hereunder relative to Florida Statute (12). Failure to execute either Section may result in rejection of this Proposal. SECTION 1 I hereby certify that no official or employee of the Board, or any Board member, or any immediate family member of a Board employee or Board member has a material financial interest in this firm. Signature: Name of Official (Type or Print): Company Name: Business Address: City, State, Zip Code: SECTION 2 I hereby certify that the following named Board official(s), employee(s), Board member(s), or immediate family member of a Board employee or board member has a material financial interest(s) [in excess of 5%] in this firm and has filed the appropriate Conflict of Interest statements with the Board prior to the review and discussion of this proposal. Name: Title: Signature: Date Of Filing: Name of Official (Type or Print): Company Name: Business Address: City, State, Zip Code: RFP-PWDB-14-YLWH-01 Page 16 of 24

17 ATTACHMENT D Non-Discrimination Certification CAREERSOURCE POLK Request for Proposal Young Leaders Winter Haven Project RFP-PWDB-14-YLWH-01 Non-Discrimination Certification Pursuant to section 188 of the Workforce Investment Act of 1998, Public Law , I,, the undersigned, in representation of the, the grantee, attest and certify that the grantee will adhere to any and all nondiscrimination laws. Section 188 (2) states that: No individual shall be excluded from participation in, denied the benefits of, subjected to discrimination under, or denied employment in the administration of or in connection with, any such program or activity because of race, color, religion, sex (except as otherwise permitted under Title IX of the Education Amendments of 1972), national origin, age, disability, or political affiliation or belief. The undersigned will adhere to any and all federal, state, and local Board non-discrimination rules and regulations. Name Title Proposer Date RFP-PWDB-14-YLWH-01 Page 17 of 24

18 EXHIBIT A - COVER SHEET CAREERSOURCE POLK Request for Proposal Young Leaders Winter Haven Project RFP-PWDB-14-YLWH-01 Cover Page NAME OF PROPOSING COMPANY: ADDRESS: TELEPHONE NUMBER: FAX NUMBER: ADDRESS: FEDERAL ID#: Name and title of person authorized to answer any questions about the proposal, negotiate the contract terms and contractually bind the proposer: Name: Title: I do hereby certify that this proposal is submitted in accordance with the provisions and conditions outlined in RFP-PWDB-14-YLWH-01 that all the information is complete and accurate, and that this proposal represents a firm and fixed offer to provide the requested services. This offer shall remain valid for a minimum of 90 days. I also certify that the fees in the proposal have been arrived at independently, without consultation, communication, or agreement with any other proposer or with any other competitor for the purpose of restricting competition, as to any matter relating to such fees; and no attempt has been made or will be made by the proposer to induce any other person or agency to submit or not submit a proposal for the purpose of limiting or restricting competition. I further certify that this Proposer can and will provide and make available, at a minimum, all services described in this proposal. Typed Name of Individual with Signatory Authority & Title Signature Date RFP-PWDB-14-YLWH-01 Page 18 of 24

19 PROPOSAL OUTLINE and REVIEW CRITERIA/RATING FORM Proposers should address the Criteria in the Proposal Outline/Evaluation Criteria column (below) Proposal Outline/Evaluation Criteria Points Raters Consideration Rating Proposer Experience/Qualifications Max 20 pts. Describe the proposer s experience, ability and track record of the services that have been provided in situations similar to those described in the Scope of Work. Provide evidence that the firm is capable of performing high quality services when time is of the essence. Describe the knowledge of both the Proposer and the subcontractors that would handle CSP s project and their experience in providing multi company services. 0-5 pts. Experience and past proven track record 0-5 pts. Clearly describes organization, administrative controls are in place to ensure proper delivery of services. 0-5 pts. Describe the proposer s ability and willingness to provide prompt and responsive service to CSP to include interfacing with others and 0-5 pts. adjustments to service delivery. Ability to manage entire project as all in one Max 30 Pts. Consider the amount of experience with managing multiple fields in relation to renovations. Proposer ability and track record of keeping timelines, coordination of services Cost/Price Max. Pts. 50 Do the costs of product and services reasonable for the specified furniture and equipment pts. Include any assumptions made in deriving at the costs in relation to construction and renovation pts. TOTAL MAXIMUM NUMBER OF POINTS 105 Demonstrates the capability to manage multi services in renovations and construction projects. Business practices indicate quick response, ease of communication, seamless support. Experience in working on projects involving delivery of furniture and related renovation projects. Show records of successful completions in a timely manner Specific or comparable costs to specified list of furniture and renovation services. Assumptions regarding calculation of costs. RFP-PWDB-14-YLWH-01 Page 19 of 24

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